HomeMy WebLinkAbout2034 CHARLE ST - Building Permits •
OWNER ROSEBERRY, MAN DATE 8k247.60) -
JOB ADDRESS 2034 B & C Charle St. BUILDING PERMIT NO. 12701
GENERAL CONTRACTOR Bay Coast Bldrs. VALUE $ 10,150.00
AP. No. 115-292-24 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Duplex Watt 'Iar,
INSPECTIONS /-f q DATE I GROUP I & J TYPE V ZONE C2
Underground Soil Ll,.[.p U.G. Water ' • _ _ SUBCONTRACTOR PERMITS ISSUED
Underground Gas • DATE NUMBER
Overhead Water and Gas 4..� .- _-i_
Rough Heating /-/' ") '- - - -- kate1..L.t:7/R.�i.o.t, .-/X-Go 6,4 fen e. ✓
Rough Plumbing /LffS/G LG 60 ,1/twLt24674,/3fn J. 9-/.a -A.o ,YF da 4,— ✓ ,7
Miscellaneous // � // y
Prop. Swr. e. HouSikr.O. St. S . /o/2 o%co .tt.�(. wd%fee./e. /o/Lr/e a 7 oot r
Sprinkling Scystem a
Heating, Finalw12—4,0 10 .,/1 6
Plumbing Fixtures !6, -0.4 G/� _ 1,
Croat Gas TestP Q .(` �
Construction Pole
Underground Power /
Rou_h Whin: /0,2/.La /Gu21il c6 ac• 5,-.d- vc_/333 a- 7/
Trenches Forms Steel . 5 '-,Xp . 11
Floor System
Steel Reinforce Chimney Re-Rod _
Bond Beam
Sheathing p„--f/ /11 -/4 GG
Frame and Flashing RId'}d- /t.- - -4o - '
Lathing, In 691._ OutR� 2'1A 'o' E-Co
Plaster, brown coat o,.3,ril //_ --e0
Plumbing Fixtures, Final (�//Q.e 0
Electric Fixtures, Final ht/� ILL,, n
Building, Final / i //2 ®�
OCCUPANCY /�'K/
Form 210-5M-11-59 5-B P 12701
OWNERROSEBERRY, IVAN DATE 9-211-6O
JOB ADDRESS 20311 D & E Charle St. BUILDING PERMIT NOl2 702
GENERAL CONTRACTOR Bay coast Bldrs• VALUE $ 9,600.00
AP. No. 115-292-24 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Duplex _
INSPECTIONS 5/� /A DATE I GROUP I TYPE V ZONE C2
Underground Soilt//,/-CU.G. Water SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas An i,- /- -_„ -
Rough Heating /I".- ' "-- 72G•c-„ ..9, 9-is-60 .+ 6Ya 6
Rough Plumbing 41-1C '0-7 o-f.-'J /j. 22.A. rn--"S a sJ. Cr/a- sc a (05,0G , ' ki
Miscellaneous \
Prop. SwrAine- HoutZ Cot St. Swr. 1 ctfl/4o „4-1,.... e.�a.. .5- 'o/zWou L net) / \ a
Sprinkling System t�' a”
Heating, Final Atli �- / i� ,..,./-1
-
Plumbing Fixtures /
Final Gas Test/.S='.1" Z GO
Construction Pole /
Underground Power
Rough Wiring4-Z*', 1J -L/-/,O GUh�a-y /d!/(t 9'-�-1-6 ° i = 3 z,, "I
Trenches Forms Steel j4 7 -„Z,d -Go
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing ftC- _ 16 %''F -6. c
Frame and Flashing /Mid /O-2c--GO
Lathing, In $641.1.. Out R/f�� /0-7-Q-F,O _ ,
Plaster, brown coat /3 yl7 a-- // - s- -6 o
Plumbing Fixtures, Final ,t-tt5 /2-2-tie
Electric Fixtures, Final
Building, Final /}MAC /7_-z-
OCCUPANCY
Form 210-5M-11-59 5-B P 12702
CITY OF COSTA MESA J
''w���t �! BUILDING DIVISION
>`µ ',1" 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us
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-..4r'7 FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER:yBX07-00050
PERMIT TYPE B_MISC STATUS: ISSUED
DATE ISSUED: 07/31/2007
ISSUED BY: SOK
JOB ADDRESS: 2034 CHARLE ST CM . Suite/Unit:
Vicinity: UNIT B Primary Occ: Const Type :??
