HomeMy WebLinkAbout949 DOGWOOD ST - Building Permitsc.: �,,_ s ,_ x, . . --" _� ;�, CITY OF-,ti:OSTA MESA �
"' . �:•'`•`"� •.`,,�- B!/ILDING DIVISION
i`� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 •
:
�. � FOR INSPECTIONS CALL: (714) 754-5626
4A�a.mm�`
PERMIT TYPE
APN: 42252210
Zoning: ,
PERMIT NUMBER:
B MISC STATUS:
� DATE ISSUED:
ISSUED BY:
www. ci. costa-mesa. ca. us
BX07-00291
ISSUED
12N4l2007
SOK
JOB ADDRESS: 949 DOGWOOD ST CM Suite/Unit:
Viciniry: � Primary' Occ: 32 Const Type :??
SQ. FT: 116 - Valuation: E1,869.92 - =•�
« ry ,��. . � i� 'u. >
l'r r•. .:''� ,: F ��. ., .
SCOPE OF WORK: CONSTRUCT 116 S.F. SOLID ROOF PATIO COVER ,
OWNER: WONG, GARY � � -� Address:: 10121 THESEUS DR Unit
City/State: HUNTINGTON BEACH, CA - -, Zip Code: 92646
Phone:
APPLICANT: WONG, GARY ��- ��' � Address: 10121 THESEUS��DR Unik
CitylState: HUNTINGTON BEACH, CA Zip,Code: 92646
Phone: X5671
CONTRACTOR:
Address:
City/State:
Zip Code:
ARCHITECT:
Phone
ENGINEER:
Phone
OWNER-BUII.DER <
��
�'
��
Building plan Check:
Building,Pe�_mit: . �
Electrical.Permit
SMIP Residential '
SMIP Commercial
$O.00TOTAL FEES �`
l(censa No. 000000
Unik
Phone
License No.
- � License No.
FEE SUMMARY
$43.03
$66.20
$0.00
$0.50
$0.00
$109.73
Cell:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia slatutes and related
regulations. (Ord. No. 92-28, § 1, 12-2t-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply vrith all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CO�Et. INSPEG110NTYPE DpTE IN7111RL5 COOEi INSPECPONTYPE �RiE IN7pIpL5
1676 Fized System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electncal
201 Final BIocWRelaining Wall 212 Final Fire Prevention
202, .., Fina�F,actory,FirePlace 'v , 220 FinalPlanninpApproval
. � ..
..c`S• i � r-
203 YFinalSign ' r^�'`'�+��. ^22a,,, F}nal.$itC� �\
_•�.� ' -� z'-3=a �
204 Final Demolition ' 250 Final Builtling�Occupancy `!
WORKERS' COMPENSATION DECLARATION:�
t �ereby affirm under penalry o( perjury one o( the following tleclara[ions:
❑ I have and will maintain a cerlificate of consent to self-Insure tor workers'
compensalion, as provitletl for by section 3700 of Ihe Labor Code, for lhe
pertormance of the work lor which this permil is issued.
❑ I have and will maintain workers' wmpensation insurance, as required by
section 3700 of the Labor Code, for the peAortnance o( the v.�rk !or which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
Cartier.
(TN5 secfion neetl not De mmpetetl /the pe�m4 is valuetl al are hwMrtv10e9ars (5f 00) w IessJ
Polic umber.
�r�rh��- I�c rtify that in the peAormance of lhe work for which this pertnit is
"'Iss d I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Cali(omia, antl agree that if I should
become subject to the workers' compensation provisions o! Section 3700 of
ihe Labor Code, I s Iforthvnth c ply wiM these provisions. •'
�Y v-.'- 1 � � ' r'1 /�-'• �O�
�}j�;:f..�..C�'+=applfianfrsfeda�ure'". "— �^'�. � "' Date—'
v�d.' '�..:� ��•
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVI� FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST. AN�
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing
witn Seclion 7000) of Division 3 of the Business and Professions Code. and
my license is in (ull force antl effect.
Lic. # Class #
Convaaor's SiB��ure Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that there is a constructbn lentling agency for the
peRortnance of the v.ork for v.fiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lenders Address:
OWNER-BUILDER DECLARATIONS:
I hereby affrm that under penalty of perjury thal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or Ihe following reason (Sec. 7031.5,
Business and Professions Cotle: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any SIruCWre, pnor to it5
issuance, also requires ihe applicant for such permit to fle a signed statement
that he or she is licensed pursuaM to Ihe provisions of the Contractors
License Law (Chapter 9(commencing wilh Section 7000) of DiviSion 3 of Ihe
Business antl Professions Code) or thal he or she is exempt therefrom and
the basis for ihe alleged ezemplion. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicanl to a civil penalty of not more than
(ve hundred dollars ($500).):
�r„•„
�_as.owner o( the propeRy, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
oflered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who dces such work himself or harself or through his or her ovm
employees, provitled that such improvements are not intended or offered for
sale. If, however, the builtling or improvement is soltl within one year of
wmpletion, the owner-builder will have the burden of proving that he or she
did not build or improve for purpose o! sale.).
❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to constmct lhe project (Sec. 7044, Business and
Professbns Coda: The contractors License Law dces not apply to an owner of
property who builds or improves thereon, and who contracts fw such project with
a contracta(s) license pursuant to the Contrac[ws License Laws.).
� am.exem�pl under sec.
Business and Pro(essions Cotle (or this reason:
�. aan:;��-Lr�.,..— /.1�-�L f .- o �
� .. � SipnaWra �`4�„yy��i'_ rt�y , r �� Da.le r��z,k '
009<B'(]N9)"'—�� "�"�-�"' �" -
'Ov+ner 10'verifed by dnve �� ❑ Yes ❑ No
Driver's�`` LicenseNo.,_: �s-' � �
�x � .
Verific on of Ownership by pype o! tlocument, i: pe�ytax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excavation frve (5) or mae feet in depth inro wfiich a
person is requiretl to descentl, will be made in conneclion with work authorizetl
by ihis pertnit, arM that no building structure, scaf(dding, falsework, a tlemolitbn
or dismantling thereof, vrill be more than thirty-su (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title 8, Califomia Adminisl2tive Code).
❑ As owner-builder, I will not employ anyone lo do vrork which would
require a pertnit from the Division o( Industrial Safety, as noted above, unless
such person has a permit to tlo suc� work from the division.
Applitanl's SignaWre
Division of Intlustrial Safety Permil Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: �
1. Will the applicanl or presenl or fuNre building xcupant need to file antl
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 Safery Code requires, with some
exceptions, that a Business Plan be filetl with Ihe Costa Mesa Fire
Department by every business which has at any one time dunng a reportetl
year a quantity o/ hazardous materials equal ro or greater than a weight of
500 pountls, 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 fuNre building occupant neetl to file
a registration form tor acutely hazardous matenals? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code, with some
ezceptions, requires registration with Ne Costa Mesa Fire Department by
each business which at any one lime has on hand a quantiry o( acutely
hazardous materials equal to or greater than a weigM of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel of compressed gas at s[andard
temperaNre and pressure�.
