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Home My WebLink About881 CAPITAL ST - Building Permits� (7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �ob Address: 881 CAPITAL ST Suite: Vicinity: ROOF Parcel Number: 42239204 Zoning: Applicant ROB TAYLOR � Address: 8602 LOWMEAD DR ;, ,� "' � - � ' Status: ISSUED Applied: 12/04/2003 Issued: 12/04/2003 : - ��:., f; . Phone: 714-964-8131 - - HUNTINGTON�BEACH,�CA.� - �. Zip: 92646 � � , // � . � �� . .. Owner. DOUGHERTY-,BRAD � ' - � �� ,\ Address i881 CAPITAL ST ' - � "� . - - . .�� / �` � � �� Phone: 949-646-2175 y � ` � _ A /,�i � / V `.i , - - - � i A`.�-� \ � ,. �WSTAMESA,.CA','" _ Zip: 92627 �: �. � .�A �,�A !�' ` �-" : - .�/ . i. ' ' / � ; i i ./ : � � �`� . � _, i , -�\ Coritracmr. �TAYCOR'ROOFING �� '�. 1Address:� 8602 COWMEAD DR �� ' �, � " � ��V�` � . .� ' ; ��.--: Phone:- 714-964-8131 . � ` � � - HUNTINGTON BEACH, CA ' , �- '_ - Zip: - 92646 � License: 784622 �. " - � Arch : � � , , .. . ,...E�9� . .. , . Addressf� " � ' �� ' � ._ Address: � � .. , • ..� Phone: � . � Phone: - i � . � � � � � . Zip: - -� � � , Llcense: � License: � , � �� - - . - -. SCOPEOF PERMIT - -• - - - � TEAR OFF EXISTING ROOF. APPLY 4 LAYER HOTFMOP CAP'SHEET ROOF, 2,600 S.F.•INCCUDES ATTACHED GARAGE. � � � Plan Check: $0.00 Permit: ' $111.25 � SMIP Res: . $0.50 'SMIP Com: -� � $0.00 �_. Other:. .�' . .$0.00 �, Inspection: `. �'� "$0.00 , �� . � t� , V`�,TotaL• , $11.1:-75 � FEE SUMMARY , � _ . � , � , Galc Valuation: ` - Claim Valuation: �' 1 w�•� _ > �- . � �: �� ' PLANNING & ZONING SETBACKS��.� ' � � - . � �' .. MAIN STRUCTURE,Front ; 0-0 � - Rear 0-0 �' . � .. . _ "-. .. . � �� ACCESSORY �F ont � _0- 0 - � � Rear, _ _ 0- 0 � � � _ PARKING Existinp:� o Required: o NOTES: Left '�0-0 _ Lett 0- 0 , � Proposed: 0�, � Right `0-,0. ; . < �. . � Right �.. 0. 0 � : �- � i , $a,�oo.00 sa,�oo.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 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 end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaaac(aroo� � WORKERS' COMPENS,pTION DEFLARATON: � I hereby altirm under penelty of perjury one ot ihe following tleclaretions: � , ! ❑ I heve entl will mainteln a certificate oi consent to setl-Insure for workers' compenseiion, es provided for by sectlon 3700 ot the Lebor Code, for �he'beAortnence of the work for w�ic� t�is pertnit is issued. ❑ I have end wlll maintflin workers' compensation insurence, as required by section 3700 ot ihe Lebor Code, for the peAormance ot ihe work for which this pertnit is issuea. My workere' compensation Insurence wrrier antl policy number are: Carner: Policy Number: (Thls section need nof be wmpleted i/ the pertNf Is valued et one hundred dollars ($100) or less.) I certity ihat in Ihe DeAormence of ihe work for whi i ihis pertnit is issue4 I shall noi employ any person in any manner so as to becoma subject to ihe workers' compensation laws of Calitorni , antl egree Ihat if shoultl become subject to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall torihwith comply with these provis' s. �/ Applicent Signature: Data: �2 � I a� WARNING: FAILURE TO SECURE WORKEfiS' COMPENS ION COVERAGE IS UNUWFUI MlD SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL flNES UP TOONE HUNDRED THOUSPNDDOLURE�5100.0OO�,INADDITIIXJTOTHE TOFCOMPENSATION,�PMAGESASPROVIOEDWRINSECTION3%O60FTHELABORCODE,IIJrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl untler pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code, and my license is in full force end eHecL Lic. q �— Class k CoNracior's Signa�ure: �Date: � 2" a CONSTRUCTION LENDING AGENCV: ❑ I �ereby aflirtn Ihat there is a construction lending egency for the pedormance of the work for which Ihis permit is issuetl. (Sea 3097, Civil Code). Lender's Neme: Lentler's Atltlress: SigneWre: Date: OWNER-BUILDER DECLARATIONS: I hare6y ettirm thet under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, eusiness ana Professions