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Home My WebLink About1992 CHURCH ST - Building Permits N IIF CITY OF COSTA MESA @@ BUILDING DIVISION F I ___ DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER i PERMIT -�R••.wmmm�4�D B06-00372 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesatDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1992 CHURCH ST Status: ISSUED Suite: Applied: 03/07/2006 Vicinity: ROOF Issued: 03/07/2006 Primary Occ: R3 Type of Construction: V-N Parcel Number 42626412 Zoning: Applicant: KEN SMITH Address: 11236 WESTERN AV STE F-8 Phone: 714-391-3754 ISSUED BY: 19 STANTON,CA Zip: 92630 Owner: KROGH, ROBERT JOHN Address 177 RIVERSIDE AVE#F • Phone: NEWPORT BEACH,CA Zip: 92663 Contractor: A-OK ROOFING AND RENOVATIONS Address: 11236 WESTERN AV STE F-8 Phone: 714-391-3754 STANTON,CA Zip: 92630 License: 639447 Arch : Eng: Address: Address: Phone: Phone: • Zip: License: . - License: • SCOPE OF PERMIT TEAR OFF(E)WOOD SHINGLES, INSTALL 1 LAYER OF 30#FELT AND REROOF WITH 30 YEAR COMP SHINGLES ON REAR UNIT B,3-CAR GARAGE W/APARTMENT ABOVE,APPROX 16 SQUARES.REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: $0.00 • Calc Valuation: $4,900.00 Permit: $111.25 Claim Valuation: $4,900.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other $0.00 - -.-. - Inspection: $0.00 Total: $111.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 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 it 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 244646(6/00) DECLARATIONS 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. c0:7(have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My coo rs'compensation Insurance c/arrieerr and policy number are: I _Carder:f rolicy Number:`6 ,`(^/ (This audio need not be completed U the permit is valued at one hundred dollars($100)or less.) / ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Californi and agre at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith corn ly_with.th prow Applicent,Slgnatur: /� ,�^-+�J Date:e /'- CAC WARNING:FAILURE TO SE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLAR .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 heLeby.affirm.that.l.am lice a de vi ' of Chapter 9(commencing with Section 7000)of Division 3 of the.Business a9dlProfen ions Code,and my license is in full force and effect.Lic.a I Class q 'Y l--� .Conn s Si nett(re:C90--, \ r 9.-7._--CSG 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 sand 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: I Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding.falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: I 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 filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No I (Section 25533 of the Califomla 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 II en RMPP is presently required,has Section 25534 of the California Health and Safely Code been fully complied with? 0 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? 1I Yes I�No I (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 pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (II yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). � 7 If a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ! CSignal .e O,Legal Owner(s) Date And/Or thonzed Applicant 1 pato Cops# INSPECTION TYPF PATE INTIDALE CODE( INSPECTION TYPE PATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final q /� 208 Final Plumbing I 200 Final Re-Roof 7"--t-690 t 4 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention I 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER BROWN, CHRIS DATE 2_7_79 . JOB ADDRESS 1992 Church Street - Unit B BUILDING PERMIT NO47204 GENERAL CONTRACTOR Brown Brothers Const. DESCRIPTION of WORK 1 Unit, 3 car garage &Laundry AP No. 118-014-08 LOT TRACT FIRE ZONE VALUE $ 32,700.00 INSPECTIONS Signature Dare TYPE y GROUP & J ZONE R-2 'SOIL SUBCONTRACTOR PERMITS ISS IED GAS Date I Number Signature `WATER /� Plumbin. ww ROUGH PLUMBING ^ /r I�_ g. A,AS ��e�r��_I��i=�`�;� PROP. SWR. LINE LJ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS up ROUGH HEATING AND AIR CONDITIONING I�'. 