3. Does or vrill the applicanl or present or fuWre builtling occupant need [o
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the California Heal[h antl Safety Code pmvides lhat the
Costa Mesa Fire Depanment may require Ihe preparation, certification and
filing vn[h Ihe Fire Depariment of an RMPP by businesses which are requiretl
to register acWely hazardous matenals with lhe Fire Depanment.
4. I( an RMPP is presenlly require0, has Section 25534 of the Califomia
Health and Safery Code been Wlly complied wilh? ❑ Yes ❑ No
5. Does Or will Ihe appliCant or present or fu[ure building occupant require for
Ihe wOdc whiCh i5 Ihe SUDjeCt of thi5 appliC2tion a pefmit (Of SULh CAnS�Nclion
or modifcation from the South Coast Air Quality Management District or (rom
any other air pollution conVol diSMcl or agency? ❑ Yes ❑ No
(Sectbn 65850.2 of the Califomia Govemment Code requires that the requestetl
information be lumished on applications fa non-resitlential building permits).
6. Will any part of Ihe facility to be consUucted under this pefmit be within
1000 (eet from the outer boundaries o( a school7 ❑ Yes ❑ No
Qf yes", the facility musl meel the requirement of Sections 25534 and 42303
of the Califomia Health and Safery Code).
7. If a permit (rom the South Coast Air Ouality Managemenl District or other
air pollution control district or agency is required (or the work which is [he
subject of this application, have all of the disclosures prescribed by Califomia
Heallh and Safety Code Section 42303 been matle7 ❑ Ves ❑ No
8. Qf 'yes'. attach cenificate of compliance trom the appropriate air pollution
control officeQ.
CERTIFICATE OF COMPLIANCE: I certify that under penalry o( perjury the
information given above is cortecL I agree to comply with all state laws and
city ortlinances regarding Hazartlous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury thal I have reatl this appliwtion and state that
the information given is cortecl. I agree to comply with all state laws and city
ordinances relating to building consWction, and authorize representatives ot
the Ciry of Costa Mesa to enter upon the above-0escribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this mil until (nal inspection.
raz��.e..:i�._.—.--..._ /2,-��-�f--o�,7
� SgnaW WLege ) . ; -Date �,.n'
An0/or Au1�OnzM ApPli W nl
2�J3 <6
� �, c�aa.ra iZeo,a suCeauc� Z�ic�idia�c
BUILDING PLAN REQUIREMENTS
FOR ATTACHED PATlO COVERS
Q,Jote:peiazhed-�tio�coyec require an engineered design.)
4 ��"-
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02 P.L. Feet
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Owner '
Address
� Scale: _" _ _
INSTRUCTIONS - 3 COP�ES MUST BE SUBMITTED
Using this as an example draw your own plot plan on a separate drawing.
10 Show owner's name, projed address, nonh arrow and scale.
❑2 Show and dimension alt property lines, easemenis and driveways.
Q Show locations of existing and proposed strudures, including all selback dimensions
40 Show dimensions oi proposed structure.
❑5 Show setbacks from property lines to proposed structure.
(3'-0" min.; verify if Planning Dept. requires greater setbacks)
60 Dimension overhangs
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L:'it.�y °� G''aa.ta y�ea.a �'u�;�alu� Divia,ioa
BUILDING PLAN REQUIREMENTS
FOR ATTACHED PATIO COVERS
(Note: Deuched patio covers require an engineered design.)
❑2 P.L. Feet
— — — — O � �
6 ❑6
Post
(bP�) ■ ■ ■ 0 8
1ge of � PROPOSED ST UCTURE q
�ttp cover ❑3 �
House
❑9
- - piV1S10'`�Y � dGOSDA M(
.�PpliOVE
Garage
ay � , -
-�� cei o' . •ns �
ia. w� �
make •'i``„� •�
y aieri ..d� �
.� s
The s�amy�...
viaWl�o� �'
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WOtk15 �Jl CUTIf��
/
SAFETY
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,ns. same s��MJ :..,, �
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al„ii >.tpiie bY (imnai�w ea�6Ce4�3ld1 ii hi
-- ,--
02 P.L
�v �a wo o�
Street
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---�
Owner ��<+�! 7�✓ �"/ct \�
Address f ��/ ��r'�✓� S> 1
/°nS7A– �l�k � GA� ^L7�i7 �❑ Scale:—" _ —
�
INSTRUCTIONS - 3 COPIES MUST BE SUBMITTED
Using this as an example draw your own plot plan on a separate drawing.
1❑ Show owner's name, projed address, north arrow and scale.
20 Show and dimension all property lines, easements and driveways.
❑3 Show locations of existing and proposed structures, including all setback dimensions
Q Show dimensions of proposed sWcture.
Q Show setbacks from property lines to proposed structure.
(3'-0" min.; verify it Planning Dept. requires greater setbacks)
6❑ Dimensionoverhangs.�'��
l6X�I
l28'S.F.
�2 �
, =6
o� to hz an aFP�oval
;e an�u� S1ale law.
void Il lhe bu�b�9 �t
160 days o� �suance•
n�s as
Lattice Cover .
Lattice
� Lattice
RaRer
Joisf Hanger
Ledger
2% Slab �
Slope
to Drain
�atlice
Cover
Solid Floor Cover
26 Ga.
FRAMING PLAN
Roofing
12" Sheathii
_O �
— Header =
�
— Post
�
�
�
■ �
— Footing —
SECTIONS
CONSTRUCTION MATERIALS
SPECIFY LUMBER: ❑ DF ❑ Redwood ❑ Hemfir
SPECIFY GRADE: ❑ No. 1 ❑ No. 2
Heaiier.
— Roof Covering
Roof Sheathing
Joist Hanger
Ledger—
Solid Roof
Cover
—� 2%
Slope
to Drain
CONCRETE: 2500 psi min. @ 28 days
CONNECTIONS: ICBO approved or equal
1. Roof covering: e✓4�`n!S# fn 3o$'F Y SI��Z oa2�c/!�� W+rr( Ce�Por.� „✓TvP
2. Roof sheathing: Maximum spans:
lattice: _x_ @_' o.c.: 2x2 - 6'; 2x3 - 8'; 2x4 - 10'
solid: �" CCX plywood or _" lumber: 1" - 2' - 8"; 2" - 8' - 0"
3. Rafters: Z x� @�" o.c. ❑ Single ❑ Double
4. Header: y x_� ❑ Single ❑ Double .
5. Ledger: 2 x� (2x min) ,
6. Fascia: ?. x_f� (2x6 min)
7. Post �x� (4x4 min) Raise 1" min above slab surface
8. Footing: � � Z 12"x12" min for up to 66 sf tributary area; 18"x18" min for 67-150 sf tributary area
�/� � 2 � ^ depth (Expansive Soil Zone �
9. Slab thick (Expansive Soil Zone �
10. Connections: a. Joist to Ledger - Metal joist hanger ✓ �
b. Joist to Header - - Solid blocking with freming anchor
c. Doubled joist or header to post -(2) 1/2" dia. thru bolts w/ washers
d. Joist to Fascia - Metal framing anchors each side
(min. capacity = 0.5" joist span `joist spacing' 15)
e. Header to Post - Column Cap �
f. Post to Slab or Footing - Metal AnchodPost Base
g. Roof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Field
�A�
DETAIL OPTIONS
�Check the ones Ihat appy:
Lattice Cover.
