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Home My WebLink About1010 BRIOSO DR - Building Permits • • ' Mac CITY OF COSTA MESA aD BUILDING DIVISION F•i 714t .�I DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER /� � `allirlf PERMIT JB03-01652 4.%0R Also� (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1010 BRIOSO DR • Status: ISSUED Suite: Applied: 09/29/2003 Vicinity: Issued: 09/29/2003 Parcel Number: 42442111 Zoning: Applicant: POWDERLY, PAUL Address: 8111 COMMONWEALTH ISSUED BY: Phone: 800-400-7692 BUENA PARK,.CA. - - Zip: 90621 Owner: PAT-TON GARY B TR ' Address 1053-REGATTA RUN - ' - " Phone: %COSTA MESA;CA-, ' - Zip: 92627-4598 - Contractor: ROYAL ROOFING CO Address: 8111 COMMONWEALTH Phone: 800-400-7692 BUENA PARK, CA Zip: 90621 " ' License: 678705 Arch : ." Eng: Address: Address: • 'Phone: - Phone: Zip: '? License: License: — ---- SCOPE OF PERMIT TEAR OFF EXISTING HOT MOP ROOF.-INSTALE+HOT MOP ROOF BASE.'BITECH CAP SHEET;CLASS A. REPAIR/REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $9,000.00 Permit: $167.25 Claim Valuation: $9,000.00 ' SMIP Res: $0.90 SMIP Corn: $0.00 Other: • $0.00 Inspection: $0.00 '-Total: -$168:15 "'r ' . ( PLANNING &ZONING - SETBACKS ' , • A;,;� - • - MAIN STRUCTURE Front 0-0 Rear ,, 0-0.,- = Left 0-0 Right 0-0 - • ACCESSORY Front N. 0-'9 N`�� .` Rear. -".0-0 Left 0-0 Right 0-0 PARKING Existinq: 0 Required:- / 0 ' Proposed: 0 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(6/00) 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 wit 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 workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: his section need • •=completed if the permit/s valued at one hundred dollars($100)or less.)(T ) rtify I at in the pe •rmance oft o r which this permit is issued,I shall not employ any person in any manner so as to ecome subject to the workers' compen on law • California,an gree at If I should acorns subject to the workers'compensation provisions of Section 300 of the��}aaabor Code,I shall forthwith _ ant comply at provisions. ^ I Ig �� Applicant Signature: Cy. _ t.�w��{j/,1 y Date: (/I ( 1 _ WARNING:FAILURE TO SECURE WORKER ' PENSATION COVERAG NLA FUL AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND IVIL FlNES UP TO ONE HUNDRED THOUSAND OOLLARE(5i06,deb).IN ADDITION THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CO.- - ' •- DECLARATIO• I hereby affirm at I am lice,sed under pr•vl pter 9(co • ening with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lic. : Class k Contractor's Signature: � f�'��WineDate: • 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,Le.-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,end 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,Califomia 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled 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 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). 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? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"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? ❑Yes 0 No 8 (If"yes",attach certificate of 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-de ' d property for inspectio agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. C Signatu O al Owner(s) q fr /� An Aut orized Applicant I I Da e CODE I INSPEC110N TYPE RAIL INTrrtALS CODES INSPECTION TYPE PAIL NUJ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 12-'21195 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 Applicant to rillln'all'spaces.within heavy border lines and sign all appropriate declarations. i C'rY OF COSTA MESA p R 1T O. • JJ''�y p��TRACT NO. ' IhJOT NO. •BLDG.NO. • • CONSTRUCTION PERMIT 407 / 7 oG T/•t CI-X? tGL. 5 8472 7/09/81 58.92 Tl, ;,Project Address /0/0 1:1347/ •0 L TYPE OF CONSTRUCTION , Owner Ca) A /s/ phoneyf/4/3 0 NEW 0 ADD 0 ALTERATION _ 1 Address /l//(l ,4/2/DSO - 0 REPAIR ❑ CONVERSION ❑DEMOLISH ZONING REGULATIONS Arch/Eng. License No. ❑OTHER tt�� J ' �7 � Address • - - DESCRI TION OF WORK //VD 3 tat A)3 A'P'B T2- 3S / —1 Contractor a dr/Li/J6, /JEi)/s5 ZONE /l� PLNG. REF,.4r a��0e. Phone TVP OF PERMIT BUILD) ', �� Bl�i .P\IfvG E SETBACK C/LST, OP LINE Address - 0 GRADING . 0 FOUNDAT,IIO -- ST RU,�CTT AL EWA_YARD LICENSED CONTRACTOR DECLARATION 0 TENANT ❑ ELECTRICAL L!PLUMBING LYMECHANICAL L5102EH TA 1 lb? • - I hereby affirm that I am licensed under provisions of Charter 9(com- R mencing'with section 7000) of Division 3 of the Business and 0 OTHER - Professions Code, and my license is In full force and effect. REAR YARD(TO P/L) .. License Class ' License No. PROJECT DESCRIPTION - PKG.SPACE REQ. PROVIDED • Date Signature SQ. FT. . . • WORKERS'-COMPENSATION DECLARATION OCCUPAry RUCTION TYPE STREET WIDTH 5 PARK FEES I hereby affirm that I have a certificate of consent to self-Insure or a VALUATI ZONING APPROVED BYzC �-/ DATE 7 O"e1 certific,atesof WorkersLCompensation•Insurance, or a certified copy - �+t/ �! —a . thereof(Section 3800, Lab,C:): GRADING CU. YDS. ACRES SPECIAL CONDITIONS: ` Policy No: ^ ,= `-J •Company - \ h Certifiedcopy is hereby fur`Nshetl. REMARKS: sear jeer 75 F/.tiC buredified copy is fi - ity Building MPTION FROMIed WORKERSwith the CCOMPENSATIOsN ion.DECLARATION Spec-potALIO P SABCC . - (This section need not be completed if.the permit is for one hundred c��,�//TTES • ($ 100) or less). N 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 PLUMBING PLAN CHECK t . - • -� ELECTRICAL . PLAN CHECK subject to he W rkers Compensation ws of Ca Orn - ' UW ILLI NIa - GH HA(aG - n BATHTUBS SHOWERS / Dale! - / Signature� ^� //"�. SO FT. Srl FT NOTICE: If after making this declaration, u should become subject TOILETS - URINALS ..