HomeMy WebLinkAbout3102 CORAL AVE - Building Permits0
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APPROVED
CITY OF COSTq MESA
PLANNING DIVISION
SUBIECT TO BLDG. DEPT. REG.
NOTE: ADDITIONS, DELETIONS,
OR CORRECTIONS SHAL[. BE
APPROVED BY'�E PLANNING DN.
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CITY OF COSTA MESA
tO�pM�`q B!/ILDING DIVISION .
i � 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
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� p FOR INSPECTIONS CALL: (714) 754-5626
��� PERMIT NUMBER: B10-00045
PERMIT TYPE B_ROOF2
APN: 13956202
JOB ADDRESS: 3102 CORAL AV CM
RESIDENC E
STATUS:
DATE ISSUED:
- . ISSUED BY:
Suite/Unit:
ISSUED
02/11I2010
KJB
Vicindy. E AND ATTACHED GARAG .-- � � �
Squares: 6000 ' Valuation: $17,000.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF. APPLY OSB SHEATHING AND COVER WITH�30 YEAR COMP SHINGLES. ROOF PITCH
IS 4:t2. SINGLE STORY RESIDENCE. INCLUDES ATTACHED GARAGE. ��
OWNER: TUCKER, RICHARD DALE TR Address: 30515 SEA NORSE CIR - � ' Unit:
PHONE: � - , . , . . , City/State/Zip: CANYON LAKE, CA _ " �:. .
APPLICANT: HAUPT, qQNNA -
PHONE: 310-679-8767 . �
CONTRACTOR: R. HAUPT ROOFING
Address: 1305 W 132 STUnit �� �
Cily/State/Zip: GARDENq, CA 90247
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$0.00
$279:25
$0.00
$1.00
$280.25
Address: 1305 W 132 ST - , . Unit: :
City/State/Zip: GARDENA, CA � . � - , ,
License No. 692361
� � PHONE: 310-679-6767
CELL:
License No. � PHONE:
License No.
FHONE:
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authonzed 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.
CODE /. INSPECTION flPE ORTE INTITIAL COOE tl INSPECTION TYPE OATE INTITIpLS
t616 Fizetl System Final Fi�e Prevention 206 Final Mechanical
12fi6 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof Z 2 � � 210 Final Electrical
207 Final Blxk/Retaining Wa�l 212 Final Fire Prevention
202 Final Factory Fire Plare 220 Final Planning Appmval
203 Final Sign 222 Final Site
� 204 Final Demolition 250 Final Builtling/Occupancy
WORKERS' COMPENSATION DECIARATION: �
I hereby aKrm under penalry of perjury one o( the lollowing declarations:
❑ I have and will maintain a certifcate o( wnsent ro self-Insure for workers'
compensation, as provided for by section 3700 ot the Labor Cotle, for the
e o�mance of the vrork for which this pertnit is issued.
�have and vrill maintain workers' compensation insurance, as requiretl by
� s�tion 3700 of the Labor Cotle. fa the peAormance of lhe v.ork for which ihis
permit is issuetl. My workers' compensation Insurance carrier and policy
numberare:` 1 n I'n --. ����
.FCarrier,� �\/� l�l � 1 J�(
(This section m��etl 1iw10e /co�mpeted �Inne pe�mR u valu/etl� a't o1ne �urMretl tlqdlars (StCp) w less )
. .Dlumtier. r'I � % GJ l 1Y � � � 1C� "I ' � /
❑ I certify that in the Oertormance o( lhe work for which this permit is
issued, I shall not employ any person in any manner so as to become subjecl
to the vrorkers' compensation laws of California. and agree lhat if I should
become subject ro the vrorkers compens [ion provisions of Section 3700 of
Ihe aib ri,` de, I shall forth� �lh �omply t these provisi s.
�� �illb
�Rap11C3rrrsS�gnaWre�. L�e���
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
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensetl un0er provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in ull fo/r�ce nd eKect.
�$ 1 • J las�"�
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C�ywecloYS5lgWiur¢„J ,al
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CONSTRUC710N LENDING AGENCY:
❑ I hereby aKrtn that there is a consWctbn lending agency for the
peAortnance o( Ihe v.vrk fa which Ihis pertnit is issued. (Sec. 3097, Civil Code�.
Lender's Name:
Lender's Address:
Da�e
OWNER-BUILOER DECLARATIONS:
I hereby a(firm lhal under penalty 0f pefjury [hal I am EXEMPT FROM THE
CON7RACTORS LICENSE LAW for the following reason (Sea 7031.5,
Business and Pmfessions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, Or repair any structure, pnor to its
issuance, also requires the applicant for such permit to file a siqned statement
that he or she is licensed pursuant to the provisions o( the Contractors
License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of lhe
Business and Pro(essions Code) or that he or she is exempt iherefrom and
the basis for the alleged exemption. Any violation o( Section 7031.5 by any
applicant for a permil subjects Ihe appliwnt to a civil penalty of not more Ihan
fve hundred dollars (5500).):
❑ I, as ovmer of the pmperty, 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
lhereon, and who does such vrork himsel( or herself or lhrough his or her ovm
employees, provided thal such improvements are not intendea or oKered for
sale. If, however, the huilding or improvemeni is sold within one year of
completion, Ihe ovmer-builder will have lhe burden o� proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of lhe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and
Pmfessions Code: The cont2ciors license Law dces not apply to an owner of
property who builds or improves thereon, and wfio contracts fw such project with
a contracta(s) license pursuant to the Contractws License Laws.).
