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Home My WebLink About1855 NEW JERSEY ST - Building Permits ti r r . . / 1 CITY OF COSTA MESA S5,55ile-C-4. BUILDING DIVISION i'y val. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us e. 11110 7 . FOR INSPECTIONS CALL: (714)754-5626 4Ibseroptarso I° PERMIT NUMBER: B07-00939 t„.- • 7 PERMIT TYPE B_ROOF2 Y� , lD - STATUS: ISSUED DQE DATE ISSUED: 09/24/2007 r„,„./.7-):7-77: ISSUED BY: BJK i i a_ JOB ADDRESS: 1855 NEW JERSEY ST ...:,:-..0„',":::7.../ M_ .Suite/Unit Vicinity: RESIDENCE AND ATTACHED GARAGE , - _- t Squares: 2400 , r t ' P .:" ' Valuation :"`- $4,400.00 '1103.-Cr'' " r-r:,r- - :r x�, /,l� . SCOPE OF WORK: REROOF.RESIDENCE AND ATTACHED GARAGE:T/O COMP SHINGLE ROOF REPAIRSHTG AS NEEDED, 1 LAYER { SBS BASE,APPLY"30-YEAR COMP SHINGLES"PITCH 4:12 2400 SQ FT ”4:2:'47.s `.>;".3 OWNER: DE CARLO,PATRICK E_ +. Address: J...714 N SWAN ST .i t , Unit: PHONE: ' i City/State/Zip: ORANGE,CA - r o "�,. APPLICANT: TODD, DEBBIE / - '•) '' _r •i Address 2450 ORANGE AV +i - A'.; Unit: : PHONE: 562-423-4706 !:".:.7.,::',.4 - City/State/Zip: SIGNAL HILL,l,CA z{' - /i'i . : / i t '.t � to t'. CONTRACTOR: WARREN ROOFING) ',_ - ...... - --. License No ' 254285 Address: 2450 ORANGE:AVUnit: i,j` a .. RHONE:_i.! 562-423-4706 '' ` City/State/Zip: SIGNAL HILL,CA > 90755 .1 CELL • i• j;;-7'.7.:;•• i:� ARCHITECT: _ 2..,,,,License No.- _ rf. PHONE �,, ENGINEER: 7 License No. F PHONE '.r, FEE SUMMARY Reroof Plan Check:- `.', $0.00;i: _ - - Reroof Permit Fee: $111 25 _` ' I.. Reinspection Fee: $0 00 _ ' TOTAL FEES $111 25 ? p ... ..,.. . , , . . m . ,.... . . 3 . . . . 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 t. INSPECTION TYPE DATE INTITIALS CODEC INSPECTION TYPE DATE INmrALSS 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final I \ 208 Final Plumbing 200 Final Re-Roof i210 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 204 Final Demolition 250 Final Building/Occupancy i 1 A r WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver S. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations :' Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' , Verification of Ownership compensation, as provided for by section 3700 of the Labor Code, for the P b Y(type of document,i.e.-property laxbill or deed): performance of the work for which this permit is issued: . •a 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 0 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 by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: Mc) . aY S 44 ye or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (This section need not be mrAplefed d lie permit is valued at one bundled daft's(5100)or less.) 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). Policy Number: II D,5 SI p Oco )3 0 - ❑ As owner-builder, I will not employ anyone to do work which would O 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 Califomia, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the La7hr-,'—Code,I s II forthwith comply with these provisions. Applicant's Signature Date J� 9-12 a,i-n7 Division of Industrial Safety Permit Number: '1 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 IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to`lease 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? 0 Yes ❑No Lic.# as'-i a£sis Class# Ci7J 2 (Section 25533 of the California Health and Safety Code, with some /� p, exceptions, requires registration with the Costa Mesa Fire Department by /.7 • «� /'eZ y"07 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)? 0 Yes 0 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? 0 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 that he or she is licensed pursuant to the provisions of the Contractors informatn ion be fu i the onCnliaornia GonsrnmnotCoddrnqul builditng the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished applications for non-residential building permits). 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? 0 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 compensation, 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 0 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 - UCENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature pate property who builds or improves thereon,and who contracts for such project with a contractors)license pursuant to the Contractors License Laws.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that 0 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 until final inspection. Signature of Le er(s) Dte signature - , Date Co- _ g -, y 10'73057-46(3lg]) And/or Authorized Applicant Date 1 2496 FEE itEc v COSTA MESA BUILDING-SAFETY DEPARTMENT 'FINANCE i i ISB[0� P. O. BOX 517 COSTA MESA. CALIFORNIA FINANCE DEPT. • For Applicant to Fill In 'Completely APPLICATIONSFORRPERMIT MESA TYPE OR PRINT BUILDING BUILDING ADDRESS 1855 New Jersey St. COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. PERMIT Ji � A OWNER New York Avenue}�}� Properties, Inc. 1Q,4 DDRESS 419 E. 17th St. RECEyIIE D BY DATE REC VEO DATE ISSUED 7- �Go Ittt 1 1 1860 CITY Costa Mesa No:Li.8-115 ADDRESS ARCHITECT Carlson & TEL. OR ENGINEER NO. COSTA MESA. CALIFORNIA Middlebrook FIRE //JJ ADDRESS Garden Grove ZONEIRTYPE GROUpti( CONTRACTOR Dike & Colegrove, Inc. APPROVED BY DATE ADDRESS 419 E. 17th St. ZONING ad,A, ZONE I NO. /BNEWAa CITY CO St. Mesa �l PLANSOF � BUILDINGSEOF iLI STA NO. 16(7293 No: Li. 8-1159 LEGAL DESCRIPTION Lot 101, Tr. 3668 9 SIZEPI NO. OP BLOOMOF LOT 65 xy5 NOW ON LDTnone A.P.NO. CM` USE OF none YARDS EVES EXISTING BLDG. _ APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) • CENTER OF STREET 511 REAR YARD 241 FRONT ;f/ FT. 1 IN. SIDE YARD I LEFT 121 I RIGHT 5 1 R.SIDE .T. IN. DESCRIPTION OF WORK b---FT. t' IN. L.SIDE r NEW I X IIALTERATION I V ADDITION I REAR y FT. ///777 IN. REPAIR I V MOVING I II DEMOLISH APPROVED / t /// 4 DATE / ? /�6) BUILDING NO. OF Il• /` pc__-/-- EXTERIOR SIZE 1365 so.ft.ROOMS 6 STORIES 1 (/— EXTERIOR WALL ROOF COVERING ¢}'Inca_ I COVERINC:Comp. & Ronk USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage. Plan 10CR 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TUE AMOUNT SHOWN UNDER VALUATIONMIIS FOR THE AND STATE THAT THE NAE IS CORRECT AND AGREE TU TOM• PURPOSE OF, ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTI 2 VALUATION SIGNATURE OF PERMIT FEE $ 34. PERMITTEF _q y� $ 14,179. PLAN CHECK $ 17. `; AUTHORIZED AGENT Wyke Colegrove, Inc. re TOTAL FEE S 51. O IL