❑A OB OC OD ❑E ❑f
Solid Gover:
❑A ❑D OE OF
17]3<6 Eerk 199] UBC
SPAN TABLES
LATTICE PATIO COVER
SOLID PATIO COVER
DESIGN LOAD: 10 PSF DL + 10 PSF LL REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD
SI2E SPACING
16 24 32 36
2X4 9'-1" 8'-0" 7'-2" 6'-10"
�2X6 14._3'• 12'-6" 11'-4" 70'-1C
2X8 18'-9" i6'-6" 75'-0" 14'-0"
2X10 19'_t" 18•-_1"
4X4 12•_�•• ��• 6•• 9• �• 9•-2•
4X6 19'-0" 16'-7" 15'-1" 14'-6"
199]UBC 2]37-46TaCles
SIZE
14-V IL-`J [AlV
7'-9" 7'-3' 4X4 11' 9•'
72'-2" 11'-6" 4X6 18'_7"
16'-1" 15'-1" 4X8 -
24 32 36
9,. �,_�„ 6. 9.
SIZE DF NO t DF NO 2
. �
60 72 2;2X6 8,_ "' 7• 8'•
5'-8" 5'•3" 2 2X8 10'-6" 9'-9"
8'-6" 7'•8' 2 2X10 12•9" 12'_0"
10'-8" 9'•9" ' 2 2X12 14'-9" 13'-10"
13•1•• 12'-0" 4X6 8._70•' 8•_4•'
7•_7" . 7'-2" 4X8 11, 9" 11• 0"
12'-0" 11'3" 4X10 14'-0" 13'-6"
11'-10" 11•_2•• 4X72 16•9'• 15.8.•
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DNISION OF BUILDING SAFETY I
CITy OF COSTA MESA I
AI'I'ROV�D 16�
� Date �
This set of plans and specilicalions MUSi be kept on Ihis job at all times and— „�� �o i
make any ch��G�y o, ��� 1�;ions en same wilMut •rnitte� per�ission from Ltie Divisan o( Builde�g
and Sy�e;y. Gry nl Cc>le ,desa.
The stamp��G ;�;r,s �y� �� �p,������ions SHALL NOT be held lo permil or lo be an apprwal ;� `
al lhe violatien oi any provisiors o( any Cily of Cosla Mesa Ordinance anNor Stale law, In1
These plars a^� permil shall expire by limitalion and become null and void i( �I�e bu�ding or
W°�IC rs not commerKed ar:d maintained active per UBC §30.3 (� �hin 180 days ol issuance, ,
�
.J
4:: ,,. � „ • ., t. � ,.� . � CITY OF COSTA MESA �
� � "' q ' ' ' " �•' BlIILDING DIVISION
F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626
"`°n.ow�w `�
PERMIT NUMBER: B07-01047
PERMIT TYPE
JOB ADDRESS
Viciniry: ROOF
B_ROOF2 � STATUS:
" DATE ISSUED:
��` �� s°" , ISSUEDBY:
,. � �
�� � �
949 DOGWOOD"ST CM ` Suite/Unit:
'{�n���
ISSUED
12/14/2007
SOK
r�_ - ...,..�' .
Squares: 0 , . � � Valuation: . $6,900.00
I
SCOPE OF WORK: TEAR OFF EXISTING ROOF. REPLACE/REPAIR SHEATHING AS NEEDED APPLY 1 LAYER 30L6 FELT AND 30
YEAR COMPOSITION SHINGLES REPLACE FRONT FASCIA BOARDS FOR S.F.D. � - �
OWNER: WONG, GARY' � �. � Address: 10121 THESEUS DR � - Unit
PHONE: � �� � . City/State/2ip: HUNTINGTON BEACH, CA ��-
APPLICANT: WONG, GARY �� � � Address: 10121 THESEUS DR � � Unit: :
PHONE: . --� - � .. City/State2ip: HUNTINGTON BEACH, CA� � �
CONTRACTOR: OWNER-BUILDER �- License No. � � 000000
Address: Unit: � � � � � PHONE: - �
City/State/Zip: � -- CELL: - ..
ARCHITECT: ` . . � License No. � - - PHON�E: '
- � . . � . _ . . . .
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspectian Fee:
TOTALFEES
�. ' License No.
$o.00
-$139.25�� ��
'�� $0.00 �. -�
$139.25
PHONE:.
9
NOTICE: 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, 12-21-g2)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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 fnal approval will result in the expiration of this permit.
CODE /. INSPECTION7YPE OATE INTRIALS
7676 Fixed System Final Fire Prevention
1266 Pool Spa Final p
200 Final Re-Roof �2 � �v �
201 Final Block/Retaining Wall
202 Final Fac�ory Fire Place
203 , Final�Sign � • �'�� � . �
204 Final Demolition '
GODE� INSPECTIONTYPE
206 FinalMechaniCal
208 Final Plumbing
210 Final Eleclrical
212 Final Fire Prevenlion
220 Final Planning Approval
•- 222 :. •�FinaLSite
'250 FinaiBuilding/Occupancy
DATE INTITIRLS
e
' . �.;Y.h •
�
WORKERS' COMPENSATION DECLARA710N: � Ovmer ID verified by driver'� ❑ Yes ❑ No
I hereby affirm under penalty of perjury one of Ne following declarations: ePs License No:. pires _�,
❑ I have antl will maintain a certificate ot consent to self-Insure for vrorkers' � verificatlon dfOwn`eiship by (rype of document, i.e. - pmpeny tax bill or aeed):
compensation, as pmvided for by section 3700 ot [he Labor Code, for the
per(ormance ol the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required 6y
sectbn 3700 ot lhe LaDor Cotle, for Ihe performance of Ihe vrork for which this
permit is issued. My vrorkers' compensation Insurance carrier and policy
number are:
Carrier:
(This sertion neetl riol Ee tdnpeteE d the permR a valued at one nundred tldlars
Po/licy Numher:
�j1� I cerlify iha[ in the performance of the work for which this permit is
issuetl,"I shall nol employ any person in any manner so as to become subject
to the vrorkers' compensation laws of Califomia, and agree ihat if I should
become subject to the vrorkers' compensation provisions o( Section 3700 of
the Labor Cotle, I sh II forthwith comply wi[h [hese provisions.
_ �ww�. ��= � � c/'2". /�h�—p7
$.: Applicanl'sSgnatwe•;r- �[�ale"�'� .
'C
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVII. FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm [hat I am licen5ed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 ot the Business and Professions Code, and
my license is in (ull force and eflecl.
