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Home My WebLink About2900 BAKER ST - Building Permits wCITY OF COSTA MESA 04111 MFS BUILDING DIVISION 4 A F1 't S 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.gov �. �til I 1 FOR INSPECTIONS CALL:(714)754-5626 9%gnn„pro If . PERMIT NUMBER: BC12-00353 y PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 06/11/2012 ISSUED BY: KJB • JOB ADDRESS: 2900 BAKER ST CM • Suite/Unit: APN: 13926116 Zoni ng:R 1, - Vicinity: Primary Occ: , Const Type:V-B SQ. FT: 0 Valuation: $8,000.00 ; • SCOPE OF WORK:REVISION'TO PERMIT ON 07/30/12 TO INCLUDE THE UPGRADE SERVICE TO 200A AND A NEW SUB PANEL TO100A. - NON-STRUCTURAL RELOCATION OF LAUNDRY ROOM TO EXISTING BEDROOM FOR FUTURE KITCHEN EXPANSION. KITCHEN EXPANSION ISNOT INCORPORATED IN THIS PERMIT.ELECTRICAL TOaINCLUDE 4 LIGHT FIXTURES,4 OUTLETS, 1 SWITCH, PLUMBING TO INCLUDE: 1 LAUNDRY/TUB WASHER, 1 SERVICE SINK, 1 SEWER CONNECTION - PRIVATE LINE, 1 GAS OUTLET. OWNER: KNIGHT, LAURA . - • Address: 2900 BAKER ST Unit: Phone: City/State/Zip: COSTA MESA,CA • APPLICANT: FARTHING, SCOTT Address: 904 DOGWOODUnit:: , , - Phone: 949-500-2870 City/State/Zip: COSTA MESA,CA .1 . • CONTRACTOR: FARTHING DEVELOPMENT INC License No:560875 • - • Phone: 949-500-2870 Address:904 DOGWOOD Unit: Cell: City/State: COSTA MESA,CAZipCode92627 ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY • d° '. k Building Plan Check: $0.00 C r Building Fees: $153.25 h '�„- Electrical Fees: $94.40 9g�`�'` Mechanical Fees: $0.00 ��, fp Plumbing Fees: $73.90 • SMIP Residential: $0.80 s1PrS e. SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $323.35 •Refer to fee receipts for all fees paid for project 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. Prohibited 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. CODE/ INSPECTION TYPE PAIS INTMALS CODE# INSPECTION TYPE DAM )N1171515 1616 Fixed System Final Fire Prevention 206 Final Mechanical m(� 1266 Pool Spa Final 208 Final Plumbing TO I De C 200 Final Re-Roof 210 Final Electrical i0 A. 'L �� 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site `J 204 Final Demolition • .. .. 250 Final Building/Occupancy L- #17D . a .„, WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes ❑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 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 {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)feel high.(Chap.3.2,Grp (This sewn need not be completed dthe pernma valued et one hundred dollars(S/GO)orless) 2 Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 0 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 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 subject to the wo . rs' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I shy.•'twith co •p with these provisions. //� Division of Industrial Safety Permit Number: Annus Signatur; Date 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 ❑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. ,2 a registration form for acutely hazardous materials? ❑Yes 0 No Lic.(# QA. ' "'I v� Class? 6 (Section 25533 of the California Health and Safety Code. with some /� a exceptions, requires registration with the Costa Mesa Fire Department by 77I o,l/p2 each business which at any one time has on hand a quantity of acutely Contractors Si.-.tura pate: "^ 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,CMI 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 California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑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? ❑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? 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(8500).): 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 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 property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ❑. I, as owner of the 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 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 permit until final inspection. Signature M La er(s 7f Date Signature Date //360a 3057-06(3107) r Authorized Ap nt c(. D3 — So 0111 �. . CITY OF COSTA MESA `o "MF' BUILDING DIVISION 4,4IIIW• fQ-',, ,n-Ra j1, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.gov v FOR INSPECTIONS CALL: (714)754-5626 'i PERMIT NUMBER: BC12-00353 r • PERMIT TYPE: . B_COMBO STATUS: - ISSUED ' Sub Type: RES_ALT DATE ISSUED: 06/11/2012 ISSUED BY: KJB JOB ADDRESS: 2900 BAKER ST CM - Suite/Unit: APN: ' 13926116 Zoning:R1, ,. iOr- Vicinity: • Primary Occ: • Const Type:V-B SQ. FT: 0 Valuation: $8,000.00 - •c SCOPE OF WORK:NON-STRUCTURAL RELOCATION OF LAUNDRY ROOM TO EXISTING BEDROOM FOR FUTURE KITCHEN EXPANSION. KITCHEN EXPANSION IS NOT INCORPORATED IN THIS PERMIT. ELECTRICAL TO INCLUDE 4 LIGHT FIXTURES, OUTLETS, 1 SWITCH, PLUMBING TO INCLUDE: 1 LAUNDRY)TUB WASHER, 1 SEP/vitt SINK, 1 SEWER CONNECTION- PRIVATE / LINE, 1 GAS OUTLET. / pa. OWNER: KNIGHT,LAURA Address: 2900 BAKER ST Unit: Phone: , ' City/State/Zip: COSTA MESA A APPLICANT: FARTHING, SCOTT Address: 904 DOG OODUnit:: . Phone: 949-500-2870 City/State/Zip: COSTA/MESA,CA .. . .. CONTRACTOR: FARTHING DEVELOPMENT INC License No:560875 - .. Phone: 949-500-2870 Address:904 •OGWOOD Unit: Cell: - City/State: 'OSTA MESA,CAZipCode92627 aGid ARCHITECT: Lice e No. PHONE: PHONE: \\ ENGINEER: Lic.nse No. Y\\' COMBINATION PERMIT FEE SUMMARY Building Plan Check: $1.00 • f Boilding Fees: $ .3.25 Electrical Fees: '.33.40 Mechanical Fees: $0.00 • PIi mbing Fees: $73.90 SMIP Residential: $0.80 SMIP Commercial: $0.00 pldg Std Admin Fund $1.00 TOTAL FEES: $262.35 • "Refer to fee receipts for all fees paid for pro".ct HOURS FOR CONS 'RUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMCa Sec. 13-279 i Monday thru Friday•7:00 am thru 7:08 •m. Saturdays-9:oo am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,M- orial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day at!. BI: Ce !