HomeMy WebLinkAbout297 BAY ST - Building Permits„ � y"� .
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� CITY OF COSTA MESA � .
� BI/ILDING DIYISION
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= � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us .
�, FOR INSPECTIONS CALL: (714) 754-5626 � ,�
�� PERMIT NUMBEf� 608-00127
PERMIT TYPE B_ROOF2
APN: 42621209
STATUS: ISSUED
DATE ISSUED: 0412112008
; ISSUED BY: BJK
_ ,�:
JOB ADDRESS: 297 E BAY ST CM��� �� '�� Suite%Umt � � � �
Vicinity: RESIDENCE AND ATTACHED.GARAGE � -
Squares: 2800 £' � ” � - Valu�aUon � $9 500.00
bf ,�°yN J��. P�t ' L
, S r 'N�er G �Ae,f i':
SCOPE OF WORK: REROOF RESIDENCE AND'ATTACHED GARAGE: T/O EXISTWG COMP RQOF;�INSTALL NEW 2"X8" FASCIA
BOARDS, RESHEET OVER EXISTING CDX WITH7/'16 OSB, INSTALL 2 LAYERS 15# FELT, APPLY':"CLASS.A "E��!;, . �
30-YEAR TIMBERLINE PRESTIQUE �EIGH DEFINITION SHINGLES." CLASS A MATERIAL AND ASSEMBLY:'CLSS Ar � -
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FIRE-UL 790 LISTED. 2800 SQ FT PITCH 2 6.12 ;;_ � ., i=',
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OWNER: CORN CHRISTOPHER F� '�" Address:.� °� 297 E BAY ST �: Unit: "�
y
PHONE: ., _ � 4 -'� � City/State/Zip� COSTA MESA; CA .�;
APP�ICANT: ALEXS
PHONE: 949-64:
CONTRACTOR: LE
Address: 1653 1/2 Sl
City/State/Zip: COSTA
ARCHITECT:
ENGINEER: ,
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
$18
' s
Address: 1653 1/2�SUPERIOR�AVE � �.`i Unit:
.- City/State/Zip>- COSTA MESA, CA" ; ;i
;d
STA MESA -� ` ` License No. a'.349686
-__ PHONE . 949-6427222'�;'.; ,`
627' � " '" ' - .�CELC �
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NOTICE: The work authorized by this permit shall comply wilh 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 wdes, and all
required inspections and final approval musl be obtained. Failure to obtain inspections and f nal approval will result in the ezpiration of thi¢ permit.
COUE . INSPECTIONTPE UAIE INIIlIALS COOEt INSPECTIONTYPE OATF INTITIRL -
1616 Fixed System Final Fire Prevention 206 Final Mechanical , , '
7266 Pool SOa Final . p ( 2�8 Final Plumbing
200 Final Re-Roof P/� � d � 210 Final Electriwl . ..
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 Flnal Demolition 250 Final Building/Occupancy
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WORKERS'COMPENSATION DECLARAT70N:
I hereby aHirm untler penalty of peryury one of the followin9 decla2tions:
❑ I have and will mainWin a certilcate of consent to self-Insure for vrorkers'
compensation, as provided for by section 3700 ot the Labor Code, !or lhe
�peA ance of the work for which this pertnit is issued.
have aiM will mainWin workars' compensatbn insurance, as required by
sectbn 3700 of the Labor Code, fw the peAortnance of the wvrk for which this
permit is issued. My vrorkers c pensation Insurance carrier and policy
number are: L r/
Cartier. s��lP l,VRA"
(Thk sertion metlnot De oompkfe0 At�ap/er�ma is reluetl al one huMredCalars (Sf001 w�ess.)
Policy Number. ��% �i OD lo
�certify that In ihe peAortnance of the work for which this pertnit is
issued, I shall not employ any pereon in any manner so as to become subject
to the workera' wmpensation laws af Calitomia, antl agree that if I should
bewma `ibjeet lo the workers' compensation provisions of Section 3700 of
theTa , I s f rthwith comply vnth these provisions.
C, �- o2/-O if
ppliten�'s SiB�alure Oate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAC
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 L4BOR CODE, IMEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Oivision 3 of the Business and Professions Cotle, antl
my license is in full force and effect. 2
Lic.# �yg��.6 qass# �C �J�
'�_ n� av-.�./ -08'
, ,or r e Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a constmctbn lending agency for the
per(ormance of the �noAc fp vfiich this pertnit i5 issuetl. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre Da�e
OWNER-BUILDER DECLARATIONS:
I heieby aKrm that under penalry of perjury [hat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the followin9 reason (Sec. 7031.5,
Business and Professions Code: Any ciry or counry which requires a permit to
wnstruct, alter, impmve, tlemolish, or repair any strucWre, 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 Drovisions of the Cont2ctore
License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation ot Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five huntlretl tlollars ($500).):
❑ I, as owner of the properry, or my employees with wages as their sole
compensation, WILL DO TME WORK, antl the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such vrork himself or hereelt or through his or her ovm
einployees, provided that such improvements are not intendetl or oflered for
sale. I(, however, the building or improvement is soltl within one year of
wmpletion, the owner-builtler 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 constmct the project (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law dces rwt apply to an ovmer of
properry vfio builds or improves ihereon, antl wfio contracts fa such project with
a contracta(s) license pursuan[ to the Contractas License Laws.).