Lic. # Class #
Gonvac�or's Si8^aWre Da�e
CONSTRUCTION LENDING AGENCY:
❑ I herehy aKrtn that ihere is a constructbn lending agency for the
peAormance of Ihe aork fa wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lentler's Adtlress:
Da�e
OWNER-BUILDER DECLARATIONS:
I hereby atfrm t�at untler penalty of perjury that I am EXEMPT FROM 7HE
CONTRACTORS LICENSE LAW for lhe following reason (SeC. 7031.5,
Business and Professions Code: Any city or counry which requires a permit ro
wnsWct, alter, improve, demolish, or repair any sWcture, prior lo its
issuance, also requires the applicant far such permit to file a signed statement
that he or s�e 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 therefmm and
the basis (or lhe alleged exemption. Any violation of Section 7031.5 by any
applicaN for a permit subjects the applicant to a civil penalty of not more than
five h ndred dollars ($500).):
-"'�„•
� I, as owner of [he property, or my employees wilh wages as their sole
� iompensalion, WILL DO THE WORK, and the strucWre is not intended or
oflered !or sale (Sec. 7044, Business and Professions Code: The Conhactors
License Law does not apply to an ovmer of property who builds or improves
[hereon, and who does such work himself or hersel( or through his or her own
employees, provided that such improvements are not intended or oNered for
sale. If, however, the building or impmvement is sold within one year of
completioq the ovmer-builder will have the burden of pmving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law dces not apply to an owner of
property wfio builds or improves Ihereon, and who cont2c[s fa such pmject with
a cont2clor s) license pursuant to lhe Contractars License Laws.).
�/ i.-
' CI I.am.�ertiptundersec.
Business antl Professions Code for this reason:
� /-2._/_�'O 7
= SiBruwra ,: . r� . '—. Date '
�051=a8.��ro]1_�-"�-.�,�..-n.+=.F ...s.2_,. - �..:r_.--`-ti =^ '
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify ihat no excavalion frve (5) or more (eel in depth into v+hich a
person is required to descend, will be matle in connectbn vrith work authorized
by Ihis pertnit, antl [hat no building sWCNre, sc�fdding, false�+ork, a tlemolition
or dismantling thereof. will be more than thirty-s�c (36) feet high. (Chap. 3.2, Grp
2. Art 2, Sec. 341, Title 8, Califomia Administrative Code).
� As ovmer-builtler, I will not employ anyone to do vrork which vrould
require a permil lrom the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applifanfs SgnaWre Dale
Division of Intlustnal Safety Permit Number: _
HAZHRDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. will the applicant or preseN or tuture building occupaM need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Seclion 25505 of the California Health and Safe[y Code requires, with some
exceptions, Ihat a Business Plan be filetl with the Cosla Mesa Fire
Department by every business which has at any one lime dunng a reportetl
year a quantity of hazardous materials equal to or greater Ihan a weight of
500 pounds, or a volume of 55 9allons, or 200 cubic feet of compressetl gas
at standard lemperature and pressure).
2. Does or will Me applicant or present or future building occupant neetl to file
a registration form for awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code, wilh some
exceplions, requires registration with the Costa Mesa Fire Department by
each business which at any one lime has on hantl a quantiry of acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at standard
temperaWre 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 matenals)? ❑ Yes ❑ No
(Section 25534 0( the California Health and Safery Cotle provides ihat 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 awtely hazardous materials with the Fire Department.
4. I( an RMPP is presently required, has Sec[ion 25534 of Ihe Califomia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicaN or present or (uture builtling occupant require for
Ihe wark which is the subject of this application a permit for suc� consWction
or modification from the South Coas� Air Quality Managemenl District or (rom
any other air polWtion wntrol tlisirict or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Calitomia Govemment Code requires that the requested
infortnation be fumished on applications for rwrnresbential builtling permits).
6. Will any part of Ihe faciliry to be constructed under Ihis permit be within
1000 feet fmm lhe outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facility must meet lhe requiremen[ of Sections 25534 and 42303
of Ihe California Health and Safety Code�.
7. I( a permit from the South Coast Air �uality Management District or other
air pollution control disMct or a9ency is required for the work which is the
subject ol this application, have all of the disdosures prescribed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certificale of compliance from the appropnate air polWlion
control oKcer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalty o� perjury ihe
information given above is cortect. I agree to comply with all state lavrs and
city ordinances regarding Hazartlous Materials and Emissions.
SignaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cenify under penalty of perjury that I have read this application antl slate that
the information given is wrrect I agree to comply with all state laws and ciry
ordinances relating to building conswction, and authorize represenWtives ot
the City of Costa Mesa to enter upon the abovedescribetl property tor
inspeclion purposes. I agree not to occupy or allow occupancy of any buildinq
authorized by Ihis rmi� unlil ( al inspeclion.
,�_._,.--��-p�_. ., r�2'�I.S� -0'%
' I"'"�� Le9a1 _ r(sl � �_ ��:f:`'� � "Date ,
l l�
AnE/wAul�onzeGAppli�anl Date
CITY OF COSTA MESA
BUILD�NG DIVISION
ROOF COVERING CERTIFICATION
Permit No. �.l / f DI DL��
Property Address ��9 �ol� �.,�� D D s���c%� .�S iA- mE�,�-. C/�—
owner C-z.l)-_� �ql�i✓<�
Contractor
State Contractor License Number
Ciassification
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform
Building Code, and the installation instructions of the manufacturer.
�I further certify that I am the owner of the property. (Owner-Builder permittee only).
❑ I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittaf o( form to the Building
Division for acceptance.
Received by Building Division
By:
i.i�' l
— � .
OQ90-a6 M W 6D0 W �i�e � Builtling Dn., Canary � Cmlr:cta'. Pmk � Ownc
C,4-n.y �,/o,�/�
4 Com any or Corporate Name
_ ' / S�� � nl, L✓OOD Sj
Address
�.5�7�'T / //C ' fY" , (� fT ZEJ G /
t/G�. L-�/�—� / Z '/�`- U7
`'' Signature Date �
���.�y �/o.✓� _
Printad or Typed Name
August 19, 2008
Gary Wong
949 Dogwood St
Costa Mesa CA 92626
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS:
BUILDING DIVISION
EXTENSION NOTIFICATION
607-01047, BX07-00291
Re-roof & Patio Cover
949 Dogwood St., Costa Mesa
This is to advise you that an extension on the above permit has been approved by Ed
Petros, Chief of Inspections. The extension is valid for 180 days. The new expiration date
is February 14, 2009. You must call 714-754-5626 for inspection at any time prior to this
date or the permit will expire. Additional fees will be required to reinstate expired permits.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will assist you. We appreciate your working
with us to resolve this matter.
Sincerely,
Mary Jane Weidenkeller
Office Specialist II
�
Requested Inspect Date: Tuesday, September 30, 2008
Site Atldress: 949 DOGWOOD ST CM
ROOF
A/PID Information
Activity: B07-01047 Type: B ROOF2 SubType: ROOFRRIP Status: ISSUED
Const Type: Occupancy: R3 Use: Insp Area:
Owner: WONG, ARY
Applicant: �n/ONG ARY
Contractor: OW N EI�-BU I LDER
Description: TEAR OFF EXISTING ROOF. REPLACE/REPAIR SHEATHING AS NEEDED APPLY 1 LAYER 30LB FEIT
AND 30 YEAR COMPOSITION SHINGLES REPLACE FRONT FASCIA BOARDS FOR S.F.D.
