HomeMy WebLinkAbout2139 PRESIDENT PL - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.c���LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2139 PRESIDENTPL
Suite:
Viciniry: ROOF
Parcel Number: 42244227
Applicant: AUSTIN HAN
Address: 1022 W ORANGETHORPE
FULLERTON,CA
Owner: BURKHART, SHERMAN W
Address 2139 PRESIDENT PL
COSTA MESA, CA
Contractor: ACE ROOFING SYSTEMS CO
Address: 1022 W ORANGETHORPE
FULLERTON,CA
Zip: 92838
A�ch :
Address:
Zoning:
Phone: (714) 871-9923
Zip: 92836
Phone:
Zip: 92627
Phane: (774) 871-9923
License: 679543
Eng:
Address:
Status: ISSUED
Applied: 11/O6/2003
Issued: 11/O6/2003
ISSUEDBY: ��/ "�
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 30 YEAR COMPOSITION SHINGLES, 30# FELT, AND WIL� NOT REPLACE SHEATHING. 1,800 S.F.
INCLUDES ATTACHED GARAGE.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: 0
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0. 0
Righl 0. 0
S2,aso.00
$2,690.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
�
WORKERS' COMPENSATION DEGLARAlYON:
I hareby aMirm unAer penalry of perjury one of the following daclarations: . �
❑ I have and will maintain a certificate ol consent ro self-Insure for workers' compensation, es provlded for by section 3700 ot the Lebor Code, lor the peAortnance of the
work for w�ich ihis permit is i5suod.
❑ I have entl wlll maintain workels' compensation I surance, as requiretl by sectlon 3700 of ihe Lebor Cotle, for the parformance ol the work for which this pertnit Is issued.
My workers' compe��/—y/� n5wa/n� c-arrier e policy numher are:
Cerner: ///...fo� L/f/'�l PolicyNumber. �'� �"�� �� �
(This section neetl nof mp ted i l��mit is veluetl et one huntlretl tlollars ($f 00) or Iess.J
r�l
❑ I certity tnet in the pedortnance o�Rh��v{ork for which this permit is issued, I shall not employ any person in any manne� so as to beco su ject to ihe workers'
compensatlon laws oi CaliforniF
comply with thesa provisions.
Applicant Signeture:
WARNINC: FAILURE TO SECURE WORKE
TliOUSANO �OILAPE (5100,000), IN AOVI'
shoula bacome subjec� �o Ihe workers' compensalion provlslons of Seqion 3700 the bor Cotle, I shell torthwlth
Date: r d
ERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CR�MINAL PENAL ES GVIL UP TOONE HUNDRED
' OOMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3/W OF TME LABOR CODE, IMEREST, PND ATTORNEI"S FEES.
LICENSED CONTRACTORS DEC4ARATION:
I hereby eHirm t�at I em licensed under provisions f C t (comme ing with Section 7000) of Division 3 af Ihe Business and Pr �io Code, antl my license is in tull
lorce end eflect. Llc. a Glass A
Contractofs Signature: � Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm thet there is a Ganstructlon lending egency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lentlers Name: � Lentler's Aadress:
Signeture: Dete:
OWNER-BU{LDER DECLARATIONS:
I hereby aNirm thet under penalry ot per�ury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which reqwres a permi� to consiruct, alter, improve, demolish, or repalr any struaure, pnor to its issuance, elso requires the appliwnt for such permit
to lile a signetl stelement Ihat he or she is Iicensatl pursuent to the provisions oi the Contractors Llcanse Law (Chapier 9(commencing wilh Sectlon 7000) oi DiWsion 3 of the
Business entl Prolessions Code) or Ihet he or she is exempt therefrom and the besis for ihe allegad exemption. Any violation ot Section 7031.5 by any applicam tor e pertni�
sub�ecis Ne epplicant to a civil penelty of not more than live huntlretl dollars ($500)J:
❑ I, as owner o� Ihe property, or my employees with wages es t�eir sole compensation, WILL DO THE WORK, end Ihe strucWre �s not intendetl or oHered for sele (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves ihereon, antl who does such work
himself or herself ar through hls or her own employees, provided that such impmvements ere not Intended or oflered lar sale. It howeveq Ihe huilding ar improvement Is
sold within one year of comple�ion, the owner-builtler will heve the burden of O�oving thet he or she did not build or improve tor purpose of sele.). �
❑ 1, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
Cotle: The contrectors License �ew does not epply to en owner ot propehy who builds or Improves Ihareon, antl who coniract5lor such projact with a contrector(s)
license pursuant to the Coniractors License LewsJ.
