HomeMy WebLinkAbout326 HAMILTON ST - Building Permits{ �
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CITY OF COSTA MESA
B!/ILD►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) 154-5626
PERMIT NUMBER: B07-00922
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PERMIT TYPE B_ROOF2 ��,y�" '� DATESSSUED: 9S 5/2007
p�E � -. • � '`-- ISSUED BY: BJK
JOB ADDRESS: 326 HAMILTON ST CM- � Suite/Unit -
Viciniry: RES AND ATTACHED GARAGE "'';; `` �
Squares: 2100 ' �� -Valuation . '• $6;000.00
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SCOPE OF WORK: RER005 R�ESIDENCE AND�ATfACHED GARAGE: T/O EXISTING HOT-MOP/ROCK ROOF, REPAIR/REPLACE SHTG AS
NEEDED, FELT PER MFGR'S SRECS;.INSTALC "30-YEAR COMP SHINGLES." PITCH 2.5-3:12 21 SQUARES �.
,
,+: _
OWNER: RUSSELL, KIRK T _ �. Adtliess: -- � P O BOX 340 �� " '. - Unit:
PHONE: . �; .' ` - t City/State/Zip: SAN�JUANCAPISTRANO;CA��. '-,=
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APPLICANT: RUSSELL, KIRK T � Address: P O�BOX-�340�-'_. �' Unit: :
PHONE: 949-521-2007 �. - �- City/State/Zip: SAN JUAN CAPISTRANO, CA:� K=`� �
CONTRACTOR: OWNER-'BUILDER �-'���� --�������� - ���� '����� �� -,-�����. ;; License No. -.� ��.000000
Address: Unit: , , , - � , � . - �. ; PHONEf -: � ..
City/State/Zip: � � 'CECL: �, �; �
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ARCHITECT: `,.' ' � . � � License No. -� - y -�--- ' � PHONE `,°
ENGINEER: �,''� " �' ' " LicenseNo. . _ � � �PHONE-��
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FEE SUMMARY �
Reroof Plan Check: ` _ ;$0 00 �_.,' ,
Reroof Permit Fee: �$125.25' . - . ...
ReinspectionFee: $000 '- _ �,��,F�`
TOTAL FEES $125.25 � � ��
;,� . -,'... _.. ...
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 ihe 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 will result in the.expiration of this permit.
COOE R. INSPEC710NTYPE
1816 Fized System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-RooF
201 Final8lock/Retaining Wall
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
OATE INi17UL5
CODE[ INSiECT10NTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electriwl
272 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Building/Occupancy
�ATE INTITWLS
��
�NORKERS' COMPENSATION DECLARATION: � '� � '
� hereby aHirtn under penalty of perjury one of the lollowing declarations: :
❑ I have and will maintain a certificate of wnsent to sel4lnsure (or vroikers'
compensation, as pmvitletl for by section 3700 of the Labor Code, for the
p�Aormance of lhe work (or which this pertnit is issuetl. �
❑ I have and witl maintain �orkers' compensatan insurance, as required by
s@ction 3700 of the Labor CoOe, for the perfortnance of the work tor which this
pertnit is issued. My vrorkers' compensation Insurance carrier and policy
nUmber are:
Carrier.
(Tnis sedion nee0 rrol ce wmqeredA tne pemN is vaNeO af ine nurW.ed tldiars (S100) a IessJ
Policy Number:
[+�} I certify that in the pertormance of the vrork for which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' compensation laws of Califomia, and agree that if I should
b�come subject to [he workers' compensation provisions o! Section 3700 0(
the Labor Code all (orthwith com ly with these provisions.
%� ��.5 D �
Appliwnl's SignaWre Date
N/ARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE
13 UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(3100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND
AiTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
� hereby aKrm that I am licensed under provisions o( Chapter 9(commencing
with Section 7000) of Division 3 of lhe Business and Professions Code, and
my license is in full force and ef(ect.
Lic. # Class #
Contratlor's SignaWre
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby aKnn that there is a conshuctan IerWing agency fa Ihe
peAortnance of the v.ork fa which ihis permit is issuetl. (Sec. 3097, Civil Code�.
Lender s Name:
�ender's Address:
SignaWre Dale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that under penalty o( perjury Ihat ! am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or [he following reason (Sec. 703t.5,
9usiness antl Professions Code: Any ciry or county which requires a permit to
conswct, alter, improve, tlemolish, or repair any sWcture, prior to its
igsuance, also requires the applicant for such permit to file a signetl statement
�hat he or she is licensed pursuant ro the provisions of the Cont2ctors
l.icense Law (Chapter 9(commencing vrith Section 7000) of Division 3 of the
Business and Professions Cotle) or that he or she is exempt therefrom antl
�he Dasis for the alleged exemption. Any violalion of Section 7031.5 by any
applicant for a pertnit subjects Ihe applican[ to a civil penalty of no[ more than
(ve huntlred tlollars (5500).�:
� 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
oflered tor sale (Sec. 7044, Business and Professions Code: The Contractors
lice�se Law does not apply to an owner of property who builtls or improves
lhereon, and who does such vrork himself or herself or through his or her own
employees, pmvided that such improvements are not intended or oBered tor
sale. If, however, the building or improvement i5 sold within one year of
Completion, lhe owner-builder will have the burden of provinq that he or she
qid not build or improve for purpose of sale.).. , �
❑ I, as ovmer of the property, am EXCWSIVELY'CONTRAC7ING WI7H
UCENSED CONTRACTORS to consWct Ihe project (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law dces not apply to an owner of
property who builds or impmves thereon, and who contracts (or such project with
a cont2ctor(s) license pursuant to the Contractors License Lav.s.).