� I am exempt under sec.
Business and Professions Code for this reason:
SlgnaWre Date
]OS]-46(J/0])
Ovmer ID verifetl Dy tlrivei � license. ❑ Yes ❑ No
. Driver's License No. Evpires:
Verification ot Ovmership by (rype of documenl, i.e. - property lax bill or deetl�'
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cetlify that no excavation frve (5) or mwe feet in depth inro which a
person is required to descenQ will be made in connection with work authorized
by this permit, and Ihat no building slrucNre, scaFfdding, (alsewvrk, or demolilion
or dismantling thereof, will be more than Ihirty-six (36) feet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Atlminist2tive Code).
❑ As owner-builder, I vnll not employ anyone to do vrork which vrould
require a permit from the DiviSion of Indusirial Safety, as noted a6ove, unless
such person has a permit to tlo such work from the division.
Appliranfs SignaWre Dale
Division of Industrial Safety Permi[ 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 threalened
release of a hazardous material? ❑ Yes ❑ No
(Sec[ion 25505 0! the California Health and Safety Code requires, with some
exceptions, that a Business Plan be (led with [he Costa Mesa Fire
Department by every business which has at any one time dunng a reported
year a quantity of hazardous materials equal to or greater Ihan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard tempera[ure and pressure).
2. Does or vdll [he applicant or present or future building occupant need to file
a registration fortn for acWely hazartlous materials? ❑ Yes ❑ No
(Section 25533 0( Ihe California Health and Safety Code, with some
exceplions, requires registration with the Costa Mesa Fire Departmenl by
each business which a[ any one time has on hand a quanti[y of acu[ely
hazardous matenals equal to or grealer Ihan a weight o( 500 pounds, or a
volume ot 55 gallons, or 200 cubic feet of compressed gas at stantlard
temperature and pressure�.
3. Does or vdll Ihe applicant or present or (uture builtling occupant need to
prepare an RMPP (Risk Management antl Prevention Program (or acutely
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 of Ihe Califomia Health and Safery Code provitles Ihat lhe
Costa Mesa Fire Department may require the preparation, certification and
(ling wiN the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with lhe Fire Departmen[.
4. If an RMPP is presently requiretl, has Section 25534 of the California
Health and Safety Code been lully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or fuWre building occupant require for
lhe work which is the subject of this appliwtion a permit for such constmCtiOn
or motli5cation from ihe Soulh Coasl Air Quality Management Dishicl or fmm
any other air pollution Gontrol disMct or agency? ❑ Ves ❑ No
(Sectbn 658502 of the Califomia Govemment Cotle requires �hat Ihe reques�ed
infortnation be lumished on applications for non-residenlial building pertnits).
6. Will any part of the (acility to be constmcied under this permit be within
1000 feet from ihe outer boundanes of a school? ❑ Ves ❑ No
(If "yes". the tacility must meet the requirement of Sections 25534 and 42303
of lhe Califomia Heallh and Sa(ery Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution conirol district or a9ency is required for the work which is the
subject ot this applica[ion, have all of lhe disclosures prescribed by Califomia
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from ihe appmpriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcL I agree lo comply with all state laws antl
city ordinances reqarding Hazardous Materials and Emissions.
Signawre oate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penally o( perjury that I have read this application and slate that
the iniormation given is correcc I agree to comply with all slate laws antl city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon ihe above-described property tor
inspection purposes. 1 agree not to occupy or allow occupancy of any building
authorized by Ihis permit until final inspection.
-gnaWre ot Legal r� ) ^ ' �Daie. � _ I `
f � � �� U
`lwEbrvAeMOnzed'0.VP � �DaIG��
City of Costa Mesa
Building Safety Department
r. o. eox av
Coslc Masa, Californio
CERTIFICATE OF OCCUPANCY N� 2587 C
The Building located at �e�� C<'�dl Eiv"-�^-e t�i}� .. —
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinonces applicable thereto
for a Group � � � Occupancy.
Use of B�ilding `; 6iB1$ A+�artrre3113 t"31cig. +H�aP.t�s3cl�a�+► $e�y„p,(�ca PL+�A +asA ---
Legal Descripfion �� ���9��3� - �
�' ' '(See reverse sida for'Mefes ond Bounds)
Build�ng Permit No. �-� Electrical Permit No.—n�.�"���+? Plumbing Permit No. ��� '
Floor Load $igns have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occ�pied '
until the owner or operator has been issued a valid certificaTe of occupancy by the enforcement agency.
(b) A new certificaTe of occupancy sholl be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof �
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and(or guest rooms as tequired under Sec. 77US�.l (d), Cali4ornia
Adm�nistrative Code, Title 8, Chapter 9, AAicle 8. . .�
Nomber of apartments— 4' and/or guest rooms
ISSUED TO:
Building Official
eY �P�� � . �7►�
DaTe aAu:e a.3. 1969
This Certificafe of Occupancy SHALL BE posfed in a conspicuous place on fhe premises and SHALL NOT BE removed
except by fhe Building Official of the City of CosTa Mesa under Sec. 306 (e) U.B.C. � �o=m SV34—IM-11-&9—S-B P
( 2�59g
C05fA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 7200 'COgTA MESA, CALIPOHNIA B2l2E
For ApplfrnM M FFU In Comp/oNly
TYp� OR PRINT�
owssa 3102 �a F'4 � (,( V e nue �
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