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Home My WebLink About3059 HAYES AVE - Building Permits� CITY OF COSTA MESA � � � "'E BYILDING DIVISION F . � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa. .us °.��`�*. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. M07-00508 PERMIT TYPE JOB ADDRESS vicinity MECH 3059 HAYES AV CM STATUS: ISSUED DATE ISSUED: 10/17/2007 ISSUED BY: BJK Suite/Unit: SQ. FT: 0 ' SCOPE OF WORK: REPLACE DUCTWORK-IN AN EXISTING SINGLE-STORY SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. , OWNER: CAPRINE, STANLEY G,'� � Address: 3059 HAYES AVE Unit: PHONE: � � � � City/State2ip: � COSTA MESA, CA APPLICANT: RODRIGUEZ, ILDEFONSO " Address: 7050 LAMPSON AV Unit: PHONE: 714-530-7320 � City/Slate/zZip: GARDEN GROVE, CA CONTRACTOR: EMPIRE PLUMBING HEATING AND AIR CONDITIONING Address: 7050 LAMPSON AWnit: PHONE: 714-530-7320 City/State: GARDEN GROVE, CA ZipCode: 92841 ,. MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $37.20 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: - $0.00 TOTAL FEES: $37.20 License No. 794154 CELL: r•.��' �!; � ' � �� - . ti� �' . 5fi � :a� � �:~ , a,: , �; ;, y�,.;�;; . � 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 the work authorized under this permit to be considered legal, such work musl comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiretion of this pertnit. CODE /. INSPEC710N TYPE ORTE INTI� C� INSPECTION ME OATE IN7ITUL 1616 Fixed System Final Fire Prevention , 206 Final Mechanical � O-o�i -O� �_� 1266 Poo15pa Final 20B Final Plumbing 200 Final Re-Root 270 Final Electrical 201 Final BIOtWRetaining Wall 212 Final Fire Preventi0n 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Dertrolition ' 250 Final Building�Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penally of peryury one of Ihe following declarations: ❑ I have and will maintain a certifcate o( wnsent [o self-Insure (or workers' compensation, as providetl (or by section 3700 0( the Labor Code, !or the peAortnance of Ihe work for which this permit is issued. I have and will maintain workers' cwnpensation insurance. as requiretl by s tion 3700 of the Labor Code, fw the peAortnance of the work fw which this pertnit is issuetl. My workers' compensation Insurance carrier and policy number are: Cartier: F u r(.lnC' o (T/ris sedion naetl rql Ee comyefeJ d t�e µvm4 ¢ valuotl al ona hurMiatl tlp9ars (EIO�) wMss ) Policy Number 1. / �A�M �O'il� -(� � ❑ I certify that in the peAormance of the vrork for which lhis permit is issued, I shall not employ any person in any manner so as lo bewme subject to the workers' compensation lavrs of California, and agree that if I should become subject to the vrorkers' compensation provisions of Section 3700 of the La or Code, I shall forlhwith comply with these provisions. �G% �%"O� Appliwnfs9' nature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALI SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L4BOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed untler provisions of Chapler 9(commencing vrith Section 7000) of Division 3 of 1he Business and Professions Code. and my license is in full force and eflect. n Lic. # % class # ( ' /D -i -% o % Contracmr's Sign Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that there is a construction lending agency for the perfortnance of the v.ark fa wfiich ttris pertnit is issued. (Sec. 3097, Civil CoCe). Lender's Name: Lender's Address: SignaWre Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7037.5. Business and Professions Code: Any city or wunty which requires a permit to cons[ruc[, alter, improve, Cemolish, or repair any structure, prior to its issuance, also requires Ihe applicanllor such pertnit to fle a signed statement that he or she is licensed pursuant to Ihe provisions o1 the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the Bu5ine55 antl Profe55ion5 COCB) or [hal he or 5he i5 exempt Ihere(rom anC 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 ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with vlages as their sole compensation, WILL DO THE WORK, antl the siructure is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Conlractors License Law does