HomeMy WebLinkAbout1578 BAKER ST - Building Permits,lob Address: 1578 BAKER ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Primary Oa: R-3 Dwellings/ Cong Res <10 Type of Construction: V -N
Parcel Number: 13919221 Zoning: R1
'Status:
ISSUED
Applied:
02/28/2007
Issued:
02/28/2007
Applicant:
CAUCHOIS, RAY
PLANNING & ZONING
Address:
19732 PROVIDENCE LN
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Phone:
714-962-4250
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HUNTINGTON BEACH, CA , -
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.92646 -
ISSUED BY:
ACCESSORY
Owner:
GUTIERREZ,-RAP_HAEL
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Address
1578 BAKER ST
�Required:
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Phone:
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Proposed:
COSTA MESA, CA
- -Zip
92626-3747
Contractor
ACCURATE ROOFINGS
Address:
19732 PROVIDENCE LN'
Phone:
714-962-4250
HUNTINGTON BEACH, CA
• Zip:
92646 :�;-��
License:
726093
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Address:
Address:
-_ Phone:
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Phone: -
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Zip:
.License:
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License:
SCOPE OF PERMIT V,
REROOF RESIDENCE WITH ATTACHED GARAGE: T/O WOOD SHAKE ROOF, 1/2" OSB SHTG, 1 LAYER 30tt FELT, APPLY "30 -YEAR ELK COMP
SHINGLES." PITCH 5:12 2500 SO FTS \ -
r FEE SUMMARY '
Plan Check: $0.00 Calc Valuation: $7.900.00
Permit: $153.25 ; , Claim Valuation: $7,960.00
SMIP Res: $0.79
SMIP Com: $0.00
Other: $0.00 -
Inspection: $0.00
Total: $154.04
1
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) 7545626
2"6-46 (6=)
PLANNING & ZONING
SETBACKS
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MAIN STRUCTURE
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ACCESSORY
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�Required:
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Existing: 0 .
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Proposed:
1
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) 7545626
2"6-46 (6=)
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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. -
❑ 1 have and will maintain workers' compensate Insurance, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
My workers' tionInn rance card and policy number are:
Carder: /in./) Policy Number. X / S 1
(This section need not be ow0ifted N the permit is valued at one hundred dollars (S100) or less.)
❑ 1 carlify that in the: ada encs of coo or which this permit H issued, I shell not employ any person in any manner so as to become subject to the workers'
compensatlon lawof a famla, d a that if I should become subject to the workers' compensatlon provisions of Section 3700 of tDDryggg Labor Cade, I shall forthwith
comply with these pr6WWl ns Q
Applicant Signature: �Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL PINES UP TO ONE HUNDRED
THOUSAND DOLLARE (St00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am Ilcensq u rr vi i of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro sail C a, and my license Is In full
force and effect. Llc. q / b O Class a [�
Contractors Signature: 4 Data:
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).
Lenders 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 fallowing 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 Tile 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 Cade) 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 o1 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 it 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-buileer 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 Cade for this reason:
Signature: Date:
Owner ID verified by drivers Iloense. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or dead):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet In depth Into which a person is required to descend. will be made In connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner-bulkier, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Cade requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
....._._...............__—a applicant rm for ..........._................_..._..__._..__..... _..,--_
2 Does or will the applicant or present or future building occupant need to filo a registration farm for acutely hazardous materials? ❑Ves ❑ 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 hes 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 theappplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
1-1Yes❑ 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 en RMPP is presently required, hes Section 25534 of the CalifornialitoHee11h and Safety Code been fully complied with? ❑Yes ❑ No
5 Does or will the applicant Air or present or future building Occupant al require for the work which IS the subject c this a plication a ertnli for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? � Yes � No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
..........................................._....__._.__..____ permit
b ._....._._...1000t.........__._................_..................................._................... .......""........ ........ ___......_— ..... _.._
6 Will any part of the laciliry to be constructed under this permit be within 1000 feat Irom the outer Oountlaries of a school? ❑Ves ❑ No
(If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
................................... ...... .........._.__............_....__._—___...—_..................._......._.............................. _..................................................................................................................... __..__._..............._..........__.............__
7 II a permet 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 ❑ No
8 (If yes', attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I cartify 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: 1 cartify under penalty of perjury that I have read this application and state that the information given IS
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of COSta Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
nature Of Le at Owner(s) e �,n ^
And/Or Authorized Applicant Date v /
COiE L INSPECTION TYPE gejT, Iiia CODE INSPEcnoN TYPE PETE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final 200 Final Plumbing
200 Final Re-Root S 210 Final Electrical
201 Final Block/Retaming Well 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final DomolWon 250 Final Building/Occupancy
OWNER COMESA, INC.
