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Home My WebLink About1212 DORSET LN - Building PermitsBUILDING PERMIT .lob Address: 1212 DORSET LN Suite: Vicinity: RESIDENCE AND DETACHED GARAGE Parcel Number: 14115302 Zoning: R1 R1 Applicant: KAISER, MIKE Address: 928 CHEYENNE ST _ Phone: (714j 979-5314 COSTA MESA, CA - Zip: 92626 ISSUED BY: Status: ISSUED Applied: 10/29/2004 Issued: 10/29/2004 Owner: KINCADE%WILLIAM A Address 1212 DORSET LN Phone: COSTA MESA, CA - Zip: 92626 Contractor: 'KAISER -ROOFING Address: '928 CHEYENNE ST Phone: (714) 979-5314 ' COSTA MESA, CA Zip: 92626 License:, 682897 •�� - �` Arch.: ' • _ Eng: Address: _ Address:- ,� Phone: -. Phone: .. Zip:+ License:;, License: , .. , > - SCOPE OF PERMIT REROOF RESIDENCE AND DETACHED GARAGE: T/O EXISTING COMP_ SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30# FELT, ` APPLY "30 -YEAR GAF DIMENSIONAL SHINGLES- 2400 SQ FT FEE SUMMARY ` Plan Check _ •, ' $0.00 - - - Calc Valuation ' ,$3,900.00 `i Permit'. " $97.25 _� _- ` '� . - _Claim Valuation. $3,900.00 •. ,SMIPRes:,�, $0.50 _ - =`SOP Com: $0.00 Other. $0.00 Inspection:,'�;$0.00 � ,Total: $97.75 rc i PLANNING & ZONING SETBACKS: MAIN STRUCTURE\Front 0-0ear 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) 7545626 244698 (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 Cade, 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' c1ompensation Insurance carder and policy number are: Cartier: s><4i: - �4dd Policy Number: 00�6�S' 00t/ (This section need not be completed it 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 s0 as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pro isxms. r1 Applicant Signature: _ _AV 44-5 Date: 1 /0 WARNING: FAILURE TO SECURE WORKERS' ODMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOULARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under3rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and all Oct. UC. # 6 82 $Y % Class # I (e' 3y Contractors Signature: Date: 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: 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 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 pernit 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 Cade: 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 drivers license. ❑ 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: ❑ 1 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? ❑ 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 builtling occupant need to file a registration torte 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 appplicant 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 II 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 a8ermit 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 Califomia 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 Ii 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. � Signature Of Legal Owner(s) / 2 y- y Date And/Or Authorized Applicant Date CODE 1, INSPECTION TYPE 2AN INTITALS CODE# INSPECTION TYPE jNTMAL; 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 204 Final Demolition 250 Final Building/Occupancy f•� _2�,�F�o2 Twining Laboratories of ,SL,«�zT,Z eLzc'ifoTtlia, _ZC. ?.O. EO?' 47 . 3310 A%?POR: WAY . LONG BEACH, CAL) P. 9080! . 1213 42b 3355 . 