❑ I am exemp� under sec. Business and Professions Cotle for this reason:
Siqneture: Data:
Owner ID verified by anver's license. ❑ Ves ❑ No Drivers License No. Expires:
Vedflcation ot Owners�ip by (type of documem, i.e. - property taa bill or tleeA):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certlty Ihat no excavalion five (5) or more feat in depth into whlch e person is requiretl �o descend, will be matle In connectlon with work authonzed by this
pertni�, entl thai no building strucWre, scattoltling, felsawork, or demoli�ion or dismamling �hereot, will be more ihan thirty-sia (36) teet high. (Chap. 32, Gry 2, Ah 2, Sac.
341, Title B, CelHomia Adminisbative Cotle).
❑ As owner-bulltler, I will not emp�oy enyona to tlo work which would require a pertnit irom ihe Division of Indusiriel Sefety, as noted ehove, unless such person has e
permit to do such work from the division.
Signature: Date:
Division ot Industnel Safety Pertnit Number.
ARDOUS MATERIALS AND EM�SSIONS CERTIFICA710N:
Will the epplicant or presem or tuture builtling occupem need to file antl certity a Business Plan tor emergency response to release or threatened release ot a herartlous
meteriel7 ❑ Ves ❑ No
(Sedion 25505 of the Califomib Health end Safery Code requires, wit� some exceptions, lhat a Business Plan be filed with the Costa Meu Fire Department by every
business which hes at any one time Aunng a reported year e quantity ol hazertlous materials equal to or greater than e weight o1500 pounds, or a volume of 55 gallons,
or 20o cubic teet ot compressed ges at standard tempereture and pressure).
..........................................................................................................................................................................................................................................................................................................._................................................................
Does or witl ihe epplicant or presenl or future building occupant need to file a regis�retion form for ecutely hazardous meterial57 ❑ Ves ❑ No
(Section 25533 of the Calitornle Healih end Salery Cotle, wiM some exce tions, requires registretlon with ihe Costa Mesa Fire Department by each business which at any
one time hes on hend a quentity af ecmely hezerdous meteriels equePto or greater then a weight of 500 pountls, ar e volume of 55 gellans, ar 200 cubic teet oi
compressetl ges at siandard tempereture and pressure).
.............................................................................................................................................................................................................................................................................................................................................................................
Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management end Prevention Program lor acutely hazardous matarials)9
❑ Ves ❑ No
(Section 25534 of Ihe Calitomia Health and Safety Cotle provitles that iha Costa Mesa Fire Department may require Ihe preparetion, certification and filing with the Fire
Department of en RMPP by businesses which ere reqWred to register ecutely hezerdous matedels with the Fire Depariment.
............................................................................................................................................................................................................................................................................................................................................................................
If en RMPP is presently required, hes Section 25534 0l the Calitomia Health end Satery Coda been fully compliad with7 ❑ Yes ❑ No
......................................................................................................................................................................._................................................................................_..............................................._................................._.............................
Does or will the epplicam or present ar future huilding occupant raquire br the work whlch Is Ihe subject ot ihis a plicetion ap.armit for such consiruction or modiflcatlon
Imm the Sout� Coast Air �ualiry Menegamem Distdct or Irom any other air pollution conird disinct or egency4 � Yes LI No
(Section 65850.2 of the Califom(a Govemment Code requires t�at iha requested infortnation be fumished on applications for non-residential6uilding permits).
