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Home My WebLink About787 JOANN ST - Building Permitsy PERMIT TYPE � CITY OF COSTA MESA � BUILDING DIYISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER. B07-00886 B_ROOF2 JOB ADDRESS: 787 JOANN ST CM Vicinity: RESIDENCE AND DETACHED GARAGE SQ. FT: 2300 STATUS: DATEISSUED: ISSUED BY: Suite/Unit: Consl Type: Valuation: ISSUED 08/01I2007 BJK �� $0.00 SCOPE OF WORK: REROOf RESIDENCE WITH DETACHED GARAGE: T/O COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, FELT PER MFGR'S SPECS, INSTALL "30-YEAR COMP SHINGLES" 2300SF PITCH 3:12 OWNER: SILVERTHORN, JONATHAN E PHONE: CitylStale/Zip: APPLICANT: GEORGE PARKS PHONE: 714-952-7747 CONTRACTOR: GEORGEPARKS Address: 7215 S BEACH BLUnit: UNIT P City/State: ANAHEIM, CA ZipCode: 92804 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES so.00 $167.25 $0.00 $167.25 Address: 787 JOANN ST Unit: COSTA MESA, CA Address: 1275 S BEACH BL Unit:UN1T P City/State/zZip: ANAHEIM, CA License No. License No. License No. 316265 PHONE: 714-952-7141 CELL: PHONE: PHONE: : � NOTICE: The vrork authorized by this permit shall comply with all appliwble handicap access requirements under Califomia statutes antl related regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAVS 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 final approval will result in the expiration of this permit. CODE�, ixsrernoNrr� o� ixTma�s SOUEI INSVELiIONTYPE onre NI7I71F15 1fi16 Fixed System Final Fire Prevention 208 Final Mechaniral 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root �� p10 Final Elecirical 201 Final BIwWRetaining 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 WORKERS' COMPENSATION DECLARATION: � I hereby affiim under penalty of perjury one of Ihe following tleclarations: ❑ I have and vnll maintain 2 certifcate ol consent to self-Insure (or v✓orkers' compensation, as pmvided fqr by section 3700 of the Labor Cotle, for Ihe �peAormance of the work for wryich this permil is issued. /,p�-� I have and will mainlain Workers' compensation insurence, as required Dy �section 3700 of the Labor Code, for the peAortnance of the wurk fa which Ihis pertnit is issued. My workerg' compensation Insurance carrier antl policy number are: ✓ (Carrier: �'(E- -F� 1/f (Th¢ secfion need nof De mmyetpCllna perm�tl6 vaNeO a� me n�xqred 4Aars (5100) ab.cs.) P�olicy_Number ( ��7q ) � I certily that in the peAortnance of l�e work lor vfiich this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' wmpensation laws of California, antl agree thal il I should become suhject to the vrorkers' compensation provisions of Section 3700 0l the La6or ode, I shall forthwith comply with these pro,.v�is%ions. � Mcan Sipqatur� ' i 3jp- D � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALl SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS bECLARATION: I hereby affirm that I am Iicen.eC under provisions ot Chapter 9(commencing vnlh Section 7000) o( Division 3 of the Business and Prolessions Code. and my license is in full force and eKect. Lic: #,_ .�i �� iS Class:#�� '.3 � �— .�, P�� _ Can ar'sSigriaWre e CONSTRUCTION LENDING AGENCY: ❑ I hereDy affum that th�re is a consWction lending agency tw the peAortnance o( the xork fa v.fiich this pertnit s issued. (Sec. 3097, Civil Code). Lender's Name: lentler's Adtlress: SignaWre Date OWNER•BUILDER DECLARATIONS: I hereby affirtn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE �,4W lor Ihe lollowing reason (Sec. 7031.5, Business and Professions Corle: Any city or county which requires a permil to construct, alrer, impmve, tl@molish, or repair any sWCNre, prior to its issuante, also requires the applicant (or such permit to file a signeC statement ihat ha or she is licensetl pursuanl lo the provisions of lhe Contrectors License Law (Chapler 9(commencing with Section 7000) of Division 3 0l I�e Business antl Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant loi a permit subjects Ihe applicant to a civil penalry o( not more than fve hundred tlollars ($500).): ❑ I, as ovmer ol the property, or my employees vrith wages as their sole compensation, WILL DO THE WORK, antl Ihe structure is not intended or oftered for sale (Sec. 7044, B�siness and Pro(essions Code: The Conlractors License Law does not apply to an owner of property who builtls or improves thereon, and who dces such wvrk himsell or herselt or through his or her own employees, pravideC that such improvements are not intended or offered for sale. II, hovrever, the builtling or improvement is sold within one year of completion, the ovmer-builder will have lhe burden of provinq that he or she ditl not builtl or improve for purpose of sale.). ❑ I, as owner of the prop@Ay, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to consWct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an owner ol property who builds or improves thereon, and who contracts for such project with a conlracta(s) ficense pursuant fo lhe Cont2ctors License [aws.). ❑ 1 am exempt under sec. � Business and Professions Code lor this reason: Owner ID verified by drive�nse. ❑ Yes ❑ No� � Driver's License No. Expires: Verifiwtion o! Ownership by (rype of document, i.e. - property taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAify Ihat no excavation frve (5) or more (eet in tlepth into wfiich a person is required to descentl, will be made in connection with wvrk authorrzed by