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Home My WebLink About961 CORONADO DR - Building PermitsWORKERS' COMPENSATION DECLARATION: I hereby aKrtn under penalty of perjury one of the (ollowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided lor by section 3700 of the Labor Cotle. for the performance ol the work for which this permit is issued. ❑ I have and will maint2in workers' cwnpensation insurance, as requiretl by section 3700 of the Labor Cotle, Iw ihe peAortnance o! Ihe work for wfiich this permit is issuetl. My vrorkers' wmpensation Insurance carrier and policy number are: ///]]]�� [C2rrier: ��,r��..,,.� _ (iNssetlunneaEnolce1cwnpeteC Nepemraisvaluedatrnenund200aEars(5/00)aM.ss.) rPdicy.Number: � Y�g7�t 19 ❑ I certify that in the pertormance of ihe vrork for which this permii is issuea, I shall not employ any person in any manner so as to bewme subject to Ihe workers' compensdtion laws of Califomia, and agree that if I should bewme subject to t�e workers' compensation provisions of Section 3700 of the L/a ��oy6�d e, I shall forthvrith comply with these pmv,isyions. 17K� "I �27�� A�SSiBnature /-Ua�¢ �._ WARNING: FAILURE TO $ECURE WORKERS' COMPENSP.TION CAVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am liCensed under provisions of Chapter 9(wmmencing with Section 7000) o! Division 3 of the Business antl Professions CoOe, and my license is in tuall force a tl efiect. �7 �1 vg. DO� �Class:#.. C.— 7 1 "�r- ��17 Cmt2tla'sSiqnaWre � i�— G--.v - CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that mere is a conswction lending agency fa the pedortnance ot the v.ork for wtiich this permit is issuetl. (Sec. 3097, Civil Code�. Lenders Name: Lender's Address: Sipndlure Oale OW NER-BUILDER DECL4RATIONS: I hereby aKrm thal under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or lhe following reason (Sec. 7031.5, Business and Protessions Code: Any city or county which requires a permil to consWct, alter, improve, demolish, or reDair any strucWre, prior to its issuance, also requires �hg applicant for such permit to file a signed statement thal he or she is IicensCd pursuant to the provisions o( the Contractore License Law (Chapter 9(Commencing with Section 7000) of Division 3 of Ihe Business anC Pmiessions Code) o� 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 pertnit subjecis the applicant to a civil penalry of not more than five hundred dollars (5500J.): ❑ 1, as ovmer of the properry• or my employees wit� vrages as their sole compensation, WILL DO THE WORK, antl the slructure is not intended or offered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves Ihereon, antl who dces such work �imself or herself or through his or her own employees. provitleC that such improvements are not intendetl or oflered tor sale. If, however, the building or improvement is sold within one year of completion, Ihe ovmer-builder will have t�e burtlen of proving that he or she di0 not build ar improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CON7RAC70RS to construct the project (Sec. 7044, Business antl Protessions Code: The coniractors License Law dces not appy to an ovmer of property who builds or improves thereon, and who cont2cts for such project with a cantracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SignaWrp 305]�48 (3IW) Ovmer ID verifietl by driver's license. ❑ Yes ❑ No Dnvers License No. Expires: Verification o! Ownership by (lype o! documenl, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity thal no excavatbn frve �5) w more feet � depth into wfiich a person is requiretl to descentl, will �e made in wnnection vrith work autlwrized by this pemiR, and tbat no buAding sWclure, scaFfdding, (alscmvrk, p demWitbn or dismantling thereof. will