HomeMy WebLinkAbout1835 ORANGE AVE - Building Permits a at t 6ITY OF COSTA MESA
4. 9 BUILDING DIVISION ti ;
F • i ,) DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
y�C/� PERMIT
4t .4. 402-00149
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1835 ORANGE AV Status: ISSUED
Suite: Applied: 01/30/2002
Vicinity: • Issued: 01/30/2002
•
Parcel Number: 42523207 Zoning: nn r�
Applicant: R C I ROOFING COMPANY ISSUED BY: \ /ac
Address: 1923 CHURCH ST '/ ,
Phone: (949)650-1079 - ,
COSTA MESA,CA / - ' Zip: 92627
Owner GRIFFITH:-BARBARA ADAIR
Address X18 BEACON-BAY — - - - - : " / -� '
/ /jam - - Phone: - -
L
/NEWPORT BEACH, CA -, - . Zip: 92660
Contractor: `R C I ROOFING COMPANY
Address: 1923 CHURCH ST
Phone: (949)650-1079 . _
COSTA MESA,CA -
Zip: 92627 ' License:- 704392 , -
Arch : .,�i Eng:
Address: - - Address:-
. Phone: - . _ , i Phone: y —
.
-Zip: •- License: License:
' SCOPE OF PERMIT_ -
�,,
TEAR OFF-1 LAYER OF CAP SHEET OVERTHE GARAGE AREA AND REROOF WITH MODIFIED TORCH DOWN.
- FEE SUMMARY T
Plan Check:_ $0.00 :�� Calc Valuation: -, Vii, - $500.00
• '• Permit • $23.50 - ' - - Claim Valuation: 'i'.' 'ssoo.00'
SMIP Res: . $0.50
SMIP Com: ' $0.00
Other: $0.00
Inspection: -.$0.00 - -
Total: $24.00
- ' 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- '
i
PARKING Existing:' 0Required: ' 0 Proposed: 0
NOTES: -' -
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 if 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
2446.46(6/00) .
DECLARATIONS C.._) 0 s C _i 1TS
WORKERS'COMPENSATION DECLARATION:
I hereby affil!n under penalty of perjury one of the following declarations:
O '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.
O 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 permit Is Issued.
My workers'compenjation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
""���certify that in the •:•Orme • 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'
ccc000m•--• '- id agree that if I should become subject to the workers'compensaty r visions of Section 3700 of the Labor Code,I shall forthwith
sisoli.la
Apt cant .naNIN � Date: I-3o-0 z
•- G:F: KERS'COMPEN ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPL TO C INAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
el - D DOLLARE($100000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSFf CONTRACTORS DECLARATION:
hereby affirm that .m I ense n ovisi s of Chapter 9(commencing with Section 7000)of Division 3• e Business and Professions Code,and my license is In full
• e:Tr. Fr 9151P -3 9
C actor's '..1. . ,,. / ` -. . 1---70—C Z
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: Lenders 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 and 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).):
O 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.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 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,Califomia 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:
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
(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 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 If an RMPP is presently required,has Section 25534 of the California Health and Safety 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 agermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes U No
(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 part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"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 Quality 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 ❑No
B (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
torr:' . agre: • • with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
•.ve-described p .'. •r inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
_ Date
An•r a IT .Applicant , ate —°Z.—
"gap-
CODE• INSPECTION TYPE PATE INTITIAL$ CODE I INSPECTION TYPE PATE Pal
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final � 7'�/ 208 Final Plumbing
200 Final Re-Roof Z_ .d/`� I�4 210 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
•
204 Final Demolition 250 Final Building/Occupancy
PROJECT
'SADDRESS: 1835 ORANGE AV UNIT: .• w CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 059683
OWNER'S NAME: _ ' ,
ADDRESS: KEEFER THOMAS E TR
433 OGLE CIR A -' PERMIT NO: E 059683 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA., CA 92627
CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PURPOSE: OTH
ARCH/ENGINEER: RED.NO:
ADDRESS: JOB DESCRIPTION : UPGRADE ELECTRICAL SERVICE TO 200 AMPS SQFT;
I _ r� UNIT:
Y f073 Oe73 CLAIM VALUE: CALL-VALUE: GROUP OCC: R-3 /
PERMITTEE:
ADDflE55:B& REAAN ELECTRIC (714)723-6320
3406 MARCUS AVENUE COMMENTS: UPGRADE OF EXISTING ELECTRICAL SERVICE
NFWPnRT BEACH CA 92663 s ******it43t*x- **** *iE*rtse* *** aE***t6*** ******* x***T6 -.t** ** **** Ex•****** Eu**sE***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E
QU I R EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S E T BA C K S
CITY LIC.: STATE LIC.: S:
._ /16267 623150 C10
Date 10-LA-9L Signature:_ `_ i MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm Ih. 'P' ate of consent to self-insure orrcertilkete of Workers' FRNT: FT IN REAR: FT IN / FRNT;• FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section :W,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING RE(Oo: PROV: ' PARCEL: 42523207 ZNE: REF NO:
Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> •
>
Date: Applicant: ***************%***ffiEih****if***$t** e***!E*****it*a(*****3(-******i(-************fE1i-*iF***-*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need
not be completed if the permit is for one hundred($100)or less). D E V E I, O P M E N T Se?E -R V I C E S REQUIREMENTS
I certify that in the performance of the work for which this permit is is!:W/'K II not employ any person in any manner so as to become "��.-
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY see; • DATE:
Date: I b -ll-'(1. Signature: ....-- y,
NOTICE:If.alter making this declaration,you should by •••--c. r ' - . - .:•':•nation provisions of the Labor BUILDING APPROVED BY ; ✓' DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. Gt�,
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• ��j —1.4.4 ` \a ` / � � (1, DATE• /o7J-�3/9'
which this permit is issued(Section 3097,Civ.C). ***.*******************In x.c an-n. -it'x**x-xi it**4e•J *•**•k rr**********1f-***vf'f it!:*-frro*
LENDER: ***********************************************. k***********************N-******
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 , 50
repair any structure,prior to its issuance.also requires the applicant far such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 o1 the Business 5 0% SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 ,00
I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 18 . 50 15 . 00 0 . 00 33, 50 33 , 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 33, 50 OVER/SHORT; ,00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 , 50
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such protects with acontractor(s)license pursuant to the Contractors'State License Law). l am aware .***.*.*.**,**,************.N.*i(.*,***.*.****.ff.**.***.Ih******X.***.**.*.7(.N..N.3E*,N.,**.**.*,****.***.l(.**i4****
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.&P.C. INDIVIDUAL FEE BR E A K D O W N
for reason: TYPE QTY DESCRIPTION UNIT COST TOTAL
COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. '
Date: Applicant:
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county /
ordinances and state laws relating to building construction and hereby untie representatives of this city to enter upon the above-mentioned Y//
property for inspection purposes.
