HomeMy WebLinkAbout331 HAMILTON ST - Building Permitsf � +
% . '�
CITY OF COSTA MESA
BY/LDING DIYISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 , www.ci.wsta-mesa.ca.us
, . . � � . FOR INSPECTIONS CALL: (714) 754-5626 � '
PERMIT NUMBER 607-00776
PERMIT TYPE B ROOF STATUS: ISSUED
: DATE ISSUED: 06112I2007 ,
� � "`` " =1SSUED BY: RMD
s t
- f <>
JOB ADDRESS: 331 HAMILTQN-ST CM '��� Suite%Unit _
Vicinity: HOUSE AND GARAGE ROOF� ;" - , ` Const Type %' ?�,;^ .
SQ. FT: 2100 �r,`; ` ,' � Valuation '$4 000.00
<_ _ , � � :
. , x = t,', •i.: -�'-` . . ,..' , `� �-.
SCOPE OF WORK: TEAR OF THE EXISTINGROCK ROOF, INSTALL A MINIMUM OF 2 LAYERS OF,.15# FELT ON A LESS THAN 4:12
PITCHED ROOF AND REROOF:W/ 30�YEAR COMP SHIGLES ON AN , ` `���'
ATTACHED HOUSE AND GARAGE�"ARPROX21 SQUARES. REPAIR AND REPLACE SHEATHING AS'NEEDED _�a�`;�,
�
s -
- . . � .. . �. .
` ! _-: �,-�---, � .j` .: , ,,.� .
OWNER: HANSON, JAMES L , : Address s. 331 HAMILTON.ST �UniE: ,
PHONE: 949-6463603 Cify/State2ip =,,...��. �` • �� � COSTAMESA,CA � •, . .�.�, � _�"'. : ��� ,
��l
;,,f ' , ,,"- . .
APPLICANT: HANSON; JAMES L��'��,� �"' � Address: 331 HAMILTON ST. Unit _�, ;��
PHONE: 949-6463603 � � =".�City(State/zZip:�.,.�-COSTA�MESA CAf •- : i�'
CONTRACTOR:
P;ddress: �
City/State:
ARCHITECT:
ENGINEER: , .
� -
�WNER BUILDER ����- � � � ��License No. ���' 000000� �.;. � '• ��
, ,..
Umt..: %" PHONE - - � - �' � - �, �.
r'
'M1�^'. --ZipCode � - �__.- .. CELLi,;, _ , �.+'
. ,.�
LicenseNo. - � `:'', �PHONE�t�
�icense,No..,- .� . � �PHONE:�
i :, r
�:_J ,
.�
� z
� � Y.
' -�' i �:�.5 -
FEE SUMMARY - z �,, x , ,.:-� ,; �
Reroof Plan Check: a$0 00 ,, `
Reroof PermitFee: $9725 4 ,',�r� � � �, °' .
Reinspection Fee: . $0 00 ' M ' "�
TOTAC FEES . � � $97.25 -� ^ � .,
NO710E: The work authorized by this permit shall comply vnth all applicable handicap access requirements �under Califomia statutes and related
regulations. (Ord. No. 92•28, § t, 12-21-92) . � ,�
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF IAST 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 lhe expiration of this permit.
c�oEi. iNsvecnoxrre
1876 � Fixed System Final Fire Prevention
1266 Pool Spa Finaf " . �
200 � Final Re-Roof � "
201 . FinaIBIOCWReWiningWall .
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
oare iN n
' 2L �— �.
cooe" ixsvecnoxrrve
208 Final Mechanical �
208 Pinal Plumbing
210 Final Electrical
212 ' Flnal Fire Pre�enlion
220 Final Planning Approval
222 Final Site'
250 Final Building/Occupancy
o�re ixnnnis
WORKERS' COMPENSATION DECLARATION:
I hareby affirm under penalry of perjury one o1 the t�.._.,ing tleclaralions: �
❑ I have antl will maintain a certifitate of Consent lo sel(-Insure focvrorkers:
compensation, as provided for by section 3700 of the Labor Code, for the
peAormance of the work for which Ihis permil is issued. .-
❑ I have and will maintain workers' compensation insurance, as required by
secl'qn 3700 ot the Labor Code, fa lhe pertortnanCe o( Ihe wurk for whiCh thi5
pertnil is issued. My v.orkers' wmpensation Insurance carrier and policy
number are:
Cartier.
