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Home My WebLink About418 BAY ST - Building Permitsr � � J ' �' _ CITY OF COSTA MESA � � . BUILDING D/VISION F � 77 FAIR ORIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa•mesa.ca.us , �•4�� FOR INSPECTIONS CALL: (714) 754-5626 � � PERMIT NUMBER: 608-00310 PERMIT TYPE B_ROOF2 STATUS: ISSUED ApN: 42624304 DATE ISSUED: 11/04/2008 -' . : - = _. ISSUED BY; RMD , , ' .. ' ,: ; ., •. JOB ADDRESS: 418 E BAY ST"CM ' ' �,, Suite/Unit: t.' Vicinity: HOUSE AND GARAGE ROOF'- � Squares: 2800 � . � � � - . � ' � � �. � Valuation:� �„ ��55,000.00 SCOPE OF WORK: TEAR OFF (E) ROOF MATERIA�S, INSTALL 1 LAYER OF 30# FELT ON A 4:12 PITCHED ROOF AND REROOF WITH METRO METAL SHAKE (ER=5626-1.3 PSF) CLASS "A" ROOF ASSEMBLY ON AN ATTACHED HOUSE AND � GARAGE, APPROX 28 S�UARES. REPAIR�AND REPIACE SHEATHING AS NEEDED. - � -r. � . . O NER: CARICOF, PHILIP C-TR �� '- - � � � �Address. ' 478 E�BAY ST , . Unit: � PHONE: � ', ! ' ' " - ' .; �,City/State2ip: COSTA MESA, CA "� � ' � APpLICANT: JOHNSON;'SCOT7 �-' `''�-� - Address: 136720NKAYHA�CIRCLE� '� �-- " Unit: : PHONE: 714-651-6130 `� �; � � � �. , City/State/Zip: IRVINE; CA � " � ' . �� .. . .. . � . ,- : , . . . _ . . . . , i CONTRACTOR: POPA ROOFING INC �_ - _ .. � - ' . .. _ , ��, License No. � 675902 Atldress: 736720NKAYHAUnit: ' - � � - PHONE: + � 714-778-6294. � - . � City/State/Zip: IRVINE,CA�� . :. 92720 = _ . CELL. � _� � ARCHITECT: __ - _ � � LicenseNo. . ; �: PHONE�`.- � , ENGINEER: � , � - � � LicenseNo. � �� . � •`PHONE: � . FEE SUMMARY Reroof Plan Check: $0.00 . � � �- � � ' � - � � � � � ' Reroof Permit Fee: $14125 . , _ ' _ Reinspection Fee: $0.00 -_, ,. . �:, ,. .:..:., +,. .• ...�r . , i � . . . .., . � f, f � . TOTAL FEES $111.25 � _ � _� � � �' � � � , NOTICE: The work authorized by this pertnit shail comply with all applicable handirap access requirements'under Califomia sWtutes and reiated regulaUons. (Ord. No. 92-28, § 1. 12-21-92) � ' � EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all r9quired inapections and final approval must be obtained. Failure to oblain inspections and final approval will result in the expiretion of this pertnit. GQpFl, ixsaecnoxTrv[ p�g iN71M45 GODEt iNsv�cnoxttre � 'p� � i"mm"u 7816 Fixed Systam Final Fire Prevention 206 Final MachaniCal iZgB Poo15pa Final 208 Final Plumbing � ' 200 Final Re-Roof 210 Final Electrical - 201 Final Block/Retaining Wall 272 Final Fire Prevention 202 Final Factory Fira Place -' 220 Final Planning Approval 203 Final Sign 222 Final Sile 204 , Final Demolition 250 Final euilding/OccuDanq J � WORKERS' COMPENSATION DECLARATION: , � I hereby aKrm under penalty of perjury one of ihe following deGarations:, , ❑ I have anA will maintain a certificate of wnsent to self-Insure foi workers' compensation, as provided for by section 3700 of,the Labor Code, 1or the peAormance of the work for which this pertnit is issued. 