}NOTICE: The work author' ed by this permit shall comply with all applicable handicap access requirements under California statutes and related sregulations. (Ord.No.92- :,§ 1. 12-21-92) EXPIRATION: PERMIT XPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. {'INSPECTIONS: In or•er, for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all S bquired inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. ii14 gal, 185PEC110N TYPE PAM 1,41711815 COM/ 816PEC8C,4 TYPE 0m L8ma E1p}16 Fixed System Final Fire Prevention 206 Final Mechanical :kIS466 - Pool Spa Final 208 Final Plumbing • "1x00 Final Re-Roof 210 Final Electrical Sw G101 Final Block/Retaining Wall 212 Final Fire Prevention Ct.: jire2 Final Factory Fire Place 220 Final Planning Approval 1203 Final Sign 222 Final Site 1204 Final Demolition - 250 Final Building/Occupancy i . • a • • ... WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑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 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 section 3700 of the Labor Code,for the performance f work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation 1 ra a 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-sox(36)feet high.(Chap.3.2.Grp sereon need m be completed d She pemms v ued et hundred dollars(S100)or less) 2 Art Sec.341,Title 8.California Administrative Code). licy 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 d, 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 subject to the workers'compensation provisions of Section 3700 of Applicant s Signature Data the Labor shall f h comply with these provisions. r 2 .--Division of Industrial Safety Permit Number: Apple ignature Date 1 \ 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? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia 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.# 5epg7Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by I 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 Lenders Name: hazardous materials)? 0 Yes 0 No Lenders Address: (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. 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? ❑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 (Sectionrml 65850.2 be furnished the California Government not Code requiresbuilding thnt thee requested License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the information on applications for non-residential 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 ❑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 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 employees, provided that such improvements are not intended or offered for 8. (lf?yes',attach certificate of compliance from the appropriate air pollution 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 alt state laws and property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. rope ❑ I, as owner of the 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 ❑ 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 permit until final inspection. Signature. I. D CP - I� r signature Data �� ✓ i castes fetor) _ Mellor Autrwnted Appleton Date • ADDRESS OF BUILDING: 2900 BAKER ST DMT' CITY OF COSTA MESA — BUILDING PERMIT OWNERSNANweamN: ROAK, VERNON J 'PERM NO: B 080249 ADORES'' 2900 BAKER ST 1/` COSTA MESA CA 92626 PERMIT NO: B 080249 PLAN .CHECK NO: N GOVT: N SUPP: N ( 714 ) 842-3E.22 MIK.WARM ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHRECT OR E1GNEEN: UC.NO.: JOB DESCRIPTION : T/OFF EXIST ROCK/APPLY NEW 4OYR"ELK"COMP SQ FT: 6, 000 MCN.OR ENG'S ADDRESS: WIT: CLAIM VALUE: 6, 000 . 00 CALC—VALUE: 6, 000 . 00 GROUP OCC : R-3 /U-1 commEffsm0EACTION FIRST ROOF CARE ( 714 )841-7663 caNmACTOWSMMUN013352 GOTHARD ST COMMENTS: NEW COMPO ROOFING AFTER REMOVING EXISTING ROCK ADDRESS:HUNTINGTON BEACH CA uc.ND.: 502900 ***********************+E**x'* ' '******* '********************** -+E '*+E******iErt**iEitsE* 92648 WMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby dram under penaly of perjury that I am licensed under provisions d Chapter 9 SETBACKS (commenting with section 7000)of Division 3 d the Business and Professions Code,and my license is in full force and effect. CITYUC.NO.:0643O2 ucCLASs: C-39 uc.No.: 502900yyEXP: 05/97 MAIN BUILDING ACCESSORY BUILDING Date: lb"�J1'16 comae« ( IDAI YI�Y( Z�K... ✓. S FRNT: F1' IN REAR: FT IN FRNT: FT IN REAR : FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty d perjury that I em exempt from the Contradors License Law for the following reason(Sadion7031.5&dnees and Professions Code:Any city or county Math requires a permit todxamrd,eler.improve, PARKING REQ: PROV: PARCEL : 13926116 ZNE: REF NO: demolish,or pursuatny toaeproviprimbies Contaatmoicenuance,also ires theeLaw applicant for such permit tafihSell 7000ned )a 3nt that he dtse PLANNING NOTES> isliinesed Pueet i the oiej or that d ee she sump. Li.thee frow 1O3l.5m and Professions Coder n that he or she is exempt therefrom and the basis for the allegedhu exemption.My violation d Section > 7031.5 by any appliram fora permit subjects the applicant to a dud Penalty d not more then roe hundred doAen rSSODD. 