(inis sepipn nGeE nof be mmdele0 elhe pemre a value0 al me hund2H daiars (5f 00) orless )
P�o/licy Number:
�y� i'cerG(y that in the pertormance of the work for which this permit is
issued,-I`shall not employ any person in any manner so as ro become subject
to the workers' compensation laws of Califomia, antl agree that it I should
become subject lo the workers' compensation provisions of Section 3700 of
ihe bor Code, 1 shall fo hwith comply with these provisions.
- f,-lZ-U7
'Applitanfs Si9n ure� ��Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing
vrith Section 7000) of Division 3 of the Business antl Professions Code, and
my license is in full torce and e%ect.
Lic. # Class #
Conuactw's SignaWre �ate
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a wns[ruction lentling agency for [he
peAortnance ol the �+ork ta which tivs permit is issued. (Sec. 3097, Civil Code�.
Lendefs Name:
Lenders Address:
Signalure Date
OWNER-BUILDER DECIARATIONS:
I hereby affirm that untler penalty of peryury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
consWcl, al[er, improve, demolish, or rapair any stmcture, prior to its
issuance, also requires the apD�icant for such pertnit to file a signetl slatement
that ha or she is licensed pursuant to the provisions of the Contracrors
License Law (Chapter 9(wmmencing with Section 7000) o� Division 3 of the
Business anE Professions Code) or Iha[ he or she is exempt tharefrom antl
the basis for the alleged ezemption. Any violation o( Section 7031.5 by any
applicant tor a permit subjects the applicaN to a civil penalty ot not more than
five hundreC tlollars ($500).):
C��(-as ovmer of the property, or my employees vrith wages as their sole
compensation, WILL DO THE WORK, and the sWCWre is not inten0ed or
offered for sale (Sec. 7044, Business and Professions Code: The Contracrors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such work himsel( or herself or through his or her ovm
employees, provided that such improJements are not'intended or offered for
sale. If, however, the building or improvement is sold vnthin one year of
completioq the owner-builder vnll have the burden of proving lhat 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 lhe project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not appty to an ovmer of
property who builds or improves thereon, antl who contracts.tor such project with
a conlracta�s) license pursuant ro ihe Con[racip5 License Laws.).
O I am exempt under sec.
Business and Professions Cotle for this reason:
�n,ei ��%7`�+'liln �i -�Z � 7
( Signalure� �y„Ud�e1
905].a61J/O])
�
� .,�
Ovmer ID verifetl by drivi ;e. �s ❑ No
�Dnver'siicenseNo. ,(� r'Ezpires:� 'L^4
�--�,_—_ _�
Venfication of Ownership by (type of document, i.e. - properry tax bill or tleetl)� -.
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify ltiat no excavation frve (5) or more feet in depth into wfiich a
person is required to descend, will be matle in connection with Hork authorized
by this pertnit, and that no builtling sWCNre. scaffdding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) fee� high. (Chap. 32, Grp
2, Art 2, Sea 341, Title 8, Califomia Administrative Cade).
❑ As owner-builder, I will not employ anyone to do work which woultl
require a permit from the Division ot Industrial Safety, as notetl above, unless
such person has a permit to do such work from the division.
Applimnl's SignaWre
Division of Industrial Satety Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the appliwnt or present or future builtling occupant need to file and
certity a Business Plan for emergency response to release or threalened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia 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 tluring a reported
year a quantiry of hazardous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet ot wmpressed gas
at standard temperature and pressure).
2. Does or will [he applicant or present or future building occupant need to 51e
a registration fortn (or acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safery Code, with some
exceplions, requires registration with ihe Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous matenals equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic teet of compressed gas at standard
temperaNre and pressure).
