HomeMy WebLinkAbout1057 PARKHILL DR - Building Permits• CITY OF COSTA MESA
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
PERMIT NUMBER B08-00023
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42431302 DATE ISSUED: 01/25/2008
ISSUED BY: RMD
JOB ADDRESS: 1057 PARKHILL DR -CM Suite/Unit:
Vicinity: ATTACHED HOUSE AND GARAGE
Squares: 2400 Valuation: $7,300.00
SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A 4:12 PITCHED ROOF AND REROOF
WITH 30 YEAR FIBERGLASS SHINGLES ON AN ATTACHED HOUSE, APPROX 17 SQUARES AND REROOF GARAGE
(FLAT AREA) WITH MODIFIED BITUMEN, APPROX 7 SQUARES.
OWNER: KRAUS, LARRY TR Address: 2553 GREENBRIAR LN Unit:
PHONE: City/State/Zip: COSTA MESA, CA
APPLICANT: BARNETT, CHRIS - Address: 126E 18TH ST - Unit: :UNIT
C103
PHONE: 714-724.1938 - City/State/Zip: COSTA MESA, CA
CONTRACTOR: BARNETT ROOFING License No. 661981
Address: 126 E 18TH STUnit: UNIT C103 PHONE: 714-724-1938
City/State/Zip: COSTA MESA, CA 92627 - . ` CELL:
ARCHITECT: License No.PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00 --
Reroof Permit Fee: $153.25-
Reinspection
153.25-Reinspection Fee: $0.00
TOTAL FEES $153.25 -
NOTICE: The work authorized by this permit shall Comply with all applicable handicap access requirements under California 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 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.
CODER. INSPECTION TYPE DATE INTmALS CODER INSPECTION TYPE DAIS INTOIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof_ t 210 Final Electrical
201 Final Block/Retaining 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:
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number areLS �� 4�
Carrier:, VVI
(This section neednott bbee mmfplatteeddif lthelcecermRer vallue�datone hundredcbllars(5100)crless)
PolicyL _Number: 0 V I `I '' LILC
-
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
thelabopponce, Irghall forthwith comply with these provisions.
Applicants Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT 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
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that 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 iinn' full force and effect.
CLic - - Class
J — Cs
Contractor's Signature .Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
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 than
five hundred dollars ($500).):
❑ 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
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building 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 owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
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 with
a contractors) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature
305746(3/07)
Date
i
Owner ID verified by driver's . ❑ Yes ❑ No
Driver's License No.
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, a demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Ari 2, Sec. 341, Title 8, Califomia Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature Date
Division of Industrial Safety 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 threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California 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 during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing 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 presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety 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 work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If 'yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
X5i n ure of Legal Owners) Date
I mrd\-
-�AndlorAuthonzedApplicant 4 --Date
PY OF COSTA MESA REQUEST OCCUPANCY
i
TRACT No,_ DATE
LOT NO.
ADDRESS
The developer of the above entitled tract desires to sell the
above set forth lot prior to the time that the tract has been
completed and its streets accepted by the City of Costa Mesa
the un6er.signed, by execiting this agreement, acknowledges
that (he -she -they) (was or advised
that this tract has not been given final inspection nor has
it been accepted by the City of Costa Mesa as having complied
with the conditions of approval which were imposed by the city
at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by
surety bond.
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
Undersigned by reason of the aforementioned uncompleted condi
ser
e 1 oper 7or tho ized
/,i'epresen a ive - �i
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
PER IT NO.
TRACT NO. LOT NO. BLDG. NO.
9992 11/01/62
CONSTRUCTION PERMIT
—Jr' �/
TYPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ALTERATION
❑ REPAIR ElCONVERSION 1011 DEMOLISH
Q
5s00
'
Project Address IQs7 �/C
. Owner .[,/q r (' E Phone
/ -
Address%n
❑
ZONING REGULATIONS
Arch/Eng. License No.
OTHER
DESCRIPTION OF WORK
-
A.P. #
ZONE
_
PILING. REF. It
Address
ContractoF�&--',��� �. '�7n Phon - y^
TYPE OF PERMIT -
❑GRADING ❑ FOUNDAT,IjgN ❑ STRUCTURAL
❑ TENANT ❑ELECTRICAL 0.[1PLV MBING ❑MECHANICA
BUILDING
SETBACK LST.
SIDE YARD
SIEDFE YAR
Tp Bt�1LDING
PROPS RTV LINE
Address s-� � /7 //7
LICENSED' CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (com-
ma ncing with section 7000) of DIVISIon 3 of the Business and
❑OTHER
Professions Cotle, end my license is in full force_antl effect.
REAR YARD TO
(
P L
7 )
License Class 1Z 6 License No.����'-c!r
PROJECT DESCRIPTION
SQ. FT.
