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Home My WebLink About1601 PONDEROSA ST - Building Permits 4` 9 • CITY OF COSTA MESA t• t BUILDING DIVISION H �,,, � . DEVELOPMENT SERVICES DEPARTMENT PER IT NUMBER prik tPERMIT B00-01611 , � (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.mis.ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1601 PONDEROSA ST Status: ISSUED Suite: Applied: 10/06/2000 Vicinity: Issued: 10/06/2000 Parcel Number: 13931206 Zoning: R1 R1 Applicant: ZAIDI, SYED ISSUED BY: Address: Phone: 714-404-9752 Zip: Owner: PLUMMER, BRUCE B Address 1601 PONDEROSA ST Phone: COSTA MESA,CA Zip: 92626 Contractor PRECISION CONST& ROOFING Address: 1115 EL CAMINO Phone: (714)404-9752 COSTA MESA CA Zip: 92626 License: 658880 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, RE-SHEATH, INSTALL 30 YEAR COMP SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,750.00 Permit: $139.25 Claim Valuation: $6,750.00 SMIP Res: $0.68 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.93 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 NOTES: 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 2446-46(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 work for which this permit Is issued. ❑ I have and will maintain workers'corn•-ns,ation insurance,as required by section 3700 of the Labor Code,for the performance of the work for hick this permit Is Issued. My workers'compensation I suranc, :flier and policy number are: / Carrier: ��. Policy Number: (This section need not be completed i/rir(;:nnit is valued at one hundred dollars($100)or less) ❑ I certify that in the performance of j-work for which this permit is issued,I shall not employ any person in any manner so as to beco subject to the workers' compensation laws of•i f• la,a d agree that If I should become subject to the workers'compensation provisions of Section 3700 the Labor Code,I shall forthwith comply with these pro ;� `,r p3' �L, Applicant Signature] )��i/� Date: /U WARNING:FAILURE TO S •E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P TIER/AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARE(SICO,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: r I hereby affirm that I am licensed under pro; •f Chapt:a((co y: cing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Llc.# , II Class# %ice „fContracfor's Signa, .✓�." 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). Lenders Name: Lenders 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 dry 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 Ls 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(5500).): ❑ 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 docs 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(Soc.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 drivers license. 0 Yes 0 No Drivers 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 feel 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 0 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? 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 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? 0 Yes ❑No 5— Does or will the applicant-grpresenc or future building occuliZIT require for the work which is the subject of this Application aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? PI Yes LJ 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 0 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 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penally 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 properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) D 10/62/ao lT ( And/Or Authorized Applicant to 9ODE I INSPECTION TYPE ME It AU CODE I INSPECTnNTYPE gag ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 0,17-co 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 OWNER JOY} CLIFF DATE 4-3-61 JOB ADDRESS 1601 Ponderosa St. BUILDING PERMIT