be more Ihan thiny-s& (36) feet high. (Chap. 32, Gry 2. M 2. Sec. 341. Title B. Califomia Administrative Cotle). ❑ As ovmer-builtler, I will not employ anyone to do work which would require a permit from Ihe Division o( IndusVial Satety, as noted above, unless such person has a pertnil to do such work Irom Ihe tlivision. Appliwnl's SignaWre Date Division of Industrial Sa(ety Pertnit Number. HAZNRDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture building occupant need to file and certify a Business Plan �or emergency response to release o� threalenetl release of a haiardous material? ❑ Ves ❑ No (Section 25505 0! the Califomia Health and Safery Code requires, vnth some exceptions, lhat a Business Plan be filetl with Ihe Cosla Mesa Fire Department by every business which has al any one time Gunng a reportetl year a quantiry o! hazardous materials equal to or greater than a weight of 500 pounds, or a volume o! 55 gallons, or 200 cubic teet of wmpressetl gas at slantlartl temperaNre and pressure�. 2. Does or will the applicant or present or luture building ocwpaN need to fle a registretion form !or aculely �azardous matedals? ❑ Yes ❑ No (Seclion 25533 0l lhe California Heallh and Sa(ety Code, with some eaceptions, requires registration wilh Ihe Casla Mesa Fire Department by each business which at any one time has on hand a quantity of acu[ely hazardous materials equal to or greater than a vreight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre antl pressure). 3. Does or will the applicaN or presenl or future builtling occupant need to prepare an RMPP (Risk Mana9ement and Prevenlion Program (or acutely hazartlous materials)7 ❑ Yes ❑ No (Section 25534 of the Calilomia Health and Sa(ery CoOe provides Ihat the Costa Mesa Fire Department may require the preparation, certifcation and fling vrith the Fire DepaAment of an RMPP Dy Dusinesses which are required ro register acutely hazardous malerials v+ith Ihe Fire Department. 4. II an RMPP is presently required, has Section 25534 of the Calitornia Health and Salety Code been fully complied with7 ❑ Yes ❑ No 5. Does or will the apP�icant or present or (uture building occupant require for the vrork which is the subject of this application a permit for such construction or modi(cation from the South Coast Air Qualiry Mana9emenl Di5Mc1 or from any other air polNtion control tlistricl or agency? ❑ Yes ❑ No (SectiOn 65850.2 of the Calilomia Govemment Cotle requires that the requested intortnation be fumished on applications fa nOn-residential building pertnits). 6. Will any pan ot me tacility to be wnswcted under mis permit be within 1000 feet from the outer poundaries of a school? ❑ Yes ❑ No Q( yes", the faCiliry must meet the requirement of Seclions 25534 and 42303 of the Califomia Health and Satery Code). 7. If a permit from the South Coast Air Qualiry Management DisMct or olher air pollution control district or agency is required for the work which is Ihe subjecl of Ihis application, have all ol Ne Oisclosures prescribed by Calitomia Health and Safery Cotle Section 42303 been matle? ❑ Yes ❑ No B. Qf'yes", attach certificate ol wmpliance from the appropriate air polNtion wntrol oKcer�. CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury Ihe infortnation given above is cortect I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signawre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat the intormation given is conecL I agree ro wmply vrith all state lavrs and cily ortlinances relating to builtling construction, antl authonze representatives of the Ciry of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by ' rmit until final inspection. //��a��` InLeBaI eqs) W�tJen. / 'r/Cf/l ��1... �Gl�i�J�i— / - L /' l � C�C�lwlnwze0AP71iwn( 