Requested Inspectionls)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: """"""
Action: Time Exp: _
Inspection Historv
Ilem: 10 ROOF FRAMING
Item: 11 PRE-INSPECT ROOF
� Item: 12 ROOF SHEATHING/BLDG HEIGHT
Item: 200 FINAL RE-ROOF
Item: 150 MISCELLANEOUS INSPECTION
�
Requested Time: 08:00 AM
Phane:
Entered By: WEIDE_MJ K
REPT131 Run Id: 10190
I
0
�
on
Requested Inspect Date: Tuesday, September 30, 2008
Site Address: 949 DOGWOOD ST CM
A/PID Information
Activity: BX07-00291 Type: B MISC Sub Type: RRIPMISC
ConstType: Occupancy: 37 Use:
Owner: WONG, GARY
Applicant: WONG GARY Phone: X5671
Contractor. 8WNEf2-BUILDER
Desc�ription: CONSTRUCT 116 S.F. SOLID ROOF PATIO COVER Phone: X5614
Re uested Inspection(s)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: ""*`*'***'
Action: Time Exp: _
tnspection Historv
Item: 1 BLDG F
Item: 3 JOB SI-
ttem: 4 FOOTIf
Item: 6 SLAB
Item: 10 ROOF
Item: 12 ROOF
Item: 13 BUILb
Item: 18 FRAM
Item: 20 LATHI
Item: 24 DR1M
Item: 30 PRE-C
Item: 31 NPDE
Item: 32 GROI,
Item: 38 ELEC
Item: 42 ROUG
REPT131
G/OCCUPANCY
rage z
Status: ISSUED
Insp Area:
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
Run Id: 10190
Page 1 of 1
PETROS,EDWARD
From: WONG, GARY
Sent: Friday, August 15, 2008 4:04 PM
To: PETROS, EDWARD
Subject: Bidg Permit Extensian Request
Ed: I would like to piease request an extension on building permits Permit No. 807-01047 and BX07-00291 for
my property at 949 Dogwood Street, Costa Mesa, 92626. Permit No. B07-01047 to re-roof and BX07-00291 to
construct a associated patio cover was taken out 12/14/07 under the RRIP program. Due to unforeseen
circumstances, I need to delay this project a little longer (but before the rainy season). I really expect to start in
September, 2008. Thank in advance for your consideration for an extension of these permits.
Gary Wong
Engineering
77 Fair Drive
Costa Mesa, CA 92626
Phone: 714-754-5671
Fax: 714-754-5028
email: gwong@ci.costa_me.sa ca.us
08/18/2008
(714) 754-5273 • Fax (714 754-4056 • www.ci.costa-mesa.ca.us
Job Address: 94� DOGWOOD $T
Suite:
Vicinily: �
Primary Occ: R3 � Type of Construcf �
Parcel Number: 42252210 Zoning��^
K
Applicant: WONG, GARY EXPIRES i� �
Address: 10121 THESEUS DR
Phone: 714-964-8069
HUNTINGTON B�ACH, CA Zip: 92646 '
Owner: WONG, GARY . ,
Address 10121 THESEUS DR �
. - Phone:
HUNTINGTON BEACH, CA Zip: 92 6
Contractoc OWNER-BUILDER
Address: , , , -
P
77 hAIH UHIVt, GVJIA MtSA, GA y2626
�11������� Applied: 12/5152006
j'��g� Issued: 12/15/2006
Zip:
QfGh : �
Address:
, f� _ ., . �� Phone: �• .
•.. Zip: ,Licen'se:.� .' : "_ �
TEAR OFF REPLACE SHEATHING AS NEEDED
BORADS
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$139.25
$0.69
$0.00
$0.00
$0.00
$139.94
SETBACKS < '
MAIN STRUCTURE Front
ACCESSORY Frol�t
PARKING ` e�'xlsti
1 �' , . .
PLANNING & ZONING
Left 0- 0
Left 0- 0
. Proposed: 0 �
. . ; � , Phone:
License:
COMP. SHINGLES REPLAC E FRONT FASCIA
Calc Valuation:
Claim Valuation
ss,soo.00
$6,900.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: 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.
INSPEC710NS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2446-48(6�00)
WORKERS' COMPENSATION DECLAqAT10N:
I hereby affirtn under penalty oi perjury one of ihe following declaretions:
❑ I have antl will maintain e cenificate of consent to self-Insure tor workers' compensation, es provided tor by section 3700 oi the Labor Cotle, for ihe peAormance of the
work tor which this permit is issuetl.
❑ I have antl will ma�ntain workers' crompensation insurance, as required by section 3700 of the Labor Code, for the pertormance of the woM for which this permit is issued.
My workers' comPensetion Insurance carner and policy number are:
Cerner: Policy Number:
(7M1is secfion need not be complefed i( the pertnit is valued af one hundred dollars ($100) or less.)
❑ I cenity Ihat in the pertormance of Ihe work for w�ich this pertnit is issued, I shall not employ any person in eny manner so as to become subject to the workers'
compensa[ion IaWs of Calitomia, and agree Ihat if I should becoma subject to Iha workers' compensation provisions ol Section 3700 of the Labor Code, I shall torthwith
comply with these provisions. .
Applicent Signature: � Date:
WARNWG: FAIIURE TO 5ECURE WORKERS' dJMPENSATION COVERAGE IS UNLAWFUL AND SHALL SLIfl1ECT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FMES UP TO ONE HUNORED
THOUSAND DOLLAFE ($1 �.�). IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CADE, WTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLAFATION: �
I hereby effirm ihat I am licensed untler provisions of Chepter 9(commencing with Section 7000) oi Division 3 0l the Business and Professions Cotle, and my license is in full
force antl eHact. Lic. q ' Class N
Contractor's SignaWre:
Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm Ihat there is a constmction lentling agency for ihe pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lendels Name: � Lender's Adtlress:
Signature:
Date:
OWNER-BUILDER DECLARA710NS:
I �ere6y attirtn that under penalry of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW br ihe followinq reason (SecJ031.5, Business and Pmfessions
Cotle: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the epplicant tor such permil
to file a signad s7atemeM ihat ha or she is licensed pursuant to the pmvisions ot the CoMractors Licansa Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Protessions Code) or that he or she is exempt iherefrom and the basis tor the elieged ezemption. Any violation ot Sedion 7031.5 by any applicant for a permit
subjecis ihe applicant to e civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with weges as thair sole compensation, WILL DO THE WORK, and Ihe strucNre is not intentletl or o%eretl tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does no� apply to an owner of propeny who builtls or impmves �hereon, and who dces such work
himself or hersetl or �hrough his or her own employees, provided ihat such improvaments are not imendetl or ofleretl for sale. tl, however, the building or improvement is
sold within one y6ar of comDletion, the owner-builder will have ihe burden of pmving ihat he or she did not build or improve for purpose ot sale.).
❑ I, as owner of the P�operty, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professions
Code: The contracmrs Licensa Law does not apply lo an owner of proparty who huilds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant lo the Coniractors License Wws.).