^�- 4,v GENERATOR 0-1 KW_1-10 KW / to the Workers' Compensation provisions the Labor Code,you must TRANSFORMER j / - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS`' • - "' ' APPLIANCE' 10-50 KW_50+ KW revoked. - . CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP .1-10 HP ''- 1 I hereby affirm that there Is a construction lending agency for the per- - (INC.SOLAR) 10-50 HP 50+ HP formance of the work for which this permit is issued (Section 3097 SERVICE SINKS SUMPS Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES " OUTLETS SWITCHES 1 Lender's Name - Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS 1 OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - 1' - I hereby affirm that 1 am exempt from the Contractor's License Law for I.UNS I Rut-I tutu _ ___ the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP ` POLES METERED SUB I 1 . Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS-- ' MAIN SUB -' quires the applicant for such permit to file a signed statement that he _ Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE / q n 00 SERVICE - - •• AM - (Chapter 9 (commencing with Section 7000) of Division 3 of the l V d _ - Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - - " basis for the alleged exemption. Any violation of Section 7031.5 by _ any applicant for a permit 'subjects the applicant to a civil penalty SEWER CONNECTIONS --\Y - ' not more than five hundred dollars ($500). -\-� „tiz, `�"-`` -.1 • 11, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - ' .A compensation, will do the work, and the structure Is not Intended _ or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ^ ISSUE FEE Contractor's License Law does not apply to an owner of a property - Q/ who builds or Improves thereon, and who does such work himself or ISSUE FEE \-2, -\ t - .�, `��•t ob APPLICATION APPROVED BY D q through his nwn employees, provided that such improvements are not intended or offered for sale. If, however, the builtl ing or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is sold-within one year of completion, the owner will have the burden BUILDING • �+ of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0400,000 BTU PERMIT $Sig.AA SMTP $ Dsi b o I, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK $ • PERMIT - ' and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a'contractor(s) Iicesned pursuant to SYSTEM _ - GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK $ • ❑ I am exempt under Section B.& P.C.for this ELECTRICAL $ $ BOILERS BTU MICROFILM $ reason J /� y ,I PLAN CHECK $ ms's Date Owner s---)/tY>1G ,U, �o't�Do SYSTEM REPAIR,ALTERATION IC 00 TOTAL FEE$ MECHANICAL $ I.hereby c rtify at I have read this application and state that the above EXHAUST SYSTEM M��111 LTIPLE LESS AD- Information is tateela I agreeito comply with all cityrand coon county `? /L u� A ! / /� PLAN CHECK $ VANCE PC $_ ordinances and state laws relating to construction,and hereby authorize / G. representatives o this city to enter on the above mentioned ' ' S8 property for ection pure/O�Sls..-{�//�p � q �y . 92. Signature v✓ r�j-�✓f�� Date 7-9- a I FINAL FEE $ Drivers' License or SS ISSUE FEE ' - 3 00 ' • • • CMF 0865-46 White-Building; Canary-Applicant;pink-Accounting;Goldenrod-Assessor r . s • CONSTRUCTION AND PLANNING _ POOL&SPA . • APPROVALS Permit# Date Inspector • APPROVALS Permit# • Date \ Inspector. 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location _2. Soil Pipe-Undrgrn - 44. Steel Reinforcement 3. . Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn - •. _ :46. Electrical Bonding 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn ' 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn • _ 51. Backwash Lines. P-Trap. El Undrqrn - - 10. Structural Floor System 52. APPROVAL TO DECK • • 11. Property Sewer Line &'House Connection _ __ . ..f53:•+,Backwash & Receptor-Final 12. Street Sewer Connection - - 54. Heater & Vent-Final ��/t ,t"� 13. Rough Plumbing � 55. Plumbing System -Final .�L/1 ` >�U-S/ 14. Rough Electric-Conduit -56: '"Electrical-Final 15. Rough Electric-Wiring - '- - 57. Solar System-Final • 16. Rough Heating & Air Conditioning 58. Fencing"&Access Approval 17. Ducts, in Structure • . ri 7-24-t/ 59. APPROVED FOR PLASTERING •' 18. Ducts, Ventilating . 19. Gas Pipe-Rough &Test at--7 -/o4 / 60. POOL/SPASYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing • - 22.. Frame and Flashing . NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. - Plaster Brown Coat 27. Electrical Power Meter-Final . 28. Final Electric - • 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test ..f-fit 7-1/4/ - - 31. Final Plumbing 32. Water Service-Final 33: Gas Service-Final 4.1.-1y7 fi 7-:/. fr 34. Solar Domestic-Final - • 35.' Landscape Sprinkling System - ' 36. Sound Attenuation 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - • • 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - -- No Date