Code: Any ciry or county which reQuires a permit to constmct, elter, improve, tlemolish, or repair eny sWcture, prior to its issuance, also requires Ihe applicant for such permit to file e signed statement t�et he or she is Ilcensetl pursuant to the provisions of ihe Contractors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 oi the Business entl Protessions Code) or thet ha or she is exempt therefrom and the besis for the alleged exemption. Any violation of Section 7031.5 by any aDPlicant for e Oermit subjects the applicant to e civil penelry of not more ihan five hundred tlollers ($500).): ❑ I, es owner of Ihe properry, or my employees with weges es iheir sole compensation, WILL DO TME WORK, and the sirucWre Is not intendetl or oHeretl for sale (Sec. 7044, Business and Protassions Code: The Contractors License Law does not apply to an owner of property who builds or improves �hereon, antl who does such work himsel� or hersetl or through his ar her own employees, pravided that such improvements era not intended or oHered tor sele. If, however, Ihe building or imp�ovement is soltl wi�hin one year of completion, the owner-builder will heve lhe burden of proving that ha or she did not build or improve for purpose of sale.). � ❑ I, as owner oi Ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, eusiness and Professions Code: The cantrectors License Law does not apply to an owner of property who builtls or Improves thereon, antl who coniracts for such projecl with e coniractor(s) license pursuent to lhe Contractors License Laws.). ❑ I am axempt under sec. Bu5ine55 end Protessi0n5 Code tot this reason: Signature: � Date: Owner ID verified by driver's license. ❑ Ves ❑ No Drivers License No. Eapires: Vedfication of Owners�ip by (rype ot tlocument, I.e. - pmperty ta: bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby cerlity that no excavetion five (5) or mora feet in depth into which e person is requiretl to tlescend, will De ma0e In connection with work auihonzed by this pertnit, and Ihat no building siructure, swflolding, telsework, or demolition or dismentling thereoi, will be more Ihen ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Adminisirative Cotle). � ❑ As ownao-builder, I will not employ enyone to do work which would require a permi� from t�e Division of Industrial Setery, as noted ebove, unless such person hes e permit to do such work irom Ihe tlivision. SignaNre: Date: Division of Industriel Setery Permit Number. CERTFlCATE OF COMPLIANCE AND AllTHORVATON OF ENTRV: I certify under penalry ot perjury that I have read this application and slate ihat tha intormation given is correct I agrae to comply with ell state laws and ciry ordinances rela�ing �o building construction, end euthonze represenietives oi �he City of Costa Mesa to enter upon the above-describetl propeny for inspection puryoses. I agree not to occupy or allow occupancy ol any buiiding authonzed by this permit umil tinal inspection. COUE /. INSFECTIONTYPE 1616 Fl:etl System Final Pire Prevention 1266 Pool Spe Final 200 Final Re-Roo� 201 Final Block/Retaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition PAJ� 1[�JdLi L_ "l!j [� eooe� ixsvernoxTrve 206 Final Mechanical 208 Final PlumDing 210 Finel Elecirical 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Final BuildincyOccupancy f2- o��ea .3 Data P� UiiID�L� � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: 881 CAPITAL ST 42239204 Applicant: DOUGHERTY,BRAD Address: 881 CAPITAL ST Owner: Address Phone: 949-646-2175 COSTA MESA, CA . � - ` Zip: -92627 DOUGHERTY,BRAD , 881 �CAPITAL ST � COSTA MESA, CA Convactor: OWNER�BUILDER Address: . �' Phone: 949-646-2175 ' � ', Zip: 92627 � Phonei' : , Zip: . . .... ` �License:t �000000 � 700 ff SCOPE OF PERMIT � UPGRADE TO A iS�AMP. SUBPANEL. ISSUE FEE Temp service test Res. a/c package New Res (1-2 uniLs) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl � Res Appl Service to 200a � � Service to 1000a Service over 1000a Motors to thp � Motors to 10hp Motors to SOhp Motors to t00hp Motors over 100hp Communicalion drops Sub panel to 200a Pole Light Pkg Sign Circuits Quantity $23.50 $0.00 $0.00 - $0.00 0 $0.00 0 - $0.00 0 $0.00 0 $0.00 0 $0.00 0 " ' $0.00 0 � , �' ' ' $0.00 , 0 �$0.00. � -. r�_. � -_ . . $0.00: � .