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Home My WebLink About2281 FOUNTAIN WAY - Building Permits� � CITY OF COSTA MESA �,D�pMFs'q BUILDING DIVISION i` � � 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 4"°�°`�'' PERMIT NUMBER: 611-00098 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 93074045 ~ DATE ISSUED: 03122/2011 ISSUED BY: KJB JOB ADDRESS Viciniry: Squares: 2000 2281 E FOUNTAIN WY CM Suite/Unit: Valuation: 52,000.00 SCOPE OF WORK: TEAR OFF EXISTING ROCK ROOF FROM THE SECOND FLOOR OF AN APARTMENT. FLAT PORTION OF ROOF ONLY. 4 UNIT APARTMENT BUILDING. APPLY BUR ON FLAT PORTIONS. APPROX 2000 SQ FT. NOTE:RESIDENTIAL RE,ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/lnspection Card OWNER: SCHROEDERWILSONASSOCIATES ANA, CA PHONE: 714-744-3922 APPLICANT: GOODGAM�, LISA PHONE: 714-840-1626 CONTRACTOR: SIERRA ROOFING CO Address: 5132 AUDREYUnit: City/State/Zip: HUNINGTON BEACH, CA 92649 ARCHITEC7: ENGINEER: �, � FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $69.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 Address: °/ GRIMMWAY MANAGEMENT CO City/State/Zip: 1526 BROOKHOLLOW DR # 82 Address: 5132 AUDREY City/State/Zip: HUNINGTON BEACH, CA License No. License No. PHONE: TOTAL FEES � $70.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/78/2070 - Monday thru Friday - 7:00 am Nru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitii New Years Dav. Memonal Dav. Indeoendence Dav. Labor Dav. Thanksoi� License No. 511172 714-840-1626 CEL�: PHONE: PHONE: Unit: SANTA Unit: : us • Sundays and the following Federal and Chnstmas Dav NOTICE: The work authorized,by this permit shall comply vrith all applicable handicap access requirements under California slatutes 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 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 the expiration of this permit. .. CO�Ep. INSPECTIONTYPE DATE INi111AL5 COOEC INSPECilON7YPE ORTE INPTIRLS �1616 Fixed System Final Fire Cr¢vention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof '.^ � � %Yi e bl� � 210 Final ElecViwl 20t Final BIocWRetaining Well � 2�2 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 FinalSign 222 FinalSite 204 Final Demolition 250 Final Builtling/Occupancy � WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry o( perjury one of Ihe following declarations: ❑ I have and will mainlain a certificate of cOnsen[ to SelGlnsure (or workers' co ensation, as provided for by section 3700 of the Labor Code, for the pe ormance o( the work !or which this permil is issued. • I have antl will mainlain wurkers' compensation insurence, as required by sec ron 3700 of Ihe Labor Code, fa Ihe peAortnance of the v✓ork for which this permil is issued. My workers' compensation Insurance carrier and policy number are: �� Carrier. `��. t^'�-2 (ThissaCimneetliwl0ecomdel �Ifhepeim�isvalue/d_atmehuntlretldollars(51p001)nless) PolicyNumber: �1�` ��Z3V�� -% l ❑ I certify that in the performance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become su6jecl to the workers' compensation laws of California, and agree that if I shoultl become js�1 ec the workers' compensation pmvisions of Section 3700 ot the L 6r Code, I �I vnth compl th ihe5e provisions. . U-'_ -Z}�C[ ��'�- Z l Applicanfs SgnaWre ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUl AND SHALL SU&IECT 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 PROVI�ED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND AlTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihal I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force antl ettect. Lic. # Class # �� Conlrac r4SignaWre Da CONSTRUCTION LENDING AGENCY: ❑ I hereby a�rtn that there is a construction lending agency !w Ihe peAortnance of Ihe v.ork fa which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Date OWNER-BUILDER DECLARATIONS: I hereby affrm that untler penalty of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counfy which requires a permit to construcl. alter, improve, demolish, or repair any sWc[ure, prior to it5 issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant ro the provisions of the Contracrors License Law (Chapter 9(commencing wilh Section 7000) ot Division 3 of Ihe Business and Pmfessions Code) or Ihat he or she is exempt therefrom antl Ihe basis lor the alleged exemption. Any violation o( Section 7031.5 by any applicant for a permit subjects the applicaN to a civil penalty of not more Ihan five hundred dollars ($500).): ❑ I, as owner o! the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intentletl or offered tor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply ro an owner of property who builds or improves thereon, and who does such work himsell or herself or through his or her ovm employees, provided that such improvements are not intended or oBered for sale. If, however, the buildinq or improvement is sold within one year of completion, the owner-builder will have the burtlen of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to constmct the project (Sec. 7044, Business antl Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project vrith a contractor(s) license pursuant to the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: ]OS]-a6 (3/0]) � Ovmer ID venfied by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifiwtion of Ovmership by (rype of document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify �hat no excavation five (5) or more fee� in depih into which a person is required to descend, will be made in connectbn with vrork authorized by Ihis pertnit, antl lha� no building structure, scaFfdding, /alse�wrk, a demolition or tlismaMling Ihereof, will be more than thirty-sa (36) feet hiqh. (Chap. 3.2, Grp 2, Art 2, Sec. 347, Title 8, Califomia Administ2tive Code). ❑ As ovmer-builtler, I will not employ anyone to do work which would require a permit (rom the Division of Industrial Safery, as noletl above, unless such person has a permit to do such work from the tlivision. ApPlicanfs Signature Date Division of Induslrial Sa(ety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or Wture building occupant need to file and certify a Business Plan for emergency response ro release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 oi the Califomia Health antl Sa(ely Code requires, with some exceptions, that a Business Plan be filed with lhe Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantity o! hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 qallons, or 200 cuhic feet of compressed gas at slandard temperature and pressure). 2. Does or will the applicant or present or fuNre building occupant need to file a registration fortn for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 ot the Califomia Health and Safety Code, with some e.ceptions, requires registration with the Cosla Mesa Fire Department by each business which al any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weighl of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicanl or present or tuture building occupanl need [o prepare an RMPP (Risk Management and Prevention Program for acutely hazardous ma�enals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Cotle provitles that the Costa Mesa Fire Department may require the preparation, certifcation and fling with Ihe Fire Department of an RMPP by businesses which are required to register aculely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 ot the Califomia Health and Safery Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future building occupant require for Ihe work which is the subjec� of this application a pertnit for such wnsWction or modifcation from Ihe South Coasl Air �ualiry Management Dislrict or from any other air polWtion wntrol district or agency? ❑ Yes ❑ No (Section 658502 0( the Calitomia Govemment Code requires that the requested infortnation be fumished on applicalions fa noo-residential builtling permits�. 6. Will any pah of Ihe faciliry to be constructed under Ihis permit be within 7000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", [he facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health antl Safety Cotle). 7. If a permit from the South Coast Air Quality Management Dlstrict or other air polN[ion control district or agency is requiretl for lhe work which is the subject of this application, have all of the disclosures prescnbed by Califomia Health antl Sa(ely Code Section 42303 been made? � Yes ❑ No 8. (It'yes", attach certificate of compliance from Ihe appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certity that under penalty of perjury the information given above is wnecL I agree to comply vnth all state lav5 and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state Ihat the information given is correcL I agree to comply with all state laws and city ordinances relating lo building conswciion, and authorize representatives of the City ot Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agre not to occupy or allow occupancy of any building aWhorize is perm' til final inspection. � Sign ^eol /e�r�s) 'A� / Da ' V V V �"� An0/or AOl�onzM Appliwnl ale