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Home My WebLink About894 OAK ST - Building Permits: , � pSTp'WF a 9 o, � > .. o r �V ��. � � . . .. . � CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-mesa.ca.us � FOR IMSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: 609-00288 PERMIT TYPE B_ROOF2 APN: 42249102 JOB ADDRESS: 894 OAK ST CM Vicinity: HOUSE AND GARAGE ROOF � Squares: 1400 . STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 11/20/2009 RMD $4,100.00 SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS; INSTALL 1 LAYER OF 30# FELT ON A 4:12 PITCHED ROOF AND REROOF WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 1400 SF. REPAIR AND REPLACE SH�ATHING AS NEEDED. . - OWNER: BROD, N - Address: %SMILEY, W A � Unit: NEWPORT BEACH, CA PHONE: , . . City/State/Zip: 2408 MARGARET DR � APPLICANT: LEHMAN, JEFF PHONE: 949-6463571 � CONTRACTOR: J S L ROOFING INC - Address: 2415 MARGARET DRUnit: City/State/Zip: NEWPORT BEACH, CA 92663 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTALFEES $0.00 $111.25 $0.00 $1.00 $17 2.25 Address: 2415 MARGARET DR City/State/Zip: NEWPORT BEACH, CA License No. License No. PHONE: License No. 747706 949-646-357T ' CELL: PHONE:. PHONE: Unit: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statules 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. INSPECTION3: In order for the work authorized under this permit ro 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. COOEtl. INSPELTONTYPE �ATE INT71AL5 COOEtl INSPELTONTYPE PATE IN7171AL5 1616 Fixetl System Final Fire Preventian 206 Final Mechanical 1266 Pool Spy pinal 208 Final Plumbing 200 Final Re-Roof la-�� 1,yJ� 210 Final Elec�rical 201 Final BIqcWRetaining Wall 212 Final Fire Prevention 202 Final Fa�tory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Flnal Building/Occupancy � WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalty of perjury one of ihe following declarations: . ❑ I have and will maintain a cetli(cate of consent to sel6lnsure for'vrorkers' compensation, as provitled for by section 3700 of the Labor Code, tor Ihe peAormance ot Ihe work for which this permi[ is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of lhe Labor Code, for the peAormance of the vrork for which this pertnit is issued. y vror ers' compensation Insurance carrier and policy number are: � � � � Carrier: - (Tnbsectarneetlrro(Oe/w� �pleled�fhepeimrtcrs�valu�edatonehuntlredtlWlars(E100Joiless) PolicyNumber 7K� �C%� �� ❑ I certify tha[ in the peAormance of Ihe work (or which this permit is issued, I shall not e ploy any person in any manner so as to become subject to the vrorkers' pensaf n laws of Cali(ornia, and agree that if I should become su the ers' compensation provisions of Seclion 3700 of the Labo o shall f hwilh comply with these provisions. e /I - �- `x pli s ure Dale WliOiNI�IF,: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS��UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) o( Division 3 of e Business and Professions Code, and my license is in tull force a eHe . Lic. # �O class tt G � � -zo--� . . nr s ona Da�e CON4YRU�riION L�FIDING AGENCV: � I her(.fby affrm that there is a construclbn lending agency for the peAortnanCe of the v.ork (a whiCh ihi5 pertnit is is5ued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Atltlress: SlgnaWre Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penally of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for lhe follOwing rea5on (Sec. 7031.5. Busines5 and Pro(essions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or reDair any strucNre, prior ro its issuance, also requires the applicant for such permit to fle a signed statement [hat he or she is licensed pursuant to the provisions of [he Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Cotle) or that he or she is exempt lherefrom and Ihe basis for ihe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than �ve huntlretl dollars ($500).): ❑ I, as owner of the property, or my employees with v.ages as their sole compensation, WILL DO THE WORK, antl lhe stmcture is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves Ihereon, and who tloes such work himself or herself or thmuqh his or her own employees, provided that such improvemenis are not intendetl or offered for sale. I(, however, Ihe builtling or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did not build or impmve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to conswct the pmject (Sec. 7044. Business and Pmlessbns Cotle: The contractors License Law dces not appty to an ovmer of property who builds or improves thereon, and who contracts for such projec[ wi[h a contrecta(s) license pursuant to the Contractors License Laws.). � I am exempt under sec. Business and Professions Code for this reason: 305]-46(3/O]) Owner ID verifed by driver s�e. ❑ Yes ❑ No ~� Driver's License No. Expires: Verifcation of Ownership by (type of document, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert'rfy that no excavation frve (5) or more feet in tlepth inro which a person is required to descen4 will De made in connection with wurk authorizetl by this permit, and Ihat no builtling sWcture, scaHWding, false�+ork, a demolition or dismantling thereof, vrill be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Tdle 8, Califomia Administra�ive Code). ❑ As ovmer-builder, I will not employ anyone to do work which vroultl require a permit from Ihe Division of Industrial Safery, as noled above, unless such person has a permit to do such work fmm [he division. Appl¢anl's SignaWre Date Division of Industrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan for emergency response to release or threalened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0( lhe California Health and Safery Code requires, vnth some exceptions, [hat a Business Plan be fled with [he Costa Mesa Fire Department by every business v+hich has at any one time dunng a reported year a quantity of hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas a[ standard temperature and pressure). 2. Does or will the applicant or present or tuNre building occupant need lo file a registration form for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some excep[ions, requires regislra�ion with �he Cos[a Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equal to or greater Ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl IemperaWre and pressure). 3. Does or will the applicant or present or fuNre building occupant need lo prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Cali(ornia Health and Sa(ety Cotle provitles Iha[ Ihe Costa Mesa Fire Department may require the preparation, cenifcation and fling with the Fire Department of an RMPP by businesses which are required to register acu[ely hazardous materials with �he Fire DepaAment. 4. If an RMPP is presently required, has Section 25534 of Ihe Califomia Health and Safe[y Cotle been fully complietl with? ❑ Yes ❑ No 5. Does or vnll the applicant or presenl or future builtling occupant require for the work which is �he subject of this applicalion a pertnit for such construction or modifcation from the South Coasl Air Quality Management District or from any other air pollution control dislnct or agency? ❑ Yes ❑ No (Section 658502 of the Cali(omia Govemment Code requires that the requesled in(ortnation be fumished on applications for rwn-residential building pertnits). 6. Will any part of the (acility to be constructed under this pertnit be within 1000 feet from the outer bountlaries o( a school? ❑ Yes ❑ No Q( "yes", Ihe faciliry musl meet the requirement of Sec[ions 25534 and 42303 of lhe California Health and Sa(ety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution conlrol district or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safery Cotle Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appmpriate air pollution controloKceq. CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of perjury the information given above is conecL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty of perjury Ihat I have read this application and state that the information given is correct. I agree to c ply with all state laws and city ordinances relating to builtling constmctio and authorize representatives of Ihe Ciry o/ Costa Mesa to enter upo he above-described propeKy for inspection purposes. I agree ot to occ y or allow occupancy of any building authorized by Ihis permit ur�final ins clion. SignaWre vmer(s Date Analot M1orii tlA PO n� ' ��`O� ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 636 North Broodwoy ` ' � � SANTA` ANA, CALIFORNIA � - . - . - - � � � �. � � ��' - - - .