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1911 CHURCH ST - Building Permits
411110 alp CITY OF COSTA MESA w ,Q BUILDING DIVISION :t"\ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-52*• Fax(714)754-4856 • www,costamesaca.gov j.4. in . FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: B12-00160 • PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42626115 - DATE ISSUED: 07/18/2012 • ISSUED BY: RMD JOB ADDRESS: 1911 CHURCH ST CM Suite/Unit: Vicinity: APARTMENT AND GARAGE Squares: 2000 • Valuation: $3,000.00 • • SCOPE OF WORK: LEGALIZE A REROOF DONE WITHOUT PERMITS FOR A 4 UNIT APARTMENT AND DETACHED GARAGE,APPROX 20 SQUARES. ROOF SHALL COMPLY WITH FELT REQUIREMENTS FOR A 3:12 PITCHED ROOF:COMP SHINGLES INSTALLED. NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s)is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card OWNER: BOITANO,DOMANIC • Address: 407 1/2 JASMINE AV Unit: PHONE: City/State/Zip: CORONA DEL MAR APPLICANT: SILER,JOSH Address: Unit: : PHONE: 714-476-3044 City/State/Zip: CONTRACTOR: OWNER-BUILDER License No. 000000 Address: Unit: PHONE: City/State/Zip: CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY • Reroof Plan Check: $0.00 Reroof Permit Fee: $83.25 • Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $84.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours•Sundays and the following Federal holidays New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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. COPED. INSPECTION TRE PAH IN11ALS c00F t INSPECTION TYPE Pam MIMS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof . /((Orb fa 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 111111 WORKERS'COMPENSATION DECLARATI Owner ID verified by&Iicense. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: ' // Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for worlRlrs' ujerification 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 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed ifthe pernM is valued at one hundred dollars(POO)or less) 2 Art 2,Sec.341,Title B,California Administrative Code). Policy Number: ❑ 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 ed,I shall •.t employ any person in any manner so as to become subject such person has a permit to do such work from the division. is c . to the work/ compensation laws of California, and agree that if I should• become sub'- to the w. : 'compensation provisions of Section 3700 of Applicant's Signature Date the Labor C•• .,I sh. : ply with these Prov' 'ons. a k./ f o1-L2 Division of Industrial Safety Permit Number: f Appy -.^'Signature at? HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WA• FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS • UL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENH ES AND CML 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). 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? 0 Yes 0 No Lic.# Class# (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 Contractor's 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)? 0 Yes 0 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 Califomia 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 Califomia 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? ❑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 Califomia 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 Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 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 properly, 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 an. •rofessio ode 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 it agnatimialt ^/ authorized by this permit until final inspection. /_ / �I'.J \afi r•igna r'•o -•al�..�,) Date //�1� 4.1..71 (�-24� ATV?Ai trvoriied Ap ISanti- a.Dato • Application for Building Permit - - COUNTY OF ORANGE —7 BUILDING3 No. oad DEPT. AND FOR A Permit No. .1 (/ Santa Ana,California Certificate of Use and Occu anc Phone:KI 2-6211 p y Date. i � a /jr 3 BEACON 1. OWNER'S NAME...EDITH--H.BiARRET.T - PRONE:...&�}2-.,w MAILING ADDRESS-..#l.gl-4.-'1 'FORT BLVD. , ' CITY COSTA MESA 5,. Name - Name ..-- - ' (Arc itect or Engineer) (Contractor) Address Address ` City City State State Lic. No Phone Lic. No Phone EREeTING FOUR RENTAL UNITS. PROPOSED USE• CHURCH ST. , COSTA MESA, CALIF . 