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Home My WebLink About2659 SANTA ANA AVE - Building Permits • ` , '4 CITY OF COSTA MESA BUILDING DIVISION F ,,,,, .-�I DEVELOPMENT SERVICES DEPARTMENT PERMIT M8ER PERMIT 'tavt, e*' B -01448 ' (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2659 SANTA ANA AV Status: ISSUED Suite: Applied: 08/16/2004 Vicinity: RESIDENCE AND DETACHED GARAGE Issued: 08/16/2004 Parcel Number: 43920134 Zoning: - Applicant: WATSON, KRIS ISSUED BY: //i-I Address: 2219 W OLIVE AV 7- ''- SUITE 282 'Phone: 888-311-7663 BURBANK,CA I - , Zip: 91506 Owner: HUMPHREY, STEPHEN-LATHROP Address /2658 SANTA ANA - - - /N v- N �\ - - Phone: - s- ' COSTA MESA,CA = Zip: 92627-4637 ' Contractor: MODERN-ROOFING Address: 2219 W OLIVE AV SUITE 282, Phone: 888-311-7663 - BURBANK,CA . Zip: 91506 ',License: 807881 . - - - Arch : - p Eng: Address: - • Address: -.- Phone: Phone: Zip: , ' License: License: -, - i - SCOPE OF PERMIT • REROOF RESIDENCE AND DETACHED GARAGE:T/O-EXISTING WOOD SHAKE ROOF,7/16"OSB SHTG, 1 LAYER 30#FELT,APPLY"30-YEAR COMP SHINGLES."1500 SF 5:12 PITCH FEE SUMMARY Plan Check: $0.00 • Calc Valuation: $3,100.00 Permit: $97.25 - Claim Valuation: $3;100.00 SMIP Res: $0.50 - - , ' SMIP Corn: $0.00 - Other: . $0.00 Inspection:.- -$0.00 - , , /i Total: $97.75 - - - - //,- PLANNING &ZONING '%)`/' ' SETBACKSv` . — �.,_ - - ' ymoi �� MAIN STRUCTURE Front 0-0 Rear - 0-0 --Left 0-0 -- Right 0;0- ,. .5,�' ACCESSORY Front 0-0 Rear 0-0. Left ' 0-0 , , Right ,0-0 -1., PARKING Existing: 0- Required: 0 - . . Proposed: 0- <ji 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 - 2446-46(MO) DECLARATIONS ) U" WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury 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 work for which this permit is Issued. 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 permit is Issued. My wo kerp'colnpensatjen Inslyance canter and policy number are: Carder: T(a,fi'C- 'i'V� Policy Number: OD04g64 -LOIY[ (This section need not be completed I/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 shall 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 3700 of the Labor Code,I shall forthwith comply with these provision C /_ Applicant Signature: Date: 6 Jlo o 7 WARNING:FAILURE TO SE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000).IN ADDMON TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licenset v (uyt[�$9r r ions of Chapter 9(commencing with Section 7000)of Division 3 of the Busin ssA7q Professions Code,and my license is In full force and effect.Lic.# Class J7 Contractors Signature: Date: 9'!(t-PN CONSTRUCTION LENDING AGENCY: ❑ 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). Lender's Name: Lender's 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 Division 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 driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property 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? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 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 form for acutely hazardous materials? 0 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 greeter then 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 or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? yes ❑No (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 an 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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pert of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (II'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 prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No .._ _._........._...._ .._..� —..._....._.____ e (If'yes",attach-certificatetiof 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.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. i naw f s) e'/Paloq nd/Or Authorized Applicant Date CODE I INSPECTION TYPE 26Th INTRIALB CODE( INSPECTION TYPE gaff. IRU 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �} 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final SignSite 222 Final Site 204 Final Demolition _ 250 Final Sng/Occupancy Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 6.,I.a ')(/08/11 '15.i 1L CITU OF COSTA MESA CONSTRUCTION PERMIT PE MIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 7(.S 9 Scan?A NNI .UC 7W Applicant's Mailing Address. SP04E - TYPE OF CONSTRUCTIONIp� LI NEW U ADD U ALTERATION Li REPAIR Sri IE HUMMHRE y 6'% t III ❑ CONVERS ON IN DEMOLISH ❑ OTHER Owner's Name I Phone 3 A.P.# Zone S qN IP 30.4 AVE OS f P ESL( DESCRIPTI O WORK/USE OF @LDC. Address ZL• ql S M Z� l S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PE M GGR DING ❑ FOUNDATION Li STRUCTURAL E Front Z Address ❑ OTHERT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B• A Rear - N . Contractor's Name /� Phone _ • Address(mailing PROJECT DESCRIPTION SQ. FT. OCCUPANCY �1 CK Right N • CONSTRUCTION TYPE VALUATION$ l/ Lr OO , s Left G City License N.. • ZONE GRADI NG CU.YDS. ACF{ES - R LICENSED CO •ACT•R D-!lam•"-T- ON _ Ping. Ref.