I am exempt undo c. Busin
Date: � � �i� O �p
OSm�D�ventied by dmer's license. es ❑ No i � ense No. � Ezpires:
II Verification of Ownership by (type of tlocument, i.a. - pmpeny tax bill or tleetl): �(1ePHl�ly TAK g! L L _
DIVISION OF INDUSTflIAL SAFETV PERMIT CERTIFICATION:
❑ I hareby certity ihat no excavation five (5) a more feet in dep�h into which a person is requiretl to descend, will be made in connection wi�h work au�horized by ihis
permit, and �ha� no building sWcture, scaHolding, falsework, or demoli�ion or dismantling ihereof, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califo�nia Adminisirative Code).
❑ As owner-builder, I will nol employ anyone to tlo work which would require a permit trom the Division of Indusirial Safety, as noted ebove, unless such person hes a
permit to tlo such work from the division.
Signa�ure: Date:
Division of Industrial Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AllTHORVA710N OF ENTRY: I cenity under penalty of perjury that I have read ihis appliration and stale ihat Ihe information given is
correct I agree to comp�y with all state laws and city ordinances relating to building construction, and authorize representatives of the Ciry of Costa Mesa to enter upon Ihe
above-described propedy �b�r �ins�yy§aion purpose I egree not to occupy or allow occupancy ot any building authorized by this permit until tinal inspection.
Y • �'1 � ___ �Z "/ir�A��
Signatur r(s) � Da
AncUOr Authorized Applicant
CODE �. INSPEGTIONTYPE 1L�L4
i616 Fi:ed System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Roof
Final BIocWRe�aining Wall
Final Factory Fire Place
Final Sign
Final Demolition
IMIiIRL 4QO�t IN$PECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220
222
250
Final Planning Approval
Final Site
Final Builtling/Occupancy
� IM1fUL5
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
PropertyAddress 7 7/ �aG Gf/oO.D ST
Owner
2 �1 v✓O
Contractor 0I✓�✓Ht �R ux.n z-�'t—
�
State Contractor License Number
Permit No. B� �o — d 2� 3�'
Classification
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform
Building Code, and the installation instructions of the manufacturer.
Q/ I further certify that I am the owner of the property. (Owner-Builder permittee only).
❑ I further certify that I am:
�wner of sole proprietorship company
ull partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Divisionfor acceptance.
Received by Building Division
By:
/%� � ti� I��G
1Urifiel Date
099Pa6MW6�00 White-BuiltlingDiv.;Canazy�Conhx�a�,Pink-Owna
S,Q�n1 � /ZS t4- cf� B ✓�
Company or Corporate Nama
Address
���i� �n/rn-r_ /Z-/5-ab
Sign e Data
C�f+Q y /��o:JC�
Printed or Typed Name
c'� � ��ta n!�a ���� ���
OWNER-BUILDER
VERIFICATION
Address: 9`�9 De G Woo 0 ST/L��r Permit #: � 0{— O 2/ 3�
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as
a condition precedent to issuing a building permit, require the completion and require [he retum of, an owner-
builder verification. •
A[[ention Property Owner:
An bwner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and retum this information in the envelope provided a[ your earliest opportunity to avoid
unnecessary delay in processing and iss�ing your building pern�it. No building permit will be issued until this
verificatian is received.
L I personally plan ro provide �e major labor and materials for construction of the proposed
property improvement. ��Yes ❑ No
. I(have/have not) signed an application for a building permit for
the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address
Pho�e ( )
City _
Contractor's Lic. No.
4. I plan to provide portions of the work, but 1 have hired the following person to coordinate,
supervise and provide the major work:
Name
Address _
Phone ( )
City _
Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name
104L46 (Rev.11104)
Address
Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of
California Health and Safety Code and have completed the above infortnation to the best of my personal
knowledge, in compliance with this State law. —__.
,Signed: `
` ` ' Date: / Z �
Name: UAQ-�/ !�(�o n�4 .
(Printed o� Typed)
C.D.L. # OR S.S. #
call City of Costa Mesa Building Division at (714) 754-5273.
1062-a8 (Rev.11104)
June 1,2007
CITY OF COSTA MESA
P.O. BO%1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Gary & Alice Wong
10121 Theseus Dr
Huntington Beach CA
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS:
92646-5454
B06-02138
Re-roof
949 Dogwood St., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements
or alterations at the above address. Per the 1997 Uniform Building Code, Section
106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the
date of your last inspection for the project.
Our records do not show an inspection for these permits within the last 180 days nor
have they had an approved final inspection. If you have a signed inspection card
showing that an inspection was made within 180 days, or that the final inspection was
approved, please contact this office so we may correct our records. If you do not have
an approved final inspection, your permits will expire on June 15, 2007. Additional fees
will be required to finalize expired permits.
Renuestinq an inspection—If you need to request an inspection please call our
Inspection Request Line at 714-754-5626.
Requestinq an extension—If you wish to request an extension, requests must be made
in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing
circumstances and listing an estimated date of completion.
If you have any questions, please contact the Building Division at 714-754-5273,
between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The
accuracy of records affecting your property is our goal and we appreciate your working
with us to resolve this matter.
Sincerely,
Mary Jane Weidenkeller
Office Specialist II
Builtling Division (714j 754-5273 • Code Enforcemen� (714) 7545623 • Planning Division (714) 7545245
FAXQ14)754-4856 • TDDpt4)754-5244 • wvs,v.ci.costa-mesa.ca.us
July 3, 2007
i'
CITY OF COSTA MESA
P_O- BOX 1200 • 77 FAIR ORIVE • CALIFORNIA 92628-1200
DEVELOPM1IENT SERVICES DEPARTAIENT
Gary Wong
949 Dogwood St
Costa Mesa CA 92627-4116
BUILDING DIVISION
EXTENSION NOTIFICATION
PERMIT NUMBERS: 606-02138
FOR: Re-roof
PROJECT ADDRESS: 949 Dogwood St., Costa Mesa
This is to advise you that the request for an extension on the above permits has been
approved by Ed Petros, Chief of Inspection. The extension is valid for 180 days. The
new expiration date of the permits is December 29, 2007. You may call 714-754-5626 for
inspection at any time prior to this date or your permits will expire. Additional fees will be
required to finalize expired permits.
If you have any questions, please contact the Building Division at 714-754-5273, between
b:uu a.m. and v:3� p.m., anti a Sieii ineinuei wiii da5i6i yGu. v�vc cNNicGicic'y'vui '.'.'0��{��y
with us to resolve this matter.
Sincerely,
Ma ane Weidenkeller
Office Specialist II
8uilding Division (714) 754-52�3 • Code Enforcement (714) 754-5623 • Planning �ivision (71a) 754-5245
PAX (714) 754-4856 • TDD (714) 754-5244 • �wntLi.Cos�a-mesa.ca.us
--'� r'
tion Request
Requested Inspect Date: Friday September 28 2007
Site Address: 949 6bGWOOD ST CfVI
A/PID Information
Activity: BO6-02138 Type: BLD SUB Sub Type: ROOFRRIP Status: ISSUED
ConstType: V-N Occupancy: Use: Insp Area:
Owner: WONG, GARY
Applicant: WONG GARY Phone: 714-964-8069
Contractor. O W N Eft-BU I LDER
Description: TEAR OFF REPLACE SHEATHING AS NEEDED APPLY 1 LAYER 30LB FELT AND 30 YEAR COMP.
