HomeMy WebLinkAbout2227 ORANGE AVE - Building Permits0
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� CITY OF COSTA MESA
BI/ILDING DIVIS/ON �
77 FAIR ORIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
' FOR INSPECTIONS CALI: (714) 754-5626
PERMIT TYPE: B COMBO
Sub Type: RES_RRIP
�os aooResS: 2227 ORANGE AV CM
aPN: a2sos2ia Zoning: , ,
Vicinity:
Const Type: V-B
SQ. FT: 0
PERMIT NUMBER: 'BC08-00511
STATUS: ISSUED
DATE ISSUED: 1 012112 0 0 8
ISSUED BY: CAC
Suite/Unit:
Primary Occ: U
Valuation: 57,000.00.
SCOPE OF WpRK: TEAR OFF EXSITING ROOF COVER OFF A FALT ROOF. KEEP THE SHEATHING ANDTHE EXISTING
RAFTERS.
REFRAME THE ROOF TO CREATE A 4:12 SLOPE. INSTALL 7/16 OSB AND-15 LB FELT AND 25 YEAR COMP. SHINGLES.
EXS7END ROOF VENTS FOR WASHER AND DRYER. .
OWNER: ALLRED, BRADLEY AND BONNIE Address: 413 STARDUST DR Unit:
Phone: 714-580-6058 � City/State/Zip: PLACENTIA,CA - ,;.�
' , �.1i+ t '�
APPLICANT: ALLRED, BRADLEY
Phone: 714-580-6056
coN7Rnc7oR: OWNER-BUI�DER
Phone:
Cell:
ARCHITECT:
ENGINEER:
Address: 413 STARDUST DR
Ciry/State/zZip: PLACENTIA, CA
Address: Unit:
City/State:
License•No.
License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $90.51
Building Fees: $139.25
Electrical Fees: $0.00
Mechanical Fees: $30.75
Plumbing Fees; �0.00
SMIP Residential: $0.70
SMIP Commercial: 50.00
TOTAL FEES: $261.21
"Reter to fae rocelp� for all tees paid for proJect
License No. 000000
Zip
PHONE:
PHONE:
�
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Unit: :
.i�'�e
NOTICE: The vrork authorized by this permit shall comply with all applicable handicap access requiremenfs under Califomia statutes and related
regulalions. (Ortl. 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 untler this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeCtfons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration o( this permit.
SQOE�, INSPECTIOM}ypE pp� IN1171RL5 �U I INSPEC110NTYPE �� �N1f11ALS
1818 Fixed System Final Fire Prevention 208 Final Mechanical
1268 Pool Spa Final p� 208 Final Plumbing
200 Final Re-ROot C.r � � 210 Final Electrical
l.�
201 Final Block/Retaining Wall 212 Final Fire PrevenUon
202 Final Factory Fire Place 220 Final Planning Appmval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Builtling/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby a(firtn under penalty oi perjury one oi ihe tollowing Oeclaratrons:
❑ I have and will maintain a certifwte of consent to self-Insure tor workers'
compensatlon, as provided for by section 3700 of the labor Code, tor the
peKormence o( the work for which thls permit is Issued.
I have and wilf maintain workers' compensation insurame, as required by
ectbn 3700 of Ihe Labor Cotle, fa the peRormanca of Ihe work for vmich this
pe�mit is 155ued. My workers' compensation InsUrance carner antl policy
number are:
Carner:�f-'�-73-'r'� r7�
(iks seUim neeC nd 6a wrnplete0l Na pem4 a reWM af are �uMraOcbWis (f f00J a kss /
Policy Number:
❑ I certify l�at in lhe perfortnance of Ihe worK for which this permit is
issued, I shan not employ any person in any manner so as to become subjea
[o �he workers' compensa6on laws ot Calitomia, and agree I�at i( I should
become subject [o lhe vrorkers' compensation provisions of Section 3700 of
Ihe Labor Cotle, I shall forthvrith comply with these provisions.