1f 1E 1E#')E#)E')F if�E 1E bE 1E'N'dE 1E 1E if 1E'1E if 1E'IF 1F df'1E 163E 1E 1E'lE'N iF 1(-iE 1E 1f*****1E lE****iE 1E lE-)E 3E IE'1f iE 1f 1E 1f df iE bE 3E 3E lF 3E**-*IE lF�h'******* ❑ I,a owner of the property or my employees with wages as the eole oximecisation,ml do the work.and the structute is not intended DEVELOPMENT SERVICES R E Qy'y U I R E M E N T S or offered for sale(oryticn 7044,Business and Professions Code: Contractornoter The Contractors License Law does napply to an ownera property M who buids or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such inureowne""t aim hravalmtendehe ddn Bredf li"saling l«'ahahowdeeer.t ebbubd"ddingorrisove rproreor mmeniisee within. W" ZONING APPROVED BY DATE;- ❑ I,as owner of the property.are esdudvely conlrwiso with licensed contractors to construct the project(Swan 7044,Business and contracts Professsios Code:hprcjeGaatewitamdtenseactorLaoense pursuanttdoes not apply o the owner r of mLron.'ody vseo or buiklsimproves thereon and who BUILDING APPROVED BY : `J DATE: O folamexempt under Section: B.AP.C.,(or this reason: APPLICATION ISSUED BY: DATE: 0' .3 1 ***** * ******************* ** Date LEGALIZATION:N F E E S U M M A Y STRUCTURAL SEGMENT:Y I do hereby certify Out I em aware of and understand the requirements of California Health and Salary Code Sections 25505.25533.and e2 perm'Eaconstuathat I°`tadmhMum °modi5frattiionhng n ffromoccupant iwDualityylfi not(aaagee Manle agementDistrict.) dF Residential occoplY coomtmclid onsppok :ascodes ereexem$from Mets se BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 112 . 25 • , 60 Date: Applican: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby elfoder penally d paddy one d the following declarations: PLAN - in ❑ I have and will maintains,maintainmaintains,ccandies!.dconsent nsent toeellimon pen ,as w for workers' provided for by d n 3700 the Labor IUILE FEE w Code,for the performance dthe work tor whwmisppm*isissued. BUILDING—DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE ❑ Ihemand vilmaMlo anw rkers'comperuenvmurance,mnw., d quiredbyS3700dalaborCods,kathewd performance TOTALS— > 112 , 85 0 , 00 0 , 00 112 , 85 112 . 85 00 work for which rho permi is issue.My workers'comps aation Insurance center and policy number are: Coni..: NAT ' L UNION FIR EXPIRES REVENUE DIVISION TOTALS--> COLLECTED ; 112 , 85 OVER/SHORT; . 00 Policy Number. D0007A41 09 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed i the pant is for one hundred do0en 19MOWJ or Awa.) 112 . 25 . 60 • ❑ I certify that in the performance of the work for which this pemd is issued,I deg not employ any person In any manner so as to became subject to the workers'compensation Jaen d Cdibmia,end agree Mal i I Mould became anted to the wham' *3E****1Eit1E1k*iFlf****iEiElEiE1E1E1E1E1EfFlEfEif****1f 1EilfEiE****fEfEiE****1E111F1E11)E1Elf1E1EiE1E1flE1Eif1ElE*****lE***** compensation provisions el Section 3700 of the Labor Cods.I shall f.o,rt�bwih comply wall those provisions. Date: (0—3 -11 Appfican: 1" -i013 $;✓G4Sf C64. c';j. INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage launlawM,and shall subject an employer to criminalpamldea end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST doll fines rpt to one hundred thousand dollars($100,00c),As addition fo the coat of c mper:a on damages as provided for In s«don37gsoymeLabor Code,lnbtattorneys f SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 6, 000 , 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d perjury that then is a commotion lending agency for the END OF FEES performanw as the work for which the parmi a issued(Seaton 3057,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I candy that I have read this application and date that the above information is coned.I agree to comply with all City and wooly ordinances and state laws relating to building construction and hereby authorize representatives of this an,to over upon the above-menlioned properly for inspection purposes. DORIS WADA i(�✓; Print Name DATE:010 10214-00218I117 TO 112.85 Date: 1.0-31 —q-b w.* h' Signature of OwnadAgenvAppicantvContrador 1 (5151-46.WP) White-Building&Safety;Omen-Re;Canary-Applcant;Pink-Revenue:Goldenrod-Assessor _P�1 CONSTRUCTION AND PLANNING - & 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, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 r - 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 0 Gas 0 Oil 25. Roof Sheathing I'%4j6.