not apply [o an owner of property who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, provided that such improvements are not intended or oReretl for sale. If, however, t�e builtlinq 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 ovmer of the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Cotle: The contractors License Law dces nol apply to an ovmer ot property wfio builds or improves lhereon, and who conlrects for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Protessions Code for this reason: Owner ID venfietl by dnver's L, m❑ Yes ❑ No Dnver's License No. Expires: Verification of Ovmership by (rype of document, i.e. - Droperty Wx bill or deetlj: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certfij that no excavation fne (5) w more teet in depth into which a person is requiretl to descend, vnll be made in conneclion v.ith work autMrized by ihis pertnil, and [hat no building stnicture, scaffdding, falsewnrk, a demolition or dismantling thereof, will be more than thirty-sbc (36) feet high. (Chap. 32, Grp 2, Af� 2, �BC. 347, TI(�8 8, i�.2�liOTld /idff11f115ifdMC COd2�. ❑ As ovmer-builder, I will nol employ anyone to tlo work which would require a permit from Ihe Division of Industrial Safety, as notetl above, unless such person has a permit to do such vrork from the division. Signalure Dale Division of IndusMal Safery 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 threatenetl release of a hazardous ma[erial7 ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be filed vnth ihe Costa Mesa Fire DepaAment by every business which has at any one time during a reported year a quantity of hazardous matedals equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressetl gas at standar0 temperature and pressure). 2. Does or will the appliwnt or present or fuNre building occupant need to file a registration fortn for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Cotle, wi[h some exceptions, requires registretion with [he Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or gieater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl �empereNre and pressure). 3. Does or will the appliwM or present or fuWre buil0ing occupant nee0 to prepare an RMPP (Risk Managemen[ and Prevention Program for acutely hazardous materials)7 ❑ Yes ❑ No (Section 25534 ot the California Health and Safery Code provides [hat the Cosla Mesa Fire Departmenl may require the preparation, certifiwtlon antl filing with the Fire Department of an RMPP by businesses which are requiretl to register aculely hazardous materials vnth lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safery Code been fully wmplied with? ❑ Yes 0 No 5. Does or vnll the applicant or present or tuture building cecupant require for the vrork which is the subject of this application a permit for such construction or modifcation from Ihe South Coast Air Qualiry Management DisMct or from any o[�er air polNtion wnlml tlistrict or agency7 ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Code requires that the requesteC informatbn be fumished on applications far rromresidential building pertnits). 6. Will any part ot the facility to be wnsWcted under ihis permit be wilhin 7000 feet from [he outer boundaries of a school? ❑ Yes ❑ No (If'yes", Ihe facility must meet the requirement of Sections 25534 antl 42303 of lhe California Health and Safery Code). 7. I( a pertnit from the South Coast Air Qualiry Management District or otner air pollution control disMct or agency is required for the work which is lhe subject of this application, have all of the disclosures prescribed �y Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (I('yes", atlach certifiwte of compliance from the apPropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of peryury the information given above is wrrecL I agree to wmply with all sWte laws and city ordinances regarding Hazardous Materials and Emissions. SiB�ature Da�e CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF ENTRY: I certify under penalry of perjury thal I have read this application and state that the information given is correct. 