Mo��m��'s Signalure
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PE�TIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLAF25
($700,000�, IN ADDITION TO T1iE CAST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
�ICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed untler provisions of Chapter 9(commencing
wiln Section 7000) of Division 3 of ihe Business antl Professions Cotle, and
my license is in (ull force and e(fecl.
Lic� G2�Sf3 1�7 Class f3 �_
��� ��
� �traCor's5ignaWre Date
CONSTRUCTION IENDING AGENCY:
❑ I hereby aKrm that Ihera is a construction lending agency fa the
pedortnance of lhe wurk for v.fiich this permit is issued. (Sec. 3097, Civil Code).
LenAer's Name:
Lendefs Atltlress: �-
SignaWre ��e
OWNER-BUILDER DECIARATIONS:
I hsreby alfirtn lhat untler penalty o1 petjury lhat I am E%EMPT FROM THE
CONTRACTORS LICENSE LAW lor Ihe following reason (Sec. 7037.5,
Business and Pro(essions Cotle: Any ciry or county which require5 a permit to
conslrucl, alter, impmve, demolish, of repair any simcNre, prior to its
IssUance, a15o requires Ihe applicant fm 5utfi permit to fi1e a signed statement
Nai he or she is licensetl pursuant to Ihe provisions of lhe ConUactors
Licsnse Law (Ghapter 9(commencing with Section 7000) of Division 3 of the
Business antl Protessions Code) or Iha[ he or she is exempl therefrom and
the basis for ihe alleged exemption. Any violation of Sechon 7031.5 by any
app�icant tor a pertnit suDjecls the applicant to a civil penalty of not more Ihan
five huntlretl doiiars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO TME WORK, antl the slructure is not intentled or
oryered tor sale (Sec. 7044, Business a�d Pmtessions Code: The ConVactors
License Law dces not apply to an owner of propeAy who builds or improves
thefeon, and who dces such work himsel! or herselt or Ihrough �i5 or her own
employees, provide0 that such improvements are not iNended or oflered for
sal9. It, however, the builGinq or improvement is sold vrithin one year of
compleGon, lhe ovmer-builder will have the burtlen of proving lhat he or she
did not build or improve lor purpose of sale.).
❑ I, as ovmer ot the property, am E7(CLUSIVELY CON7RACTING WITH
LICENSED CONTRACTORS to conslmct Ihe projecl (Sec. 7044. Business and
Prolessions Code: The contreclors License Law tices not apply to an axner of
piopeny v.ho builds a improves Ihereon, and wfio contracts for sucb project with
a co� cta(s) license pursuaN to lhe Contraclas License Laws.).
am exempt untler sec.
Business and Professions Cotle tor this reason:
♦
1�%� - -=
_�
Owner ID�� d�ri�vers �lice��n�se�. [�es ❑ �Jo �
Dri�sLi�ense�No.� / pire�3 -// /l
Venfication of Ownership by (rype ot document, i.e. property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION:
❑ I hereby certity tha� no excavation frve (5) a more feet in tlepth into wfiich a
person is required lo descend, vrill be made in connection wilh wnrk authorizetl
by Ihis permit, and fhat no building strucNre, scaNdding, falsevqrk, or demolitbn
w dismantling thereol, will be more than thiRysiz (36) feet high. (Chap. 32, Gry
2, M 2. Sec. 341, Title 8, Califomia Administ2Me Code).
� A5 ovmervbuilder, I will not employ anyone lo do work which would
require a permit from the Division o( Industrial Safety, as noled above, unless
such person has a permit to do such Nvfk trom Ne division.
Ap01ic2nfs SignaWre
Division of Industnal Safe�y Permi� Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the appliwnt or present or fuNre building occupant need lo fle and
certity a Business Plan for emergency response to release or threatenetl
release of a hazardous material? � Yes ❑ No
(Section 25505 0l lhe Califomia Health and Safety Coda requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has a� any one lime during a reporte0
year a quanlity of hazardous matenals equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic teel ot compressetl gas
at standard temperature antl pressure).