�0��, .� $0.00 �;� � : ..p , $0.00 � � =_0�� " $0.00,� �b- � � $0.00 , � 0 ' � - $0.00 .- �.0 �-, � ,�$0.00 � 0� , , �- $0.00� ` � � 0 , $30.50 �- � � 1 - $0.00.;� .:...� . $0.00 � ' -0 -' � R c Status: ISSUED Applied: 10/11/2002 Issued: 10/11/2002 ISSUED BY: Temp Dist System / Lighting Busway /100'tf % , Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ..............:.up to 10 kva/kw ..........:......up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Winng System / Ckt Misc. Conduit , . _ . , Misa Conduclor " Circus ( gen or ride) Circus (mech ride or lighls) � ChrisVnas Tree Stand Fireworks Stand � Other Electrical Fee , Investigation Fee ' Plan Check,Fee � `� �Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 30.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremems under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) I 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 cotles, antl all requl�etl inspectlons 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) 7545626 244838 (fl/00� WORKEqS' COMPENSA710N DECLARATION: �, , I �ereby effirtn undar penelry of perjury ane af t�e �ollowing declarations: "' ❑ I have end will meintain a certifiwte of consent to self�lnsure tor workers' compensation, es provided tor by section 3700 of the Lebor Code, tar thepeAortnance o1 the work tor whic� Ihis permit is issuetl. � ,.' ❑ I have end will meintain workers' compensalion insurence, es required by section 3700 of ihe Lahor Cotle, tor ihe peAortnance of �he work tor which this permlt is issued. My workers' wmperysation Insurance wmdr and policy number are: Cerrier. Policy Number: (This section need not 6e completed i! fhe permif is valuetl af one hundred dollars ($100J oNess.) ❑ I ceniy Ihat in the Dedormence of the work �or which ihis permit is Issuad, I shall not employ eny pereon In any manner so as to 6ecome subject to the workers' compensation laws oi Califomla, end agrep thet if l should bacome subject to Ihe workers' compensation provisions of Section 3700 of the Lebor Code, I s�all forthwilh camply with ihese provisions. Applicant Signeture: Date: WARNING: FAILURE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYEii TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000�. IN ADDITION TO iHE �T OF CAMPENSATION, DAMAGES AS PROVIDED WP IN SECTIqJ 9060F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: I hereby aflirm ihat I em licensed untler provisions of Chapter 9(commencing with Saction 7000) of Division 3 oi ihe Business and Professions Code, antl my license is in full torca and eMec�. Lic. k Class # Contractor's Signature: Date: � CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm t�at Ihere is e constmction lending agency for �he OeRormance of the work for which Ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Atldress: Signature: Date: OWNER•BUILDER DECLARATIONS: I here6y eNirm Iha� untler penalty ot perjury ihat I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing raason (Sec. 7031.5, Business and Professlons Coda: Any ciry or counry whic� requires a permit to consiruct, alter, improve, demolish, or repair any siructure, pnor to its issuance, elso requires the applicant for such permit to file a signed statement t�at he or she is licensed pursuant to the provisions ot the Coniractors License Lew (Chapter 9(commencing with Sectlon 7000) ol Dlvision 3 of ihe Business and Professlons Code) or t�at he or sne is exempt theretrom end t�e basis for the alleged exemption. Any violetion ot Section 7031.5 by any epplicent for e pertnit subjects �he applicanl to a civil penelty oi not mofe ihan tive hundred