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Home My WebLink About1589 PONDEROSA ST - Building Permits ;144) CITY OF COSTA MESA 4 BUILDING DIVISION � i_ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F t WWIi PERMIT J*4t ,�olet `-" B05-00231 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1589 PONDEROSA ST Status: ISSUED Suite: Applied: 02/07/2005 Vicinity: Issued: 02/07/2005 Parcel Number: 13931209 Zoning: R1 R1 eat Applicant: STEVE JANOSIK ISSUED BY: ✓��/ Address: 1621 EST ANDREW PL Phone: (714)259-5120 SANTA ANA,CA Zip: 92705 Owner: CARTER, MICHAEL V Address 1589 PONDEROSA ST Phone: COSTA MESA,CA Zip: 92626 Contractor: ALUMINUM ROOFING SPECIALISTS/DIAL ONE WINDOW REP Address: 1621 E ST ANDREW PL Phone: (714)259-5120 SANTA ANA,CA Zip: 92705 License: 523043 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REPLACE 11 WINDOWS AND 2 SLIDING GLASS DOORS THROUGHOUT S.F.D.TO MEET 1997 UBC EGRESS REQUIREMENTS.HEADER WILL REMAIN THE SAME. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $14,000.00 Permit: $237.25 Claim Valuation: $14,000.00 SMIP Res: $1.40 • SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 • Total: $238.65 • . 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 • 244646(6/00) • 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 ork for which this permit is issued. Hi I j eve 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. ,b°'-''My workers'compensation Insurance carrier and policy number are: O./ �1CZ r— . ,er. : \ �_k` >;Policy Number: pG $ .-a_ae,5 fPiis°section need not be completed if the permit is valued at one hundred dollars($100)or less.) �`m ❑ 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 the Labor Code,I shall forthwith comply with these pripsirLs. _ n �i A licanl..signature:rTr' 2.uR- �yv-e-d Date: o! - / -6 WARM, LFAILURE TO SECURE WORKER MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP DYE9dO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARE(3100,000),IN ADDITI 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 d Professions Code,and my license is in full orea'and effect.Lic`# "'SD.CMilf :Class# . n ontracto'Signature:— V-.i craps ate:, - a .�-_y-::f_ eco.-� $ ".";. . 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: 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 then five hundred dollars($500).): El 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 contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license, ❑Yes 0 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,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,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,as 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? 0 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 then 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? 0 Yes 0 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 end 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? 0 Yes 0 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 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? 0 Yes 0 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? 0 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 end 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. Sig�r:Of Legal Ownerjs) 1 Date • A,,,,,, 'Ltyonied Applicant , --_- [ T` Date,"� .. CODE A INSPECTIONTYPE fffiii�� gATE lit Co0Et INSPECTtONTYPE PATE Mal 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 i� , 204 Final Demolition 250 Final Building/Occupancy �'J'a"t-es- \7 `( OWNER SLOATE, MARK A. DA7 15ö9 Ponderosa St. FEB 6 1164 JOB ADDRESS ' iBUILDING PERMIT N0. 2155 - GENERAL CONTRACTOROwner-BuilderVALUE $ 5,190.00 Al' No.139-312-09 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK AddFBtrt.Rm.toReE INSPECTIONS Signature DATE GROUP I TYPE V ZONE R1 1 Soil SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating —✓ /CC- 410,l S ``.R-r • ii b -2 • Rough Plumbing /rallte/1////L1 i F1 avate j�[r'�" "" e. . �P Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 S tinkling System Construction Pole Underground 0 Power i❑ 'y�y(' /bang i{Jfj 46/(3-6-4( OLti) \1? fit —fl`�-1F2 y4 2`: oiM -- Trenches lir Forms p— Steel Reinf. ❑ /�'A ..