HomeMy WebLinkAbout1017 DAMASCUS CIR - Building PermitsCITY OF COSTA MESA
BUILDING DIVISION
i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.caoms
F
�. FOR INSPECTIONS CALL: (714) 754.5626
PERMIT NUMBER. 1307-00940
PERMIT TYPE B_R00F2 STATUS: ISSUED
DATE ISSUED: 09/24/2007
ISSUED BY: RMD
JOB ADDRESS: 1017 DAMASCUS CI CM Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF:. ..
Squares: 2600 - _ -- Valuation: $8,500.00
SCOPE OF WORK: TEAR OFF,(E) ROOF MATERIALS, INSTALL A MINIMUM OF 1 LAYER OF 30# FELT AND REROOF WITH EAGLE
LITE, CAPISTRANO LIGHT WEIGHT TILES 5.5 PPSF (ICBG # ER -4660) ON AN ATTACHED HOUSE AND- r
GARAGE, APPROX 26 SQUARES: REPAIR AND REPLACE SHEATHING AS NEEDED. v
OWNER: RODRIGUEZ, PABLO R TRUST- Address: 1017 DAMASCUS DR Unit:
PHONE: 714-928-4656 -'.- City/State/Zip: COSTA MESA, CA
APPLICANT: RODRIGUEZ, PABLO - ` - Address: 1017 DAMASCUS DR Unit:
PHONE: 714-928.4656 - City/State/Zip: COSTA MESA, CA
CONTRACTOR: OWNER -BUILDER License No. 000000
Address: Unit: - - PHONE:
City/State/Zip: CELL:
ARCHITECT: - • License No. , PHONE:
ENGINEER: License No. - PHONE:
FEE SUMMARY
Reroof Plan Check: $0:00
Reroof Permit Fee: $1'67:25
Reinspection Fee: $0.00 . '. I::
TOTAL FEES $167.25
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 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.
CODE I
INSPECTION TYPE DATE INTmALS
CODED
INSPECTION TYPE DATE INTmALS
1616
Fixed System Final Fire Prevention
206
Final Mechanical
1266
Pool Spa Final
206
Final Plumbing
200
Final Re -Root
210
Final Electrical
201
Final Block/Retaining Wall
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
WORKERS' COMPENSATION affirmDECLARATION
I hereby under penalty of perjury one of the ollovnng declarations:
❑ I 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 insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carder:
(This sectm needrot be mmplered d the oerns is valued al ane hurdled wirers(steel orless.)
Poli
CL7 _I -certify that in the performance of the work for which this permit is
issued I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the L or Code, 1 hill hwilh comply with these provisions,
IA Iickn Signatur
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 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 provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
Lic. # Class #
Contractor's Signature Date
CONSTRUCTION LENDING AGENCY:
❑ I 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 huoarecf 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 contractor(s) license pursuant to the Contractors License Laws.).
❑ lam exempt under sec.
Business and Professions Code for this reason:
e�gna_liure V_
3057�6 (W07)
Owner ID verifietle. ❑Yes E] No ,
Driver's License Expires:- oca Jt 91
Verification of Ownership by (type of document, i.e. -property tax bill or deed):
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) feet 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.
Applicant's Signature
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 the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
fling with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If 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 application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished cin 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. If 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
B. (If 'yes attach certificate of compliance from the appropriate air pollution
control officer). _
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
informationgiven 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
inspection purposes. I agree not to occupy or allow occupancy of any building
auth zed by this p it unt I insperction.