PKG. SPACE REQ.
_
STREET WIDTH
PROVIDED
PARK FEE $
Date /0� 7—R2 Signature ✓ldo--x ..Oc _ i .(AR✓
r
t' `KERS'COMPENSATION DECLARATION
OCCUPANCY—CONSTRUCTION TYPE
—77
ZONING APPROVED BY DATE
Eby affirm that I have a certificate of consent to self -Insure ora
VALUATION ZONE
.Icate of Workers' Compensation Insurance, or a certified copy
SPECIAL CONDITIONS:
thereof (Section 38 0 Lab. C.).
Policy No. n Com pany /�P.aycr 7Z/<
GRADING CU. YDS. ACRES
REMARKS:
C1 Certified copy is hereby furnished.
ep Certified copy is filed with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
This section need not be completed if the permit is for one hundred
($100) or less).
1 certify that In the performance of the work for which this permit is
_
Issued, I shall not employ any person in any manner so as to become
PLUMBING PLAN CHECK
ELECTRICAL
PLAN CHECK
subject to the Workers' Compensation Laws of California.
BATHTUBS SHOWERS
DWELLING
GARAGE
Date Signature
NOTICE: If after making this declaration, you should become subject
TOILETS URINALS
GENERATOR
0-1 KW_ 1-10 KW
to the Workers' Compensation provisions of the Labor Code, you must
TRANSFORMER
forthwith comply with such provisions or this permit $hall be deemed
LAVATORIES DOUBLE LAYS
APPLIANCE
10-50 KW_50+KW
revoked.
CONSTRUCTION LENDING AGENCY
KIT. SINKS DISHWASHERS
MOTORS
0-1 HP -1-10 HP '
I hereby affirm that there is a construction lending agency for the per-
SERVICE SINKS SUMPS
(INC. SOLAR)
10-50 HP 50 + HP
formance of the work for which this permit is issued (Section 3097
FLOOR SINKS FLOOR DRAINS
FIXTURES
OUTLETS SWITCHES '
Civ. C.). -
Lender's Name
Lender's Address
DRINKING FOUNTAINS
GAS TUBE SIGNS
INTERCEPTORS CLARIFIERS
POLE LIGHTS
OWNER BUILDER DECLARATION
hereby affirm that I am exempt from the Contractor's License Law for
SWIMMING POOL P TRAP
-
POLES
METERED SUB
i(NTE
he following reason (Section 7031.5 Business and Professions Code:
Any city or county which requires a permit to construct, alter,
ir%npOve, demolish or repair any structure, prior to its issuance, also re-
WATER SERVICE ALTERATION
PANELS
MAIN - SUB
r'°,%:, the applicant for such permit to file a signed statement that he
GAS SERVICE OUTLETS
SERVICE
AMP
I-%,',> rsed pursuant to the provisions of the Contractor's License Law
(l'lter 9 (commencing with Section 7000) of Division 3 of the
WATER HEATERS BTU OUTPUT
(7
_
Business and Professions Code) -or that he is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by
SEWER CONNECTIONS'
any applicant for a permit subjects the applicant to a civil penalty
of not more than five hundred dollars ($500).
SOLAR TANK COLLECTORS,,,
❑ 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 offered for sale. (Section 7044, Business and Professions Code: The
SOLAR PIPING SVS.
ISSUE FEE
_ •-
Contractor's License Law does not apply to an owner of a property
ISSUE FEE
1-
O^
APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not
MECHANICAL PLAN CHECK
SUMMARY OF FEES
intended or offered for sale. If, however, the building or improvement
is sold within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale).
HEATING SYSTEM 0-100,000 BTU
BUILDING
PERMIT g
SMIP $
El I, as owner of the property, am exclusively contracting with
AND DUCTING -
-
licensed contractors to construct the project (Section 7044, Business
100,000+BTU
PLAN CHECK $
PERMIT n
and Professions Code: The Contractor's License Law does not apply to
- ISSUANCE $
an owner of property who builds or improves thereon, and who con-
REFRIGERATION 0-100,000 BTU
PLUMBING $
tracts from such projects with a contractor(s) licesned pursuant to
SYSTEM
GRADING $
the Contractor's License Law).
100,000 + BTU
PLAN CHECK $
❑ 1 am exempt under Section B. & P. C. for this
BOILERS BTU
ELECTRICAL $
$
reason
SYSTEM REPAIR, ALTERATION
PLAN CHECK $
MICROFILM $
Date Owner -
EXHAUST SYSTEM MULTIPLE
MECHANICAL $
TOTAL FEE $
LESS AD -
I hereby certifythal I have read this application and State that the above
information is correct. I agree to comply with all city and county
PLAN CHECK $
VANCE PC $_
ordinances and state laws relating to construction, and hereby authorize
representatives of this city to ente pon the above mentioned
P roperty fo pure ses.
