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Home My WebLink About1620 PRIMROSE ST - Building Permits�o CITY OF COSTA MESA BUILDING DIVISION PERMIT NUMB DEVELOPMENT SERVICES DEPARTMENT, PERMIT -00427 (714) 754-5273 Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 1620 PRIMROSE ST Status: ISSUED Suite: $0.00 Applied: 04/03/2000 Vicinity: HOUSE & ATTACHED GARAGE Issued: 04/03/2000 Parcel Number: 13928503 Zoning: ISSUED BY: Applicant: FRAME, CRAIG Address: 1542 SIERRA ALTA Phone: (714) 730-0569 SANTA ANA, CA Zip: 92705 Owner: FRIEDERICH, CAROLYN Address MORRISON TR SANTA BARBARA, CA Phone: 2343 SONORA DR Zip: 93105 Contractor: FRAME ROOFING Address: 1542 SIERRA ALTA Phone: (714) 730-0569 SANTA ANA, CA Zip: 92705 License: 661176 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (25 SO). TEAR OFF EXISTING ROCK ROOFING WITH SHEATHING TO BE REPLACED AS NEEDED. INSTALL 1 LAYER OF 30 LB. FELT UNDERLAYMENT & REROOF WITH 30 YR. DIMENSIONAL SHINGLES. 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: 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 M FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,950.00 Permit: $97.25 Claim Valuation: $3,950.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ' ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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: 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 M DECLARATIONS WORKERS' COMPENSATION DECLARATION: I 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. ❑ 1 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 works`' Compensatlp0lnsurance carder and policy number are: I �1 Carder: tU iJ Policy Number: / 7, Zi 7'L 3I (This section need not be Completed if the permit is valued at one hundred dollars ($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 subject to the workers' compensation laws of Califomia, an that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisio s. Applicant Signature: Date: V -3_ r66 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 DOLIARE (SIOD.ODO), 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 1 am licensed un at to is Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr9tpssion; Coq and my license is in full # force and effect. Lic. Class # �� / Contractor's Signature: Date: � Zj'« CONSTRUCTION LENDING AGENCY: ❑ 1 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). Lenders Name: Lender's Address: Signature: 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.). ❑ 1, 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 contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Odver'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, or demolition or dismantling thereof, will be more than thirty -Six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, a5 noted above, unless such person has a permit to do such work from the division. 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 a plication aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes a 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. Signature: 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. Signatur6 Of Legal Ow r(s) Date y- eta c AncVOf Authorized Appli t ant Date CODE N. INSPECTION TYP INTRIAL CODE INSPECTION TYPE 1jgTf, IKTITIAL 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 BuildinglOccupancy 2"646 JOB ADDRESS 1620 Fri-mrOSe S'y. BUILDING PERMIT NO. 11bCU VALUE INSPECTIONS I DATE i GROUP TYPE ZONE R-1 unaergrouna aou u.v. water SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating _ Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System ' Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY W2 11,, Form 210-5M-11-59 5-B P nFAo COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING 1 ^n ADDRESS 1(T1q 1''1-YK P_o.Cr COSTA MESA. CALIFORNIA Li V Y V ,05i. 1 APPLICATION FOR PERMIT S/ BUILDING For Office Use Only OWNER UM PNRE RECEIPT NO., PERMIT NO ,a MAILRECENED ba 811 I OAT6 RE IlED_ I DIBSl1;D AT ADDRESS ! -o IN O.`�E A//I/ 3 L O TEL. BUILDING CITY `. O ESA NO, ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP CONTRACTOR � L- ( r0 APPROVED IL.T AIS UC BY DATE fJ ST: ZONING ADDRESS it '—A Zr NO. OFUSE OF NE USE CITY 4: A / PLAN I STATE 15TEL. A/[/� O0 } O 6 / 7,361 LEGAL '1 1—O LIC. No. NO. ` _ DESCRIPTION 1— SIZE I No. OF BLDGs. OF LOT Now ON LOT A. P. NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT lT FT. IN. SIDE YARD I LEFT I RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NEW I k II ALTERATION I II ADDITION I REAR FT. d IN. REPAIR I MOVING I II DEMOLISH APPROVED DATE %% BUILDING NO. OF ^� SIZE ROOMS STORIES EXTERIOR WALLROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED $ " Y, G. ' C C' VN, TY "B (_n CJC uCC- 1 HERESY ACKNOWLEDGE THAT I HAVE THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CO AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES ATE LAWS REGULATING VALUATION �Y BUILDING CONSTRU ON. SIGNATURE OF e.�✓A- PERMITTEE/ j �� PERMIT FEE S ALJ S PLAN CHECK S AUTHORIZED AGENT TOTAL FEE COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO f/ll /N COMPLETELY TYPE OR PRINT COSTA MESA, CALIFORNIA OWNER Rosslane Land Co. MAIL 419 E. 17th St. ADDRESS Costa Mesa TEL CITY NO. ARCHITECT Carlson & LIC. OR ENGINEER _ _ _ NO. CONDikeT R Colegrove, Inc. L C N0. 167293 419 E. 17th St., Costa Mesa ADDRESS �n Lipp LEGAL_ _ LOT 104 e, ---I re. rr22 cwaaoa X 100 NO. OF B;DTS. USE OF EXISTING BLDG. SETBACK LINE FROM 65T 3�i CENTER OF STREET REAR YARD SIDE YARD ILEFT 5' (RIGHT I DESCRIPTION OF WORK SIZE DING NO OF 1560 ROOMS / STORIES 1 attached 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT N, SIGNATUREEOF PERMITTEE 4 L I AUTHORIZED AGENT AUG 7 1959 APPLICATION FOR PERMIT BUILDING FOR Off/CE USE ONLY RECEIPT NO. RECEIVED BV TE/p,ECEIVED T. ISSUED _3 V IG BUILDING ADDRESS COSTA MESA, CALIFORNIA FIRE- ZONE TYPE _V—u' GROUP f APPROVED BY DATE ZONING ZONE I �/ NO. OF PLANE n 6 USE OF NEW BUILDING APPROVED ) BY DATE A- b YARDS EVES REQUIRED ALLOWED (CENTER LINE ST.) //�� FRONT V FT. IN. R. SIDE FT. IN. t� L. SIDE 1 FT. IN. f REAR FT. IN. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION S 15� 571 PERMIT FEE s 35.00 FLAN CHECK S 17.50 TOTAL FEE S 52.50