1213) 6362386 .-17)4).929 b432 BRANCH OICIC ES:' TESTING I DN -1. N- DIU .. )A, -=s - Sa•I�n.: CeLio-eevD01 ]q5 veaonm ns.�O. B..17 I`Iq 5➢ 704 L-nq P..<S, CAId. 90801 12J) May 3, 1972 COMPRESSION TESTS ON GUN TE L. E. Sprague 1411 Windemere Lane Tustin, California 92680 Examination: SC72-2571 CYLINDERS Permit# 34549 PROJECT Swim Pool for JAMES PRICE ADDRESS 1212 Dorset Lane, Costa Mesa SAMPLE FROM #1 E #4 - Bond Beam: #2 b #5 - Shallow End #3 IS #6 - Deep End ARCHITECT CONTRACTOR California Pools ' [NOINEER - SUBCONTRACTOR Grove Gunite SPECIFIED MIX Gunite STRENGTH 2,000 psi DATE CAST 4-26-72 _ SLUMP 511' DATE TESTED 5-3-72 5-3-72 573772 4 "HOLD11 CYLINDER NO.' 1 2 3 5 11HOLDII 6 "HOLD" COMPRESSION7 d days 7 Days j Days TOTAL LOAD, L85. 110,000 117,000 110,000 POUNDS PER $O. IN. 4057 4,315 3,890 SIZE. #.l: 5-7/8" x 12-3/411 #2: 5-7/8" x 12-1/211 #3: 619 x.12;1}jTli COMPLIANCE 7 -Day test complies with specifications. . MADE BY DELIVERED By RECEIVED ON CYLINDERS L•-. E. Sprague LES 4-27-72 DISTRIWTION: L.' E. Sprague - zBUiLDI�dG WE'TY DEPT. California Pools Grove Gunite N1AY 8 1372 s[a Mesa Bldg, Dpet. ALL RLYORTS ARE SUSNITTCD AS THE CONFIDENTIAL PROPERTT Of CLIE.". AUTHORIZATION !OR PURLICITION_ OE OUR REPORTS. CONCLUSIONS. OR El. TRACTS ERON OR REGARDING THEN IS RESERVED PENDING OUR WRITTENAPPROVALAS A NU:11AL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. OWNER COLLEGE -MESA COMPANY DATE 10-11-56 JOBADDRESS 1212 Dorset Lane BU I LD ING PERMIT NO. #3839 GENERAL CONTRACTOR VALUE 1 183 BLOCK TRACT 2671 Single dwelling w/det gar. CROUP T A, J TYPE V ZONE Rif FIRE nISTRI(:T '4AAo INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench z Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab Sf° �S C ,�„��j�in �,J �,,, ,{i• /D- �i�-,.$�h A) Plumbing, Raugh Complete GLS ,1 /, Temporary Pole Wiring, Rough 1 G.s"6 /- a 4 - tF ,� y� ✓ YY,�`v.C� Heating, Rough /�t �5-/3•s6 , D Heating, Final />< ,f /y�_S'1 -r%C-LL%)p.,.l ��t %,7 /D -\ % �/-i��cf� ✓ ewer, House Sewer, St. /j.J/-(-S /�-25-{7 ,S- '� r 1 I-.�G,-,s� 0 Seotic Tank or Cesspool Ax _ I ig, Iny Out X Plastering &-Ed Plumbing, Final, Fixtures Complete A N -S •- Z -14 S--/a/-S-7V j=/H-S-% i Plumbing, Final Gas Test/4- MN$ Wiring, Final MAY 3 _ Oncunannv A, -/y - 4—T FORM 210 3M 10.53 3839 In'; osta Mesa Building Department APPLICATION FOR PERMIT P. O. Boz 317 qQV, BUILDING COSTA MESA. CAIIEORNIA FORM 204 1055 D. P. & S. FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. --Permit No. Op3 Building Address 1212 Dorset Lane Costa Mesa, California Received by Date Recd. 1 lam' Date Issued Nearest Cross St. Fairview Road Building Address Owner College Mesa Compa Costa Mesa, California Mail Address 1777 W. Lincoln Avenue Nearest Cross St. Tel. City Anaheim No.KEY 3-3161 zone No. of Plans Type // Group Architect orLic. Engineer Davis & Quigley No. C-1790 Approved by Date Address43 Malaga Cove Plaza Palos Verdes CORRECTIONS ntractor The Hale Company CitNo.y Lic.3422 Address 1777 W. Lincoln Ave. Anaheim LegalI Description Lot No. 183 I Block 11 Tract 2671 (Attach Metes and Bounds) No. of Bldgs. Size of Lot 64 x 113 Now on Lot None O Ilse of No.of Existing Bldg. Families I No.of Rooms Z Setback Line from Rear Yard 58 Center of Street 50 