6-5 ? t • TEMPORARY SERVICE OR POLE UNDERGROUND IT: POWER ❑ ROUGH WIRING C ' u -�{- Heating and Vent. TRENCHES !FORMS r&-STEEL REINF. � 4--25-14 pin : b ty )t f59hi ---- FLOOR SYSTEM I BOND BEAM fl STEEL REINFORCE n • SHEATHING i'/ 11,k5' �.0S' //,(J FRAME AND FLASHING �I HING 1--)11-71 LATHING _IN u OUT I��%;tem Y~ //gp� 9 PLASTER. BROWN COAT STRUCTURAL, FINAL .i& S .2-( -TJ Electric ��( eennrol' ,I HEATING. VENT., REFRIG, AND A.C., FINAL nn&IOW � Pe s Can.4I. .5-3O- `f [[14�57"4 f -1 PLUMBING. FINAL AND GAS TEST I] n (2sca1.A/ .2 N>5 . 00MS* - 717-T4 Tt. 173_ ELECTRIC, FINAL O .C-. l'3 o-eaCt OWNER RAGAN, LEO • DATE 10-19-60 JOB ADDRESS 1292 Church St. BUILDING PERMIT NO. 13101 GENERAL CONTRACTOR Owner-Bldr. VALUE $� s375 np AP.No. 11d-0114-08 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK lletached Garage INSPECTIONS DATE I GROUP I & J TYPE 4 V ZONE TO Underground Soil U.G. Water PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole _ Underground Power Rough Wiring Trenches Forms Steel //— y3 —to a Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing — ,? 7 — 6 / _ - Frame and Flashing . m t .7— /7_6 Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final _ �}^� p p� Building, Final /b[ i/n i 3 O e b _ OCCUPANCY Form 210-5M-11-59 S-B P 13101 1� 1/ . . •• n , / 204 11.3.0 12/28/78 70.29-, TL COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 �1_ / A P C TION FOR STRUCTURAL PERMIT Ips/ For Applicant to Fill in Completely — Use Ink Only RE I C.Y D•TE RECEEIVEYppppQ BUILDING /��( '1� �-j/ 7(J;-DATE-ISSUED ISSUED G/ ADDRESS PPS 1'�s'I WN -/r ' ///I:!� ::.. /-/'.... -//. o /- — /. OWNER L fl1S fi/�pal A.P. NO.// -014 ERMI NO. / Y BUILDING MAIL Pt/4 ADDRESS/97Z f.J• ADDRESS (DOI CITY Lt / +yed /�y(' NO " J/7 r TRACT LOT BLOCK q CONSTRUCTION d NEW ADD ALTER REPAIR MOVING DEMO'ISH LENDER • BRANCH ' ,.c //JJ [ /1 ADDRESS se OWNER t�}I'C.i S7/n�t57..C4.01/4.-.) � ..0 01/4. ALUE ARCHITECT delle... � r'�sp�rEL.eps L1(Q2 USE 1U`y/( efte fM. 1/14002(702 OR ENGINEER ..1�r1�� IQO. 1/ /�� I�t'[� l FIRE / V ADDRESS ZONE TYPE GROUP J z�� y� APPROVED CONTRACTOR ?WOW q (.4.4•158-- W'••.7O BY DATE ADDRESS to. r(O'P 47,21 CITY K ' 2 n TNOEL. (/K{/./ z/a ZONE �7 NO.OF USE OF NE !/ PLANS BUILDING 7 wt F STATE ,l /j.�2 CITY YARDS APPROVED YARDS APPROVED { LIC.NO. $'I (N /L.'7 ' LIC. NO. MAIN BUILDING ACCESSORY BUILDING Lit SIZE NO.OF BLDGS. (FROM C/LUSTREET/ Cl. OF LOT NOW ON LOT RONT FT. FT. a USE OF ,41 EXISTING BLDG. • R.SIDE_ ,CFT. FT. S Separate permits are required for L.SIDE , J FT. , FT. Ew electric,plumbing and heating work. REAR S F J FT. V FT. tal [.. USE OF BUILDING AND WORK TO BE PERFORMED y DISTANCE BET. BET.MAIN& L , a � ,/ MAIN BLDGS. /� ACCESS. BLDGS. ttli 4CI -Pbi 1TrI� �'°r�DC!�,IJ C U.P.#ve ? 0/ APPROVED I'V ^79 >" Z •iV . GINfr ()C APPROVELCO K AC"' DATE C9.— , 7 a HOLD FOR SPECIAL REQUIREMENTS w Q I hereby acknowledge that I have read this application and state N n. ce that the above Information is correct and agree to comply with coa all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of Lril •yam' // �JIll the State of California. 