� �G� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat Z 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 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 _ - 80. FOOD CERTIFICATE ISSUED 33. Final Electric , Notes: tt C {may' 34. Final Heating& Air Conditioning _ (f�/dj1CIA4,e--kAS 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 / 46. Handicap Regulations `/ 4 47. FINAL STRUCTURE & BUILDING ",4 , 41; 48. FINAL PLANNING !!! BB - • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date OWNER ROAK, VERN DATE 11-23-70 1 JOB ADDRESS 2900 Baker St BUILDING PERMIT NO. 32488 A GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Add Family Room to Res. AP No. 139-261-15 LOT80 TRACT 3529 FIRE ZONE . VALUE $ 5,8214.00 ?-INSPECTIONS Signature Date GROUP I TYPE V ZONE 114 "SOIL SUBCONTRACTOR PERMITS ISSUED 1GAS Date WATER I Number Signature Plumbing ROUGH PLUMBING /tA-Ze .5:72/s' _— PROP. SWR. LINE ❑ HOUSE CON. 0 / SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING /,�� (r /� ]D Heating and Vent. TRENCHES FORMS a STEEL REINF. 9 ]2_,-17? FLOOR SYSTEM /..7-1-7'0 BOND BEAM n STEEL REINFORCE n �f SHEATHING /tr`47 t2''O-/O FRAME AND FLASHING 41, /2-/7-741 LATHING — IN n OUT /1'2Y'r0 PLASTER, BROWN COATfitint-c— dig/7i STRUCTURAL, FINAL �A E1ec c /�'/6'2O �]y77 HEATING. VENT., REFRIG. AND A.C., FINAL Y' ' / PLUMBING, FINAL AND GAS TEST n9,4" 73-1, ELECTRIC, FINAL /�� 3^ R BUILDING, FINAL (�t '' gI r� 2I B 117_1.2 FEE n�EC�i\9E� . .,,9 CDSTA MESA BUILDING-SAFETY DEPARTMENT q-B-t o P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT. F COSTA fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FORPERMITSA TYPE OR PRINT BUILDING BUILDING Qg00 `t3AKtQ S- ADDRESS l COSTA MESA. CALIFORNIA11FOR OFFICE USE ONLY OWNER E LK &N I Nu E-S-r. Co RECEIPT NO. 1Pi�iNOz MAIL w n A RECE}VE�BY DAT RECEIVED DATE ISSUED ADDRESS Ibsc PL- ocG-w , d L(.� � 7 (-r I y_�/-�pC {'J� TEL BUILDING - j//' CITY I�,J . NO. ADDRESS r� t -Q-/ , ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. ADDRESS FIRE _ A d/1 ZONE TYPE GROUP \f^ / yTr. I• ' STATE APPROVED CONTRACTOR k".(4/. iv 1-1—LIC.NO. BY DATE n ADDRESS ) sG 5 ?LAC I N'TIa9 ry ZONING �+ �/ i,�� LEGAL LOT Q ( - 35 .2 { ZONE NO.OF USE OF NEW Slagle PQL141 Att.DESCRIPTION INO. !J BLOCK (TRACT R-1 (PLAINS 2 ( BUILDING Res. With/ A t. A.P.NO. NONE APBY. I 1 ✓i) �JOATE �e5 �N a • SIZE ^� 3 X ' D 3 I NOW NO.OF SLOGS. ON LOT YARDS V a IVES ,_ OF LOTREQUIRED ALLOWED USE OF (CENTER LINE ST.) ry..Tv EXISTING SLOG. FRONT y FT. IN. SETBACK LINE FROM 5 0 I CENTER OF STREET REAR YARD ( R.SIDE 7 FT. IN. 5C/ SIDE YARD LEFT RIGHT O L.SIDE �FT. IN. DESCRIPTION OF WORK V REAR FT. IN. NEW I XI ALTERATION I II ADDITION I - J� REPAIR I II MOVING I . II DEMOLISH I BUILDING Ii 0 NO.OF SIZE 0 ROOMS (jJ STORIES EXTERIOR WALL( `uCi cROOF t 0 .AD COVERING COVERING K. USE OF BUILDING AND WORK TO BE PERFORMED • ' AIWG FAM. 2E5 LTT" , &ee._ I HEREBY ACKNOW •G THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ANDHE AS(YE IS C•-RE REE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITHITH ALL LLC C Y ORD ANCESS LA / LATINO ` BUILDING CONST UC'I• '. `` VALUATION SIGNATURE OF / PERMIT FEE $ 37�- PERMITTEE I A. A2n sill iI//Z.A lab ac $II /� I7V PLAN CHECK $ / Jr�- AUTHORIZED AGENT TOTAL FEE $ Sy�� i *32 88 NW z3-7O� S�00 858* 48.00 ,, -...�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REc Iv D 7 DATE RECEIVED BUILDING J�%. � .C�E�P S'T (/T-,-E ISS ED leg ADDRESS r( riD 2 I/rR t . 681< A.P.NO. 4n- 5,2 2-/S PERMIT NO. OWNER At \ 9,50 MAIL aG Y C:� n g/T/�E,( �t ADDRESS �, 4P�4/1 Z ADDRESS q a U CITY C• 44 4 NOw ,�gLis• / TRACT 'f'O / LOT to BLOCK Z < CONSTRUCTION Gln A'l' NEW ADD ALTER REPAIR MOVING DEMOI ISH O N LENDER ��/��/C • a m // J r BRANCH • J(n OWNER este 4,..24 peltett COerE -I ADDRESS VALUE -CO ARCHITECT TEL. USE 5 J Q OR ENGINEER G - NO, 5 En FIRE ZQ ZONE TYPE GROUP W TC ADDRESS J 0_ Ly APPROVED %�/ ATE/I%D-/rj D W Z CONTRACTOR BY d�" J O • CO JCC ADDRESS -- LNO.OF n F ZONFjt / PLANS ` USE OF • O= CITY TEL /�(v/ PLANS O'(1 BUILDIN w-O STATE CITY YARDS APPROVED YARDS APPROVED in 0= LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING O (FROM C/ T SIZE NO.OF BLDGS. OF LOT NOW ON LOT FRONT FT FT. USE OF �( EXISTING BLDG. _R SIDE ..a aFT. FT, 2 NEW BLDG. /G A/2,..g ROOMS / S DRIES / L.SIDE j .$FT. FT. EXTERIOR WA ROOF U >k COVERING d COVERING /{L.l • REAR /L7 FT.3 FT. J USE OF BUILDING AND WORK TO BE P RFORMED DISTANCE BET. BET.MAIN& a a MAIN BLDGS. ACCESS. BLDGS. 0 r00- '�� C.U.P. DATE 0 ri_a_J_y_�j �-Z C.U.P.qy APPROVED APPROVED U.) BY 4/� DATE /1- 9- 7a 2 • 0 I— C.) I 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 F any person in violation of the workman's compensation laws of .• U.) the State of California. �//h tO I hereby certify that I am properly licensed as a contractor under 7 SQ. FT. 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: m CC am exempt from the provisions of the State of California Business and Professions ode,Diiin 3,Chant, 9. VALUATION 52,0(f �. ____.. co / Me 1 O a•, PERMIT FEE $ Signature • V /6/D O m Permittee 2/i. ithr / /�.