❑ I am exempt untler sec.
Business and Professions Code for this reason:
aos�<s�aro��
Owner ID venfietl by drive, ana , Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or tleed): .
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . .
❑ I hereby certify that no excavation frve (5) or more feet in tlepth in[o which a
parson is required to descend, will be made in connectbn with v.ork authorized
by this pertnit, and that no building stmcture, scaffdding, (alsevrork, v demolition
or dismantling thereof, will be more than thirty-s�c (36) feet high. (Chap. 32, Grp
2, AA 2, Sec. 341, Title B, Califomia AdministraMe Cotle).
❑ As owner-builtler, I will not employ anyone to do work which vroultl
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to tlo such work from the division.
Applitanfs SignaWre
Division o( Industrial Safery Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
t. 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 t�e Califomia Health and Sa(ery Code requires, vrith some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one [ime dunng a reported
year a quantity of' hazardous materials equal to or greater than a weight of
500 pounds, or a volume ot 55 gallons, or 200 cubic feet ot compressed gas
at standartl temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safery Code, with some
exceptions, requires regisUation with the CosW Mesa Fire Department by
each business which al any one tima has on hand a quantiry of acutely
hazardous materials equal to or 9reater than a weight of 500 pounds, or a
volume ot 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre and pressure).
3. Dces or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? � Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code provides lhat lhe
Cosla Mesa Fire Department may require the preparation, certification and
filing vnth 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 requiretl, has Section 25534 of the Cali(omia
Health and Safery Code been fully wmplied with? ❑ Yes ❑ No
i
5. Does or will the applicant or present or future building occupan[ require for
ihe work which is ihe subject of this appliwtion a permit tor such construction
or modifcalion from the South Coast Air Quality Management �istrict or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Sectbn 65850.2 of the Califania Govemment Code requires that ttre requested
information be fumished on applications ta non-residential building pertnits).
6. Will any parl of the facility to be constructed under this permit �e within
1000 feet from lhe ouler bountlanes of a school? ❑ Yes ❑ No
Qf yes", the facility must meet the requirement o( Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit (rom the South Coasl Air �uality 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 Califomia
Heallh and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", atlach certificate of compliance from the appropriate air polWtion
conirol officer). �, � - -
CER7IFICATE OF' COMPLIANCE: I certify that under penalty of perjury the
information given above is correcl I agree to comply vrith all state laws and
city ortlinances regartling Hazartlous Matenals and Emissions. � � .
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cenify untler penalry of perjury that I have read this application and state that
the information given is correct. I agree to wmply vnth all state laws and ciry
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon Ne abovedescribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until fnal inspection.
egal er�s) Date .
.. �DiAh.. l�t! -3L1 -OSr
A nzea oa�e
OWNER
��
�W ATER
NOUGN PlOM81NG
�PROP. SWR. LINEI
SPRINKLING SYSTE
MISCEILqNE0U5
ROUGM HEATING AI
TEMPORARY SERVI
1.'
HOUSE COM. U
UR COXDITIONING
OR POLE
POWER �
5 STEEL RE
FRAME ANO FLASHING '
LATHING - IN ❑ OUT n
PLASTER, BROWN COAT
STNUCTURAL. FINAI.
MEATING, VENT., RECpIG. ANO A.C., FINAL
FLUM6ING, FINAL ANO G�5 TEST [�]
ELECTRIC, FINAL
BUILDING. FINAL
Q
■
DATE * g_1_��
SUBCONTRACTOR
PE
�iOWNER HEINEti�. PHYLLIS DATE 3'll-6t5
1JOB ADDRESS 297 E. Bay Street BUILDING PERMIT NO. 28292
ZONE
SUBCONTRACTOR
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• �COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31 �
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
AOORE55
COSTA MESA. CALIFORNIA
OWNER Santa Ana Ranchos
ADDRE55 �{.�.9 E• 1(th S1i�
c�rv Costa Mesa
ARCHITECT arlson &
OR ENGINEER
ADDRE55 Garden Grove
CONTRACTOrplke and Co12g
419 E. 17t�p S
LEGAI
DESLRIPTION
A.P. NO.