Side Yard y DESCRIPTION OF WORK r New X Alteration Addition I Repair I I Moving I I Demolish Building 1321 No. of Rooms 6 Stories 1 _Size ^rior Wall Bring Stucco I Roof Covering Rock APPROVALS use of New Building Single family dwelling with Foundation Location Forms, Materials, under -Pinning Inspector Date detached garage. Frame: Fire Stops, Bracing, Bolts Vj I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. Signature of THE HALE CO Permittee Authorized Agt. Lath. Int. Lath. Ext. Plaster, Int Plaster, Ext. Valuation $ 11, 368.00 Permit Fee $ 28.00 Plan Check $ 14.00 Masonry Reinforced Bond Beam Total Fee $ 42.00 FINAL FORM 204 1055 D. P. & S. c o -A� c O. J o a a a r i Street PLOT PLAN Show location and distances from property line and between buildings. J -A� t r. OWNER PRICE, James DATE 4-10- JUC AUURtJJ _1212 Dorset Lane BUILDING PERMIT NO. g4g4q ?q; x,141-153-02 LOT TRACT FIRE ZONE VALUE $2.500.00 �rY«ia`E CTIONS Si nature Date GROUP J TYPE III ZONE SOIL SUBCONTRACTOR PERMITS ISSUED GAS iQ/'- -- J'L_ Date Number I Si nature WATER n� '��C� 'L- mbina 17 ROUGH PLUMBING ( �, ' PROP. SWR. LINE ❑. CON2� SPRINKLING SYSTEMHOUSE MISCELLANEOUS y ROUGH HEATING ANO AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heating and Vent. TRENCHES [:] FORMS STEEL REINF. FLOOR SYSTEM BONO BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT P' -'TER, BROWN COAT rURAL, FINAL C IC _ H -...,NG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST Q -7Z ELECTRIC, FINAL r -ZG-7 alai niur. Riuni //' %7�. 79 ' 34549 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ADDRESS Z �✓ OWNER [MAIL Z m 'W W d-UkBLDG Y ZZ QSTRUCTION O F -DER I hereby certify that I am properly licensed as a�contnder d CO J �ANCH Chapter 9, and that such licenses are In full force and or I J In DRESS J Signature of QCHITECT NENGINEER U Q W B:DRESS Permitte $� OO ((//-- 1 W TOTAL FEE $ W ZNTRACTOR J Q CO Z J DRESS W W Z f—Y TE NO. W N tt. �0E LOT OF STING BLDG. OF 1-E Z BLDG. tai EXTERIOR WALL COVERING asLE USEOFBUILDI O F r/) Z _0 H U F' h Z TEL. NO.1 TEL. NO.J.5f- CITY LIC. NO. NO.O BLFTDGS NOW ON LOT NO. OF ROOMS STOF ROOF COVERING WORK TO BE PERFORMED PA10 � Tq 10-7icrt",00 373# APPLICATION FOR BUILDING PERMIT –nZ— BUILDING ADDRESS OWNER VALUE FIRE ZONE APPROVED ZONE NO. OF USE OF NEWst,(((R!/N /N PLANS 2 BUILDING V` •YARDS APPROVED I YARDS APPROVED MAIN BUILDING ACCESSORY BVILDING DISTANCE BET MAIN BLDGS. VAR.+ C.U.P. # APPROVED /r state I hereby acknowledge that I'have read this applicatiI m that the above information is correct and agree to with all laws regulating building construction, and I shell employ any person in violation of the workman's compensas of IN UNDER VALUATION IS FOR the State of California. I hereby certify that I am properly licensed as a�contnder THE AMOUNT the State of California Business and Professions Coden 3, Chapter 9, and that such licenses are In full force and or I THE PURPOSE I am exempt from the pr visions of the State of Califoiness antl Professions Code, Ivision 3, Chapter VALUATION Signature of PLAN CHECK $ Permitte $� OO ((//-- Authorized Agent TOTAL FEE $ BET.I AOCE DATE m 0 IN UNDER VALUATION IS FOR ABLISHING A PERMIT FEE ONLY: a ao . PERMIT FEE $ 023, n' m PLAN CHECK $ E 3y. sa TOTAL FEE $