1 agree to comply vnth all state laws and ciry ortlinances relatinq to building construclion, and authorize representatives of the City o( Cos[a Mesa to enter upon the above-tlescribed property for inspection purposes. I agree nol to occupy or allow occupancy of any building authorizetl by this permit uMil final inspection. . Sign� e of Legal Owner�s) Oate Signalure . Daro �� ` /��_9 � 3059-a6 (3/0]I A�n f AumonzeG npp6 � � Date (714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jab Address: 3059 HAYES AV Suite: Vicinity: ROOF Parcel Number: 14172403 Applicant: VESS PEARSON Address: P O BOX 3908 SEAL BEACH, CA Owner: CAPRINE, STANLEY G Address 3059 HAYES AVE COSTA MESA, CA Convactor: G M ROOFING COMPANY Address: P O BOX 3908 SEALBEACH,CA Zip: 90740 Arch : Address: 2oning: R1 R1 Phone: 562-429•7663 Zip: 90740 Phone: Zip: 92626 Phone: 562-429-7663 License: 472566 Eng: Address: Phone: Slatus: ISSUED Applied: 08/04/2004 Issued: 08/04/2004 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 7/16" OSB BOARD SOLID SHEATHING, 30# ASTM FELT UNDERLAYMENT, 30 YEAR COMPOSITION SHINGLES. 2,900 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $181.25 SMIP Res: $0.97 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.22 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Exis6na: o Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING LeN 0. 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 Ss,�oo.00 $9,700.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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 appllcable codes, and ell requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 ?44&48 (NW) WORKERS'COMPENSAnON DECLARAnON: I hereby aflirtn under penelry ot per�ury one oi t�e following declarations: ❑ I heve end wlll malnteln e certificate oi consent to seli-Insure for workers' compensetion, es provided for 6y sectlon 3700 ot the Lebor Code, tor the peAormence ot the work for which this pertnit Is issuetl. �I have and wiil malntein workers' compensation Insurance, es required by sec6on 3700 ot the Labor Cotle, tor Iha perfartnanca of the work tw which this permit is issued. � My workers' compensatlort �Ins�urence carrier enA policy number are: R� Caqier.'' �� r V(V � 7"�`POIIcy.Number. 1/%% �� (�o Z- -�� (This sectlar need nof ba complefed i! fhe permit is velued af one hundred dollars ($100) or less.) � ❑ I cenify Ihat in the peAortnance of the work for whic� this permit ls issueQ I ahall not employ any pereon in any manner so es to become subject to the workers' wmpensetlon lews ol Celifamla, end egree that It I should become sub�ecl lo the warkers' compensetlon proNsions of Section 3700 of the Lebor Cotla, 1 shalllorlhwit� comply with thasa p s. c / ApPllcanlSigneture:�� ' '�^ P�,lx...�-.� rDate: '. E�IN IO� WMNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AN� SMALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND dVIL FlNES UP TO ONE HUNDRED TYi(%1SAND OOUARE (5100,000). IN AODRION TO TME WST OF COMPENSATION, DAMAGES 0.5 PFOVIDED FOR IN SECfION 3]OB OF THE LABOR CO�E, IMEREST, AND PTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: ettirtndhet I.em licens�d qr�{yro�siqnspt Chapter 9(commencing with Section 7000) of DlNsion.3.of.the Business a�P;qWs�sions Code, antl my license is in full ieXecLLla�a-� �'�� 71�� (_c�aua.--' 1 � ors SlgneWre: ' \�<� r,.t _ �- Date:- ` �' -�i - � CONSTRUCTON LENDING AGENCY: 0 I hereby aflirm that there is a construction lending agency for the peRormance of the work for whic� Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Landefs Address: SigneNre: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirm thet under penelry ot per�ury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e followinq reason (Sec. 7031.5, Business and Protesslons Cotla: Any city or counry which requires e permit lo consirua, elter, improve, demolis�, or repair any slrucNre, prior ta its issuance, elso requires Ihe applicant for such pertnit �o file e signed statemem thet he or she Is Iicensad pursuent to Ihe provisions of the Contrectors License Law (Chepter 9(commendng with Sectlon 7000) of DlWsion 3 01 the Business antl Protessions Code) or thet he or she is exempt therefrom end the besis for the elleged exemption. Any violetlon of Section 7031.5 by any epplicant tor e