HomeMy WebLinkAbout249 OGLE ST - Building Permits (3)CITY OF COSTA MESA
BUILD/NG DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754•5626
PERMIT NUMBER: YBX08-00037
PERMIT TYPE B MISC STATUS:' ISSUED
APN: 42520402 DATE ISSUED: 02/04/2008
Zoning: , ISSUEDBY:� RMD
JOB ADDRESS: 249 B OGLE ST CM Suite/Unit: B
Vicinity: UPSTAIRS IN LAUNDRY ROOM AND HALLWAY. -� Primary Occ: � Const Type
o�
SQ. FT: 0 Valuation: E5,000.00.
SCOPE OF WORK:
LEGLIZATION OF FIRE DAMAGE REPAIR TO UNIT "B" WITHOUT PERMITS (UPSTAIRS �P.UNDRY ROOM AND HALLWAY).
DRYWALL WORK AND CHANGE OUT 3 OUTLETS, 4 LIGHT FIXTS, 1 SWITCH, 4 HARDWIRED SMOKE DETECTORS AND
ELECTRICAL FOR 2 VENT FANS IN BATHROOM.
OWNER: SCHAFER, RONALD P �
City/State: HALF MOON BAY, CA
Phone:
APPLICANT: DABALACK, DARIN
City/State: ANAHEIM, CA
Phone: 714-630-9615
CONTRACTOR:
Address:
City/State:
Zip Code:
ARCHITECT:
Phone
ENGINEER:
Phone
EMERCOM CONSTRUCTION
2906 E CORONADO ST
ANAHEIM, CA
92806
Building Plan Check:
Building Permit:
Electrical PermiC
SMIP Residential
SMIP Commercial
$O.00TOTAL FEES
Address:: 54 ALCATRAZ AVE
" Zip Code: 94019
Address: 2906 E CORONADO ST
Zip Code: 92806
License No. 525903
Phone 714-630-9615 Cell:
License No.
License No.
FEE SUMMARY
$0.00
$111.25
$46.20
$0.00
$0.00
$268.70
Unit
Unit:
Unit:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulalions. (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 fnal approval vrill result in the expiration of this permit.
C0� INSPEC110NTYPE DATE INiITIALS CO�Ep INSPELPONTYPE OATE INTITIALS
1616 Fized System Final Fire Prevention 206 Final Mechaniral
1266 Pool Spa Final . 208 Final Plumbing �p/-��9—/
200 Final Re-Roof 210 Final Electrical �.s /, /y�/
/"_T—
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Finai Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site /
204 Final Demolition 250 Final BuildinglOccupancy �(y�---
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm untler penalty of perjury one of the follovnng declarations:
❑ I have and will maintain a certificate of consent [o self-Insure for vrorkers'
compensation, as provided for by section 3700 of the Labor Code, for the
pertormance of the work for which this permit is issued.
❑ I have and will main[ain wurkers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
pertnit is issued. My workers' compensation Insurance carner and policy
numberare: �
�a«�e�= L��.�ry �l�r���
(ThAssecliaoneetl�wtbe mplete4dfhepermRisvaluedalonehuntlretlaollars(5100)orless.)
CPolicyNumber: ��.�ol ' �6� ��6�%.� ^ ��,
❑ I cerlify that in Ihe performance ot Ihe work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' compensa[ion laws o( Califomia, and agree thal if I should
become sub�ect to ihe workers' compensation provisions ot Section 3700 ot
[he Labor C e, I shall fo fiw h p vnth [hese provisions.
. - ,�.�'� � ��a
Applic s5ignaWre—' "- I�—e- — -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pro(essions Code, and
my license is in full force and effect.
ruc. n-- S.r.S� O.� ci ss u--.,a
• / �
ConVacloYs gnaNr� � Oal
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that lhere is a constructbn lending agency for the
peAortnance of the work (a which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lender's Name:
Lentler's Address:
Sgnawre Date
OW NER-BUILDER DECLARATIONS:
I hereby affrm that under penalty of perjury Ihat I am EXEMPT FROM 7HE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5,
Business and Professions Code: Any city or county which requires a permit to
constmct, alter, improve, tlemolish, or repair any structure, pnor to its
issuance, also requires ihe applicant for such permit to file a signed statement
Ihat he or she is licensed pursuant to the provisions of the Contrectors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of [he
Business and Professions Cotle) or that he or she is exempt therefrom and
lhe basis for lhe 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).):
� 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
oftered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply 10 an owner of property who builds or improves
thereon, and who does such vrork himself or herself or thmugh his or her own
employees, provided that such improvements are not intended or ot(ered for
sale. If, however, the builtling or improvement is soltl within one year o(
completion, the ovmer-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of Ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
pmperty who builds or improves thereon, and who contracts for such prqect with
a contractor(s) license pursuan� to the Contrac[ors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
Owner ID verifietl by driver's lice .❑ Yes ❑ No
Driver's License No. Expires:
Verifcation ot Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certrfy that no excavation frve (5) or more fee[ in depth inlo which a
person is required to descend, will be made in connection with vrork authonzed
by this pertnit, and that no builtling struc�ure, scaHolding, (alsewnrk, a demolition
or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2. M 2, Sec. 341, Title 8, Califomia Atlministrative Code).