-'ç--G{ V Floor System Bond Beam 0 Steel Reinforce 0 Shaeing /py /6- --4 Frame and Flashing �/T ,�;/�f/ Lathing—In.1g� Out Os- A -/C._.y Plaster, brown coat 1d 1.-to -(,V Refrig. 0 Air Con. ❑ Final / Heating, Final V iy�dyi Plumbing Fixtures, Final /,, 5[ '7 Final Gas Test // 4 Electric Fixtures, Final 97741. Pt-at Building, Final ` t - .-C7 OCCUPANCY Form BU4--5M-3-63-S-B P • 91 559 it 21552 FEE RECEIVED 5-, - (pIcc COSTA MESA BUILDING-SAFETY DEPARTMENT FEB 6 1964 P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE FINANCE DER For Applicant to Fill In Completely rAVIFYLIP/TIONft'P R TYPE OR PRINT BUILDING BUILDING _ n Si. For Office Use Only ADDRESS /a1 rgndero5a JT RECEIPT NO. P RMIT NO. COSTA MESA, CALIFORNIA _ /675,y ,•`A1 RECEIVED B.. DATE e e,/ AT I�..iED v OWNER 1 "1Q1 k O . Gloat `/G�i c7___-&_ // (� (J C BUILDING ADDRESS /S99 Ponder°SC St . ADDRESS FIRE /V GROG //^^11 TEL. / �{' ZONE TYPE e CITY�O�j to MtrJC�1 TEL / SYO APPROVED ARCHITECT TEL. BY DATE OR ENGINEER ql NING h ADDRESS �1//�`` Z NO.OF , USE OF NEW 1 T _ • ' I�r p'lghLE/ I PLANS 1,,....,' BUILDING W CONTRACTOR 0 M,/rl r b41 aJ '`• LEGAL q l J �✓O m P DESCRIPTION 1.- �r\ 3 O / ADDRESS ] CITY A.P.NO. / ''7 q '. -1 r a 0y NOTE: NO RAVE OVERHANG SHALL BE LESS THAN STATE TEL. 90'TO SIDE&REAR P.L, LIC.NO. NO. EAVES SIZE ',C �00 I NOW ON LOTS / ALLOWED (U.B.C.REQUIREMENT) OF LOT 7S YARDS APPROVED YARDS APPROVED USE OF • 11 MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. C. 1 C1 P. nP p / (FROM C/L ST/FR.jE�I-G//l/ _ SETBACK LINE FROM FRONT t� (IS FT. CENTER OF STREET REAR YARD /° /J- eir SIDE YARD I LEFT I RIGHT R.SIDE G/.K/ �f./ n..DESCRIPTION OF WORK L.SIDE J PT. / FT. • NEW _I ALTERATION I ADDITION REAR D�FT. FT. , J —� DISTANCE VVVBET. BET.MAIN& MAIN SLOGS. ACCESS.BLOCS. REPAIR MOVING DEMOLISH BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES _ C.U.P.# // APPROVED • EXTERIOR WALL.s.y I ROOF APPROVED "I) V COVERING 7/ C,'CI COVERING BY !!r / ^ 'TE _ USE OF BUIbjADING AND WORK TO BE PERFORMED S Rodd tarry roc1m -fren _ re 'ide nr e, t F%/- etpi /Qr ' SQ.FT. 7. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION o BUILDING CONSTRU N. PERMIT FEE $ �/ N SIGNATURE OF , (fn_ • /////nn///� / PERM ITTEF at '/%��<1 //j� /9,9---- )0 _0 e S ,// / �� PLAN CHECK $ �!�` �7 C AUTHORIZED AGENT / �0 °i TOTAL FEE $ / -" 10748 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT Ll,d „, a CIP.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEP�T.�q Y TOR APPLICANT TO FILL IN COMPLETELY APPLICTATIIONOFOFiOR RMIT TYPE OR PRINT BUILDING BUILD / ADDRESS 1589 Ponerosa Street USE MESA, CALIFORNIA TOR OFF/CE ONLY OWNER Knightwell Land Company 1 RECEIPT NO. II ,AEfjy1T NO. MAIL 4/A G 4U ADDRESS 419 E. 17th Street RECEIVED BY DATE REC IVEO DATE ISSUED /A-r- //— -5-1 I NOV R 14F4 CITY Costa Mesa, Calif. TNL.LI 81159 BUILDING UDRESS ARCHITECT Carlson & LIC. OR ENGINEER MidrIlebrook NO. COSTA MESA, CALIFORNIA Garden Grove FIRE ADDRESS ZONE TYPE •// GROUP ICS cr Dike & Colegrove, Inc. STATE 16 3 29APPROVED CONTRACTOR - LIC.NO. (( JJ BY DATE ] ADDRESS 419 E. 17th Street, Costa Mesa ZONING /� LEGAL I LOT I 3487 zo No.OF USE OF NEW /, I DESCRIPTION NO. 71 BLOCK TRACT - / (PLANS /'J1 it BUILDING- AP /VL op A.,/ A.P.NO. I __ BY DATE L/, ///�/7 DATE frFS3 SIZEOF LOT 751 X 1001 Now. oN LOTS.None YARDS �E s REQUIRED ALLOWED USE OF (CENTER LINE ST.) ^J • EXISTING BLDG. None FRONT (, 7 FT. IN. SETBACK LINE FROM 531 221 CENTER OF STREET REAR YARD R.SIDE / CET. IN. SIDE YARD I LEFT 101 RIGHT 51 L.SIDE (1//FT. IN. DESCRIPTION OF WORK REAR / Cr. IN. . NEW I XII ALTERATION II ADDITION REPAIR I I MOVING I II DEMOLISH I BUILDING NO.OF SIZE 1647 ROOMS 7 STORIES 1 // EXTERIOR WALL ROOF y r, COVERING SLUCCO (COVERING Rock /y ./� A USE OF BUILDING AND WORK TO BE PERFORMED p7 Single family residence with I attached garage I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF( /�' 36 �/ PERMIT FEE $ .00 PERMITTEE '-/ 36 40116 $ 16 PLAN CHECK $ 18.00 AUTHORIZED AGENT Dike & Col grove, Inc. i TOTAL FEE $ 54.00