pertnit sub�ects tha epplicant lo e civil penelty of not more then tive hundred dollers ($500)J: ❑ I, as owner of Ihe properry, or my employees with wages es Iheir sole compensatlon, WILL DO THE WORK, entl t�e siructure is noi intended or oHered for sale (Sec. 7044, Business and Prolesslons Code: 7Te Contractore License Law dces nol apply to an owner ol property wha builds or improves thereon, and who does such work himsetl or herself or ihrough his or her own employees, provided that such improvements ere not Inlended or oflered tor sale. It, however, tha building or improvement is sold within one year of completion, t�e owner-builder will have ihe burden of proving ihat �e or she did not build or improve for purpose of sale.). ' ❑ I, as owner of Ihe property, em EXCLUSIVELV GONTRACTNG WIT1 LICENSED CONTRACTORS to wnstruct the project (Sec. 704a, Business and Professions Cotle: The conirectors License Lew does not eppty to an owner of property who builds or Improves Ihereon, antl who wnirecis br such pmject with a conirector(s) license pursuant to the Confractors License Laws.). ❑ I am e:empt untler sec. Business and Protessions Code for Ihis reason: Signeture: Date: Owner ID verified by dnver's licensa. ❑ Yes � No Drivers License No. Expires: Verificetion ot Ownershlp by (type of document, i.e. - property lax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenify ihat no excavation five (5) or more teet in depth into which a Dereon is require7 co tlescentl, wlll he metle in wnnection wi�h work autharized by this pertnit, antl ihat no building siructure, scaftoltling, talsework, or demolition or dismantling iheraof, will ba more ihan thirry-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, Celifornia Administretive Code). ❑ As owner-bulltler, I will not employ anyone to do work which would require e permit trom the Division ot Industrial Sefery, as noted above, unless such person hes e permil Io do such work from Ihe division. Signature: Date: Division of Indusirial Selery Pertnit Number: ICERTIFlCATE OF COMPl1ANCE AND AIffHORIZATON OF EHTRY: I certify under penalry of perjury that I have read ihis epD�ication and stata that the infortnation given is ( correcL I egree to comply with ell state lews antl ciry ordinances relating to builtling construction, end authodze representatives of the Ciry of Costa Mesa to enter upon ihe ebove-describetl property for inspection purposes. I agree no� to occupy or ellow occupency of eny Duiltling eNhorized by Ihis permil until finel inspection. caoe �, msrecnoxnve 1616 Fixetl System Final Fire Preventlon 1286 Paol Spe Finel 200 Finel Re-Rool 201 Final Block/Retaining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demolitlon ��E 1[�Ek3 � � ^, �r ate D '� L�ate_ .,�„ � COOE 1 INSiECT10N TYPE 206 Final Mechenical 20B Finel Plumbing 210 Finel ElecUicel 212 Flnal Fire Preventian 220 Finel Planninq Approval 222 Final Site 250 Finel Bullding�Occupancy PdIE ItIIIDELS ' 239E� COSTA MESA BUILDING-a..FETY DEPARTMENT P.O. BQX 91] COSTA MH9A. CALIFORNIA For Applican� to Fill In Complately TYPE OR PRINT BUILDINO `' � ADDRES9 IIB Q8 Y 1111Q COSTA MESA. CALIFORNIA I� MAIL un��871-271 0417 rao' 871-2710 Ho. oe a�ae. O � X I 0 O NOW ON LOT USE OF EXISTIN6 BL�p. BBTBACK LINB PpOM - caHrea ov sraqgr � REAR YARD L SIOE YARDI IEFT � I R16HT � DESCRIPTION OP WORK BUILDINO � a"� q�� NO.OP �j SIZE ln2 ' 0.00M8 / 6TORIEB S EXTERIOR WALL I ROOF —� GOVERING St.11CC COVERINO USE OF BUILqlt16 AND WORK TO BE PERFORMBO Tract 5340 — Lot 3 Plan 612ER R-1 Reaidence ��Z.�� I HER60Y ACKpOWLEO08 TNAT I HM1VB RBAO TN� APPLICATION ANO 8TAT8 TXAT TM8 ABOVH 19 CORRECT ANO AOP88 TO GOM- PLY WITH ALL ��{y ppplNAlC88 �NO BTATB W8 qHOUL�TINO BUILDINO CONBTqUCiION. SIGNATUREOF �� G�e PERMITTE AUTHORIZED q6ENT CITY �P C�S�.. V��ti- M�'YIPPYICAtiC}F•Y FOR BUIIDINf3 {ifl �'iOr��c Ufe CJ ZONIN(i NO.OI UB80P rune � euaou NOTE: NO EAVH YARDSAPPROVED MAIN BUILDINO fOMG/L-bTRE ) )NT 7ORf, IID6 /��FT. ._� .7 .... VAR. # DAT8188U@D SHA4L B8 LHSS THAN YARDSAPPROVEO AGCESSORYBUILDIN6 DATE APPAOVHO nare S T11B AMOUM 8E10WN UNDHIi VA4U�TION IB POH TH8 PUHPOSB OP 68TABLIBNINO A PEflMIT P88 ONLY. VALUATION PERMIT FEE $ � !�� g2 c TOTAL FEE $ /O i �