3. Dces or will the applicant or present or future building xcupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous matenals)? ❑ Ves ❑ No
(Section 25534 of the Cali(omia Health antl Safety Cotle provides that the
Cosla Mesa Fire Department may require the preparation, certifcalion and
fling 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 presenlly required, has Section 25534 of the Califomia
Health and Sa(ery Code been fully complied with7 ❑ Yes ❑ No
5. Does or will the appliwn� or present or future building occupant require for
the work which is the subject ot this application a permit fo[ Such conslruction
or modifration from ihe South Coast Air Quality Management District or fmm
any olher air pollution control diStnCt or agenty? ❑ Ves ❑ No
(Sectbn 65850.2 of the Califomia Govemment Code requires that the requestetl
infortnation be fumished on apP�ications fa noo-residential building pertnits).
6. Will any part o( the faciliry to be consirucled under this permit be vnthin
1000 feet /rom [he outer boundaries of a school'7 ❑ Yes � No
(If yes", Ihe faciliry must meet the requirement o( Sections 25534 antl 42303
of the Cali(omia Health and Safety Code).
7. If a permit from ihe SoWh Coast Air Quality Management District or other
air pollWion contml district or agency is require0 for Ihe vrork which is the
subject of this application, have all of the disclosures prescribetl by Califomia
Health and Sa(ety Code Seclion 42303 been made? ❑ Yes ❑ No
B. (If yes", attach;certi(cate.of compliance from the appmpriate air polNtion
control oKcerj. - . � .
CER7IFICATE OF COMPUANCE: I'certify that under penalty of peryury Ihe
information qiven above is cortect. I agree to�comply vrith"all state laws and
city ordinances regarding Hazardous Materials and Emissions. � �
SignaNre Oate _, .
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certity under penalry 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 city
ordinances relating ro building consWction, antl authonze representatives of
the City of Costa Mesa ro� enier upon the above-descrihetl pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
autry� rzetl by thi pertn ntil final inspection.
�/�i,�m�-� %Lii�,� /_ -/_1 �o )
(�Signawre �Legai eqs��= � i Date___/
AnE/or qN�onzeG Applirant ' Date
�:
�� a� �?aa,ta �i�eQa �uu'dur y ?�u��L
OWNEIt-BI,IILDER
VERIF[Ce�TtON
Address:.3 3 I n u fi /��%l /1 .5�, Permit #:
A city or coimty, 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 comple[ion and require the retum of, an owner-
builder verification.
Attention Property Owner.
An `owner-builder' building permit has been applied for in your name and beanng your sienature.
Please complete and retum this infom�ation in the envelope provided at your earliest opportunity to avoid
tmnecessary delay in processing and issuing your building perniit No buildinQ pennit will be issued until this
verification is received.
�� l. 1 personally plan to provide the major labor and materials for constniction of the proposed
improvement. � Yes ❑ No
�.=.
� 2. have ave not) signed an application for a building permit for
e posed work.
3. I have contracted with the following person (firm) ro provide the proposed constn�ction:
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
Name
Address
Phone (
City _
Contrac[or's Lic. No.
I will provide some of the work but [ have contracted (hired) the following persons to
provide the work indicated:
Address
Phone Type of Work
/%1 U n /it /i � ��'r/�IeO f %i,� �-�Q /%l / �%`0�1 S!
t0a2-06 (Rev.t1/oa)
V. _a x ... _ _ _ . . .�P ....._ _ _ . _
owNert GATES� CYRUS H. & E. MERLE DATE 1-31-K6
JOBADDRESS j31 HyiR�].tOII St."" BUILDINGPERMITNO. Zj�.O
GENERALCONTRACTOR Dike & Colegrove VALUE $ 8����:��
' LOT ,j BLOCK TRACT 2908 Residertce & Gar. �
� G JP Z& J TVPE V ZONE `W FIRE DISTRICT Z3ZZ
PERMITSISSUED
� INSPECTIONS DATE SUBCONTRACTOR
� DATE NUMBER
v....1:.... T.enrM /.�" /i� 5 . Tn _�
Foundation
Plumbing, Rough to S
— %'�a
�
g, Finai � .d �:-c/i�
House Seweq St. [w� `(�-(/�-��i�/ ✓�/
Tank or Cesspool
g, In Out�/ 3 •3�
F �ring
1 �ing, Final, Fixtures
Plumbing, Fin�al Gas Test
Wiring, Final
� Occupancy
u•„r,,, �n n r._u i�nn i_F
esa Building Department �� CATION FOR PERMIT
. � -�'i" 1N EAST 20th STREET cfn ' . � � � L D � � �. �
COSTA MESA, CALIFORNIA ��
M FOI� APPLYCANT TO FY�L �T �'OR O�k'YCE iJS� ONLY i
_ _ _ Receipt,No., _ ._ Permit No. �
Building � '
Address 31 Samilton Street ati 3 C� �
Costa Mesa, Cia11fOPI113� Receivediby, Date Rec'd. Date Issued
Nearest n -��aS 'S � �� 3 /��'j �c
cross st. `�urin Avenue Building
AddFess � i
ow�e� Cyrus H, & E. Merle Gates Co5ta 1VgeSa, California
Mail 06 Ramona Place
AddreSs 3 Nearest � ;
Costa Mesa Te�•Li 8-7976 c�ou st.