❑ As owner-builtler, I will nol employ anyone to tlo work which would
require a permit from the Division of Induslrial Safety, as noted above, unless
such person has a permit to do such vrork fmm the division.
Applicanfs SlgnaWre
Division o( Industnal Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicanl or present or fuWre building occupant neetl to fle and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Cali(omia Health and Satery Code requires, with some
exceptions, that a Business Plan be fletl with the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantiry 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 IemperaWre and pressure).
2. Does or will Ihe applicant or present or future building occupant need b file
a registration form for acutely hazartlous ma[erials? ❑ Ves ❑ No
(Section 25533 of the California Health antl Safery Code, with some
exCepliOnS, reqUireS regi5tration with the CoSla Mesa Fire Departmenl 6y
each business which at any one lime has on hand a quantity of acutely
hazardous materials equal to or greater than a weigM of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or vnll the applicant or present or fuWre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for aculely
hazardous ma[erials)? ❑ Yes ❑ No
(Sec[ion 25534 of the Catifomia Health and Safery Code provides fhat the
Costa Mesa Fire Department may require the preparation, certification and
filing wiN the Fire Department of an RMPP by businesses which are required
b regis[er awtely hazardous materials wi[h the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safety Code been fully complied wi[h? ❑ Yes ❑ No
5. Does or wi0 the applicant or present or future building occupant require for
the work which is the subject of this application a pertnit for such conSWclion
or modifcation (rom the South Coast Air Qualiry Managemen[ District or from
any other air pollution control tlistrict or agency? ❑ Yes ❑ No
(SecCan 658502 of the Califomia Govemment Code requires [hat the requested
information be fumishetl on applications for non-residential building pertnits).
6. Will any part of �he faciliry to be constructed untler this permit be wi�hin
1000 (eet from the outer bountlanes of a school7 ❑ Ves ❑ No
Qf "yes", the faciliry must mee[ the requirement of Sections 25534 and 42303
o( the California Health and Safety Cotle).
7. If a permit from lhe SoWh Coas[ Air �ualiry Management District or other
air pollution control disMct or agency is required (or [he work which is the
subject of this applicatioq have all o( the disclosures prescribed by Califomia
Health and Satety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certi(cate of compliance from the appropriate air polWtion
control offcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcL I agree to comply with all state laws antl
cily ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cetlify under penalty of perjury ihat I have read ihis applica�ion and s[ate that
ihe in(ormation given is correcL I agree lo comply with all state laws and ciry
ordinances relating to building construc[ion, and au[horize representa[ives of
the Ciry of Costa Mesa to enter upon Ihe above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by ihis permit until final inspection.
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CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
pia� �sa-sz�a • Fax (714) 754-4856 • www.ctcosia-mesa.��LDING PERMIT
JobAddress: 249 OGLE ST
Suite: B
Vicinity:
Parcel Number: 42520402
Applicanr. LEHMAN ,RICK
Address: 3444 W HARVARD
SANTA ANA CA
Owner: SCHAFER, RONALD P
Address 54 ALCATRAZ AVE
HALF MOON BAY, CA
Contractor: LEHMAN ROOFING, INC.
Address: 3444 W HARVARD
SANTA ANA CA
Zip: 92706
Arch :
Address:
Zoning:
Phone: 714-850-9915
Zip: 92706
Phone:
Zip: 94019
Phone: 714-850-9915
License: 499608
Eng:
Address:
r' r
F�HMIT NUMBER
B00-01232
77 FA1R DRIVE, COSTA MESA, CA 92626
Slatus: ISSUED
Applied: 08/14/2000
Issued: 08/74/2000
ISSUED BY: ��
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF INSTALL 30L6 FELT UNDER 30 YEAR COMP. SHINGLES.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.00
SMIP Com: $0.57
Other: $0.00
Inspection: $0.00
Total: 583.82
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
82,700.00
82,700.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes antl related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATI�N: This parmit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abandoned
for a period ot 180 dayS. •- • �'
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inepectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ol this permit.
FOR INSPECTIONS CALL: (714) 7545626
zme-ae (a�oo�
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalry of perjury one of the following tleclarations:
❑ I have entl will maintain e certificate of consant to sell-Insure for workers' compensation, es pmvided lor by section 3700 oi Iha Lebor Code, lor tlie pertormence ot the
work tor w�ic� thi5 pBrmit i5 i55u8A.
�] I have antl will maintain workers' compensation insurence, as required by sectlon 3700 of Ihe Labor Cotle, for Ihe peAortnance of Ihe work for which IhIS pertnit is issueU.
\My workers' compensation Insurance carner and policy number are:
rrier: � Policy Number.