'pq`� r CITY OF COSTA MESA � ��` MF'tq BUILDING 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 �°"°"`� PERMIT NUMBER: 610-00279 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 14155624 DA7E ISSUED: 09/27I2010 ISSUED BY: RMD JOB ADDRESS: 961 CORONADO DR CM Vicinity: HOUSE AND GARAGE ROOF Squares: 2556 Suite/Unit: Valuation: $2,050.00 SCOPE OF WORK: REROOF OVER ONE EXISTING LAYER OF COMP SHINGLES WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARGE, APPROX 2556 SF. COMPLIANCE FORMS A7TACHED TO JOB CARD AND CITY PERMIT. OWNER: WILSON, CHARLES R Address: 961 CORONADO DR PHONE: 714•540-9136 CitylStale2ip: COSTA MESA, CA APPLICANT: RASOA, DEEDEE Address: PHONE: 714-034-2525 CirylState2ip: CONTRACTOR: NUMBER 1 BEST ROOFING CONSTRUCTION License No. 722805 Address: P O BOX 4367Unit: PHONE: 714-034-2525 Ciry/State2ip: COSTA MESA, CA 92628-4361 CELL: ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $83.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 License No. License No. PHONE: PHONE: Unit: Unit : TOTAL FEES $84.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Fritlay - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibilied all hours - Sundays and the tollowing Federal holidays NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work musl comply with all applicable codes, and all required inspections and final approval musl be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. L� INSPECPONTYPE D� IN Al �F� INSPECIIONiYPE 0� IN AL 7816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �{ 208 Final Plumbing Z00 Final Re-Root /� Q� _ro �� 210 Final Electrical ZOt Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Pla[e 220 Final Planning Approval 203 Final Sign 222 Final $i�0 204 Final Demolition 250 Final Builtling�Occupancy Certificace oi' Residentia/ Alteratio�ts Y�ijecP7Wm�e: n B !, 1 � �Jpy� Rcyidential rte'Lunc % Cr-i R-AL7' (Pa��e. � 01 il jI n uf Sturies I �;.. AR�I{S I�LW Fl CAT107� SUM fl1AP.Y The enlorcemem ugcner xhou/d ynl� sneciol ut�antion m lhc HL/tS h•lenseu�e.s e'pecifiet/ m thi� -� checldis� Lelnrc. A cmnuleicd aid sioned CF41( Fornr /or nll the nreua�w�es specified shnl! Le s�uLmiued in li�� building inspecla� Lefare� fmnl 1)uC(�SL•nlinpd:7�e5li�l�e HE/(�'vm•iJicniianisrayuiredl��'�hian�cnsnre. ' ❑ �'GS ❑ NO 1'CS: Jn Climu�c Zones 1 and 9-16, if more thaii 4b linear feei of nr.�r or re:pincement [luc�s are insinlled in wiconditioncd SPTCC, lI1C (IIICIS iIIC l0 �C SCi1IC(I �lCl' yIS2(��IUII LIl(I IIIC 11L'Wly inswlled ducts arc �o bc insula�ed pei 1151(fl)U.� ❑�XCCP'P10�: Lxistine duc� systems th;n an+ exteuded; which nr� cuusu�ucted, iusuiaied ur senle[I with asbestos. ❑ Y�S ❑ NO 1'P.S: In Ciimam'Loues 2 anJ JJG, if tl�e existing space-conditioning spsiem (HVAC equipmem anA ductinoi is replaced, the � ducts urc m 6e sealed per �152(6)1Di. � ❑ YES Q NO l'�S: ]n Climate Zones ^_ and 9-1G, if the enistiug HVAC equipment is replaced li�iduding tlic replacemem o1 Ihe air handler, � outdoor coudensing unii of a splii system, cooliug or heating coil, or the fiirnnce lieai exchan�er) [he ducts are to be sealed pei § 152(b)1 E. ❑�XC�I'T]ON: Duct sVstems tLat are dncumented tu h:rve b¢en pruviuusly sealud cunfirmed thruugh FI�P.S ' �� verification iu accordance witL procedures in the Relerenec Residenti:d Aypendix PA3. � � ❑�XC�PT70f�: Duct systems with less diau 4U linevr teet in uncouditiune� spuce. . ❑�S:C�PT10�: Existin^ duct s�B[ems construc[ed, insulated or sealed with aSLestos. 