Signature of Legal Owner(s) - 1. Dale
And/or Authorized Applicant Date
Sr/ LEGACY REPORT
ER -4660
Reissued June 1, 2003
ICC Evaluation Service, Inc. Business/Regional Office 85360 Workman Mill Road, Whittier, California 906018(562) 6990543
Regional Office 8 900 Montclair Road, Suite A, Birmhgham, Alabama 35213 Is (205) 5999800
VOWW.icc-es.org Regional Office at4051 West I'lossmoor Road, Country Club Hills, Illinois 60478#(708)799-2305
Legacy report on the 1997 Uniform Building Code TM
DIVISION: 07—THERMAL AND MOISTURE PROTECTOR
Section: 07320—Roof Tile
EAGLE AND EAGLELITE INTERLOCKING CONCRETE
ROOFING TILES
EAGLE ROOFING PRODUCTS
3546 NORTH RIVERSIDE AVENUE
RIALTO, CALIFORNIA 92377
1.0 SUBJECT
Eagle and Eaglelitern Interlocking Concrete Roofing Tiles.
2.0 DESCRIPTION
2.1 General:
2.1.1 Eagle Tiles: Eagle conventional -weight interlocking
concrete roofing tiles are produced in high-profile
(Capistrano), low -profile (Malibu), and flat -profile styles With
either smooth surfaces (Bel Air Standard, Bel Air Estate or
Bel Air Double Eagle) or textured surfaces (Ponderosa
Standard, Ponderosa Estate, Ponderosa Double Eagle or
Ponderosa Golden Eagle). Ridge and rake trim units are
produced to match each product.
The tiles are composed of Type II portland cement,washed
sand, and proprietary additives. Mineral coloring oxides are
added to or are mixed with portland cement and water for
surface application following extrusion. Units are cured under
controlled temperature and humidity conditions. Tiles are 17
inches (432 mm) long, 123/, inches (315 mm) wide, and
nominally'/2 inch (12.7 mm) thick. They are manufactured in
either flat or profile style with '/,-inch,rdide (19 mm)
interlocking sidelaps designed to resist surface water
penetration and maintain proper alignment. All tiles have
protruding head lugs on the underside, which provide for
mechanical attachment over wooden battens, or provide a
stable foundation for nail attachment to solid decking. Two
nail holes are provided in each tile for use where halftiles are
needed st roof edges, chimneys, skylights, etc. Approximate
installed dry weights with 3 -inch (76 mm) head laps are 9.5
psf (46 kg/m') for Capistrano tiles, 9.5 psf (46 kg/m') for
Malibu tiles and 10.0 psf(49 kg/m2) for Ponderosa and Bel Air
tiles.
2.1.2 Eaglelite Tiles: Eaglelite tiles are produced in the
same size, manner and shapes as the conventional -weight
Eagle tiles described in Section 2.1.1, except for substitution
of lightweight aggregates and additives for sand. Approximate
installed dry weights with 3 -inch (76 mm) head laps are 5.7
psf (28 kg/m2) for Capistrano tiles, 5.5 psf (27 kg /M2) for
Malibu tiles and 7.0 psf (34 kg /M2) for Ponderosa and Bel Air
tiles.
2.2 Installation:
2.2.1 New Construction: Installation shall be in accordance
with the Concrete and Clay Roof Tile Installation Manual for
Moderate Climate Regions. See evaluation report ER -6034P.
2.2.2 Reroofing: Eagle tiles, as desedbed in Section 2.1.1,
provide a Class A roof when installed over existing asphalt
shingle roofs. Care should be taken to ensure both horizontal
and vertical alignment on the roof. Foreign matter must be
cleaned from all interlocking areas. Cracked or broken tiles
must be removed from the roof. Damaged or rusted flashing
should be replaced. Existing framing must be adequate for
the additional load. Structural data verifying adequacy should
be submitted to the building official. The existing roof must be
inspected in accordance with Appendix Chapter 15, Section
1515, of the 1997 Uniform Building Code Ta (UBC). When
reroofing wood shake roofs, existing shakes must be removed
and solid decking and tile must be installed, as with new
construction. When installed over existing spaced sheathing
boards, underlayment complying with the UBC or an
underlayment recognized specifically forlhis type of use in an
ICC -ES evaluation report, installed vnth or without battens,
may be used. One layer of No. 30 felt or approved equal
underlayment must be installed on the roof priorto application
of tile. In lieu of this underlayment's being provided, the
building official may determine that the existing roof covering
provides the required underlayment protection.