AILURE TO SECURE W
DOLURE (5100,000), IN
LICENSEO TRAC1
I he eby irm ihat I em
rca a tl eHect. Lic. a_
one
orless.J
' ermil is Issued, I shall not employ any person in eny manner so as to became subject to the workers'
if I should become sub�ect to the workers' compenseliorrp�ol�t-��the Lebor e, I shall torthwlth
Dote: Z
W COVERAGE IS UNLAWFUL AND SHALL SU6IECT EMPLOYER RIMINAL PENALTIE$ AND GVIL FINES UP TOONE HUNDRED
OF COf.1PENSATION, OMMGES AS PqOVIDED WR IN S�OB OF THE L4BOR CODE, IMEREST, AND ATTORNEY'S FEES.
'(commencing wlih Sectlon 7000) of Divislo of Ihe B
Class a
Date:
end my license is In tull
CON CTION IENDING AGENCV:
I here6y aHirtn t�at there is a construction lentling egency for the peAormance ol �ho work lor which this permil is issuetl. (Sec. 3097, Civil Code).
Lendefs Neme: Lendefs Address:
Signature:
Dele:
OWNER-BUILDER DECLARATIONS:
I �ereby aHirm thet under penelry of perjury ihat 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a permit to consiruct, elter, improvo, demolish, or repair eny slructure, pnor to its issuance, elso requires the epplicant tor such pefmit
to tile e signed slatement that he or she I5 Iicensetl pursuant to the proNsions of the Coniractors License Law (Chapter 9(commencing with Sectlon 7000) ol Division 3 oi the
Bu5ine55 end Protesslons Cotle) or Nat he or she is exempt t�eretrom antl the basis lor the ellegetl ezemptlon. Any violatlon of Sectian 7031.5 hy any flpplicant for e pertnit
su6jects the epplicant to a civil penally of not more than live hundred dollars (5500).):
❑ I, as owner of Ihe propeM. ar my employees with wages es their sole compensation, WILL DO THE WORK, anC the siruclure I5 not intendad or ofleretl tor sale (Sec.
7044, Business antl Protessions Cotle: The Contractors License Lew does not apply to an owner ol propeny who huilds or improves thereon, antl who tloes suc� work
himselt or herself or thmug� his or her own employees, pwvided t�at such improvements ere not inien0etl or ottered tor sale. If, however, Ihe building or imprwemeN is
sold within one year of wmpletion, the owner-builder will have Ihe burden ol proving thet ha or she tlid not build or improve lor purpose of sale.).
❑ I, as owner ot the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business end Professions
Cotle: The crontracmrs License Law Coes not apply to en owner oi property who �ulltls or Impmve5 thereon, end wh0 Contrects lor suc� project wllh a cOnlraCior(s)
license pursuani to ihe Contractors License Laws.).
❑ I em axampi under sec. Business antl Protessions Cotle tor this reason:
Signature: Date:
Owner ID verified by dnvef5licen5e. ❑ Ye5 ❑ No Drivefs LiCense No.
Venfcation ol Ownership by (rype of document, i.e. - property Ia: 6111 or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Expires:
❑ I hereby certity that no excavation live (5) or more teet in depih Into which e person Is required Io descend, wlll be made In wnnec�ion with work euthodzed by this
pertnit, antl that no building sirudure, scattolding, talsework, or demolition or dismantling Ihereof, will ba more Ihan Ihiny-six (38) faet high. (C�ap. 3.2, Grp 2, A� 2, Sec.
341, Tille 8, Celilomia Adminlstrallva CoOe).
❑ As owneo-builder, I will not employ enyone to do work which would require e permit fmm the Division ol Industriel Safery, as noted ebove, unless such pereon �es e
pertnit to do such work irom the tlivisian.
Signature: Date:
Division ol Industrial Safery Pertnit Number:
CERTIFlCA7E OF COMPLIANCE AND AUiHORVA710N OF ENTTiY: I cenify under penalry ot perjury Ihal I have reatl ihis apDlication and s�ate lhai �he inlormation given is
correct. I�ree lo comply wjlh ell stete laws enC dty ortlinances relating to Duilding construction, entl emhodze representatives of ihe Ciry of Coste Mesa to enrer upon the
ebove-d��nbedA�9DBrtY jQ� ins fion ourposes. I egree not to acupy or allow occupanty oi eny Duiltling euthanzed by ihis permit un�il tinel inspection.
COOE 1, INSPECTIONTYPE '
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Final Re-Rool
201 Final BIocWRetalning Well
202
203
204
Final Feciory Fire Placa
Final Sign
Final DemWitlon
Q� ��
i
� i ��I ii 9
COOE 1 INSPECTION TYPE
206 Finel Mechanical
208 Finel Plumbing
210 Final Eleciricel
212 Finol Flre Prevention
220 Finel Planning Approval
222 Finel5lte
250 FinelBuilOing/Occupancy
PAiF It�L4