�ti. . $ PLAN CHECK $ E� r O o �/ Authorized Agent , `� 1•Z'y'—" TOTAL FEE $ --,9-1-74-r/ CITY OF COSTA TIESA BU'LD,NG DIYTSfuN 77 FAIR DRIVE, COSTA MESA, CA 92626 - (714)754-5273. Fax(714)754-4856 . www FOR INSPECTIONS CALL: (71,1) 754.5626 PERMITNUMBER: BXl7-00137 .qov PERMIT TYPE APN: 13926116 Zoning: Rl, JOB ADDRESS: Vicinity: SQ, FT: STATUS: DATE ISSUEO: ISSUED BY: ISSUED 04128t2017 29OO BAKER ST CM Primary Occ: Valuation:$9,800.00 Suite/Unit: Const Type: ?? SCOPE OF WORK: INSTALLATION OF 22 MODULE ROOF MOUNTEO PV SYSTEM 6.93 KW, 1 INVERTER NOTE: FINAL APPROV OF PERMIT SHALL NOT BE GRANTED UN L ACCESS TO DWELLING UNITTS} IS PROVIO ED FOR VERIFICATION OF SMOKE AND BON MONOXIDE ALARMS BY THE C INSPECTOR. SEE ATTACHMENT NSPECTION CARD OWNER: City/State Phone: CONTRACTOR: Address: City/State: ARCHITECT: MORRIS, LAURA COSTA MESA, CA 951-264-3967 Zip Code:92626 Zip Code:92626 Address Cell License No. License No 2900 BAKER ST Unit Address: 2900 BAKERAPPLICANT: MORRIS,LAURA STUnit: city/srate: cosTA MESA, cAPhone: 951-264-3967 Phone ENGINEER: cE 71939 Unit: Zip Code Phone SEMAAN, CHRISTOPHER Phone FEE SUMMARY Building Plan Check: Building Permit: Electrical Permit: SMIP Residential SMIP Commercial Bldg Std Admin Fund License No 6't9-333-6703 $1 17.81 $181.25 $61.00 $0.00 $0.00 $1.00 TOTAL FEES $361.06 lvlo nday t h ru HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - pER CMMC Sec. 13-279 riday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays a nd t he fol n s F e d e al H ol i d New Ye a rs D a Me m o n a Da n d e e nde n ce D a La bo r D a Th n D a n d c h fl stm a S D a NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia statutes and related regulations. (Ord. No.92-28, S 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR OATE OF LAST INSPECT|ON. INSPECTIONS: ln order for the work authorized under this permit to be considered l€gal, such work must comply with all applicable codes, and all r€qulrod inspectlons and final approval must be obtained. Failure to obtain inspections and llnal approval will result in the expiration of this permit. qoDE_t usEEsI}0!-IEE DATE tNTrn LS CjDE! TNSpECTION TypE ! IE |||TtTt LS 206 208 210 212 220 222 2s0 1616 200 201 202 203 204 Fixod System Final Fire Prevention Pool Spa Final Final Re-Roof Final BlocuRetaining Wall Final Faclory Fire Place Final Sign Final Demolition Final Final Final Final Final Final Final M€chanical Plumbing Electrical Planning Approval Site Building/Occupancy blt lt1 P B-MISC 0 woRKERS' COMPEUSATTOTJ DECLARATTON: I hereby affirm under penalty of perjury one of the following decl{ations:'l E I hav6 and will maintain a certificate of consent to sslf-lnsur€ for workers' compensation, as provided for by section 3700 of the Labor Code. for the perlomance of tho work for which this permit is issued. E I have and will mainlain work6rs' compensation insurance, as required by section 3700 of the Labor Code, for the parformance of the work for which this permit is issued. l,,ly work6rs' compensalion lnsurance carrier and policy number are: Carrier: Ohi6 section nee<l not bo @npleled il th6 p.mil is valued at one h@d@.l dola6 (5100) q less.) Policy Number D I certily that in lhe performance of the work for which this permit is issued, I shall not omploy any person in any manner so as lo become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions oI Seclion 3700 of the Labor Code, I shall forthwith comply with these provisions. WARNING: FAILURE TO SECURE WORKERS' COI\4PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLTARS ($100,000), rN ADDtroN To rHE cosr oF CoMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby afiirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fullforce and effect. CONSTRUCTION LENDING AGENCYI E I hereby affirm that there is a construction lending agency for the performance of the work for which lhis permit is issued. (Sec. 3097, Civil Code). Lender's Name Verification ofOwnership by (type of document, i.e. - properly lax billor deed) Owner lD verified by Driver's License No.A4stn o Exprres 'b'zs-rtEFes D N4 Appllcsnl's SEnalum Division of lnduslrialSafety Permit Number: HAZARDOUS MATERIALS AND E]IIISSIONS CERTIFICATIO].I: 1. Will th€ applicant or present or future building occupant need to file and certify a Businoss Plan for emergency response to reloase or threatened release ofa hazardous material? EY6s El\lo (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 oqual to or groater than a weight of 500 pounds, or a volumo of 55 gallons, or 200 cubic feet of compressed gas al standard temperature and pressure). 2. Ooes or will the applicant or present or future building occupant need to flle a regiskation form for acutely hazardous materials? E Yes E t.to (Section 25533 of the California Hoalth and Safoty Code, with some exceptions, requires registration with the Costa lresa Fire Department by each business which at any one time has on hand a quantity of acutely hazadous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Do6s or will the applicant or present or future building occupant need 1o prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? O Yes E tto (Section 25534 of the California Hoalth and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Departmenl of an RMPP by businesses which are required to registor acutely hazardous materials with the Fire Department. 