❑ I am exempt under sec. �
Business and Professions Code tor this reason:
� 5 —5—� l
SiB�aWre ' Dale
8o5]�a6(YO])
, � • i 1
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�
Ovrtier ID verified by drive. .nse. Yes ❑ No `�
Driver's License No, Expires: s' 2'�^o y-
Verifcation o( Ownership by (rype o! document, i.e. - propeny tax Dill or deed):�
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: "
❑ I hereby certrfy that no excavation frve (5) or more teet in tlepth into wfiich a
person is required to descend, will be made in connectbn with v.ork authorized
by this pertnit, and Ihat no building s[ructure, scaHdding, falsewvrk, or demolition
or dismanlGng t�ereof, will be more (han thiRy-six (36) feet high. (Chap. 32, Gry
2. Art 2, Sec. 341, Ttle 8, Califomia Administrative Code).
� As ovmer-builtler, I will not employ anyone to d0 work which woultl
require a permit from the Division o( Indus[rial Sa(ety, as noted above, unless
such person has.a permit lo do such vrork from the division.
ApP�iwn�'s Signature
Division of Intlustrial Safery Permit Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or fuNre building occupant neetl ro file and
certi(y a Business Plan for emergency response ro release or threa[ened
release of a hazartl0us malerial? ❑ Yes ❑ No
(Section 25505 of [he California Health and Sa(ery Code requires, with some
exceptions, [hat a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one lime tlunng a reportetl
year a quantity o( hazardous malerials equal to or greater Ihan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
al stantlard temperature antl pressure).
2. Does or will the applicant or present or future building pccupan[ need to file
a registration form for acutely hazardous materials? ❑ Ves ❑ No
(Section 25533 of the California Health and Safety Code, with some
ezceptlons, requires registration vnth the Costa Mesa Fire DeparlmeM by
each business which at any one time has on hand a quantily o( acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or witl the applicant or present or future buil0ing occupant neetl to
prepare an RMPP (Risk Management and Prevention Pmgram for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of [he Cali(ornia Health and Safety Cotle provides lhat the
Cosla Mesa Fire Department may require ihe preparation, cenification antl
filing with the Fire Department of an RMPP by businesses which are required
to register awtely hazardous matenals vrith the Fire Department.
4. If an RMPP is presently required, has Section 25534 0( the Califomia
Health and Safe[y Code 6een fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
Ihe work which is the subject of this applicaBon a permit for such construction
or motlification from Ihe South Coast Air Qualily Managemenl Districl or from
any other air pollution conhol district or agency? ❑ Yes ❑ No
(Sectbn 658502 ot the Califomia Govemment Code requires that the requested
infortnation be fumishetl on applications far non-resitlenlial builtlinq permits).
6. Will any part oi the faciliry to be constructed under Ihis permit Ce vnthin
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If'yes", the faciliry must meet the requirement of Seclions 25534 antl 42303
of the Califomia Health antl Sa(ety 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 vrork which is the
subject of this application, have all of Ihe disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If yes", attach certifcate of compliance trom the appmpriate air pollution
control offcer).
CERTIFICATE�OF COMPLIANCE: Pcertify that under penalty of perjury ihe
information given above is correcL I agree to comply with all state lav5 and
city ortlinances regarding Hazartlous Materials and Emissions. �
Signawre oaie
CER7IFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correcL I agree to comply with all state laws and ciry
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa lo enter upon the above-describetl property tor
inspection purposes. I agree not to occ y or allow occupancy of any building
authoriz�by this� until fina in ction.
� 9"s' °�7
—� Signalure ol Legal Owneqs) Dale
Analo�Aut�onze0 Appllqanl
f . ;
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�� a� L'na,ta y2eea �u�%�� Du�i�L
ow�vE�-�u��uER
�'�'" � ' VERIFi�I'IOI�I
Address: , /Ci�O � � �`i" I Permit #: "�O V "�
A ciry or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as
a condi[ion precedent to issuing a building permit, require the completion and require the retum of, an owner-
builder verification.
A[tention Property Owner:
An `owner-builder' building permit has been applied for in your name and beanng your signature.
Please complete and retum this inforn�ation in d�e envelope provided at your eadiest opportunity to avoid
unnecessary delay in processing and issuing your building pemiit. No buildin� permit will be issued until this
verification is received.
2.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement. � Yes ❑ No
[(have/have not) f'I A J L-' signed an application for a building permit for
the proposed work.