1 have and will maintain v.arkers' compensatbn insurance, as requiretl by tion 3700 of the Wbor Coda, ta �he peAamance of the work for wtiich �his pertnit is issued. My vmrkers' wmpensation Insurance cartier and palicy number are: �/�� / �Cartier: -. S'�'?L V � �'� (7/is serfim rieetlnotGe m�ryiehE/Urepemtl R vehicE al me Mrdred dda�s ff f001 akss) '—� /�7 Y6 Y3 Policy Number: ❑ I certify that in the peAormance of ihe vrork lor vfiich t�is permit is issuetl, I shall not employ any person in any manner so as to become subjecl to ihe workers' compensation laws of Califomia, and agree lhat if I should become subject to the x+orkers' compensation provisions ol Sec�ion 3700 of the Labor Code, I sha �� rith wmply wilh these provision � / % 6� App1lWnCs9 ndlure DT,a, ' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENAITIES 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 U1BOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm Ihat I am licensed under provisions of Chapter 9(commencing with Seclion 7000) of Division 3 of [he Business and Professions Cotle, antl my licen5e is in (uil force and effect. � 2 f� J � Lic. #— %• � Z' � Class�# _ �,� y o mmc i9ce ,Date / CONSTRUCTION LENDING AGENCY: ' ❑ I hereby affum thaf ihere is a consWction IerMing agency tw the peAormarice o( the �wrk for whict� Nis pertnit a issuetl. (Sec. 3097. Civil Code�. Lender 5 Name: Lender's Address: 98^a�we Date OWNER-BUILDER DECLARATIONS: I hereby aKrm thal under penalry ol peryury Ihat I am EXEMP7 FROM THE CONTRACTORS UCENSE LAW for Ihe lollowing reason (Sec. 7031.5. Business antl Professions Code: Any city or county which requires a permil to conslruct, alter, improve, demolish, or repair any structure, pr' ry�o its issuance, also requires the�appliwntylor sue�ipe'rinit ro.�le��'clgne statemont thatFhero2she is,�licensed Dursuantfto the�piovislons of�lhe�Corractors Licens'e Law (Chapte�8'(commencingdvntli'3ecilo"n 70�of LD.,�vi�bn 3 of� e Business and Prof¢55fonsJ�od_ekor�h2t he�a;she L exemplithere(ran and Ihe tias�is �for the alleged exemp'lio`n"�ny violalion ot Seclion 70J7.5 by any applicant for a permit subjects ihe applicant to a civil penalty of not more than five hundretl dollars ($500).): ❑ I, as ovmer o( lha properry, or my employees with v2ges as their sole compensation, WILL DO THE WORK, and Ihe struclure is not intentletl or offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who dces suc� xork�himself or herself or through his or �er own employees, provided �hat such improvements are not intendetl or oflereC lor sale. II, however, the builtling or improvement is sold within one year of compleGon, the owner-builtler will have the burden of proving ihat he�or she aid not build or improve for purpose ot saleJ. , ❑ I, as owner of Ihe�property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consWcl the prqect (Sec. 7044, Business and Professions Code: The contractors License Law dces not appty to an owner ol property who builds w improves ttrereon, and who contracts for such projecl with a contraclor(s) license pursuant to ihe Contraclors License Laws.�. ❑ I am exempt under sec. Business and Professions Code for this reason: 905]�d6(3I0]) r� Owner ID yerified by Ario, ense. ❑ Ves ❑�76 '� Driver's License No. F�cpires: Verification o! Owiiership by (type of document, i,e. - property tax bill or deeE): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereDy certAy that no excavatbn Me (5) w more feet m tlepN into rfiich a person is required to descend, vnll be matle in connection wiN �wrk author¢ed by this pertnit. and ihat rro buildifg structure, ScaFfddi�g, false�wrk, a demditpn or dismantling ihereo(, vrill be more than thitly-siz (36) leet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, TUe 8, Califania Administrative Code�. ❑ As owner-builder, I will not employ anyone lo do vrork vRiich would require a permitfrom the Division oflndustrial Safery, as noled above, unless such person has a pertnil lo do such vrork from the division. ApDlicanfs SlgnaWre Division of Induslrial Salely Pertnit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presenl or future building occupant need to file antl certify a Business Plan for emergency response to release or threatened release of a hazartlous mateiial? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Salery Code requires, wim some ezceptions, lhat a Business Plan be filea vrith the Costa Mesa Fire Departmenl by every business which has at any one time during a reportetl year a quantity o( hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of wmpressed gas at slandard femperaNre and pressure�. 2. Does or vrill the applicant or present or fWure building occupant neetl ro file a registration fortn for acutety hazardous materials? � Yes ❑ No (Section 25533 of the Califomia Health antl Safery Code. with some exceptions, requires registration vnm the Costa Mesa Fire Department by each business which at any one lime has on han0 a quantiry of acutely hazardous malerials equal to or greater lhan a weigh� of 500 pounds, or a volume of 55 gallons, or 200 cubic teet ot compressed gas at stantlard remperature antl pressure). 3. Does or vrill the applicant or present or fuWre buiiding occupant need to prepare an RMPP (Risk Managemen[ and Prevenlion Prog2m (or acu[ely hazartlous malerials)? ❑ Ves ❑ No (Section 25534 ot Ihe Calitomia Health and Safery Code provides Ihat ihe Costa Mesa Fire Department may require the preparaUon, cenification and filing with Ihe Fire Department of an RMPP by businesse5 which are required to regisler acutery hazartlous malerials with the Fire Departmenl. 4. If an RMPP is presentty require4 has Section 25534 of l�e Califomia Health and Safely Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future builtling occupanl require for lhe work which is [he subject of this application a permit for such construction or motlification from the South Coast Air Ouality Management Distric� or Irom any other air polWtion control distric[ or aqenty? ❑ Yes � No (Section 658502 of the Califomia Govemment Code requires that the requested in(oRnal'wn bB fumishetl on applications for non-residential builtling pertnits). 6. Will any part of Ne faciliry to 6e wnstructetl under this pertnil be wiihin 1000 (eet !rom Ihe outer bountlaries of a school7 ❑ Ves ❑ No Qf yes', the facility must meet the requirement of Sections 25534 antl 42903 of the Calilomia Health and Safery Cotle�. 7. If a pertnit from the South Coast Air Qualily Management DisUict or oNer air pollulion control dislrict or agency is requireC (or the work whic� is the subject of this application, have all of the tlisclosures prescribed by Califomia Heallh and Safety Code Section 42309 been matle? ❑ Yes ❑ No 8. pf 'yes', attach'certificate of compliance trom the appropriate air poliution wntroi oKcer). ' � ' • CERTIFICATE OF COMPLIANCE: I certify that under�penalty of perjury Ihe information given above is wrrecL I agree to camply vrith all state laws and city ordinances