HomeMy WebLinkAbout1122 CHARLESTON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
BUILDING PERMIT
Job Address: 1122 CHARLESTON ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 14169105 Zoning: R1 R1
Applicant: SELL, RON
Address: 18032 LEMON
Phone: (714)528-1758
YORBA LINDA, CA Zip: 92686
Owner: MARZOLINO, FRANK G
Address 1122 CHARLESTON ST
Phone:
COSTA MESA, CA Zip: 92626
Contractor: SELL ROOFING COMPANY
Address: 18032 LEMON
Arch :
Address:
Phone: (714)528-1758
YORBA LINDA, CA
Zip: 92686 License: 323842
Phone:
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 07/21/2004
Issued: 07/21/2004
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF SHAKE ROOF, SHEATH WITH OSB, COVER WITH EAGLE LITE TILE PER ICBO SPECS. (ICBO 4660)
Plan Check:
$0.00
Permit:
$167.25
SMIP Res:
$0.89
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total: $168.14
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0
ACCESSORY Front 0-0 Rear 0-0
PARKING Existing: 0 Required: 0
NOTES:
FEE SUMMARY
Calc Valuation: $8,900.00
Claim Valuation: $8,900.00
PLANNING & ZONING
Left 0-0 Right 0-0
Left 0-0 Right 0-0
Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2"646 (GW)
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers' compensation insu ince, as r trod by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
My workers'comp dy 1
Ito mor policy nu r are: .. /'
Carder:1 Policy Number: P(o 61 ��
(This section need not be colefed if the erml Is valued atone hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for i this permit is issued, I shall not employ any person in any manner sos to become subject to the workers'
compensation laws of California,"� v` agree th if I sho d become subject to the workers' compensation provisions of Sec on 3700 the C de, I shall forthwith
comply with these provisions. 712/ 0
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINJS UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under.5ootSS 9 (commencing with Section 7000 of Division 3 of the Business and Profes ions Code, and license is in full
force and effect. Llc. a i G 7 _ !r g Class a
Contractor's Signature dza 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).
Lender's Name: Lender's Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more 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 Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or dead):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) teat 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 building occupant need to file a registration form 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 theappplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes 11hlo
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and tiling with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
...................................................................................................................................................................................................................................................................................................................-.......................................................................
4 It 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 aEermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Li Yes LJ No
(Section 65850.2 of the Callfomla 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 It 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 ins? et' n purposes. I a r e�ot to opy or allow occupancy of any building authorized by this permit until final inspection.
S
g atur al Owners to
And/O uthonzed Applica t ate
CODE 1. INSPEcnONTYPE 17ATE INTTTIAL$ CODE r INSPECTION TYPE 26M IfIT7BALS
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 Well 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
JECT
PROWLER'S IIAM 1122 CHARLESTON ST
OWNER'S NAM E:FRANK G, MARZOLINO
aDDRESS:1122 CHARLESTON ST
COSTA MESA,CA 92626
E
ARCH/ENGINEER: (714)662-2632
s ADDRESS:
I 'd
REG.NO.:
UNIT:
UNIT:
PERMITTEE: FRANK G. MARZOLINO (714)662-2632
ADDRESS 1122 CHARLESTON
COSTA MESA CA 92626
LICENSED CONTRAC70H DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that 1 have a certificate of consent to sell insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C).
POLICY NO.: EXP. DATE:
COMPANY:
❑ Certified copy is hereby furnished. ❑ Climbed copy is tiled with the city Building Division.
Dale: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (INS sector, need not be completed If the Permit is for one hundred (SILO( or less).
I certify that in the performance of the work for which this partial is issued. I shall not employ any person in any manner so as to become
Sumac' to Inc Workers' C/pmpensation Laws of California
Date` Signature:. rn ow 0
NOTICE: II, alter r aki g I s declaration, you should ecome subject to the Workers' Comation provisions of the Labor
Code. you must forthwith comply with such provisions or flus permit filed be deemed rev d.