mis pertnit, antl that no building sWcwre. scaffdding, (alse�wrk, a demolitbn or dismanlling Ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title 8, Cali(omia A�ministrative Code). ❑ As ovmer-builder, I will not employ anyone to do work which wou�d require a permit from the Division of Industrial Safety. as noted above, unless such person has a permit to tlo such work from lhe division. Appliwm's Sipnalure Oam Division of Industrial Safety Permit Number. HAZARDOUS MATERIAIS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future huilding occupant need to fle and cetlify a Business Plan !or emergency response to release or threatenetl release of a hazardous material7 ❑ Yes ❑ No (Section 25505 of the California Health antl Safety Cotle requires, with some exceplions, ihat a Business Plan be filed with Ihe Cosla Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazartlous materials equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressetl gas ac standartl temperature and pressure). 2. Does or will the applicant or present or IuWre 6uilding occupant need to file a registration form (or acutety hazaraous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some eacep[ions, requires registration with the Costa Mesa Pire Department by each business which at any one time �as on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standard temperaWre antl pressure). 3. Does or will the applicant or present or fuNre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)7 ❑ Ves � No (Section 25534 of Ihe Cali(ornia Healt� and Safery Coda provides that the Costa Mesa Fire Department may require ihe preparation, certifiwtion antl filing with the Fire Depariment of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Departmenl. 4. If an RMPP is presently required, has Seclion 25534 0l the Cali(omia Health and Safely Code been tully wmplietl wilh? ❑ Yes ❑ No 5. DOeS or will Ihe applicanl or present or (uture building occupant require lor the vrork which is the subject of this appliwtion a pertnit for such construction ot modi(cation (rom the South Coast Air Duality Management Oislrict or from any other air polWtion comrol disMct or agency? ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemment Cotle requires that the requested information be tumishetl on applicatbns for non-residential Duiltling pertnits). 6. Will any patl of the facility to be consWctetl under this permit Ae wit�in 1000 feel from the outer boundaries o! a school7 ❑ Ves ❑ No Qf "yes", the laciliry must meel lhe requirement o( Sections 25534 antl 42303 of the California Health antl Safery Code). 7. If a permit from the South Coast Air �uality Management District or other air polWtion conUol district or agency is required for the work whiCh is Ihe subject of this application, have all of the discbsures prescribed by Califomia Health and Safety Code Seclion 42303 been made7 ❑ Yes ❑ No 8. Qt yes". attach certificate of compliance from the appropriate air pollution controloKceQ. CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury Ne information given above is correct I agree to compty with all state laws and city ordinances regarding Hazardous Malerials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury that I have read this application and state that the information given is correcL I agree to comply vrith all state laws and city ordinances relating to builCing construction, and authorize representatives of the City of Costa Mesa to enter upon the above-0escribed property (or inspection purposes. I agree not to occupy or allow occupancy o( any Guilding authOnzed by this permil uniil final inspec[ion. Signawre o! µqai Owner s) �te Signature Da�e 005��a8(3/W) ��oG�innt- `�al`�_.' OWNER . CRI5WEt.Iy CHARLRS L. DATE 3-25-59 lOB ADDRESS 787 JOazIII St. ' BUILDING PERMIT NO. 8635 VALUE S 12.52i.00 2E ZONE DPSCRIPTION OF WORK TYPE V ZONE F �ECTIONS I DATE I SUBCONTRACTOR I � �V��✓ n � DATE I NUMBER � coat 8635 � � �� . 35 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING T "� —�t----' qooRE55 �� _ � ... ' r`��l14�1'V° OWNEF CITV _ ARCHITECT OR ENGINEER iSTA MESA. CALIFORfJ c �rs/� ,P, r �.�6 • C fiG.� /l�� •i {�� r TEL. ��/� NO LIC, NO. ITY LIC. coNrRngyp(HAR BUILDERS, IN . No. %3 8�' p430 N�� TEL. ADDRE55 COSTA MESA. CALIF. N� PFtQNE�t1-8=9 8 LECAL LOT �q� oEscaianorv NO. ��V BLOCK TRAC�� A.P. NO. � — C`�i 5 �'—' SIZE }��y.�� NO,OF BLDGS. �/ OF LOT��+9' Z now oru �or � USE OF �' � � 3 E%tSTING BLDG. serencn �irvc kHo J�'7-rN � c[Nr[a or siac[r REAR YARD i�'Q r/ �' � �0 %3d1�c�t: SIDE VARO RIGHT FT � � DESCRIPTION OF WORK S NEW � ALTERATION u ADDITION REPAIR I � MOVING II DEMOLISH SIZIE DING '� � J�.�' ROOMS �j STORIES � EXTERIOR WALL R�aF COVERING COVERING USE OF NEW ��/ /�' BUILOING 7'—/�cr�F.�rG.�Yj � W�I��✓� / „ Ue i� �, �. n �� ,'�., -z`9/J � �'"` ��I�:',�'GE DEPT. ',If�. �r ..nCTP ^'�FCy APPLICATION FOR PERMIT BUILDING � FOR OFFICE USE ONLY RECEIPT NO. PEPMIT NO. �� 35' RECEIj/E� BV L1ATE RECEIYlO O4TE ISSUEO ,�� - 9 -s 9 3 =�s s: BUILOING AOORE55 COSTA MESA. CALIFORNIA FIRE CORRECTIONS �� % - (DI "7 � �. � C' _ ` � I t'il ll' A fl i�1.Y d. lly r �. PL,n��in�r nF.�i' SUBJECT TO BLDG. DENT. RE�. PIAN STwTE TMAT THE A�OVE IS COPRECT nND wGREE TO COMPLV WITH �LL CITY ORDINANCES �ND $T�TE L�W$ REGUL�iING BVILOING CONSTPUC� i�orv. VqLUAT10N SIGNATURE OF PERM�T FEE S �. PERMITTEE ��/ S�� PLAN GHECN S S i� AUTHORIZED AGENT - TOTAL FEE 5 � ��