SQ. FT: 0 - Valuation:_ $4,000.00
SCOPE OF WORK: REPAIR/REPLACE DAMAGE TO ENTRY DOOR AND WALL ADJACENT TO DOOR
IN UNIT B CAUSED BY AUTO DAMAGE.
•
OWNER: ROSEBERRY, GARY LAMAR Address:: 2052 MAPLE A_ VE• Unit
City/State: COSTA MESA, CA Zip Code: 92627
Phone: 949-642-227T
APPLICANT: ROSEBERRY, GARY LAMAR Address: 2052 MAPLE AVE Unit:
City/State: COSTA MESA, CA: • Zip Code: 92627 - .
Phone: 949-642-2277 .
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: Unit:
City/State:
Zip Code: - Phone Cell:
•
ARCHITECT: License No.
Phone
ENGINEER: License No.
Phone
FEE SUMMARY -
Building Plan Check - ' $0.00
Building Permit: $97.25 -
'
Electrical Permit: $0.00
SMIP Residential $0.00
SMIP Commercial $0.00
$0.00TOTAL FEES $97.25
•
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 N. INSPECTION TYPE DATE INnnALS CODES INSPECTION TYPE DATE MORALS
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 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 g ¢
204 Final Demolition _ i 250 Final Building/Occupancy O ^O a.07 4tAl--1
1
WORKERS'COMPENSATION DECLARATION: • JP-
Owner ID verified by driver ase. Yes 0 No /
I hereby affirm under penalty of perjury one of the following declarations: Driver's.License.No. • •
Expires: -{p -I'D-Dy
❑ 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 ❑ 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
Carrier: by this permit,and that no building structure,scaffolding,falsework,or demolition
(This section need not be completed the permit is valued at one hundred dollars($100)or less) or dismantling thereof,will be more than thirty-six(36)feet high. (Chap. 3.2,Gm
2,Art 2,Sec.341,Title 8,Califomia Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
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 workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Applicant's Signature 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
I5 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 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ 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? 0 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 fumished 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? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the 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
c0 pensation, 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 ❑ 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
city ordinances regarding Hazardous Materials and Emissions.
❑ 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 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 uy)final nspection.
r- 6/
—0/741/,/": 7— 3 %— ' L� en //oLegal Ovmer(5) 7-31-07
••' -_ Signature l/ nate -
3057-46(3/07
� And/or Authorized Applicant Date
12701 • .
f - -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA 1/FF, , . JV' 1�6 0_FOR APPLICANT TO FILL IN COMPLETELY APPLICATIONFORPERMIT
TYPE
OR
PRINT /.
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ADDRESS'( COSTA •
MESA, CALIFORNIA FOR OfF/CE USE ONLY
RECEIPT NO. Trim
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MAIL /I f 3V nAa /e RECEIVEDI �T/t REC I6j ,r; E IBSU O
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CONTRA ( ""Oji L('J �[L II C.N/O�. BY ^�fryy_-'/� DATE 1.2 Y -f //
ADDREss 1.y 2/ (,I/ iwwi(/G Q'ta, ,S/i `.ZONING �y/`
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DESCRIPTION NO. / 7 I BLOCK '] TRACT .- 'ZONE O.
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A.P.NO. _ /f SIZEjI SLLL^ .-P 99 'T h-18/YPROVEti /t. f S OWES"-..
�/�6 DATE.- //'/--
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EXISTING BUSE OF QDt_ h/(�'L�u �(3475-: FRONT LINE ST.) /O �C-�• IN.
SETBACK LINE FROM / /�
CENTER OF STREET REAR YARD R.SIDE 'OFT. IN.