City No. Zone p� I plans � I Type � � GroYp� i
E gineer �arlson & Middlebro�: Approved / .
Garden Grove by oate
Address ' GvO���j G+r��Ns
tractor Dike & Colegrove NoY L�c 27�%
nddress 19 E. 17th St. Costa Mesa
Legal Lot
Description I No. 3 I Block I Tract 290$ __....
(Attach Metesand Bounds) , - ` '
No. of Bldgs. � �.� ' � ..• \\ �I �l �i— �
SizeofLot u2� X bl� I Nowon Lot none �;-,_.�� 1�—+,-�� J �' �' �! '
Useof No.of No.ot 1 �� �- - O
Existing Bld . nOrie I Familles�- I Rooms 5� L�'����`��'. 4- p
G)
SetbackLin6from �- RearYard �a,� ' inni � c,�.--. Z
CenterofStYeet ��� SideVard z�� '- ""^ ^"'"���� s
DESCRIPTION OF WORH �- �
New I x I Alteretion I I nddition I ,l-,I.I:Y. �UF ��f1S.TA�-�M�cn
_,,, ,
Repair I Moving I Demolish I �� � �� �"��
Building No. of 1
Size �%71 S�l. rtRooms 5� Stories �-
�rior Wall Roof
ring P'r. Stuoco Covering Comp, AppROVALS
se of New
BufldingSl71o12 i3T[l11j� residence & garage FoundatlonLocation Inspecto� Date
Forms, Materials,
Under-Pinning
�an 1� -Frame: Fire Stops,
BraCing, Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correM and agree to comply
with a11 City Ordinances and State I.aws regulating Lath. Ext
building construction.
SignaSureof Plaster, Int.
Permittee
� ` , .. Plaster, EM.
Authorized Agt. �
Masonry Reinfarced
Valuation Permit Fee $ o.
Plan Check $ . 0 O Bond Beam
g $�G00.00 Tota�
Fee $ ��.QQ FINAL
FORM 204 p-H ZM 5-54
�
r—
;A _ _T:•"
{
ruri- r1.Efiv
Show locatlon and distances from
property line and between buildings.
1 ' --
� –_.:':i
I
�
_ Y
�'.� . . . . _ .: ' . - ... . . .
COSS4�- '
�:�ra z'=',=�SPf1.-- r� p� .�.��,..,� �n
�: .... .. ��
, . . .. . �__; ., ' � : , .
, - -
• • - ��� ..
, _ . � , • ... '_: . - �., � �
• .�:� _ . �
, .. - -_'i � , . _ .-. - ..�.�. .
i-� .. - - _ .
i � --� _ � . _ -; • ;
- -- _ :.-. -. ..-.- ---- _� --- �
. . . .. _ . _ , � .; ,
, t r. _ ' •- - • � '' �.
. .. � e."" . ""�I• .. ... __ • . .. � '
_ . . . .__ . If...'�� �
. .. .,.,. . CD::,.. ._ _' �
' _ . . :. . :-" : :. _. �i" � ..
. ___ " _";_ '. ":' _;'_'i''o... "" " i
• t'
. . , . . :'i' . . , i
d. ' �
' , , • . �"
' -- ---- — -
.. �_
. _ _.._ ._ . _' `. _ _ __ _ _ ' —�— — ' . _' _ ' � ... _ � -�. . ..u. �:.�na I