2. Dces or will lhe applicant or preseN or future building occupant need to file
a regisUation form lor acutely hazartlous materials? ❑ Yes ❑ No
(SecGon 25533 ot lhe Cali[nmia Health and Safery Cotle, vrith sume
exceptions, requires regist2tion with the Costa Mesa Fire Depariment by
each business which a[ any one time has on hand a quantity of awtely
hazartlous materials equal to or greater than a weight of 500 pounds, or a
volume o� 55 gallons, or 200 cubic teet of compressed gas at slantlard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
harardous malerials)? ❑ Ves ❑ No
(Section 25534 of the Cali(omia Health antl SaFety Code provides that the
Costa Mesa Fire Depanment may require the preparallon, certification and
filing wiN the Fire Department of an RMPP by Dusinesses which are �equired
to register acutely hazardous materials with Ihe Fire Oepartment.
4. If an RMPP is presentty requireQ �as Seclion 25534 of the Califomia
Health and Safety C0�1e been fulty wmplietl vrith7 ❑ Yes ❑ No
5. Does or will Ihe applicant or present or future builtling occupanl require for
the work whiCh i5 �he Subject of IhiS applicali0n a permil for suCh Conslmction
or modi(cation fmm the South Coast Air Qualiry Management District or (rom
any other air pollution control tlistnct or agency7 ❑ Yes ❑ No
(Sec�bn 65850.2 0( Ihe Califomia Govemment Code requires lhal the requested
informalion be fumished on applic2tions fa ran-residential building permils).
6. Will any paN of Ihe faciliry to De wnstructed under Ihis permil be within
1000 feet (rom the outer boundaries o( a school? ❑ Ye5 ❑ No
(li'yes", the tacilily must meet Ihe requirement ot Sections 2553-0 and 42303
of the Califomia Health antl Safety Code�.
7. If a permit from Ihe South Coasl Air Ouali[y Management DisMCt Or o�her
air polWtion conhol disinc[ or agency is required for Ihe work which is Ihe
suh}ect ul this applicaGon, have all ot Ihe disclosures prescribetl 6y Calilornia
Health and Safety Code Seclion 42303 been made? ❑ Yes ❑ No
8. (I!'yes", atlach certificate ol wmpliance trom the appropriate air pollution
control offcer�. .
CERTIFICATE OF COMPLIANCE: I�certify Ihat under penalty ol'perjury the
informalion given above is correcl. I agree to comply with all sWte laws and
city ordinances regarding Hazartlous Materials antl Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state Ihat
Ihe inlormalion given is correcl. I agree to comply with all state laws antl cily
orainances relating to builtling construction, antl authorize represematives of
the Cify ot Cos1a Mesa to enter upon the above-described propeny tor
inspe ' n urposes. I agree ngLte�ae y or allow occupancy of any buildin9
aut y thi5 il ffina� insp tion.
Si ��to1e a Legal Is) ( UJ�e �-
.._,
Antl/w AutM1onzetl Applicant Daie
Address:
�� a� C?aQta %%'Zeda �uiE'du� ?�icu�ia�
OWNER-BUILDER
VERIFIC�TION
Permit #:
A ciry or counry, which is required to give notice pursuant to Section 1983Q shall attach to such notice, and, as
a condition prccedent [o issuing a building pemiit, require the completion and require the rewm of, an owner-
builder verification.
Attention Property Owner:
An `owner-builder' building perniit has been applied for in your name and bearing your signature.
Please complere and rewm this infomiation in the envelopc provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building pemiit. No buildine uemut will be issued until this
rerification is received.
1 1 personally plan [o provide the major labor and matcrials for construction of [he proposed
� property improvement. Yes ❑ No
2. I(have/have not) � s�gned an application for a building permit for
thc proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction:
Name
Address
Phone (
City _
Contracror's Lic. No.
1 plan to provide portions of the work, but 1 havc hircd the following person to coordinate,
supervise and providc the major work:
Name _
Address
Phone (
City —
Contractor's Lic. No.