regarding Hazartlous Matenals and Emissions;� ' ' Signalure CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have reatl this applicaGon an0 state that the informaliodgiven is wrtecL I agree to comply wi�h all slate laws antl Gity ordinances relating to building wnstruction, anC authorize representatives of the City of Costa Mesa ro enter upon lhe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit until final inspection. . � e o e wner(s) %// �� D CA_n010 u1M1OnzC4AP01iWn1 G'D21e . ' ` '7�50 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL 1N �:ncr. �v 5 .rrQa_r_ COSTA MESA. CALIFORNIA ADDRESS I,�9 E♦ 1! Yt1 Sti• CITY ARCHITECT (��9�TL &oO� OR ENGINEEfY U.1 C� ADDRE55 �'den �� I•J V LEGAL ILOT OESCRIpiION ryQ, A.P. NO. SRE OF LOT 75 $ USE OF E%ISTING BLDG. SY• BLOCK t. COI�C TEI� � NQ.LZ LIC. ' NO. cirr uc. N0. TEL.} NO.1 � NO.OF BI =�t ��i��v�;.. q-a-sSr c,w, FINR,P;CE DEPT. `��' ^� !`l1STq A4FC� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY COSTA MESA. CALIFORNIA FIRE ZONE ZpryE/ NO.OF TYPE PLAN$ ��Cn APPROVED +.1J7 BY � DATE 2023 CORRECTIONS $ETBACK LINE FPOM � CENTER OF STREET i REAR YARD � SiOE YAftD RIGHT_8� LEFT7� DESCRIPTION OF WORK NEW ALTERATION AODITION REPAIR MOVING �EMOLISH BLIIL�iNG NO.OF SIZE ROOMS STORIES EXTERIOR WALL�, _ _ ROOF �_ Single family residen wSth attached garage. SiATE THiT THE ABOVE IS C flECT FNO RGREE TO COMPLY WITH 1LL CITY OROINANCES iNp'ST WS REGVLRTING Bl11LOING CONSTRUC- r�ON. VALUATION M SiGNATLIRE OF PERMiT FEE S �g�W PERMITTEE /�/� � 16,168�W PLAN CHECK $ 1��VV AUTHORIZED AGENT Ixtice & Cole�ove, I1YC• TOTAL FEE $ 57�� ''"� ' 32 G / COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING IQ G. n/� LV� ADDRESS C> C r�nr r� � OWNER �IL—I P �AR�� CCT'� MAIL ^ c ^ Z ADDRESS T ` - � I • W W • ^ �p � � A TEL. � Z CITV (J�S }i�—� NO. 7 Q CANSTRUCYION BilANCH ADDRESS ARCHITECT � A �'� � � T� TEL.� CONTRACYOR O W kC�N F.i V'1 �dP.�1� ADDRESS T E L. .�_ CITV NO. STATE CITv �- LIC. NO. LIC. NO. SIZE NO.OF BLIX'.S. OFLOT 7S� �O INOWONLOT ' USEOF 1'_�� EXI5TING BL�. T'+�% SIZE OF �'! �/_ x� NO. OF NEWBL�G. L(O ROOMS STORIES� EMERIOR WALL ROOF '' ^✓l COVERING COVERING �R�S�--� USE OF BUILDING AND WORK TO BE PERFORMED �V! � I hereby ack�owlatlBa Met I have reatl this application antl state that the ebtl�e in(o�mation is cOrract antl agree to comply with ell laws ragu�ating builtlinB consttuction, and I shall not employ any p¢rson i� ��olation ot the workmen's compensation laws of ihe State of Califomia. I heraby cartifV [hat I am properly licensetl es e contrector under Me State ot Calitorn(a Business antl Pvofessions Cotle, Divisicn 3, Chapter 9, antl thet ch Iicenses ure in full force entl ettect, or I am ezampt from t e rovisions t t�e State of Celitornia Business antl Professions C , Divislo , Chepter 9. t SIB^atur Parmlttee Authorizatl Be�i duc2s-�oPd16OOio�a# ��*�48.00 CMSA APPLICATION FOR BUILDING PERMIT RECEIV D V DATEFECEI� �-as -: A.P. NO. � O BUIL�ING / //�� ADDRESS 7' VAIUE FIRE ZONE APPROVED -�.5- K , �S— � / IP�� I BUILDING EW � VARDSAPPROVED VARDSAPPROVED V AR. ak BET. MAIN & ACCESS.BL6 DATE APPROVED V 0 � SQ. FT, o THE AMOUNT SHOWN UNDER VALUATION IS FOR j THE PURPOSE OF ESTABLISHING A PERMIT fEE ONLV: ¢ VALUATION ��0� TI . PERMIT FEE 3 $S �/�" PLAN CHECK $ � E �� `o ' LL TOTAL FEE $