4. lf an RN4PP is presenlly required, has Section 25534 of tho California Health and Safoty Code been fully complied with? E Yes D No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this applioation a permit for such construction or modification from the South Coast Air Ouality lvlanagement District or from any other air pollution control district or agency? [ Yes E No (Sedion 65850.2 of the California Govemment Code rcquires that the requested information be furnished on applicalions for non-residenlial building permits). 6. Will any part of the facility to be const.ucted under this permit be within 1000 feet from the outer boundaries of a school? E Y€s E No (lf "yes", the facility must meet the requirement of Sections 25534 and 42303 ofthe California Health and Safety Code). 7. lf a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the wor* which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 boon mado? E Y€s E No 8. (lf "yes". attach certilicate of compliance from the appropriate air pollution control ofiicer). CERTIFICATE OF COMPLIANCE: I cenify that under penalty of perjury lhe informalion given above is correcl. I agre€ lo comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. OU''{ER-BUILOER DECLARATIONS: I hsreby affirm that undor penalty of ped'rry that I am EXEMPT FROM THE CONTRACTORS LICENSE LAw for the following reason (Sec. 7031.5, Business and Profossions Code: Any city or counly which requires a permit to construcl, alter, improve, demolish, or repair any structure, prior to its issuance, also requires lhe applicant for such permit to file a signed statement that he or she is licensed pursuant to the p.ovisions ofthe Conkactors License Law (Chapter I (commoncing with Section 7000) of Division 3 of the Businass and Professions Code) or that he or she is exempt tharefrom and the basis for the alleged exemption. Any violation of Section 703'1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): h l, ," orn", of the property, or my employees with wages as their sole &oinpensation. wlLL Do THE WORK. and the slructure is not intended or offered for sale (Sec.7044, Busin6ss and Professions Code: Tho Conkactors License Law does not apply to an owner of property who builds or improvos thereon, and who does such work himself or herself or through his or her own 6mploy6es, provided that such improvements are not intended or ofIercd for sale. lf, however, the building or improvemenl is sold within one year of completion, the own€cbuilder will have the burden of proving that he or she did not build or improve for purpose of sale.). E l, as owner of th€ property, am EXCLUSIVELY CONTRACTING wlTH LICENSED CONTRACTORS to construct the project (Sec. 7044, Businoss and Professions Cod6: The contractors License Law does not apply to an owner of propedy who builds or improves lhereon, and who contrac'ts for such projecl with a contractor(s) license pursuantto the Conkactors License Laws.). D I am exempt under sec. Business and Professions Code for this reason Signatu€ Dale GERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ol perjury that I have read this applicalion and state thal the information given is correct. I agree to comply with all state laws and city ordinances relaling to building construction, and authorize representatives of th6 City of Costa Mesa to enler upon the above-described property lor inspection purposes. I agree not to occupy or allow occupancy of any building aulhorized by this permit until final inspection. +/ze lo 3057-46 (3/07) And/or Auhonzsd Applient OIVISIO}{ OF II{OUSTRIAL SAFETY PERMIT CERTIFICATIOiI: E I hereby certify thal no excavation fve (5) or more feot in depth into wtich a person is requhed to descend, will be made in connection wth work authorized by this pemit, 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). E As owner-builder, I will not employ anyone to do work which would require a permit from the Division of lndustrial Safety, as noted above, unless such porson has a permit to do such work from the division. Lic.#- class#- Lender's Address: -4; City of Costa gV|esa Guifcfing Oiuision Costa M esa OWN ER BU ILDER VERIFICATION Permit # Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANZ NOTICE TO PROPE TY OWNER Dear Property Owner: An application for a building perm property improvements specified at it has been submitted in your name listin g yourself as the builder of the We are providing you with an Owner-Bu r Acknowledg ment and lnformation Verifi tion rm to make yo 77 Fat Drive, Co'sta Mesa, CA 92626 7 1 4-7 54-527 3 I F ax 7 1 4-7 54-4856 Uaware of your responsibilities and possible risk you may incur by having this permit issued in your name as theOwner-Builder. We will not issue a b uilding permit until you have read, initialed your understanding ofeach provision, signed, and return ed this form to us at our official address ind icated. An agent of theoWner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority OWNER'S ACKNOWLEDGM ENT AN D FICATION OF INFORMATION DIRECTIONS: Read and initiat each etnent belo'.t, to signify you understand or verify iltis inforntation !,.,.l.understanda frequentpractice of unlicensed persons is to have the property ownerobtain an,,Owner-Builde/' building permit that erroneously implies that the property owner is pioviOing his or her own labor andmaterial personally. l, as an Owner-Builder, may be held liable and subject to seiious financial risk for anyinjuries sustained by an unlicensed