............................................................................._........................................................_.............................................................................................._.._............__........_....................................._..............._..............__............__._........
Will any part of the facility to be wnstructed under Ihis permit be within 1000 feet irom the ou�er boundanas ol a school7 ❑ Ves ❑ No
(If yes", the facility must meet ine raquirement of Sections 25534 and 42303 of the Califomia Heelth antl Safery Code).
.............................................................................................................................................................................................................................................................................................................................................................................
It e permi� from the South Coesl Afr Ouelity Menegoment Disiricl or olher air pollulion conirol dlstrict or agency is required tor the woM which Is ihe subjecl of [his
applicatlon, have all of ihe disclosures prescribetl Dy Celifornia Healih end Sefety Code Section 42303 been matle? ❑ Yes ❑ No
..............................................................................................................................................................................................................................................................................................................................................................................
Qf yes", atlach certificete of compliance from Ihe eppropnete air pollution control oHicer).
CERTIFICATE OF COMPLIANCE: I certify thet under penalry ot perjury ihe inlarmation given ahove is correcL I egrae b compty with all state laws antl ciry ordlnances
regartling Hazardous Matenals and issions.
SigneWre: Date:
CERTIFlCATE OF COMPLIANCE
wnect I agree to comply with ell
ebova-descnbed propertyforinsp
CWE t. INSPECr10Nr`fPE
1616 Fixetl System Final Fire Pre�ention
7266 Pool Spe Final
200 Final Re-Root
201 Final Block/Retaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
ORIZA710N OF EHTTiY: I certity under penalry ot perjury thai I have read this epplication end
end ciry ortlinance mg to builtling construction, end au�hodze represeniatives of the Gq
�s�s. �r o occupy or allow accupancy at eny building authonzed by this permit yrtil tip
-�7It//1��/L//.
�r. i
�.1 Il_
� i1C
COOEI MISVECf10NTYPE
206 Finfll Mechanical
20B Final Plumbing
210 Finel Elec�ncel
212 Flnal Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
infortnation given Is
a to enter upon the
0
rvhtK
OB AC
N o.
SWR. LINE U HOI/SE
LING SVSTEM
HEATIN4 FNU FIX CUNpITIONI
UN�ERGROUND i I POWEft
STEEL REINF.
BON� BEHM U STEEL ft
SHEATHING
FRAME AND FLASMIN�
LATMING - IN � OUT�
PLASTER, BROWN COAT__
HEATING, VENT., REFRIG. AN� A.C.. FINAL
T
unic 3_
BUILDING P
FIRE ZONE VALUE $6 800.00
TVPE p GROUP I ZONE R—
�i SUBCONTRACTOR _ PERMITS ISS
e
4140b'
COSTA MESA BUILDING-SAFETY DEPARTMENT
PA1❑
�,�P io-�c�NS,00 aaz� *��x60.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A PL CA ION FOR STRUCCURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RE EI OATE RECEIVED DS,TE
BUILDING ^ 7 p � ' I V
ADDFE55 J� v/ 1`- Qj L "�
OWNER S L� �Ul� ��dN A.P.NO. /� /IS_J ER TNO.
MAIL ADI PIE S �� LS r
ADORESS SC�w.--�
CITY COS��G�f.Q.SO` NOL�OT�' Z�S TRACT/ LO BLOCK
CANSTRUCTION W AD AL R R P
LENDER
BRANCH
OwNER I� T
AODRESS
ARCHITECT � NEL. 'Z_ •J � S
�-OD L r �A`�5
OR ENGINEER � S L
(� FIRE
ADDRESS ' .�_> ) ZONE TVPE GROUP
CONTRACTOR ' �V� e `-.� �NS � p'PPROVED
BV DAT � / i
ADDRESS I�SZ� �'{/(, I�`Ci syYG.Y– �J I-�
j j TEL�! Z�NE NO.OF USE OF NE
CITV �GLI..�Jpq NO.�j�.%3S3y P�� BUILDING
STATE ^� CITV �'ARDSAPPROVED VARDSAPPROVED
LI0. NO. �Q Z.S p LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE I NO.OF BLDGS. (FROM C/L TREE (
OF LOT �� X l� NOW ON LOT / RONT FT
USE OF / ^'r-
EXISTING BLDG. S 1 11 '(„1 (.�-1Nt 1 I�'-�'I T FT
Separate permits are required for L. SIDE FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE B . BET. MAIN &
MAIN BLOGS. ACCESS. BLDGS.