SIDE YARD I LEFT I RIGHT L.SIDE J FT. IN.
DESCRIPTION OF WORK !1 � ' /
.._ REAR / L/ FT. !ad,. - IN.
NEY IJHI ALTERATION I II ADDITION I `�1f
REPAIR I II MOVING II DEMOLISH _e-
BUILDING7[.-/y �( t NO.OF �/ /
SIZE �(J /1 �(/ ROOMS O STORIES
EXTERIOR WA ROOF //�'�
RME
COVERING COVERING COVERING {
USE 0 BU LDI NG AND WORK TO -P PERF/
i4 �
fel X.22 ll.. dirt ce( - '' 'Cl? D it ` .
I HEREBY 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 NO
SIGNATURE Ort/4190 `uN(f PERMIT FEE $ A
PERMITTEE L _
_
$ n q PLAN CHECK $/��j
AUTHORIZED AGENT U� U/ TOTAL FEE $ <_f
.a ., 12702
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COSTA MESA BUILDING-SAFETY DEPARTMENT C),::,.... . l�-4 o-9- C
P.O.BOX 317 COSTA MESA. CALIFORNIA . v: I
FOR APPLICANT TO HU IN COMPLETELYAPPLICATION .FOR PERMIT
TYPE OR PRINT BUILDING
BUADDRESS ) * L J/I LDI NG„203 At_ #pipe Pr""
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COSTA MESA. CALIFORNIA FOR OFF/1.^G USE ONLY
N �6 • I RECEIPT NO. I •p 1702
OWNER f//f �/y�y,C./ (�y� F/p_ ZiG Iyy�E/Jp_
ADDR/E//SIS,2/nL,3�����G�� �a�.�z 9/ '7 MAIL RECE"C�`�'VI�1 Y/^ J'`�/ CEI U/�I yIAiEIBy
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•
ARC""TELT LIC.
OR INEER NO. COSTA MESA. CALIFORNIA •
FIRE1/ (//} •
ADDRESS ////�, ' /{� sad.
ZONE TYPE • GROUP 1 4,J(f (/
CONTRA47 esca � /�nJ(�W d. L C NO. (� APPROVED DATE 64e.41.1/‘(/
ADDRESSAZQ 2/ /..did-bLL,. -&_, ape S14 ONING
LEGAL LOT / ` tL( ZOJu(� NO.OF U OF NEW
DESCRIPTION I NO. / / BLOCK ` T ,.'- "...' LA�N611 UILDINO 1 2�i/i!'
A.P.NO. - ^2 ' tYy"�L - YfL�BY VL/I ill/ DATE i7- [� J 1�[:
OF LOTSIZE iPp .�✓ D / I NOW ON LOT YARDS
RED 4 ALLOWED
USE OF IWC( -'^`'/gip` (CENTER LINE 511)
EXISTING LDC. 9)=. • {n ellif - FRONT /O FT. 'A 01 / IN.
SETBACK LINE PROM
CENTER OF STREET REAR YARD R.SIDEaa
TIFT.' IN.
SIDE YARD I LEFT I RIGHT L.SIDE • 6-•-•FT. IN.
DESCRIPTION OF WORK REARI ZS-a FT. 1 ,
NE\ IX II ALTERATION I II ADDITION I A
REPAIR I �/ II MOVING I II DEMOLISH I trh ^
S ZBUIE OIN n jO ROOMS NO.OF �. STORIES /
EXTERIOR WAV, I ROOF
COVERING J•((.'CC-C COVERING '
USE 0 9 LDING AND WORK TO B. RERF•RM
•-• .0 -a t-.../Lo..4-6- • 61-0-0 lt-Ar2-1. .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY_WITH ALL CITY ORDINANCE AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. '
BUILDING CEON I,/ Ory / ea • VALUATION Ai
—
SIGNATURE OP 4AOANJ�{.r.V,./ PERMIT FEE 9501.24/
PERMITTEE
$ 94//,{-e PLAN CHECK $ f��/T�/
AUTHORIZED AGENT TOTAL FEE $ cam'/!/