CONSTRUCTION LENDING AGENCY: I hereby allure that there is a construction lending agency for the Performance of the work for
which this permit is issued (Rection 3097, Civ. Q.
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the following reason
(Section 70.71 .5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance. also requires the applicant lot won permit to file a signed statement that he/she is licensed
pursuant to the prowshons of the Contractors State License Law (Chapter 9 (commending with Section 70DO) of Division 3 of the Business
and Professions Code) or that he/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 (S500f.
1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
1-1structureis not intended or otleted for Sale (Section 7034, Business and Professional Code: The Contractors Slate License Law
does not apply to an owner of a properly who builds or improves thereon, and who does such work lemsellihersell or through
his or her own employees, provided that such improvements are Out Intended or offered for Sale. II, however the building or
improvement is Sold within one year of completion, the owner will have the burden of proving heJshe did not build or improve
for the purpose of sale).
I. as owner of the property. am exclusivelyy contracting with licensed contractors to construct the project (Section 7044. Business
1-1 and Professions Code: The Contractors' Stale License Law does not apply to an owner of prom who builds or improves thereon
rtY
and who contracts for such projects with a contraclar(s) license pursuant to the Contractors' Slate License Law). I am aware
that proal of their Worker's Compensation insurance should be provided to me.
,C3 I am exempt under Section :B P 7 0 4 4
h' I/of this reason: / ALL WORK BY OWNER FAMILY
Dale: (p_/_ JoitJ Owner:
h 00
I do hereby pert that I am ai7are of and understand the requirements of Ca om. H Safety tode Secl s 25505, 25533, and
25534 and that I or any learn building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit lot construction or modification from the Air Ouahty Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct. l agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this qty to enter upon the above mentioned
pro party to, inspect Ion purposes.
94
Date' _ Signature
Drivers License or Social Security •:
61
164146 White—Bmldmg: Green—Code Enforcement; Canary—Apptican[ Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 062651
PERMIT NO: B 062651 PLAN CHECK NO: 02164-93 S GOVT; N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; SIR PURPOSE: ALT
JOB DESCRIPTION ; 288SF 'POST S TRELLIS' PATIO COVER SQ FT: 288
CLAIM VALUE; CALC—VALUE; 4,262.40 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THf3US t)Vr,TTOR
xxxxxxxxtxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Z O N I N GS E R T E B Q A U C I K R S E M E N T S REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR; 60 FT IN FRNT; FT IN REAR; FT IN
LEFT; 9 FT IN RIGHT: 20 FT IN LEFT; FT IN RGHT; FT IN
PARKING RE8: PROV: PARCEL: 14169105 ZNE: R1 AEF NO:
PLANNING N TES> ADD AN OPEN PATIO COVER TO THE REAR OF AN EXISTING SINGLE
> FAMILY RESIDENCE,
xxxxxxltxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx>txxxxxxxxxxxxxxxx
D E V E L O P M E N Tp S E R V I C E S R E Q U I R E M E N -T S
ZONING APPROVED BY DATE: (� 3
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY: DATE; b /3
xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxx- xx
stxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxitxxxxftxxxxxxxxxxxxxxxxxxxxxxxxx
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 50
PLAN 46.80 SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—>
PERMIT
ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- >
72,50
0.00 46.80
119,30 119,30
.00
REVENUE DIVISION TOTALS--> COLLECTED• 119.30
OVER/SHORT;
00
BLDG PMT
PLUMBING
ELECTRIC MECHANIC FIRE
SMIP/TOT GRADING
PLAN—CHECK
72.00
,50
46.80
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxatxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I N D I
V I D U A L F E E B R
E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 288 RES—PATIO COVER—POST 6 TRELLIS
END OF FEES
14.80 4,262.40
01 00141190-00141192 T O T 119.30
DATE: 06/18/93 TIME: 08:49
CONT,RUCe'.ON AND PLANNING
APPROVALS Permit;-
Date
Inspector
, JOL & SPA
APPROVALS Permit#
Date
Inspector
1, Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utihty•Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
i
6. Electrical LIFER Grnd
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
'
8. Foundation
59. Gas Pipe, O Undrgrnd., Test
9, Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, O Undrprnd.