\_,, - VAF.aW DATE
a� y �V Q- '�u-(�.7 �II/�n,� ( C.V.P.� /A—PPROVE�
� � APPqOVED V
I hereby acknawlatlge that I have �eed this application and stete '"
n
ihat the ebove IntormeNon is correct and agree to comply with m
all laws rep�leting builtlin8 construction, and I shall not employ �
any person in violetlon of t�o workman's compensation laws of �
the State ot Celifornia.
m
I hereby ceriify ihet I nm proDerly Ilcensad as a connector untler SQ. FT. �v
the State ot Celifornla BuSiness end Professions Code, Division 3, THE AMOUNT SHOWN UNDEF VALVATION IS FOR m
Chapter 9, end thai s�e� licenses are in �ull force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT E ONLV: –
am exempt from the provlsions of tha State of California Business a
VALVATION /i) PERMITFEE S �
antl PrOfesSion;Co� ion 3, Chepter 9. j�� m
L �� / �%� PLANCHECK § "�
Sip^atura of �n �( �
Permittae $(/� �� TAX S V LL
E
U
A�thorizedABent TOTALPAID 5 ��Lf
OWNER SdATSON, H8T'Old D�r 2$ �958 DATE 2-13-58
)Os ADDRESS 21j9 PTesid2nt Place BU[LDING PERMIT NO. fi�11
1G _ ERAL CONTRACTOR ne ISuilder VALIIE $ 200 00
. o. LOT 195 '�+�'I' 1872 � zorre DESCRIPTION OF WORK Convert Car ort t,o Garage
GROUP J TYPE V ZONE R1 PLAN NO. X�
INSPECTIONS I DATE I gUBCONTRACTOR I DATE PERMITSNUMBER �
6L11
J.
• `' 6��1
'.
COSTA MESA BUILDING DEPARTMENT
P. o. eox 3 i�
COSTA MESA, CALIFORNIA
BUILDI
ADDRE
FOR APPLICqNT TO FILL IN
i
/�g �,����
COSTA MESA. CALIFORNIA
�OWNER �� F'(�+
l —i.—`—�
MAIL ��n!
AODRE55 � ` � � ' � ���J/
� ///777��_��^ TEL.
cirr � . No. "�
�
ARCHITECT LIC.
OR ENGINEER �ij/�yLy NO.
ADDRE55 !�-
CITY LIC.
CONTRACTOR �'Z(�� NO.
TEL.
ADDRE55 NO.
LEGPL LOT/� �
oESCwiPiiON NO � BLOCK TR C /
A.P. NO. ^ / .
SrzE � /� rvo. or e�ms.
OF LOT ' / �-� f10W ON LOT ,
USE OF
EXISTING BLOG.
IINE FROM \
CENTEFNOF STREET �� D` REAR VARO .(. h
SIOE YARD . RIGHT S'� �� LEFT �!J "J
DESCRIPTIqN• OF WORK ..
NEW ALTERAT�ON ApDITION �
REPAIR MOVING IDEMOLISH
BUI�DIN(' � KNO.OF
SIZE _'J �C� �G•� ROOMS���STORIES �
T
EXTERIOR WA�y ROOF
COVERING_.�2L.� r�` COVERING
USE OF NEW F (� /��� �
BIIILDING � 7 � .� � �f�— l�i(�--�?�%LI
.��.i� �c���'m��.�
a- � 3-5—� � �.
FIi�P,j�CE DEPT.