person and his or her employees while working on my propertf uyhomeowner's insurance may not provide coverage for those injuries.'l am willfully actirig as an O*n.i-g;itO.,and am aware of the limits of my insurance coverage for injuries to vrorkers on my property. k,-l,yi19l]F.d building permits are not required to be signed by property owners unress they areresponsible for the construction and are not hiring a licensed Contractor to issume this responsibility. # I understand-as an "Owner-Builder" lam the responsible party of record on the permit. lunderstand thatI may protect myself from potential financial risk by hiring a licensed iontractor and having the permit filed in hisor her name instead of my own. 1 l/ l. I understand contractors are required by law to be licensed and bonded in california and to list theirlicense numbers on permits and contracts. l-l I understand-if I employ or otherwise engage any persons, other than California licensed Contractors,and the total value of my construction is at least five-hundied dollars ($500), including labor and materials, I maybe considered an "employer" under state and federal law. 4f A.l understand if I am considered an "employer" under state and federal law, I must register with the stateJnd federal government, withhold payroll taxei, provide workers' compensation disability insurance, andcontribute to unemployment compensation.for each i'employee." l also understand my failureio.nU. uv inlru lpws may subject me to serious financial risk.\rt 7 . I understand under California Contractors' State License Law, an Owner-Builder who builds single-famrlyresidential structures cannot legally build them with the intent to offer them for sale, unless a// work is p'erroimeoby licensed subcontractors and the number of structures does not exceed four within any calendar year, oi all ofthe work is performed under conkact with a licensed general building Contractor. v' l understand as an owner-Builder lf I sell the property for which this permit is issued, I may be held liablefor any financial or personal injuries sustained oy Jny tubsequent owner(s) that result from any latentconstruction defects in the workmanship or materials 1of 2 ,ff;#ov{a -(\6 #n ? S.lunderstand I may obtain more information regarding my obligations as an "employed'from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payrnents, and the California Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. "t10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand am the party legally and financially responsible for proposed construction acti'rity at the follovring address: Y 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. 4, 12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the inf#mation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. lf you obtain a permit as Ovvner-Builder and wish to hire Conti'actors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' c( )lr'r I),,rt tsaI iot-t ittsu rar rr,e coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit ls issued to verify the property owner's signature. Signature of property owner a4 Date-zv -vT :-E f,tote: The follolving Authorization Form is required to be compieted by the propeiiy owner oniy wheit designating an agent of the properiy owner to apply for a construction permit for the Owner-Builder. AUTHORIZAT]ON OF AGENT TO ACT ON PROPE RTY WNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project ct (or Description of Work): L I Scope of Construction Proje Project Location or Addressr AQo o -Da.ta{r )t Name of Authorized Agent lh.',lc e !'l-orr;t rer No 1{/ ^ qq] -2)bt Address of Authorized Agent:()Sr I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Nole; A copy of the owner's driver's license, fornt notarization, or other verification acceptable to the agency is required to be presented when the perntit rs isstred to verify the property owner's Property Owner's S 2of2 II ttrffie S$de March 29,2OI7 Solar City of Costa Mesa Building Division 77 Fair Dr Costa Mesa, CA92626 Subject:Structural calculations for a roof-mounted solar photovoltaic system Morris Residence 2900 Baker St Costa Mesa, CA92626 To Whom lt May Concern This report includes structural calculations which were prepareci, signed and stamped by a California-licensed civil engineer as required to obtain a building permit for a roof-mounred solar photovoltaic (pV) system. The solar energy contractor shall field verify that the existing roof structure is in its original permitted condition and that it can support the normal code required roof live loads. Please see the attachments to this letter which include calculations evidencing that the existing roof members can safely support the additionai loads caused by the proposed solar arrays. Also included are analyses of the proposed solar arrays'support for wind forces and seismic analysis of the existing structure with the proposed loads caused by the solar arrays. Sincerely, Christopher Joseph Semaan, p.E , Chief Civil Engineer Line Side Solar 2514Jamacha Rd, Suite 502-L82, ElCajon, California g2A1rg Phone: 619.333.6703, email: chris@linesidesolar.com NO. C71E3S Exp 17J1 /V fL Page (1 of4) ASSUMED DES16N PARAMETERS 1. The existing structure has been built under a building permit and is in its original condition. 