12efrigerant Charee - Split SyStem HGRS veri)ication is require�%or thi.s meusw'c. ❑ Y�S ❑ NO YGS: ln Climate Zones 2 and F-li, wl�en the existing HVAC equipment is replaeed (including Ihe replacement of the air handler, outdoor condensing uni� of a split system A/C or iieat pump, cooling or hea[ing coil; or the iumace heat exchanoeri a refrieerant charee measurement shall be verined ner t 152(bl]F. Centrai Fan Inte�rated (CFI) Venfilation S,Ystem and Fan V�'ati DraH- The ventilation renuirements oT §15Dfo) do not aonh� tn existine residentiat homes. Ducted SpliY Systems - Air Conditioners and Heai Pvmns: AirfloH� HcR:S verriicarim� ia reguirec! for rhis nreoa�ure. ❑ Y�S � N 0 YES: ln Climate Zones ] 0 throiigh 15. when [he existing space-condi[ionino system (H VpC equipment and ductmgj is reolaced, Ihs azr�ou� and ian watt draw sl�all be veri5ed ner §152(b)) Ci tn meet the requarsments of & li 1(fl7B. Compan��: :ion Author's Declaration Statement that this Certif�cate of Comnliance documemetinn is Signamre: r Address: n r� �� /' � p i ' r (J •r e e�i-a I�l�� . �-t�- �l 2 6 2 La�e: l� v or � CEPE _Z ��io�isible 73uilding Desi�nur'a� Decl:u�atiuc Statemeut 1 am eligible under Division i of ihc Qdifomia Business und Prolessions Code iu uccepi respunsibiliq� for the builciing design identiGed m� this Ccrtif�cate of Coinpliancc. 1 ccrtify thai thc energy feawres und pertarmancc speciGcnlion:• fnr the building d�sign identiGed on tliis Cerlif�icute ol' Compllance conlonu tu thc rcquiicmcnts of Titic 24, 1'�itt:; 1�ind G oi� Ihe Caliiorniai Code of 1legulatimts. The building desigu fwtures identiGed on this Certificntc nf Cumpliance are cunsis�uni with thc in(ormatiun pruvided tu ducumem thio: building dC51�;11 011 lll: OlI1Cf ilj)�)IlCili)Il' GUpI�)IIilI1CL IOlI715, WUI'I:SI1CCl5, CllILL1IJl10pS, I71ilq:, illl(I 5�)CCIGGilh011:'. tiLIIlO11LlC(I LU thc cnlorccinem i�eencr faraonrov�d with tiiis buildinL nermii �innlic�tian. Ntimc: �.OID�)8�1�•. 51@naturc: Ilale: Liceuse. Tnr a.r.cistrmce ar qucstinrr;: regruvfing the Li�erer S7nndru�tl.s, enmacr dic Lnm•or Hnttine ut: 1-b'O0-i i2-33UU. leegisu'aiian IJiuniier" ltegisvoiion Da�e/Tintc: P/LXS' I'rnvicier: 200f:7(esidentiul Cun;nlimicr Tnnns iitigus7 3001 tiat Residentin( A![eratio�is 3200T'1NG PRUDUCTS (COOL ROOI�S) §757��2 WGen !he aren nf rxterinr rnojs�vjnce m be replared ecceeda mnre thnn 50:5 less, thr. nein rnn�ng nrcr� mna'! weef tlrc nmfiug prnducl "Cna! �Clim�ue 7.��nc # rxis7ing ronf ureo, or mnre (6an 1,1100 j�, nj§I52(L)/!!i, ]52(GJ!//ii, or J52(6J7f/iii. � 3 of is' ChecA applicable nllernntive nr ecception belo�r if Uie rooJahern�ion is exempi,(i�nm Uie rnofiirg praduci "Coa! kanf.'. reryuiremenq�. Note: If on�� one of dre ullernoiives or ezceptiou LeloH� is checked, die �Iged Solar IteJlecmnce nnd 7/ierma( Gmif�uncr. r•eyuiremc�v.s fnr roofing produc�s iir '¢7l8(i) mr nor app(icaGle. Do not fill �aGle belaw. ` ❑ C I Roofs Not Required in Climate Zones I-12, 14, and i fi with a Loe� Sloped. Less or 2:12 pitch. onl Itoofs Not Required in Climate Zones I through ) and 1 G wiili a Steep-Sloped Roofs (pitch greater thnn 2:12) and product unit weight less Jlernutives lo §152(b)IHi aud §152(b)Hii, Stcep-slupc roof �iitclr > 2:12J �C] Insulation with a Ihermal resista��ce of at leust 0.65 hrft��°�/6tu or at Icast.� 3/4 inch airvsp.ice is added to the roof deck over on attic; or ❑ Existing ducts in the nttic are insulated and sealed according to §151(Q10; or ❑ In climate zones I Q�] 2 and 13, with I ft''-of free ventilmion areu of attic ventilution for every 150 ft� of'attic flopr erea, and where at least 30 percent of the free ventilation arca is within 2 teet venical dismncc uf the roof ridge; or D Building has at least R-30 ceiling insulation; or O Building bas radiant barrier in �be attic mee�ing the requirements oT ¢] 51(�2; or ❑ Building has no ducts in the attic; or ❑ In climate wnes 10, 11, 13 and 14, R-3 or greater mof deck insulation above vented attic. Exception to §252(b)1Hiii, Low-slope roof (prreJr <::12) ❑ Buildin� has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; pho[ovoltaic panels end soiarthertnal panels are exemp� from the beiow Cool Roof criteria. ❑ Roof constmctions that have thermal mass over the roof inembrane with at least 25 Ib/ft is exempt from the below Cool Roof criteria. Notc If no 1. Thc Pmduct ID Num6er� can plience methotl cannot be usetl, use iom the Roofin Products "Cool Rc RoofSlope ProductWeight 2:I2 > 2:12 < Slb/ft2 >_ Slbk to Aged Solar Reflectance3'4 0� ❑4 �a �� ❑° Thertnal Emittance L�di[ole !he lype ofproduc/ is Leing mcAfar �he roof rop, i.c. singlrph� roaf, arplmfl r'nof, mem! rnof, elc. 1(tl�e Aged Hepenmice ir uoi available in.tl�r Coal lioofHming Cmmcil'a� Raied Po�nrLmi Direcior�� lhen+ue d�e Inilinl ReJleclmme vu6ic fi�oni dre snnie dii'ec�nq•and uselheegtmlion(0.?+OJ(/��-0.1J�oobminncolculaiedagedv�luc. Wherepiid�clnilinlSolarlteJlec�nr¢c. Cfieck Lo.r iflhe Aged fleQecinnce is n cafcula�ed volue irsing !he eyuarimr aLove. Cnlculaie Ilte SRl vaL�e l�p using ihe Sli/- Work.theel al huud/wum• ener�� rn env/lillel4/and emer Ihc rcauliirtq vn6�c in !6c SH/ Column above ond ouach a<onv of the Sli/- IVorks6ee� m dre CF-lli. i apply Liyuid I�ield Applied Cuatings, the eooting must be applied ecross the entim ruof surface and meet the dry mil thickness or eoverage commcnded by the coatings manufocturer and meei minimum performancc requirements listed in §I IS(i)4. Select the applicable coating: Aluminum-PigmentedAsphall fLoofCoating Cement-Based Roof Coating Gther Regisn�utlm� Number: Regi.r�ra�ion Duic/Time: FIERSYravider: 2008 2esidentiul Complinnce Fnrms' � Augusl 2009 Prescripti��e Certificate ui' Com ilia�._._: liesidential . Re.sidentiu/ Alterntin�as �,.�,�,,,�: CI,a.�G.� iJ� I��m ///' �General lnfnrmatiuu �� Silt Address: � I ��.�.� �_I ,� L�dorcement P �y� BuildingType ingle Pamily ❑ MWti Family I Circie the FroN u�t�: ��27 S, W, or degrees CR � 7' Condiiiunetl Floor Aren (CPA): Yrojecl Type: ❑ AlterationS O Envelope O Fenesvation CJRtoof O H\'AC ftcplacement or Chnnee Out ❑ Duci ILevlacemem ❑ Water Heater NOTE: This fi�rm ix no� m he used /nr Ne�olr Cnnairucied llnildin�;s nr dddi�iorss' In.rulntinn Vnluca For Opaquc Sur(nrea (lor Furring vsc tlic A4as.t und Furring Sb�ips Co�xs�ruc�ion loGle beloeJ " Assembl)' A�ter:rtiun 'Q"Opening of trnmeA cnriry' aione- Alterations lhn� irtvolrc die apening oJlhefi'anred cavfry� ofn wall, cerliilg, o� :J1oor musl insml! !he mandaiorn mininnm� insiduiiai nnfue per �'/SO,jor ihe n6ered ass•emblr. Fi/l in Lbtumns A-C and enter mandaion� insulaiion v�lue in Colurnn H. ❑ Repiucement of cntirc ussembly-Reylucemem ofan eniire wall, cei(ing, orfloa' assemblp re9uires �he ins�alfa�ion ofComponenr Puckuee- D insidntinn values in Table IS/-C. Fill irr Columns A-J. . $IIY��i1CC ll0t8115 Rur Uie Iurred Is C Tael I Assembly ID' orTv[ No�e: For iurred assernblie�, oTMass Walls sec U- ser �urring Strips Construction Ta61e belon�. �P G I �H' �- �I� Values From JA4 Table Framed Continuous J� JA4 Table Caviry lnsulation Asse Number' R-value� R-Yalue' Cell' use � m�d 1. Fa' TngllD indica�e the idemi�m�ion name thui mntches Ihe building plans. 2. Indicnte �he Assemblp Name or rype: R00%/Ceiling, Walls, Floors, Sla6s, Crawl Space, Daors and e�c...lndica�e the Frame rype and Size: For N�ood, Memf, Metal Uiiildinga�, Nlass, emer 2s4, 3xG, m� etc... see JA4 fm� other possible f"amc rype assenrblies. 3. Erarer the Uiidmess fa� mass in inches or Spacing berlveen fi�aming memGers emer; 1 G"m� 24 "'OC; or Other fm� aff olher asa�embl�� descrip�ion such as Cnncre�e Sundwich Punel, Spandrel Pm�el, Logs', Su�aw l3ale Panel and e�c.... � � . 