;
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
!
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65, Efectrical-Final
15. Rough Electrical -Conduit
66. Solar System -Final
I
16. Rough Electric Wiring
67. Fencing & Access Approval
17, Rough Wiring Sign
68. APPROVED FOR PLASTERING
18, Rough Electrical•T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
'
APPROVALS - Permit #
1
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product.Piping EI Gas 0Oil
23. Gas Pipe- Rough & Test 1
72. Underground Flush - -
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas Ooil
25. Roof Sheathing
74. Overhead Hydro
26. T -Oar Ceiling (Structural) & Stonocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
f
78. FIRE PREV. FINAL
30. Drywall Nailing
31. Plaster Brown Coat
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
32. Electrical Power Meter -Final
(
80. FOOD CERTIFICATE ISSUED
33. Final Electric
{
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hoots or Canopy
'
1
37. Final Factory Fireplace
t
38. Final Plumbing
i
!
' 39. Water Service -Final'
1
40. Gas Service -Final
i
41. Solar Domestic -Final
1
t
42. Backflow Preventer
'
43. Backflow Irrigation
44. Landscape Irrigation rSystem
45. Sound Attenuation-
_ {
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDINGf'/��
48. FINAL PLANNING
I
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51, CERTIFICATE OF OCCUPANCY
No. Date
�
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
F7Applicant to Fill In Completely
PE OR PRINT
BUILDINADDRES
CQSTA MESA, CALIFORNIA
a
FEE RECEIVED
JAN 1 7 1964 I
rrII77LICAiI FIIN((ANC((m
E TTDEPT. zt/
AFPPOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. /gBRµITyQ�
BY
DA fl{ _ _' / JiA/1 , IEEDH
FrA
APPROVED
rn ZONINGS iOn�1'1�I�
O .._. I NO.OPLANSF USEOrN
) LUILDI}!ol
1
NAV. REAO THIS APPLICATION
1
A. P. NO.
CITU n
NOE: NO SAVE OVERHANG SHALL BE LESS THAN
PURPOBB OF gBTAIS
/
TEL. S3I��7
90'70 SIDEB REAR P. L.
LIG. NO. 1 NO.STATE
EAVES
ALLOWED (U. B. C. REQUIREMENT
SIZE I. O�/
I NO, or SLOGS. _
OT 1
OF L{� x
NOW ON LOT
YARDSAPPROVED
YARDSAPPROVED
USE OF
MAIN BUILDING
ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
PERM ITTEMAN
SETBACK LINE PROM
FRONT FT.
FT.
CENTER OF STREET REAR YARD
AUTHORIZED AGENT•
(-0
S
I
R. SIDE PT.
FT.
SIDEYARDI LEFT
RIGHT
TOTAL FEE $
101:V "
DESCRIPTION OF WORK
L. SIDE . PT,
■ EXTERIOR WALL
OP
OMS 6TOR
[OOP
:OVERING
TO BE PERFORMED
VAR.#
BST. MAIN 3
ACCESS. BLDGS.
DATE
APPROVED
/ _ / 4
I HgROSY ACKNOWLEDGE THAT I
NAV. REAO THIS APPLICATION
THE AMOUNT SHOWIyUNDBR VALUATION
IB FOR THE
AND BTATB TNA BOyg I
OCT AND AOg88 TO COM.
PURPOBB OF gBTAIS
LIBHINO A PHgMIT
PBg ONLY.
PLY WITH AL
BUILDING CO
ITY Oq
STRUCT N.
AND TATE LAWS REGULATING
VALUATION
PERMIT FEE $
SIGNATURE P
PERM ITTEMAN
•/�// /�
CHECK
/�
AUTHORIZED AGENT•
�(/��(]
TOTAL FEE $
101:V "