2. JOB LOCATION X1911'1913 (House No.) (Name of Street) Town or School District) NAME OF AND DIRECTION FROM NEAR T CROSS S REET 100 �T. EAST 19th ST. 3. LEGAL DESCRIPTION: Lot 4' B 3 Tract..._ 1086 (Metes and Bounds Description—Use reverse side of form) - 4. CORNER LOT ( ) INTERIOR LOT (A ) THROUGH LOT ( ) SLOPE OF LOT ( )4 cm- i. SIZE OF BLDG 361...K..c-lL?---AREA132Q SQ..Ft...SIZEOFLOT /60 x112.03 AREA 6721 ,80 8 FT. Sq.Ft. 6. HEIGHT OF BLDG.:.QNT...STOR .. CEILING HEIGHT NO. OF STORIES O,NE 7. NO. FAMILIES FOUR Size.of Smallest Bedroom. 9 A.l f Size of Kitchen /O K I 8. EXTERIOR WALL CONSTRUCTION-- STUCCO INTERIOR WALL COVERING PLASTER (Frame, Stucco, Etc.)C OMpOSITION SHINGLES (Plaster-Drywall, Etc.) r ROOFING COVERING 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH NONE 10. SETBACKS: Front Yard From Center Line of Street 25--F.00T...SETBACK-.•.-5O--2.0.OT---FROM..$I...AR...Sr1'---- Nearest Side Yard....5_..FEET...Rear Yard..5.O...F.'J.'.t, Distance in Feet Between Bldgs. on Same Lot .°i..-FEET (Property Line) (Property Line) ll. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 12. (a) Footing: Width /t' " 'Depth in Ground /-2-./, 2!i Width of Wall & A'f (b) Size of Studs. ..X._j Spacing .16 r "CC Material of Floor CEMENT 5--¢t}t T--e. - (c), Size or Floor Joists• ._ Spacing — • "CC -(d) Size of Rafters. .2- X if f s-AC. Spacing 2 �r ir "CC 13. - VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and ..•sewage disposal $_.42{(6 0 '14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF 'THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIAFOAPPLICABLE THERETO. � Signed:A.2:1n, .g. .@ci.A.?Nd./sr– (Owner) Plans Filed. `. ..._33 By. (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: rESBY Bldg. Permit $ z s 1 049GROUP... ---- APPLICATION... � t/WEALTH Plan Check - $ QJ TYPE ZONING FIRE Total - DIST. MAP $ /-- G C. . PLANS AND MARSHAL Receipt No. -lit..t SPEC'S STATE Paid to • - --1-- SHEET NO. CORRECTIONS ENGINEER _ ... l _.). . .r,. Date �� ■ � .t D CAL._ _ / PE'1 r INSPECTOR DATES..I. © / +^� . 6 __ ----•--I------------CF,Bus- 5000--'!'52 l r l METES AND BOUNDS DESCRIPTION: . 1 - 1I0 2,0 - 3k. 4,0 5,0 610 _ �J -l---------I------------- --- - - II — — 0 - O ---- -- -- A N I 1-] 0 _ - - _- - -- - M - -- - • ---- • -- -- - -- o — — to t_ I ;:!: _ _____t_ . o • • ------- ---- IS 1 - 5959 COSTA MESA BUILDING DEPARTMENTOCT 30-57PDYEsr752a *****2.00 P.O.BOX 317 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS F 1911 CHURCH ST. ;COSTA ;��5°A BUILDING __ COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY a�G RECEIPT NO. PERMIT NO. OWNEF&dith H.Barrett • - . .5- ,Z.4, IL RECEIVED BY DATE RECEIVED DA E ISSUED =TRESS 1914 Newport Blvd. ,LL,, . . . .. /p-.2t5) tp-02.7--a�) N04/ CITY Costa ,mesa, i.8-5 31- ADOREIN ---,� ARCHITECT LIG ,/MESA. CALIFORNIA OR ENGINEER (CIP•N^� �TTTTTIL•p) NO. _._... ��-J- FIRE ADDRESS `C..nri u"Luirrnrn oa ppp5, ZONE No.OF 1.'.�l' SIC 20N E.., n PLANS TYPE 47 GROU CONTRA]C�.���L 'a-�--S•.x-i' S ��((''���� /L_I/OJT' L� .l.^VIU/ �I M I. ( TEL.fJ ga APP�re� V ' L.115 C- /t -. � .J ADDRES Y'; - NO. BY A n DATE lU ).) LEGAL IPTION LOT , 3-4 BLOCK TRACT lO]6 CORRECTIONS A.P.NO. II — G //1— /11iuPPROVE APPROVED SIZE 112 SY.x 120 ftY . HNOOWFONBLLDOGTS. YOF LOT USE OF m -•�'!T�_(Private use) _ CITY Or STA MESA EXISTING BLOTS CLLY..Ji ft.',;,: G DC'T. SETBACK LINE FROMf�-� CQ ' 3 [l CENTER OF STREET ��+�' 1�'V]n. CQ'l REAR YrA]RDJ Ft. SUBJECT TO .DG. DEPT. REG. SIDE YARD RIGHT 99 Pt. LEFT 3 Ft. DESCRIPTION OF WORKaa... -- QX `€ • • DATE /0-'�j--s7 1/3 CGlf�t i S 'LAN re-CH NEW ALTERATION ADDITION . REPAIR • - •MOVING X DEMOLISH • 1 5 ZELDING 12x18x15(ht;gb%rs 1 'STORIES 1 EXTERIOR WALLSteUCCO ROOF �'A Shle.COVERING • COVERING • g _ USE OF NEW BUILDING Sterage4Private use) I CREDBY KNDWLEDGG THAT I HAVE READ T 9.PLTCfION ANDI S E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL Y ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC. TION. (//�' \ /1 9/ VALUATION CR -_ SIGNATURE OF mow. �y µl a PERMIT FEE S PERMITTEE (91.4.04,,' G.�(/�, ((��//. (l �! /T f,/ ` C,(J// PLAN CHECK S s / v AUTHORIZED AGENT TOTAL FEE S I ',a