SHINGLES REPLAC E FRONT FASCIA BORADS
Notice: 10 DAY NOTICE SENT. PERMIT WILL EXPIRE 6/4/07. - WEIDE_MJ
Requested Inspection(s)
Item:
Requestor:
Assigned To:
Aclion:
In�pection Historv
150 MISCELLANEOUS INSPECTION
Time Exp:
Item: 1 BLDG PLAN CHECK
Item: 10 ROOF FRAMING
Item: 11 PRE-INSPECT ROOF
Item: 12 ROOF SHEATHING/BLDG HEIGHT
Item: 31 NPDES/BMP
Item: 60 ROOF DRAINS
Item: 150 MISCELLANEOUS INSPECTION
Item: 200 FINAL RE-ROOF
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
REPT131 Run Id: 5893
PETROS, EDWARD
From:
Sent:
To:
Cc:
/ — �'j , c
WONG,GARY
Thursday, June 28, 2007 10:38 AM
PETROS,EDWARD
KENNERSON, SILVIA
Subject: 606-02138 at 949 Dogwood Street
Page 1 of 1
Ed: Permit No. B06-02135 was taken out 12/15/06 under the RRIP program to re-roof. Due to unforeseen
circumstances, {ran out of money) I need to delay this project a little longer (but before the rainy season). Thank
in advance for your consideration for a extension of this permit.
Gary Wong
Engineering
77 Fair Drive
Costa Mesa, CA 92626
PhOne: 714-754-5671
Fax: 714-754-5028
email: gwong@ci,costa-me_sa_ca_us
07/02/2007
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(714) 754-5273 • Fax (71+1) 754-4856 • www.ci.costa-mesa.g�yK,DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 949 DOGWOOD ST
Suite:
Vicinity:
Primary Occ: R3
Parcel Number: 42252210
Applicant: WONG, GARY
Address: 10121 THESEUS DR
HUNTINGTON BEACH, CA�
Owner: WONG, GARY
Address 10121 THESEUS DR
HUNTINGTON BEACH, CA.
Contracror: OWNER-BUILDER �
Address:
Zip:
Arch :
Address:
' . hone:
, �
Zip: Li nse:
TEAR OFF REPLACE SHEA ING AS NEEDE .
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
$0.60 '
$0.00
$0.00
$0.00
$125.85
SETBACKS
MAINSTRUCTURE Fro 0-0
ACCESSORY Front
PARKING xistin : 0
Type of Construction: V-� \
Zoning:
Phone: 714-964-8069
92646
Phone: 7 -964-8069
2ip: 926
Phone:
License: 000000
Eng:
Address:
Ifl
F'LANNINCi & LUNWCi
ar 0- 0 Lek 0- 0
Rea 0- 0 Left 0- 0
Reauired: 0 Pr000sed: 0
a
BY:
Phone:
License:
ISSUED
12/30/2005
COMP. SHINGLES REPLAC E FRONT FASCIA BORADS
Calc Valuation:
Claim Valuation:
� � �
Right 0-0
Right 0- 0
ss,000.00
ss,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order }or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectione end }Inel approvel must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALI: (714) 7545626
:cno-no �ww�
WORKERS' COMPENSATION DECLARATION: t '
I dereby alhrtn Untler'penalry of perjury one of ihe tollowing declarations: � �
❑ I have and will maintain a certificate of consent to self-Insure for workere' compensatlon, as pmvided for by section 3700 of ihe Labor Cotla, for ihy pertortnance of the
wark tor which this permit is issuetl. _
❑ I have antl will maintain workers' compensetion insurance, as required by section 3700 ot ihe Labor Cotle, for ihe peAortnance ot Ihe work tor which this permit is issued.
My workers' compensation Insurence carner antl policy number are:
Cdrrier: Policy Number.
(Yhis section need nof be completetl il the permit is veluetl at one hundred dollars ($ f00) or less.)
❑ I certify that in the peAormance of the work for which this permit is issuetl, I shall not employ any person in any manner so es to become subject to Ihe workers'
compensation laws ot California, and egree that if I should become sub�ect to the workers' compensation provisions ot Seclion 3700 of the Labor Code, I shall forihwlih
comply with these provisions.
Applicant Signetura: Date:
WpRNING: FAILUFE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDFED
THOUSAND DOLLAFE ($100,000J, �N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OG OF THE LABOR CODE, INiEREST, AND ATfORNEV'S FEES.
UCENSEO CONTRACTORS DECLARATI�N:
I hereby aHirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business antl Professions Code, and my license is in full
lorce and eHecL Lia # Class x
CoNractor's Signature: Date:
CONSTRUC710N LENDING AGENCY:
��, ❑ I hereby aNtrm ihat there is a constmction lentling agency for ihe performance of ihe work for which this permit is issued. (Sec. 3097, Civil Code).
'� Lentler's Name: LendaYs Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm ihat untler penalry of perjury thet I am E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5. Business and Professions
Code: Any ciry o� counry which requires e pertnit to constmct, alter, improve, demolish, or repair any slrucWre, pnor to its issuance, also requires the applicant tor such pertnit
b f��e a signed sla[emant ihai he or she is Iicensa0 pursuaN ro Ma provisions of ihe Conirectors License Law iChapter 9(commencing with Section 7000) of Division 3 ot ihe
Bu6iness antl Professions Code) or ihat he o� she is exempt thereimm and tha 6asis for the elleged exemption. Any violation of SeGtion 7031.5 by any applicani for e pertnit
sublecis ihe eppliwnt to a civil penalry of not more ihan five hundretl tlollars ($500).):
❑ I, as owner of Ihe property, or my employaes with wages as Iheir sole compansalion, WILL DO TME WORK, and ihe sWCWre Is not intended or oftered for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves Ihereon, and who does such work
� selt or herseN or ihrough his or her own employees, pmvided iha� such improvements are not intendetl or oflered tor sale. If, however, the building or improvement is
old within one year of compietion, the owner-builder will have the burden ot proving ihat he or she did not build or improve for purpose of sale.). '
es owner of Ihe D�operty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmc� iha project (Sec. 7044, Business antl Professions
Code: The con�ractors License law does no� apply to an owner of property who builds or Improves thereon, antl who contracts for such prolect with a contractor(s)
license pursuant to Ihe Comractors Licensa Laws.).
0
ID veritied 6y dnvers license.
Ve��i�e�ion ot Ownership by (type ot
Business and Professions Code for this reason:
is ❑ No
i.e. - property tax bill or
No.
/2—
DIV�SION OF INDUS7RIAL SAFE7Y PERMIT CER7IFICATION:
❑ I hereby certify that no excavation tive (5) or more feet in depih into which a person is requirad to tlescend, will be made in connection with work authonzetl by ihis
permi�, and ihat no building simcture, scaflolding, falsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry :, Art 2, Sec.