2. The existing roof structure is capable of supporting its code required live load. 3.Theabilityoftheroofstructuretosupportliveloadshasnotbeensubstantiallyreduced. 4 The solar energy contractor shall make an inspection ofthe existing roof framing system priorto installation of the roof-mounted PV system to verify that the existing roof is capable of supporting minimum roof live loads. 5. All 2X roofing members are grade Douglas Fir No. 2 or better. 6. All 4X roofing members are grade Douglas Fir No. 1 or better. 7. All roof connectors are Simpson Strong-Tie or equal. 8. All concrete foundations are f'c = 2,500 psi or stronger. 9. The original structure was built to the Type-V Wood Framed Standards of the appllcable building code at the time of construction. APPTICABLE CODES 1. 20r.6 california Building code, 20i.0 california Electric code, 2o1o california Fire code. 2. American Society of Civil Engineers Standard ASCE 7-10 Minimum Design Loads for Buildings and Other Structures. 3. 2012 American Forest and Paper Association National Design specification for Wood construction. 4. Local Municipal Code. 5. All other codes which are adopted by reference or enacted by law DEAD LOAD & IIVE LOAD CHECK Existing Roof Rafter without Solar W=WDL+Wrr WoL = 1.5 psf Wu = 15 psf W=L5psf+15psf=30psf RafterSpacing=2fto.c. W=30psfx2ft=60plf Rafter Span = 11.5 ft Total load on Rafter = 60 plf x 11.5 ft = 690 lbs Existing Roof Rafter with Solar WDL= 15psfx2ft=30plf Total load on Rafter = (30 plf x 8.5 ft) + (29.8 lbs/sta ndoff x 4 standoffs) = 5S5 lbs 555 lbs < 690 lbs 2514 iamacha Rd, Suite 502-182, El Cajon, California 92019 Phone: 619.333.6703, email: chris@linesidesolar.com Page (2 of 4l OK WIND UPLIFT CALCULATION Check solar structure attachment per ASCE 7-10 components and cladding method 1 part 2 Figure 30.5-1. Therefore, check attachment for typical critical load which isZone2. Minimum Tributary Area to each standoff = 4 ft x 2.7 ft = L0.8 sf Per Page 346/ASCE 7-10, Wind Speed 110 MPH. Exposure category'8,. Pnet3o = -34.7 psf Per Equation 30.5-L ASCE 7-10: Pnet = l,KztPnetso tr = Adiustment factor for building height and exposure from Fig. 30.5-1. Kzt = topographic factor as defined in section 2G.8 evaluated at 0.33 mean roof height, 0.33h. Pnet3o = net design wind pressure for Exposure B, at h = 30 ft (9.1 m), from Fig. 30.5_1. tr = 1(based on mean roof height of 15 ft and Exposure Category B) K,t = L.0 Pnet = 1x 1x (-34.7 psf) = -34.7 Ort Maximum Tributary Area to each standoff = 6 ft x 2.7 ft = 16.L sf Un-factored uplift at each standoff = -34.7 psf x 16.L sf = -558.67 lbs Factored uplift at each standoff = 0.6 x -558.67 lbs = -335.2 lbs (per Basic combination #s/section 2.4.t/ASCE-71. Load per lag screw = 335.2 lbs uplift NDS. W'=WxCaxCt (Table 10.3.1/2012 NDs) W = 256 lbs/in of embedment (Table 10.3.1/2012 NDS) Ca = 1.6 (Tabte 2.3.2/2012 NDS) Ct = 1.0 (Table J.0.3.4/2012 NDS) W'=1eax266 lbs/in x 2.5 in x 1.6 x 1.0 = 1064 lbs > 335.2 lbs OK 2514 Jamacha Rd, Suite 502-182, El Cajon, California 92019 Phone: 619.333.6703, email: chris@linesidesolar.com Page (3 of 4) Per definition on Sheet 243/ASCE 7-10 Effective Wind Area: "For cladding fasteners the effective wind area shall not be greater than the area that is tributary to an indivldual fastener.,, Therefore, Effective Area = LO sf Allowable load per (1) 3" x 5/16" lag screw w/ 2.5" embedment into wood below accordins to the 2012 SEISMIC CALCULATIONS Area of building footprint = 3000 sf Approximate dead load = Weight of (Roof + 1st Flr Walls) psf Approximate dead load = (15 + 6) psf = 21 psf Approximate effective seismic weight of existing bldg: W = 3000 sf x 21 psf = 53000 lbs Determine Seismic Base Shear, V V = CsW (Equation L2.8-tl Determine the seismic response coefficient, Cs Cs = Sos/(R/|") (Equation t2.8-21 Determine the response modification factor, R in Table 72.2-1 R = 5.5 (for wood shear walls) Determine the importance factor, le in Table 1.5-2 le = 1.0 Sp5 = L.067 USGS site specific design map summary report Cs = 1.057 / (6.5 / 1) = 0.10+ Determine existing Seismic Base Shear, Vexisting Vexisting = CsWexisting = 0.154 x 63000 lbs = 10332 lbs Determine V, new Seismic Base Shear, due to dead load of solar arrays Existing seismic weight = 63000 lbs Weight of new solar arrays = 849 lbs New seismic weight = 53000 lbs + 849 lbs = 63849 lbs V = CsW = 0.L64 x 63849 lbs = 10471 |bs %Change=l(l}47tlbs-10332 lbs)/ 10332 lbsl x 100% =L.4% < LO% OK *ASCE 7-10, Section 118.4 Alterations: "Alterations are permitted to be made to anv structure without requiring the existins structure to complv with this standard orovided the alterations complv with the reouirements for a new structure. Alterations that increase the seismic force in anv existinF structural element bv more than 10 percent or decrease the desiqn strength of anv existing structural element to resist seismic forces bv more than 10 oercent shall not be permitted unless the entire seismic force-resisting svstem is determined to complv with this standard for a new structure." 2514Jamacha Rd, Suite 502-L82, ElCajon, California 92OLg Phone: 619.333.6703, email: chris@linesidesolar.com Page (4 of 4)