266 SQ. FT. `, i.746 At / j JI I hereby certify that I am properly licensed as a contractor undero the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a `t, am exempt from the provisions of tt�hhee State of California Business VALUATION PERMIT FEE $ N (•V^ and Professions C ivision 3,C m 'l PLA HECK $ (�j o Signaturerma of 5/l 7� YYY/// Permittee S �. TAX $ ••1 Z a. U Authorized Agent TOTAL PAID $ 70.29 41 /20 / i UU94 2/07/79 136.00 TL COSTA MESA BUILDING-SAFETY DEPARTMENT .6P94 2/07/79 I'3.6,00CKT_0_ P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 3 X3094 0000447204 IQ For Applicant to Fill in/Completely r— Use In`kk Only APPLICATIONIfipRsiSTRUCTURAI PERMIT ADDRENS IT, T 2 6/L/(/ ,'-i J� RECEIVED BY DATE RECEIVED' DATE ISSUED 29 BUILDING 7 Cl.b1ei S a red- /4J PERMIT NO. OWNER A.P. NO. MAIL BUILDING ADDRESS ADDRESS TEL. CITY NO. TRACT I LOT BLOCK CONSTRUCTION NEW !ADD[ALTERREPAIR !MOVING DFMOLISH LENDER /` //�� ((snns�� BRANCH OWNER G/71`/xKLS/0Saiiti ADDRESS J /}�s/- Gricfre VALUE ARCHITECT TEL. USE / V•VL $ CJ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE INO.OF USE OF NEW CITY NO.EPLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING k] SIZE INO.OF BLOCS. (FROM C/L STREET) S OF LOT NOW ON LOT FRONT FT. FT. Q USE OF Cn EXISTING BLDG. R SIDE FT. FT. to EI E'. Separate permits are required for L.SIDE FT. FT. o electric,plumbing and heating work. REAR FT. FT. k7 USE OF BUILDING AND WORK TO BE PERFORMED L� DISTANCE BET. BET.MAIN& <Q MAIN BLOCS. ACCESS BLOCS. ..lVAR.# DATE Q, C.U.P.# APPROVED APPROVED 3+ _8Y DATE CCW 0 I hereby acknowledge that I have read this application and state N p4 that the above information Is correct and agree to comply with - to 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of o WT. . the State of California. a I hereby certify that I am properly licensed as a contractor under SQ. FT. H the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ /36 q and Professions Code, Division 3,Chapter 9. n PLAN CHECK $ o Signature of u. Permittee $ / ) TAX $ u. Authorized Agent TOTAL PAID $ /3b O ,I . 131.01 COSTA MESA BUILDING-SAFETY DEPARTMENT • FEE RECEIVED P. O. BOX 317 COSTA MESA. CALIFORNIA M e- i% _14'ly V 01 . For Applicant to Fill In Completely APPLICEYI y+ 't,r Y 341 TYPE OR PRINT WARD n• l`) BUILDING /9.57n. UILDING /9.5jA a�U�jc •5-7- �'�B �L COSTA MESA, CALIFORNIA For Office Use Only OWNER /� e.re /a-res.-4-4/ I RECEIPT NO. I /PERMIT NO. MAILRECEIVE EY DATE CEI'.CEP DATE ISSUED ADDRESS /,�. �Q a' CS / - a"-.17-; /0-/7-‘6 TEL.1 CITY 00.0 T/h gJLES-÷• ROA.i-1470.47 ADO EISS . ARCHITECT TEL. COSTA MESA• CALIFORNIA OR ENGINEER "0/4.41/01cR. NO. FIRE ADDRESS ZONE TYPE U GROUP)) f91.-- APPROVED BPROVED /yi CONTRACTOR 0 a./a/&-.0e a (//,...?".6.-R' YDATE fa n ADDRESS NTNG /_,„i_. ZONE NO:SF O , U ! OF NE�(�/ CITY 42\ PLANEF I BUILDINGB // STATENO. TEL. LEGAL I I/ ✓. 2&L"/� LIC. NO. - DESCRIPTIONI / �f` SIZE ill, , 5/ 3 r I NO. OP,ILDOB. / / l/ e OF LOT /?l� JC � /`J NOW ON LOT / A.P.NO. �C � '" a /�/ � f 1 USE OF YARDS EVES EXISTING BLDG. PL(/an""4/6". _ APPROVED ALLOWED SETBACK LINE FROM2n T / (CENTER LINE ST.) ' �J ///JJJ CENTER OF STREET 7 /yJfC.//I/Ego FRONT C.9EAR YARD �af / FT. e,.../.. ( IN. SIDE YARD I LEFT /(9 I RIGHT /® ) R.SIDE ' /OFT. IN. DESCRIPTION OF WORK L.SIDE // FT. IN. /) (j NEW I Y ALTERATION I ' II ADDITION I REAR /22 FT. /� / IN. REPAIR I II MOVING I .II DEMOLISH I APPROVEDD/$4 / J DATE /V�,`� SIBUIZE ZZ/A,?A RNO. OF OOMS / STORIES 17 �r// EXTERIOR WALL R D W I ROOF COMA' COVERING cc/VW&i COVER INCt4.'./y/r/14r5. USE OF BUILDING AND WORK TO BE PERFORMED 14 e/=s e&7- a2.aA-/�6,4e4 6-e \1 D P/ FaTde 6'- aOr4.e 64,€.4.O G .6-5 I H r-fiRSY A FOWL GE fff�Ode -ON / S//fi1 /franlipDEd I HERESY ACKNOWLEDGE EDGE THAT I HAVE A THIS AEP TO CION THE AMOUNT SHOWNDER VA0 IB FOR E AND STATE THAT THS ABOVE IS ANDCORRECTSTAND ACRE! TO CON• PURPOSE OP EGTA ISHINO AMI FEE 0 hp� PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONBTRRUyCTIO�+. `�///') VALUATION SIGNATURE PERMIITTEF OF v• �/.. .r::::4:57-7a / ✓�j PERMIT FEE S err y`� N / — P $ J PLAN CHECK $ J Z AUTHORIZED AGENT E TOTAL FEE $ D n