4. Bused nn Ihr Cltmaie Zone; enter !he Slandm�c! U facior fi•om Table 15/-li, C ar D for each dif(erent assemblp Name a� type. 5. Enter t6e TaG1e numGer ihai closelp re.remGles �he proposed asa�embh�. !. Lmer the R-ralue dia� is� heing insmlled in ihe wull cavip� m� berwecn (he fi'aming: olhe�wise, enier "0 ". 7. En1er 1he Cnntiirunus lnszrluriar 2-i�alue I��'the propared aes�emhlP; alhenvi.re, enter .'0,'. d'. Lnier die rnH� and cnlumn o/rhe U-fncmr valur. 6osed nn Cnlunm F Table Number and emer !he da�sernblp U-fucior in ColLmn J J. Tl�e Prapn.xed dse'emb/v L1-fnc�or, Cnlunm ,/, musl be equal m ar less lhan the SlandarA U-%acinr in Cohm:n E lo ronrplp. Fun�ing Strips Construction TaUle for Mass N�alls Only A R C U 1? T G H 1 .1 IC L M I'roposed I'ruperties nf Masunr)' :�nd Cuncretc Added Interior ur �zteriur L�sul:rtiun \0':dls Prum Reference in 1�urring Space f�rom Relerence Juint A �cudia Tablc 43.5, 4.3.6. A.3.7 Juinl A endiz 7'ablc 4.313 V � R 1 � - !J ° u. ` o �- �-. �' J �� v AStiCI11F1I)' t-U � � o.R � � a�`_ �'v ="_• Final Mass Nanx oi JAd TaMc - �: � o F R o = A _ � r A55cmbly Tbicknus' T m' Nunihei' '� " � = ui : � �. 3 � r �'' uti c U-T8GL01�'� Comment I I I � I Itegin'u'mion Num6e�r ltegi.sira�inn Uuie/Time: tIGIiS Prnvider: 200b' Residen�iul Conrplicuice Form.s Augu.sl Z009 CITY OF COSTA MESA �.�y1pMFy'q BI/ILDING D/VISION a i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us F �. � FOR INSPECTIONS CALL: (714) 754-5626 �'"'°'�� PERMIT NUMBER: 610-00279 PERMIT TYPE B_ROOF2 APN: 14155624 JOB ADDRESS: 9�".1�C.ORONADO-DR"CM'—`� Vicinity: HOUSE AND GARAGE ROOF —�"^' Squares: 2556 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 09/27/2010 RMD $2,050.00 SCOPE OF WORK: PERMIT REVISED ON 09/28/10 TO TEAR OFF 2 EXISTING LAYERS OF ROOF MATERILAS AND REROOF WITH COMP SHINGLES. REROOF OVER ONE EXISTING LAYER OF COMP SHINGLES WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARGE, APPROX 2556 SF. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. OWNER: WILSON, CHARLES R PHONE: 714-540-9136 APPLICANT: RASOA, DEEDEE PHONE: 714-434-2525 Address: 967 CORONADO DR City/State/Zip: COSTA MESA, CA Address: CitylState2ip: CONTRACTOR: NUMBER 1 QEST ROOFING CONSTRUCTION Address: P O BOX 4361Unit: PHONE: Cily/State/Zip: COSTA MESA, CA 92628-4361 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $8325 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 License No. license No. Unit: Unit: : License No. 722805 714-034-2525 CELL: PHONE: PHONE: , ��r�"� .� %��i ��i, - �'�i ' i;� :.�'�: '��;�:��,'/ �� . –� n, ,r • _— TOTAL FEES $84.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Fetleral holitlays New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivino Dav and Christmas Dav NO710E: The woik authonzed by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DA7E 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 obfain inspections and final approval will result in the expiration of this permit. CO�t. INSPECTIONTYPE D� INTf11AL5 COOEt INSPEGTIONTYPE �pTE INIrtIALS 1616 FiaeO System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 20B Final Plumbing 200 Final Re-Roof �y �� h�� 270 Final Electrical 201 Final Blwk/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/OccuOanc,y WORKERS' COMPENSATION DECLARATION: 1 hereby aHirm under penalty of perjury one of the following aeclarations: ❑ I have and will maintain a certifcate of consent to sel(-Insure for workers' compensation, as provided for by sec�ion 3700 of the Labor Cotle, (or the peAormance ol the work for which this pertnit is issuetl. ❑ I have and vrill main[ain workers' compensation insurance, as required by section 3700 of the Labor Cotle, fa t�e peAwmance of the vmrk fw which this pertnit is issuetl. My vrorkers' compensation Insurance carrier and policy numberare�� Cerrier: _ �i (ihSsec�onneed�rotbemm^7drefIetld�( }epeimfavaluetlatonenundretlodiars(St00Jwless.) �Pol�cy Number: �S� / `f' 1 Y ❑ I certily Ihat in the pedormance o( the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws o( Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Ihe Lab I shall forthwith comply with these pronvisions. o �/�� y ��O �I � Appliwnt§ SignaWre �ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN A�DITION 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 aKrm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code. and my license is in full force an flecl. L'ic-#' � �� C�# C—�� ..ZY-((� ti,Conlractor's Sienawre Date c'"�--�".� , CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm Iha[ there is a construcfan lentling agency for the peAormance of the work lor wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender s Name: Lender's AOtlress: OWNER-BUILDER DECLARATIONS: I hereby affirtn Ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW foi ihe following reason (Sec. 7031.5, Business and Pmfessions Code: Any city or county which requires a permil to consWct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed slatement lhat he or she is licensed pur5uant to the provision5 of Ihe COntraclors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempt therefrom and the basis for the alleged exemption. Any viola[ion o( Section 7037.5 by any applicant for a permil subjecls the applicant [o a civil penalry of not more lhan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees vrith wages as their sole compensation, WILL DO THE WORK, and Ihe strucWre is not intendetl or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors license Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, providetl that such improvements are not intended or offered for sale. I(, however, the building or improvement is sold within one year o( completion, the ovmer-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct the project (Sec. 7044, Business antl Professions Code: The contrectors License Law dces not apply to an owner o� property who builds or improves thereon, and who conlracts for such project with a contractor(s) license pursuant to Ihe ConVactors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 305]-66 (3ro]) Ovmer ID verifietl by tlriver's license. ❑ Yes ❑ No Driver's License No. Ezpires: Verification of Ownership by (rype of document, i.e. - properiy tax bill or deetl�: DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N: ❑ I hereby certdy that no excavation (ne (5) or more feet in depth into wfiich a person is required lo descentl, will be made in connection vrith work authonzed by this permit, and that no building structure, scaffdding, falsework, or demolition or dismantling Ihereof, will be more than thirly-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Tile 8, Califomia Administrative Code). ❑ As ovmer-builder, I will not employ anyone to do work which would require a permit (rom ihe Division of Indusirial Sa(ety, as noted above, unless such person has a permit to do such vuork from the division. Appllwnfs SignaWre DiviSion of Industrial Satety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to fle and certify a Business Plan for emergency response to release or threatened release o( a hazardous material? ❑ Yes ❑ No (Section 25505 0( the Cali(omia Health and Safety Code requires, with some exceptions, Iha[ a Business Plan be filed with the Costa Mesa Fire Departmenl by every business which has at any one time dunng a reported year a quantity of hazardous materials equal ro or grealer than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o! compressed gas at stantlartl tempereture antl pressure). 