APPLICATI�ONSFORSPERMIT
BUILDING
FOR OFFICE USE ONLY
flECEIPT NO. PEFMIT NC
�/Lt \A.l I+�� � O "� � I / I
B"�`°�"� �/3`f %�Resic�r%
ADORE55
COSTA MESA. CALIFORNIA{
FIRE �' � � ��d �JNI
ZONE
ZONF� NO.OF 'P iyeE
-v �
� L DATE �
%�
CORRECTIONS
CiTY OF
-T �nTrl�
SUBJECT�TO
BY
LAN TcC
d
DEPT. REG.
� cC��Pi S� .f" ��I' �
STAiE THwT THE ABOVE IS CORRE�T wNO RGREE TO COMPLY WITH PLL v '
CITY OPOINANCES f�NO STATE LPWS REGUL/�TING BVILOING CONSTRUC-
iion. VALUATI ON
SIGNATURE O � •` PERMIT FEE $ 7
PERMITTEE \�\
9 �, � PLAN CHECK $
� X
AUTHORIZED AGENT TOTAL FEE S/�, �� �O.x!
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �.
�`� 636 North Broodway
> SANTA ANA, CALIFORNIA . • • � � � � �'' � �
fOR APPLICANT TO FILL IN POR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
BUIL�ING
ADDRE55 2139 President Place ��?d ��Gf'/�
,J v
SCHOOL DIST. COBtH Meea RECE�VED BV DATE REC'D. DATE ISSIiED
OR TOWN
�Ros55T. Victoria Ave. %�1-f�/ 1.J—a/'� `f
ii BUILDING
OWNER Cr�W CaOIDeB ICIC• ADDRE55
MAIL
ADDRE55 9363 Wllehire Blvd. SGHOOL DIST.
tT 1 1 OR TOWN
CITY Beverly Rill� No�eR 54361 NEAREST � '��
CRO55 ST.
ARCHITECT �C ZON NO.OF TYPE GROUP
ENGINEER G°�in-McKerrache�p_� �' I p�qNS I ��i
A�DRE55 211� E.Walnut-Pasadena V-
APPROVED
CONTRACTOR �$1�/Da, V �Bta �o � 143231 BY DATE _
AODftE55 9363 Wilehire—Eeverly Hill CORRECTIONS
DESGRIPTION I NOT 195 BLOCK I TRACTl�l2
IATTACH METES & BOUND51
NO. OF 9�DG5
SIZE OF LOT 72 R ZOO NOW ON LOT O
USE OF NO. OF NO. OF
E%ISTING BLOG. I FwM��i[s I ROO
CENTERKOF'STREETM� � y• SIDE YAROLJ �ZO .
DESCRIPTION OF WORK p
NEW I i. I ALTERATION I I ADOITION I �
� y � D
REPAIR I I MOVING I I OEMOLISH I . . r
61Z'EOING 10^��, Bn ��OMS S STORIES 1 '��
J `i
EXTERIOR WALL ftOOF O
COVERING StiUCCO I COVERING � ngle
a�E�o N�E"' Reside nee-Att . Carport
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS. /� 1
APPLICATION AND STATE THAT THE ABOVE IS CORREGT UNDER-PINNING A'� � V
AND AGREE TO COMPLY WITH ALL COUNTY OflDINANCES FRAME: FIRE STOPS, �
BRACING, BOLTS ��.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATN. INT.
SIGNATURE OF galboa VSBtH. CO. LATH. EXT.•
PERMITTE
/�/f PLASTER, INT.
AUTHOHIZEO AGT � •' � � � �+
v PLASTER. E%T.
VALUATION S 'TH3O�OO PERMIT FEE $J� MASONRY REINFORCED
�1
' PLwN CHECK S 0' BOND BEAM
TOTAL � �
� M a.. ,a FEE g FINAL ss ap-
O '.. �- . ♦
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t� ';-
_'" _`,. ' ` '• .7, I i; (
STREET
PLOT PLAN
Show locotion and distances trom
property line and between buildings.
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