Details not covered underthis section are identical to those
described in Section 2.2.1.
2.3 Roof Classification:
When installed over solid sheathing in accordance with this
report, Eagle and Eaglelite roofing tiles are Class A roof
coverings in accordance with Section 1504.1 of the UBC.
When installed overspaced or solid sheathing in accordance
with this report, the tiles are noncombustible roof coverings in
accordance with Section 1504.2 of the UBC. The tiles are
Class A roof coverings when installed over existing asphalt
shingles in accordance with Section 2.2.2 of this report.
2.4 Identification:
The name EAGLE and the evaluation report number (ER -
4660) are imprinted on each tile. A tag on each shipping
pallet indicates the producing plant location, product
identification and the installed weight. Each Eaglelite tile is
identified by the product name "Eaglelite" on a tag and a light-
colored strip across the headlap area.
ICC-E.4legary repo,. are nor or, be construed as repe,semoig aes,he.n or an, other attributes nor specifically addressed. nor are ,hey to be coal:d as
an endorsement fuse subject ofthe report or a recommendouon for its use. There a no warranty by ICC Evaluation Service. Inc., express or implmd, as a
arlYjndmg or other mailer to ibis report. or as ooony product covered by the report.
Copyrght 0 2003 Pagel oft
2 oft
3.0 EVIDENCE SUBMITTED
Results of tests in accordance with the ICC -ES Interim
Criteria for Clay and Concrete Roof Tiles (AC180), dated
January 2002, and a quality control manual.
4.0 FINDINGS
ER -4660
4.1 Tiles are manufactured, identified and installed in
accordance with this report and the manufacturer's
instructions.
4.2 Tiles are manufactured at Eagle Roofing Products
facilities located in Rialto, California, and Phoenix,
Arizona.
That the Eagle Concrete Roofing Tiles described in this
report comply with the 1997 Uniform Building Code TN, This report is subject to re-examination in two years.
subject to the following conditions:
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FIELD AND TRIM SPECIFICATIONS
OWNER CARPENTER, RON DATE 11-29-78
JOB ADDRESS lm7 ri, i. BUILDING PERMIT NO. 47ln0
INSPECTIONS
Si notura Data
TYPE v GROUP
j ZONE R-1
SOIL%ITS
SUBCONTRACTOR
GAS
Dote Number Si notura
WATER
Plumbing'
ROUGH PLUMBING
F-
PROP. S.P. LINE 1 1 HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER ❑
ROUGH WIRING
Heating and Vent.
TRENCHES IJ FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM L STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN -1-1 OUT
PLASTER. BROWN COAT
STRUCTURAL FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST Fl
_
ELECTRIC, FINAL
0471 96_76_ 11/_29/78 9,50. TL
COSTA MESA BUILDING -SAFETY DEPARTMENT - "' - - -"
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 r
For Applicant to Fill in Completely — Use Ink Only
AP A ION FOR STRUCTURAL PERMIT
DATE RECEIVED DATE ISSUED
REWV
_��_77_
�1
ADDRESS 01 1 �H/huS ,I L...
^ 1`
OWNER NW.•!N
�7 PE
A.P. NO. 1.Z -.3%D -.3/
MAIL W I� (�qM ^C
ADDRESS LO �l, ' V Ascus
BUILDING
ADDRESS /Oq �� [jp Cl4O
^ AI TEL.