dollers ($500).): � I, as owner of Ihe properry, or my employees with weges as their sole compensation, WILL DO THE WORK, antl the siructura Is not intentled or otterad for sale (Sec. 7044, Business antl Professions Code: Th6 Contractors License Law tices not apply to an owner of properry who Duilds or improves ihereon, and who does such work himselt or herseli or Ihmugh his or her own employees, provitletl that such impwvemems ere not intendetl or oflered lor sale. tl, however, ihe building or improvement is sold within one year ot completion, ihe owner-builder will hava the 6urtlen of Droving that he or she did noi build or improve for purpose oi sele.). ❑ I, as ownar af tha property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRAGTORS to construct the project (Sec. 7044, Business antl Professions Code: Tha comrectors License Law tloes not epply to an owner of pmpetly who builtls or Improves Ihereon, and who contracts lor such project with e contrector(s) licen5e pur5uant to ihe Coniraclors License Lews.). ❑ lam ventied bv dr'rGafs license. Venticatian oi Ownership Dy (type ol _ Business and Protessions Code lor this reason: �oare: 1 �L a2 �� ❑ No Driver's Lice� No. � �� E� es: 7�R� �S property tax bill or tl A�� DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetlity that no excavetion fve (5) or more feet in depih into which e person is required to descend, will be metle in connection with work aut�odzed by this permit, end ihat no building simcNre, scafloltling, falsework, or demolition or dismantling Ihereof, will be more then Ihirry-six (36) feet high. (Chap. 32, Carp 2, Atl 2, Sec. 341, Tltle B, Callfomie Administrative Code)� ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of Industnel Safery, es noted above, unless such person hes e permit to do such wark trom tha division. Signature: Date: Division ol Industrial Safary Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORW7�ON OF ENTHY: I certiry under penalry of perjury that I have read this ap0lication and stata that the information given is covect. I egree to wmply with all state laws and ciry ordinances relating to building consiruction, end authorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe ebove-tlescribed prope y for inspecti purposes. I a r not to occupy or allow xcupency of eny building authorized by this,permit until finel inspection. ..�� o%/o� �--\ ign alOwne AnNOr Authorized Applicent Date CODE �. INSPELTIONTYPE 1616 Fi:ed System Final Fire Prevention 1266 Pool Spa Final 200 Final RaRoof 201 FIne1 B1ocklReteining W e11 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition PAIE Ixmu�s CODE� INSiECTONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approvel 222 FinalSite 250 Final Building/Occupancy � �:� ' _ _,,- #'i8�9 COSTA MESA BUILDING DEPARTMENT ' •� P.O.B0X31� GOSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN MESA. CALIFORNIA MAIL ADDRE55 � � TEL./�j CITY NCV�//� ARCHITECT ��. LIC. �� OR ENGINEER NO. nnnoecc �� CONTRACT01i. /�f NO. ��.,,�, Q/ TEL. , AODRE55 /�7�(,///w NO. � o[scRivnorv NOT �� BLOCK TRACTp�,O� A.P. NO. SRE NO.OF 9LOG5. OF LOT nlOw ON LOT USE OF EXISTING BLDG. SETBnCK LINE FROM � cervreA oF sra[[T C� REAR YARO SIOE YARD RIGHT � LEFT �J ��', DESCRIPTION OF WORK NEW ALTERATION � AOOITION REPAIR MOVING ❑EMOLISH BUILDING NO.OF SIZE ROOMS STORIES EXTERIOR WA�.�.� ROOF � fovca�Nn /ii�w/� COVERING� /�/ . STPTE THnT THE FBOVE IS CORflEQ PNO tGREE TO COMPLY WITX RLL CITY OROINANCES TN� STATE LA�NS REGIILATING �BVILDING CONSTRUC- TION. EL JRr�4)V 1�"�V�"'�V /�!/[�H// _+.{�� SIGNATURE PERMITTE � �EE RECEiVED �� , FINANCE DEPT. APPLICATION�.FOR �PE!RIVI�I.Tp .BUILDING , FOFt OFFICE USE ONLY .."""", _..._ .. � 6- -c e� G- BIJILDING - A�DRESS COSTA MESA. CALIFORNIA FIRE ZONE 20N //t PLSNS TYPE I / 4 ��/ APPR VED BV DATE (tf�CORRECTIONS kFC � Q l p( f </ �/ � VAL ATION C . , PERMiT FEE $ 3�J- �� $ / �Qo�� PLAN CHECK $ .S_� TOTAL FEE $ O veMi s -a. �c� � '�� -