I have contracted with the following person (fimi) to provide the proposed constmction:
Name
Address _
Phone ( )
City —
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone ( )
City _
Contractor's Lic. No.
5. I will provide some of the work but 1 have contracted (hired) the following persons [o
provide the work indicated:
Name Address Phonrye Type of Work
I���a,.l "1�22t'S 3aG rlAm.LN✓ S-f '12.6�'JbYJ vSDa��
1042-46 (Rev.11104)
,
February 17, 2010
CITY OF COSTA 1V�ESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Kirk T Russell
PO Box 340
San Juan Capistrano, CA 92693
PERMIT NUMBERS: B07-00922
326 Hamilton St., Costa Mesa, CA
FOR: Re-roof
�
Our records indicate the above listed permit(s) were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of the last
inspection for the project.
Our records do not show an inspection for these permits within the last 180 days nor have
they had an approved final inspection. If you have a signed inspection card showing that an
inspection was made within 180 days, or that the final inspection was approved, please
contact this office so we may correct our records. If you do not have an approved final
inspection, your permits will expire on March 2, 2010. Additional fees will be required to
finalize expired permits.
Requesting an inspection - If you need to request an inspection, please call our Inspection
Request Line at 714-754-5626.
Requestinq an extension -If you wish to request an extension, requests must be made in
writing addressed to Bill Nunes, Chief of Inspection at the above address, detailing
circumstances and listing an estimated date of completion.
If you have any questions, please contact the Building Division at 714-754-4871, between
8:00 a.m. and 4:30 p.m., and a staff inember will assist you. The accuracy of records
affecting your p operty is our goal and we appreciate your working with us to resolve this
matter.
Sincerely,
�� �Barbara J. art
Office Specialist II
Building Division (714) 754-5273 � Code EnforcemeN (714) 754-5623 • Planning Division p14) 754-5245
FAX (7141754-4856 • TDD p14) 754-5244 • w�wtci.costa-mesa.ca.us
OWNER GATES� CYR1iS�H,� F MFRTF DATE �_q�_K(� �
JOBADDRESS 3Zi7 xdlfll.ltOri " - BUILOINGPERMITNO. 23]-7
GENERALCONTRACTOR I}j,ke & Cole�rove VALUE $-9�000.��
.LOT �n BLOCK TRACT �9nft RaaiAPnra & (',ar
ROUP I $c
INSPECTIONS
Footing Trench
Foundation Forms
Rough Framing
Plumbing, Rough t
Plumbinq, Rough f
g, Finat
House
Tank or
Out
.mbing, Fin.al Gas
Wiring, Final
Occupancy
Fnrm `)1(1 (:_H 15f1
FYa
DATE
�
SUBCONTRACTOR
FI
PERMITSISSUED
I NUMBI
U
�Costa Mesa Building Department
111 EAST 20th STREET
COSTA MESA, CALIFORNIA
�
FOR APPY.YCANT TO FILL IN
nddress 326 Hamilton Street
Costa 1VIesa, California
rvearest Thuriri Avenue
Cross Sk.
ow�e� Cyrus H. & E. Merle Gates
ndd�ess 306 Ramona Place
c�ty
Costa Mesa No. Li 8-79
Arohitector Lic. �
EngineerC3r1.8071 & Middlebroako.
Address Garden Grove
ctor Dike & Colegrove ryoY ���� Z7Or(
.4ddress 4i9 E. 17th St. � Costa i'Iesa
Legal Lot
Desc�ioffnn I Na. 1� Block I Tract 2
Size of Lot
of
New
No.
0� x 135� rvo�
none No.
Fan
om RF
5�� Si
CRIPTION OF'
X� ai�..���,,.. �
none
�. or bi
oma �
Addition
'LICATION FOR PERMIT
�UILD,�IdG '
OR O�+'F%CE iJSE ONLY '
. __ _Rece_ipt No. _ _ Permit No. �
�
� 3i7 ,
by Date Rec'd. Date Issued
a/� I . /- � S�' �1% j— %'/ .•.C�i
Address
Costa Mesa, California
cone No. ot Type
�S� PLans (/
Approved
by
CORRECTIONS
Cf ft't�������,��
_.. . _ _ !.� \/_'�. � �
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_- `r .' .' . . _ . .. • . �
...�.y ...� i v.. . ��n •'� n•
Size 1151 sq. £t.Ftooms z Stories 1 vvv
°^ = '�or Wall � Roof
�:>r„a,�9 Fr. Stucco Covering Comp. AppROVALS
� dinye�ingle family residence & Garage Fou�aatioo �ocac�on inspecto�
Forms, Materials,
Under•Pinning
p] �,�y .YZ R Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that Yhe above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building constrUction.
Signatureof Plaster, Int.
Permittee
� Plaster, Ext.
Authorized Agt. �
Masonry Reinforced
Valuation PermitFee$ oCol.O-O
Plan Check $ //, p-D
S 9�OOO.CO Total
Fee $ ��. o-�i
FORM 204 0-H 2M 5-54
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- PLOT PLAN
Show locatlon and distances from
property line and between buildfngs.
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