2. Dces or vrill the applicaM or present or fuWre building occupant need to file a registration fortn (or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 ot the Califomia Health and Safery Code, with some exceplions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazartlous matenals equal to or greater than a weight of 500 pounds, or a volume ot 55 gallons. or 200 cubic feet ot compressed gas at stantlard temperalure and pressure). 3. Does or will the applicant or presenl or (uture huilding occupaN need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Heallh antl Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are required ro register acu[ely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0( Ne California Health and Safery Code been fully complied with? ❑ Ves ❑ No 5. Does or will the appliwnt or present or future building occupant require tor the work which is Ihe subject of [his applicalion a permil (or such conSWclion or modifcation fmm the SoWh Coas[ Air Quali�y Managemenl Dislrict or from any o�her air polWtion control dislrict or agency7 ❑ Ves ❑ No (Seclion 65850.2 of the Califomia Govemment Code requires Ihat the requested infortnation be fumished on applications for ran-residential building permits). 6. Will any part of the facility [o be constructed under Ihis permit be within 1000 feet fmm the outer bountlaries of a school? ❑ Yes ❑ No Qf "yes", the facility must meet lhe requirement of Sections 25534 and 42303 of Ihe Calilornia Health and Safery Code). 7. If a permit from the South Coast Air Ouality Manaqement DisMct or other air pollution control tlistnct or agency is required for the wnrk which is ihe subject of this application, have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance (rom the appropriate air polWtion coNrol officer). . CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty o( perjury that I have read this application and s[ate Ihal the information given is cortect. I agree to wmply vrith all state laws and ciry ordinances relating ro builtling consWction, and authorize representatives of the City of Costa Mesa to enter upon the above-0escribed property for inspeclion purposes. I agree not ro occupy or allow occupancy of any building authorized by this permit until fnal inspection. Si al r ol Legal er(s) Dale �i� l;e., !�� _ 2� -I � Analor AulbonzeE Npplit3nt" ^' � 41Bte� � � ?.`.? . COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. 60X 917 COBTA MEBA. CALIFORNIA For Applieant fo Fill In Completely TYPE OR PRINT ADDRess 961 Coronado Drive COSTA MESh CALIFORNIA 1 MAIL Corona del Mar Lot 33 Tract 42�SF%ed�399/�' ■ �V SEP 6 1981 F�NANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only fiEGHIR NO. 16RNRI110.i DATB 19HUCD No: 3�4220e COSTA MESA. CALIFORNIA FIRE �p�/— �_ ZONE TYPE GROUP� " i APPROVED 61ZE No. oP B�oae. oF �or 6510 S F NOW OH lAT non USE OF E%ISTING BLDG.N�ne 88TBACK LINe FROM � � iTn[eT 49 REAR YARD 2�4 � I LEFT 5' I RIGHT S�3�� DESCRIPTION OF WORK I X II ALTERATION I II ADDITION I 59'9"x50' E%TERIORWp LLWOO[1 ROOF COVBRING t1 SCUCCO COVEBII U6E OF BUILDING AND WORK TO BE 6 ,._,..,..,.. 1 ZONING ZONB�J I PLANB � UIIDING � � L[OAL ��/� . / � T �� YARDS EVE6 APPROVED ALLOWED �cermn uxe er.� FRONT `� � FT. � IN. R. SIDE "'�� Ff. 3 IN. L.SIDE 'S FT. IN. REAR Z � FT. IN. BYPROVED [ti�6) DATE �/�'r/`�` � Living Area 1405 S F GaraAe Area 432 S F e�c. - erea �t � r I XEREGY ACNNOWLEDGE TMAT 1 HAVB nun rx�e I��PLIGTION TME AMOUM BXOWN UNDER VALUATION IG PDX TH6 •ND 8TAT8 THAT TXE ABOV¢ 18 CORRECT AND AORBB TO COM• pURP096 OP, EBTABLIBHING A PeRMIT vee OxLY. PLY WITM ALL GIiY ORDINANCEB AND 6TATH U1W8 11H6ULATNO Bu1LDINa CON8T1tuCiloN. VALUATION ? �+ SIGNATURE OF esa Del Mar Development Co PERMIT FEE $ -1 .J � H PERMITTE �j o By: $' 15,326.00 p�,p,N CHECK $ � /'SU AUTHORIZED C� TOTAL FEE 52.50 0