# Parking Req,/Provided E I hereby affirm that I ice:ed under provisions of Charter 9(commencing Remarks: O , with section 7000) of Divisi•n 3 of the Business and Professions Code, and Planning Notes: - • M my license is in full for e and effect. • T ' License Class License No. - S Date Signature - PLUMBING . FEES i ' • • WORKERS'COMPENSATION DECLARATION • Bar Sink . Showers ; i jereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - • 3800, Lab. C.) Automatic Washer Transformer ❑ 15'-50 KW - Policy No. Company - Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW . 8 Certified copy is hereby furnished. 1 • Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection • Cooking Unit Meter Dug to 100'amps 11 Date Applicant Clarifiers • i EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Solar Collectors ; Dishwasher ;Meter Clover 100 amps: (This section need not pe completed if the permit is for one hundred ($100)or - - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that ;the performance of the ork fso as for,which this permit is issued, I , shall not mp oy any Person in any m er so as to become subject to the Drinking Fountains Solar Tank Fan Workers' o tion Laws of Calif or I 1NIpdMotors— ❑0.1 HP ❑1'h-8 Date ) 0 • Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ `"NOTICE If, leer making this declaration you should bec me subject to the Workers' Co pensation provisions of the Labor Code, u must forthwith Floor Sinks UrinalFixtures Microwave comply with such provisions or this permit shall b deemed revoked. - - - CONSTRUCTION LENDING AGENCY Gas Service ' Outlets' " Water Closet Device Boxes I hereby affirm that there is a construction1ending agency for the performance - - • Pole Light , of the work for welch this permit is Issued (Section 3097 Civ. C.) Interceptors - Water Heater Outlets Lender's Name - • Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION - ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash , GarbageDisposal following reason (Section 7031.5 Business and Professional Code: Any city or P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap i Laundry Trays Generator ❑0.5 KW ❑5-15 KW J.A.any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - - - the Contractor's License Law(Chapter 9(commencing with Section 7000) of - , r F , ivision 3 of the Business and Professions Code) or that he/she is exempt - lerefrom 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 _ Penalty of not more than five hundred dollars($500). 'ill I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee I $15 Issue Fee. • $ 3 License Law does not apply to an owner of a property who builds or improves - _ _ - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ,f sale, If, however, the minding or Improvement is sold within one year of com- - Canopy Type II ❑ Zoning Approved By - Date • pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground prove for the purpose of sale). Building Approved By Date 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration Sygtem Application Issued By y DateS1L . tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 1 ' ❑0100,000 BT11� ❑100,000 BTUI builds or improves thereon,and who contracts for such projects with a con- C - SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that BUILDING PERMIT $ 7'S O SMIP i QExhaust System ❑ Multiple❑ System Repair/Alteration proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ ' • PERMIT 0 lam exempt under Section 3 P.C.for this reason Firepl/Fact.BIL (CBO# Fire Dampers Ii1DDl11)Ie?Q Inspections ISSUANCE$ $ DateOwner if - . . Heating System& Ducting Registers • PLAN CHECK 25% $ ENERGY P.C. $ _ I hereb certify that I have read this application and state SO the a move 00100,000 BTU 0100,000 BTU- -Date _ Sig EtE'ETRICAL GRADING $ information Is correct. I agree to comply with all city and coun y ordin. ces _— $ and-state laws relating to building construction, and hereby authorize repre' - MICROFILM $ sentatives of this city to inter upon the abve-mentioned pr pe ty for PLAN CHECK 50% $ • pry- Inspection p pos MECHANICAL $ • TOTAL FEE $ •` (�� Signature e ._ Date Reinspection Fee $15 Iszu Fee 67/ Drivers' License or SS Yf , • Pink - Accounting; Goldenrod - Assessor - / Il CONSTRUCTION AND PLANNING PO. .a SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 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 5. 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, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK 11. 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 - 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 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: n; 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace -••� •- 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation EXPIRED Pico p)ete nbpeLGonb 46. Handicap Regulations `7 47. FINAL STRUCTURE & BUILDING .Date _( di ig Oat 48. Special Requirements Completed 49. Electric Release to Edison '? 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No Date