---, Date' 10-2'R- 7Z Signature' - - Q1 Dn I2c1FQ,., 61117-
Driver's License or Social Security Y: (•NTE H,, :: "I- - -: • - T
ll 1641,46 White-Building,Green-Code Enforcement;Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING - POO' SPA - •
APPROVALS Permit-# Date Inspector APPROVALS Permit # Date Inspector
-
1. Temporary Electrical Service or Pole - - -52. Pool &Equipment Location
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. - - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE .
7. Footings ' 58. Electrical Conduit-Undrgrnd.
8. Foundation r 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
• 10. Structural Floor System .t . 61. APPROVAL TO DECK ' •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap ' 63. Heater& Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. 'Rough Electric Wiring 67. Fencing & Access Approval
17. Sough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA-SYSTEMS FINAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test '72. Underground Flush
_r
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
'y,5. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing &Siding 77. FIXED SYSTEM FINAL
29. Insulation _ , 1 78. FIRE PREV. FINAL
30. Drywall Nailing j I Ii HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat i J 79. FINAL INSPECTION
‘
' 32. •Electrical Power Meter-Final / I, I
, 80. FOOD CERTIFICATE ISSUED
alir
33. Final ElectricI .- , Notes:
34. Final Heating & Air Conditioning : I _-I
35. Final Gas Pipe-Test I I I .
36. Hood or Canopy
37. Final Factory Fireplace i I
38. Final Plumbing I I i
39. Water Service-Final I I
40. Gas Service-Final , { ' 1
• I
41. Solar Domestic-Final
42. Backf low Preventer s 1
I
43. Backf low Irrigation
44, Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations -I
47. FINAL STRUCTURE& BUILDING I -! - -
48. FINAL PLANNING I r
49. Electric Release to Edison I I , ".
I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•
•
367. 18
. PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT "AY ?B-7_c7RFUU i 535:; t'it<, •:39„5G
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completelyt /�/L� `QQ ��/.C,�J L� ^/
83 5 V „v. A,u� • RECEit, . 7 IR/ 71 57-1[ - /Y
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WIZ ADDRESS ZONE TYPE A" GROUP
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W Z CONTRACTOR Ca ���• BY / '„-�!(( DATE �- 2993
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J CC ADDRESS
LU W TEL. ZONE NO.OF USE OF NEW ACCESSofz-t
zH CITY NO. R�PLANS BUILDING .II LDL
w0 STATE • _ CITY •YARDS APPROVED YARDS APPROVED
U)CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
70 ``_ (FROM C/L STREET)
SIZE
OF LOT J1S � NO.OF BLINOW ON LOS 2 •NT FT. FT.
USE OF
EXISTING BLDG. Itt-St ua+.et R • . FT.
H SIZE OF i_q b 'FF NO.OF t 7
Z NEW BLDG. V' ROOMS STORIES 1 L.SIDE FT. FT.
EXTERIOR WALLsyt ROOF
V_ COVERING 'Iut o COVERING p-• REAR -- FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANC' BET. BET.MAIN&
C
a MAIN B • . ACCESS.BLOCS.
Q -reYAy,
AcG . SSORY 8LOC CURP.# ` APPROVED
O - Y APPROVED / , s �✓ DATE . t
umetat
zo Wit.SPI�' ��// y�
REQ
V I hereby acknowledge that I have read this application antl state HOW ntSh i t / STAN
•
D that the above information is correct and agree to comply with vim^t/ l/l/l/111 r
CC all laws regulating bion of construction, and I shall not employ /9
H any person in violation of the workman's compensation laws of
Ca the State of California. a t, ` lb
ZI hereby certify that I am properly licensed as a contractor under /y SO. FT. \`r o
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:. Q
am exempt fro he provisions of the State of California Business VALUATION �/
and Professio nn Division 3, Chapter , �/ m
�[s PERMIT FEE $ ry
/J„ • 0 m
Signature D
Permittee • $ �O PLAN CHECK $ / -- E
✓� •-°
Authorized Agent •-— LLiiipominimomin 8
TOTAL FEE