CITY /] �V� TNO.E
TRACT (gD�
LOT_ BLOCK
CONSTRUCTION
LENDER
W
ADD
A
P
BRANCH
OWNER O�J
� 1
ADDRESS
VALUE
S $ O
ARCHITECT TEL. Cyytt Z -L
J
OR ENGINEER w
FIRE
ZONE III YPE� GRO P�
a (f'y��y•y���,I
ADDRESS (gL) VM1 yl.. W1'll-lg.s"
(% n,,
CONTRACTOR tJ {QpYO���� j'�
APPROVED rV DATE
Uw��•BV
ADDRESS Q• U P/1< e^I `Z-
��a—���nn /1 TEL. p6 -��((��
CITY �rw'- NO. S �83'"I
ZONE �Q
R�
NO. NS
PLANS
USE OF NEW Tl
BUILDING
STATE! CITY //
LIC. NO. LIC. NO. V�
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
SIZE NO. OF BLDGS.
OF LOT 'o D NOW ON LOT
(FROM C/L STRE T)
FROM
FT.
USE OFJ�
EXISTING BLDG. S - ' y -
I Z T.
FT
Separate permits are required for
electric, plumbing and heating work.
L. SIDE -I'- FT.
FT.
REAR 3 FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
MAIN BLDGS.
BET. MAIN &
ACCESS. BLDGS.
,.. !n�
t_JLSUp Ar Lam- PTTI,U
VAR.*
C.U.P.46
DATE
APPROVED
APPROVED rp \
1. W
ByQATF
a y
I hereby acknowledge that I have read this appliccaatiioon� and state
that the above information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
Me State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Code, Ivi on 3, Che ter 9.
D
Signature of
Permittee ii
/�(/y
D SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE NLY:
VALUATION
r�
PERMIT FEE E �'
PLAN CHECK $
TAX S
Authorized Agent
TOTAL PAID $
71
r
Pa IO * ,Q,*y
OCT 21-77cMSAO01079 348.46
- 449
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PPLIC TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
R C V BY
L
DATE RECEIVED
0-
ATE ISSUED
W-72
ADIDRESS O 7DING A Ci/ I�•
L
OWNER FOLEY FAMILY TRUST
/�
A.P. NO. �� �� J�
PERMIT NO.
MAIL 2101 E. Fourth St., #100
ADDRESS
NG
ADDRESS NG 1017 Damascus Circle
CITY Sante CA 92705 NO.'543-9471
TRACT 9901
LOT 3S BLOCK
W
%
AL RREPAIR
CONSTRUCTION U.C.B.
LENDER
BRANCH 1010 N. Main St.
OWNER Q (.• S
ADDRESS Santa Ana, CA 92704
d W VALUE
SE G+J In
OR ENGINEER ARCHITECT Hales- ston NEL S47-0862
FIRE
ADDRESS 777 S. Main #105 Clr a 92668
ZONE TYPE GROUP
CONTRACTOR FoleyConstruction Co., Inc.BYPROVE
DAT
ADDRESS Same as above
TEL.
CITY NO.
ZONE
NO. OF
PLANS
USE OF NEW
BUILDING
STATE CITY
LIC. NO. LIC. NO.
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED 14
ACCESSORY BUILDING
SIZE NOFBLDGS.
OF LOT NOW ON LOT O
(FROM C/L ST EET)
ONi FT.
FT.
USE OF
BLDG. N/A
I
FT
_EXISTING
Separate permits are required for
L SIDE FT.
FT.
REAR FT.
FT.
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. SLOGS.
New construction, single family
VAR.*
DATE
C.U.P. 9F.
APPROVED
detached, Plan 4, 3 Bedrooms.
APPROVD aIR
16-120-77
OLD FGR SPECIAl
REQUIREMENTS
I hereby acknowledge that I have read this application and state
that the above Information Is correct and agree to comply with
all laws regulating building construction, and 1 shall not employ
any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
2600 SO. FT. Gar. 658 sq.ft.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
antl Professions Code, Dlvlc n 3, Chapter 9.
VALUATION
PERMIT FEE E CD
PLAN CHECK E
Signature of
e7101
TAX E
Permittee
E
TOTAL PAID E 114
Authorized ga