DATE 5-14-59
JOB ADDRESS 15-/0 GaKem-L,. BUILDING PERMIT NO. 014
GENERAL CONTRACTOR Dike & Colegrove VALUE $14,387-.00
AP. No. LOT79 TRACT 2822 FIRE ZONE DESCRIPTION OF WORKReS. W att .Gar.
INSPECTIONS /I _5/j
DATE
GROUP TYPE ZONE A 1
�:a
1,;�„.?..rgrouud Soil /J,.L� U.G. Water S
-2-eD
SUBCONTRACTOR
PERMITS
ISSUED
I'"A i_;rground Gas
—
DATE
NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
7 'S
7-9-S-0
t;G¢
-2-59
/%BLy
Miscellaneous
Prop. Swr. Line Ho 5 Con. St. Swr.-
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test /A. W
Construction Pole
all,
Underground Power
Rough Wiring
- :Y/f
TrenchesForms�Steel
Floor System
Steel Reinforce Chimney Re -Rod
Bond Beam
Sheathing
Frame and Flashing /
••% !,V
thing, In Out m+
.Master, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final
OCCUPANCY•/7c4
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/7
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orm 210-0M-4.59 - 93111
9'314 1
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 917 COSTA MESA, CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING
UI ells 1578 Baker St.
ADDCOSTA MESA, CALIFORNIA
�L, iire:Gu=6
cyv MAY 18 1958
FINANCE DEPT,
APPLICATION FOR PERMIT
BUILDING
MR Off/CE OSE ONLY
OWNER Comesa Inc.
RECEIPT NO. I
I
(W21-51
MAIL
apDREss 9 E. 17th St.
RE EIVE BY
I DATE �CEIVED I �IB UED
_ Y
Costa MesajCalif. TNo. LI81159
CITY
A RESS
ARCHITECT Carlson& LIC.
OR ENGINEE NO.
COSTA MESA, CALIFORNIA
ADDRESS Garden Grove
FIRE 7
ZONE
COlegrovep Inc. STATE167293
APPROVED
CONTRACTOR LIC.
DATE
S�
ADDRESS419 E. 17th St., Costa Mesa
ZONING
LEGAL I LOT
IBLOGK
2822
(TRACT
10
NO.OF
IPILOANB
BE OF NEW
OESCRIPIION NO. 7
BUILDING
�
A.P. NO.
BY OV_ Z,
DATE
SIZE 62 x 121
NO. BLDGBnone
I
YARDS
EVES
OF LOT
rvow or Loi
REQUIRED
ALLOWED
USE OF
none
(CENTER LINE ST.)
EXISTING BLDG.
FRONT
J V FT.
IN.
SETBACK LINE FROM 58i
/
CENTER OF STREET l REAR YARD 321
R.SIDE
L. SIDE
FT.
FT.
IN,
IN.
SIDE YARD
ILEFT 5t
I5t
RIGHT
DESCRIPTION OF WORK
REAR
/FT.
IN.
I XII I 11 I
NEW ALTERATION ADDITION
REPAIR i 11 MOVING I II DEMOLISH
DING 1430 NO OF
6 1
SIZE ROOMS STORIES
EXTERIOR WALL
ROF
O
COVERING stucco
COVERING Shingle
USE OF BUILDING AND WORKTO BE PERFORMED
Single familydwellin with
attached double garage.
Plan 130D
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
THE AMOUNT SHOWN UNDER VALUATION
IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
PURPOSE OF
ESTABLISHING A PERMIT
FEE ONLY.
BUILDING CONSTRUCTION.
VALUATION
SIGNATURE OF
PERMITTEE
PERMIT FEES
34.00
17.00
$ 14,387.
PLAN CHECK S
TOTAL FEE S
51.00
AUTHORIZED AGENT Dike P
/