5. 1 will provide some of the work but 1 have contracted (hired) the following persons to
provide the work indicated:
\ame
10a2-46 (Rev. ttroa)
Address
Phone "1'}•pe of Nork
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa. BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2227 ORANGEAV
Suite:
Vicinity: ROOF
Primary Occ: R-3 Dwellings/ Cong Res �10 Type of Construction: V-N
Parcei Number: 42606214 Zoning:
Applicant: ALLRED, BRADLEY AND BONNIE
Address: 413 STARDUST DR
PLACENTIA, CA
Owner: ALLRED, BRADLEY AND BONNIE
Address 413 STARDUST DR
PLACENTIA, CA
Contractor: O W N ER-BU ILD ER
Address:
Zip:
Arch :
Address:
Phone:
Phone: 774-580-6058
Zip: 92670
Phone: 714-580-6058
Zip: 92670
Phane:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 03/23/2005
Issued: 03/23/2005
�
.
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. REFRAME AND INSTALL 30# FELT, 25 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS
NEEDED. 1800 S.F. FOR DUPLEX ONLY.
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$99.61
$153.25
$0.80
$0.00
$0.00
$0.00
$253.66
SETBACKS
MAIN STRUCTURE Frant 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
sa,000.00
$8,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § t, 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 tlays.
INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
o�a�„i
WORKERS'COMPENSAnON DECLARATON:
I hereby eKrm under peneliy oi perjury one of ihe following declerelions:
❑ I heve end will meintein e certificele ol consenl to selt-Insure lor workers' compensation, as provided for 6y section 3700 0l ihe Labor Cotle, lor [he Oertortnance ol Ihe
work far whiGh this pertnil is issueA.
❑ I have erM will meintein workers' compensalion insurence, es requlred by secUon 3700 of the Labor Code, for the pertormanca of the work for which this pertnit is issued,
My workers' �mpensetion Insurance cartier end policy numbar ere:
Certier: Policy Numher:
(This sectlon need �ot be comp/eted il fhe permit is vefued et one hundred dallers ($100) or less.)
�Pcertily t�at i� the pe ormence of the work tar whic�pp,Qul�is issued, I shall not employ eny person in eny manner so es to become subject to ihe workers'
,�-compensation lews C ' epf�egree thet it I s dbec �na sub�ect to the workers' compensetion provisions ol Saction 3700 of the Lebor Code, I shell lorihwlth
complywith�hese isioaS. �(//J//� �
ApplicenLSignaturB:— � ��y�"�/��(` ' fDete�.�o7 � �Q
WARNIN(i: FAIW FE WOR�F i' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPCOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNOREO
THOUSAND DOLL4RE (510p.000), IN ADDITIIXJ TO iHE WST OF COMPENSATION, OAMF�ES AS PRW IDED FOR IN SECTION 3)O6 OF THE IABOR CADE, IMEREST, AND ATTORNEV'S FEES.
UCENSEO C�NTRACTOFS DECLARATION;
I hereby affrm Ihat � am licensed under provisions ol Chepter 9(commancing wilh Seciion 7000) of �ivision 3 0l the Business antl Prolessions Code, and my license is in full
torca antl eflect. Lic. � Cless a
Coniractor's Signalure: Date:
CONSTRUC710N �ENDING AGENCY:
❑ I hereby ettirtn that there is a construciion lending egency lor the peAormence ot Ihe work for which this permil is issuetl. (Sac. 3097, Ci�il Code).
Lenders Name: Lender's Address:
Signeture: Oete:
OWNEH-BUILDEq DECLARA710NS:
I hereby eltirtn Ihat untler penalry oi perjury Ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business antl Professlons
Code: Any city or counly which requires e pertni� to consimct, elter, Improve, tlomollsh, or repair eny stmcture, prior �o i�s issuanta, also requires the apPlicant tor such peRnit
to lile e siqnad stetament t�et he or she is Ilcensed pursuent to the provl5ions ol Ihe Contrectors License Lew (Chapter 9(wmmencing with Section 7000) of Division 3 01 the
Business en0 ProfBssions Code) or thet he or she is exempt iheralrom and the besis for Iho ellegetl enemption. Any violatlon ot Section 7031.5 by any applicant for a permit
subjects the epplica�� �a e civil penelty of not more t�en Ilve hundred dollers (5500).):
❑ I, as owner ol the property, or my employees with wages es Ihelr sole compensellon, WILL DO 7HE WORK, antl the stmcWre is not imended or ottered for sale (Sec.