/jApectlon
Signature's %�-rt ��. n�^'"r Date �n -��o
ISSUE FEE
-
FINAL FEE $
-
Drivers' License or SS -hL-� —
CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod,Assessor/�Pivvy i �.ti5`'P[� f7 �,✓
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date Inspector
POOL & SPA
- APPROVALS Permit # Date Inspector
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location
2.
SoilPipe-Undrgrn
44.
Steel Reinforcement
3.
Electrical Conduit Utility-Undrgrn
45.
Forms
4.
Electrical Conduit-Undrgrn
46.
Electrical Bonding
5.
Steel ein orce
47.
Rough Plumbing & Pressure Test
6.
Electrical UFER Grn
48.
APPROVALTO COVER-GUNITE
7.
Footings
49.
Electrical Conduit-Undr rn
B.
Foundation
50.
Gas Pipe, ❑ Undr rn, Test
9.
Water Pipe-Undrgrn
51.
Backwash Lines P-Trap.❑ Undr rn
10.
Structural Floor System
52.
APPROVAL TO DECK
11.
Property Sewer Line & House Connection
53.
Backwash & Receptor-Final
12.
Street Sewer Connection
54.
Heater & Vent-Final
13.
Rough Plumbing
14.
Rough Electric-Conduit
•56.
Electrical-Final
15.
Rough Electric-Wiring '
57.
Solar System-Final -
16.
Rough Heating & Air Conditioning
encing & Access Approval
17.
Ducts, in Structure
59.
APPROVED FOR PLASTERING
18.
19.
20.
Ducts, Ventilating
Gas Pipe-Rough & Test
Roof Framing
60.
POOL/SPA SYSTEMS FINAL
21.
22.
Roof Sheathing-
Frame and Flashing
NOTES: '
23.
Insulation
24.
Lathing & Siding
25.
Drywall Nailing
26.
Plaster Brown Coat
27.
Electrical Power Meter-Final
28.
Final Electric
29.
Final Heating & Air Conditioning
30.
Final Gas Pipe-Test
31.
Final Plumbing
32.
Water Service-Final
33.
Gas Service-Final
34.
Solar Domestic-Final
-
35.
Landscape Sprinkling System
36.
Sound Attenuation
37.
Handicap Regulations-
38.
FINAL STRUCTURE & BUILDING
39.
Special Requirements Completed
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas Co.
42.
CERTIFICATE OF OCCUPANCY
No Date
"'� 75- • tlsn00 684# ***115.50
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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APPLICATION FOR BUILDING PERMIT
lot -26 For Applicant to Fill in Completely 1-C
RECE,IV� BYTERCEIVED
/il/
DATE I CUED
aI ,2`J
BUILDING
ADDRESS
✓
PERMIT NO.
OWNER erial Savin B & Loan
A.P. NO.
MAIL 66 V
ADDRESS
ADDRESS 1057 Parkhill Dr.
TEL.
CITY Ne ort -Be BC NO
TRACT
LOT BLOCK
CONSTRUCTION
W A
P
LENDER BQCBe-----
X
BRANCH
OWNER Imperial Savings &Loan
ADDRESS
VALUE
S $
ARCHITECT TE
R.
ORENGINEER Ile Van B N -
FIRE
ADDRESS 3432 Via -O QrtQ Ne ort -B
ZONE T' E GROUP
APPROVED ?�2 �)
CONTRACTOR Calah Construction Ci
AT BY E`-� 7
ADDRESS 01 Birch St
ZONE
NO. OF
USE OF NEW g am.
TEL.
CITY Newport -Beach, NO.
R1
PLANS 2
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZENO. OF BLDGS.
(FROM C/L STREET)
OF LOT 0 X 10 NOW ON LOT 0
FRONT FT.
FT.
USE OF
EXISTING BLDG.
T
FT.
SIZE OF NO. OF
L/
NEW BLDG. 1153 ROOMS 5 STORIES I
L SIDE J FT.
FT.
EXTERIOR WALLROOF
^ I
COVERING Bt11C CO
COVERING shake.
REAR -• FT.
D
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
-
MAIN SLOGS.
ACCESS. SLOGS.
residence
VAR.+
C.U.P. +
DATE
APPROVED
APPROVED WLD: am
QATF 3-24-71
1 hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
1111; SO. FT.
THE AMOUNT WN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are in full force and effect, or 1
TME PURPOSE O ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the Statefornia Business
VALUATION
and Profession ivisi$n 3, rapt
- ''.. ..11
PERMIT FEE $ (/Z
Signatur of
i
PLAN CHECK $ r
Authori gent
TOTAL FEE $ �L .
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