341, Title 8, Califomia Administrative Cotle).
❑ As owner-builtler, I will not employ anyone to tlo work which woultl require a permit fmm Ihe Division ot Industrial Sefety, es noted above, unless such person hes e
permit to tl0 such work from the division.
Signature: Date:
Division of Industrial Safery Pertnit Number.
CER�IFICATE OF COMPLIANCE PHD AIfTHOR1ZATON OF ENTTiY; 1 certity under penalcy ot perjury Ihal I have read this application end state that the infortnation given is
corract I agree ro comply with all state laws and ciry ortlinances relating to building consiruction, antl authonze representatives ot Ine Ciry of Casta Mesa to enter upon ihe
above-descnbed property for inspection purposes. I agree not to occupy or allow acupancy of any building authonzed by this permit uniil final inspection.
p_o4—
Signatur egal s) Date
And/Or Authorized Applicant Date
��', INSGECTIONTYPE 1jj1jE INTRI
1616 Fizetl System Final Fire Prevention
1266 Paol Spa Final
200
201
202
203
204
Final Re-Root
Final BIOCWRetaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
COUE� INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal �
212 Final Fira Prevention
220 Final Planning Approval
222 Final Site
250 Final BuilCing/Occupency
,w :
CITY �F COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
/ PermitNo. IJv�—O �� ��
PropertyAddress iS�J� DoG�„/ao0 �/ � �"ST.4 Mi'S� Gfi �ZLZlo
CXvner G�,4n-N c,/�9n/4.
_ —,
Contractor
State Contractor License Number
Classification
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform
Building Code, and ihe instalfation insiructions of the manufacturer.
�I further certify that I am the owner of the property. (Owner-Builder permittee only).
I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Building Division
BY:
7�'!�i�
nitiel Data
OJ�JO-a6MW6N� W�ite-BuildingDiv.;Canary-Conlraztw�,Pink-Ownar
Compeny or Corparete Name
� �li Tr� �YPB�'� �
Address
r 6��
Signet � Date
/ (w.�o,Ie.-y W.-✓4.
� Printed or Typed Nama
OwNER GARY WONG
A. .o.11
INSPECTI
SOIL
GAS
ROUGH PL
IINE I I HOl15E CON.
ROUGM MEnTING ANO MR CONOITIONING
FLOOR SYSTEM
BONO 9EAM rl
FRRME ANO FLASHING
LATMING - IN n
HERTING, VENT., REFRIG. AND �.C., F
PLUMBING. FINAL ANO G�5 TEST I—I
DATE 6-10-81
BUILDING PERMIT N0.
SUBCONTRAGTOR
' , CO oT eoxEtzoo CIOD'A M SAFCA I ORNAIA 9 626 T �PLICATION FQR�S�TRI�C�THRA�. PERMIT 39�2�
RECEI D B PERMIT �� � 2
For Applicant to Fill in Completely — Use Ink Only �- '�
BUILDING Li S� A.P. NO. — Z^
ADORESS / � �OC �OD� /. ,/ �/
WN R � f� ADDRE55 �T Dw7��� S�•
NT GA'%L L✓�
ADDRE 5 lf �p S'� SPACE NO.
TR O. LO BLK.
TEL. 1
CITV �SjR. NO. �3�-O L ` � �
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION N �
LENDEF
BRANCH / . Io-�` �
OWNER C_7 l/I/
ADDRE55 USE '%�/%���0 �`�� VALUEs ��.
ARCHITECT TEL.
OR ENGINEER 2
ADDRESS ZONE � TVPE V GFOUP ��+
APPROVED / /O /
CONTRACTOR BV DATE f0
ADDRESS
TEL.
CITV NO.
STATE CITY APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. (FROM C/l STREET)
OF LOT NOW ON LOT RO FT.
VSE OF
E%ISTING BLDG.
Separate perm��s are required for L SIDE Fr.
electric, plumbing and heating work. -
REAR FT.
USE OF BUILDING AND W�RK TO BE PERFORMED PWNNING ACTION
� DATE •�
� APPROVED
APP ED � /� 8
(?
1 hereby ecknowletlpa tho< I hava reatl this eppllcation antl stete °i
n
t�at che eCove Information is correct end apree to comply with
ell Inwa reBuleting builtling conatruction, entl I shell not amploy �
eny person in violation of the workman's comp¢nsation laws of m
Me Smte Of CBlifomla. �� .:
m
I hereby cartify that 1 em Properly Iicanmtl es e<onVector untlar SQ. FT. c+
tha Smte of Calitornla Bua��au antl Professions Cotla, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that such licaneas are in full force enC aftaet, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY: �
am oxempt from the provlsions of tha Stete of Californie Buzineu . q
antl ProtasslonsCotle, Dlvis �, Cheptor 9. VALUATION PERMIT FEE E p? 3, Sd m
SIO�ature of /�y//J� � PLAN CHECK E s .J o
Pormltte6 „^ � $ ' �O' TAX E � f
or GyH ON!
AuthorizetlAgent Dato r ����i , TOTALPqID = 39. a� u
,'♦
ORANGE COUNTY BUILDING DEPARTMENT
� ', 636 North Broadwuy • ."
SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
SCHOOL DIST. COB YA MBBA R_J�
OR TOWN
�Ross ST. Republio Ave.
�
BUILDING
OWNER CHO[TAW H011E� ING. ADORE55
MAIL 9363 w��sH�aE B�VD. � SCHoo�o
ADDRESS OR TOWN
EVERIV ILLS 7g�, R.
CITV NO. NEAREST
CRO55 5T.
ARCHITECT`o�c�N S. MCKERRACHER No�' SY.6489t ZONE
ENGINEER �,,�
.�
ADDRESSZ��O E. WALNUT ST.� PASADENA SETBACKL
REAF YARI
CONTRACTOR NEMPORT VISTA CO,ryp� CR.5436t qppROVEO
ADORE55 ( WILSHIRE BLVD.� BEV.HILLS eY �
LEGAL /
OESCRIPTION LOT NO. 'jQCj BLOCK � 7� 2
(ATTACH METES @ BOUNO51
TRACT
SIZE OF LOT 66 X � �O I NOW ON LOT O
USE OF NO. OF NO. OF
E%ISTING BLDG. I F�M�ues ROOMS
DESCRIPTION Of WORK
OF
USE OF NEW
BUILDING
ES
I HEREBV ACKNOWLE7G@ THAT I HAVE READ THIS
APPLICATION AND STATE THqT THE ABOVE IS CORRECT
AND AGREE TO COMPLV WITH ALL COUNTY ORDINANCES
ANO STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF
PERMITTEF �E4 �/'�
AUTHORIZED AGT _.ff/ � /
s 4830.0o P. �. $
VALVATION
APPLICATION fOR PERMIT �
��'�����
FOR OFFICE USE ONLY
RECEIPT NO. PEXMIT NO.
.� .�?� . .S/� � b
BY DATE OF APPL. DATE ISSIiED
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