7044. Business end Professions Cotle: The Contractors license Law tloes not epply Io an owner ol property who builtls or improves thereon, and who does such work
himsell or herself or Ihroug� �is or her own employees, provided �hel such impmvemenis ere not intentlea or ottered lor sale. II, however, ihe building or improvement is
sold within one year of completion, ihe ov+ner-builder will have the burden of proving that he or she did noI builtl or improve for purpose ot sale.�.
❑ I, es owner ol tha properry, em E%C WSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construcf Ihe project (Sec. 7044, Business antl Profeuions
Cotle: The contreciors License Law tloes not epply to en owner ot property who bulltls or Improves Nereon, antl who conlrects br such projeci with a contractor(s)
__.licen5e pursuant to Ihe Contractors License Lews.).
I em eiampt untler sec.
Business entl Prolessions CoAe lor Ihis reason:
Owner ID verifiad 6y ddver's license. ❑ Yes ❑ No
Venfication ol Owners�ip Dy (type of daument, i.e. - pmperty tax Eill or
ucense
DIVISION OF INDUSTRIAL SAFETV VERMIT CEFTIFICATION:
❑ I hereDy certity that no excavation five (5) or more feet in tlepth into which e person is require0 to dascenq will be made in wnnection with work authonzed by Ihis
pertniL antl Idat no building strudure, scaHolding, talsework, or demolition or dismantling Ihereof, will 6e more than lhirty-sir (36) leet �igh. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Ttle 8, Gelilomia Adminis�relive Code).
❑ As owner-builder, I wiil not employ anyone ro do work which would require a permit Irom the Division of Indusirial Safery, as notetl above, unless such person has a
permit to do suc� work from the division.
Signature: Date:
Division ol Industri8� Safery Permit Number.
CERTIPICATE OF GOMPLIANCE AND AUTHORIZATION OF ENTRV: I certity under penalty ol perjury the� I have reatl this epplication entl state tha� �he information given is
correa. I egr t fAmply with ell state law clry ordinances relating lo hulltling consimction, end authotlze represen�atives of Ihe Ciry ol Casta Mesa to emer upon the
ebove-Oesc � e erty for in5 uon rpos . I egroa nol lo occupy or ellow occupency of eny 6uilding aulhorized by this permit unlil finel inspection.
v/ ._.,,� .,.:.,,. . . . �_��_0�
��'�yna1 re'Ot'Legal Owner(s�'-- � , Date ^ �
And/Or Authorized Applicent Dale
COUE I, INSPECTIONTYVE
1616 FizeO Sysiem Final Fire Prevention
72�Pool Spe Final
2 Final Re-R��
201 Flnel BIxN/Retaining W ell
202 Finel Fecitlry Fire PlaCe
203 Final Sign
204 Finel Dom0lition
PAIF INTITI�LS
��� %/
/�/
CO�E I INSPEC710NTYVE
206 Finel Mechanicel
208 Finel Plumbing
270 Finel Eleclrlcal
212 Fina1 fha P�evamion
220 Finel Planning Approvel
222
250
Finel Site
Finel BulltlinyOccupency
QAIE UIIII1sL:
s -• �
L� °� L�a�ta Z�leQa v'u�E'd� �iuidia�
OWNER-BUILDER
VERIFICATION
Address: ���7 d1Z--�n!!�S' �'��_� Permit�—`�)"``P�J
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as
a condition precedent to issuing a building permit, require the completion and require the return of, an owner-
builder verification.
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and retum this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No buildingpermit will be issued unti] this
verification is received.
1. I personally plan to provid the major labor and matenals for construction of the proposed
property improvement. �Yes ❑ No
2. [(have/have not) �-1J � signed an application for a building permit for
the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name '
Address
Phone ( )
City _
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person [o coordinate,
supervise and provide the major work:
Name
Address
Phone (
City —
Con[ractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) [he following persons to
provide the work indicated:
Name
1042-a6 (Rev.tt/Oa)
Address
Phone Type of Work