NO.14106 GENERAL CONTRACTOR Rollin it. Merrill VALUE $ 262.00 AP. No. 113-612-06 LOT TRACT FIRE ZONE DESCRIPTION OF' WORK Block Wall INSPECTIONS DATE I GROUP TYPE ZONE Ri Underground Soil U.G. Water PERMITS ISSUED Underground Gas —`— SUBCONTRACTOR 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 4 Forms/( Steele/5V- V–f-6/ 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 /f I,,� fa 4/-6- Ci_ OCCUPANCY Form 21D-5M-11.59 S-B P 14206 w 14206 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT 4 APR 3 19&1 P. O. BOX S17 COSTA MESA. CALIFORNIA FINANCE+ DEPT. For Applicant to Fill In Completely APPLICATIoQIF1OIP�ECOM MESA TYPE OR PRINT BUILDING i/ / � ! BUILDING ADDRESS `� 6 DaS/7 sr. COSTA MESA. CALIFORNIA For Office Use Only C ) Fr ( D I RECEIPT NO. gFW)T�v / OWNER I/- ( J ` //L!/oL (O MAIL / ^ RECEIVED BY y�p�A RE IV D DATE ISSUED ADDRESSSS /(. 4//fj� CFen- pgir A'S 1f // G / �//� / I 9 .3-oo/ CITY (� A sn ,,/ L 5/2 NO.yJ A 7i14 ADDRESS /�'( /c O / ,i,,x a . ARCHITECT — TEL ---- COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS / FIRE Mont ZONE TYPE GROUP CONTRACTOR IO///� /I /Tr /r o t f I APPROVED p� BY DATE ADDRESS / &62-- 39-/V IS/ D/j /'�O LIR, ZONING ti , /^y. P /I�' ZO NO.OF ^ I UBE OP NEW eetb' CITY 2? t /•4t,/ / / 1 1 �Q �- / I PLANE /�I BUILDING/ J�/,r I(7 � E LIC.STANO. / .5 4 /s a_ NO. J 6 2G pLa LEGAL I/ 254 I . J ,ep DESCRIPTION SIZE7 ``� J /� NO. OF BLOCS. // 3 — & 14 -0 OF LOT / J / /6 NOW ON LOT / A.P.NO. // /V USE OF / /4" / YARDS EVES EXISTING BLDG t APPROVED ALLOWED SETBACK LINE FROM •i—....--- 3 // (CENTER LINE ST.1 CENTER OF STREET REAR YARD FRONT FT, IN. SIDE YARD I LEFT .�. RIGHT ^— R.SIDE FY. • IN. DESCRI IQN ,,OF WORK C(./v _//.{/q�N._) L SIDE -SFT— IN. NEW I ALTERATIO`N/I AD (TION REAR /SFT. IN. REPAIR I II MOVING I II DEMOLISH I BYpROVED `eA 4 DAT . -c BUILDING NO. OF l A ///(^ SIZE ROOMS STORIES /,,�' EXTERIOR WALL I ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED(4-741 4,m 1 S—j �,J— l4 J 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 OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONS N. VALUATION e SIGNATURE O; PERMIT FEE $ t. — PERMITTEE �� _ $ PLAN CHECK $ 3 AUTHORIZED AGENT ✓ o TOTAL FEE y w • • tO7.5f FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT 42c- /i V'fr P.O.BOX 317 COSTA MESA. CALIFORNIA //��7FyIINANCE DEPT. fOR APPLICANT TO fill IN COMPLETED' APPLI&I I&NCKTit Mfi8 MIT TYPE OR PRINT BUILDING ADD ESS I LG 1601 Po&osa Street COSTA MESA. CALIFORNIA FOR OFF/CE USE ONLY OWNER Knightwell Land Company RECEIPT NO. Ii Ca /lif AMAIL DDRESS 419 E. 117th Street RECEIVED 0Y //DATE RECE EDI III, DATE/AI_ ISSUED LA 195 CITY Costa Mesa, Calif. TNL.LI 81159 BUILDING / V--5lJ ;IA 1 ARCHITECT Carlson & LIC. COSTA MESA. CALIFORNIA OR ENGINEER.,. NO. ,Q' au1eLi D • FIRE ADDRESS Garden Grove ZONE TYPE GROUPJ ¢U ID1dike & Colegrove, Inc. STATE 167293 APPROVED DATE CONTRACTOR LIC.NO. ADDRESS 419 E. 17th St., Costa Mesa ZONING LEGAL I LOT _74 I ILR ZONE NO.OF ^ USE OF NEW LT / l I PLANS ISI BUILDING DESCRIPTION NO. BLOCK T A T7 [�/��((///��p�/GGG A.P.NO. APPROVED / //}` /I }—I f BY v '• T DATE / J OF LOT 751 x 100'SIZENo,of BLOGB REQUIRED ALLOWED USE OF None (CENTER LINE ST.) EXISTING BLDG. FRONT .b 'FT. IN. SETBACK LINE FROM 501 REAR YARD 251 R.SIDE /FIN. CENTER OF STREET SIDE YARD ILEFT 101 IRIGHT 51 L.SIDE f. IN. • DESCRIPTION OF WORK REAR O,1 S FT. IN. NEW X I II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I BUILDING NO.OF nt SIZE 1647 ROOMS 7 STORIES 1 ____ V//J/�/�e�V1..7 EXTERIOR WALL ROOF �I �^ COVERING StucCO ICOVERING shake ...// , USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage Plan X 760 DR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDERVALUATION 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 OFPERMIT FEE $ 36.00 PER MITTEE �� 1111�� $ 16 O PLAN CHECK $ 18.00 AUTHORIZED AGENT Dike & CO grove, Inc. TOTAL FEE $ 54.00