LIC.
NO.
51ZE M no.or e�ocs.
OF lOT 77 X OV �iow orv �oi non
USE OF none
E%ISTING BLDG.
$ET84CN LINE FROM ' ��t
CENTEP OF STREET REAR YARD
SIDE YARD FIGHT �� LEFT 1 � �
DESCRIPTION� OF WORK �
NEW p ALTERATION ADDiT10N
REPAIR MOVING DEMOLISH
BUILDING [ NO.OF
SIZE 1V�� an- ft- ROOMS � STORIES �
E%TERIOR WALL
COVERING
USE OF NEW
Residence
ST/�TE THRT TNE PBOVE IS ORFECT FNO PGFEE TO COMPLV WITN 4LL
CIiT OflDINANCES 1NO $T E LFWS REGVL4TING BUIL4ING CONSTflIIC�
TION. � /7 ��
/ v/�/
SIGNATURE OF /Ji� '�//% �T
, �;� ������D
v.u. _ ,�-1�t-��
a� �%
cm aF casn� t�
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIGT NO. PEFMIT NO
APPROVE
BY
COSTA MESA. CALIFORNIA
DATE
CORRECTIONS
/ �s 13,690.00
DIKE AND COLEGROVE, IN .
PERMIT FEE S 32�00
PLAN CHECN 5 Zp�w
TOTAL FEE 8 IyB�OO
�s.xi
_ � - � 28292
. CASTA MESA BUILDING-SAFETY DEPARTMENC
P.O. BOX 7200 COSTA ME9A� CALIFORN�A 82820
For Applimnf fo Fill In ComplNoly
TYPE OR PRINT
smi.oida
ADDHE88
COSTA MESA, CALIFORNIA
�
�;�TN, .�i 5/6s6 �- 3 s
u
SIZe � � G•�j� no.oleLDo�.
OF LOT NOW ON LOT
USE OP
EXI6TIN0 BLDO.
eere.e. uxs rnor
DESCRfPTIOti OP WORK
1 1 XGEDY ACRXOYM1fD6l TNAT 1 NAV{ IWO TIilO A�TLIGTON
AND CTATS TMAT TN[ AOOV[.10 CORp[CY ANO A0116[ TO COW
PLY WITN wLL'CITx 06OIW�IKfO AryD RAi[ LAYY� IItOYMT1N0
lUILDINtlCON8i11{fQi�Oj�. ��
AUTHOR�Z�D
�ua t�t-�00 2so a*****3.00
A►PLICATION FOR PERM(i
6UILDING
for OfHn Us� Only
n�cnrt Ho. �iR �n� .
0
11[Cil [D �Y p�T[ RICtIV D W�71 16 D
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euaoina Cf
ADDRiY6
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APPROV6D
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so• �ro sioe e aenrt p. �.
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ALLOWlD (U.B.C.RECUIRRM[NT)
YARODMPROV[D YARDBAPPROVHD
MAINBUILDING ACGH880RYBUII�INO
fPROM C/LYTN[LT)
PR I�T R.
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L 8ID !T O !T. � L'
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VALUATION
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DATe
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urnaw vAwAnor� �s row n�a �
IGHINO A P6qYlT P6[ OMLY. �
�/� �
PERMITFE6 S '(/ (/
_____ w
TOT/tL PE& s 3. U�
� � ��;':.9
PaID iF 4**ftir
AUG -1-77casa00' 209 6.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
n RECEIV �ATEqECEIVED �S UED
ADDRESSL'7C� / �C. !"i7/ -ST l r
OWNER E�j{J�
A.P. NO. � � f�{ �� PERMIT NO.
MAIL � p/J r �j� �/ ADDRE 5'(,r/ �ZJ .��
ADDRESS / / C. .CJ� 7 'ST -7
��T� CnsrfJ �rEs.9 NOLS'i�B � TRACT /�/� LOT (,y •BLOCK
CONSTRUCTION W A� A P
LENDER
BRANCH
OWNEF
ADDRESS VALUE
ARCHITECT TEI. 5 � $ �S—�/.
OR ENGINEER
FIRE
ADDRESS ZONE PE GROUP
CONTRACTOR EG�� S.%�/f�� B�PROVED DATE
ADDRESS 7"B�cS� G�'��0�% S�
TEL. �-� �ONE ' NO.OF/J USE OF NEW
cirv>o,�,e�9ti�E No.S�/o ' � P�+�` BUILDIN
STATE ' CITY YARDSAPPROVEO VARDSAPPROVED
���. No. 29l�/y LIC. N. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BL (FROM C/L STREET) � % � ��
OF LOT NOW ON LOT � OM F. � LI,QFT.
USE OF /� % �
EXISTING BLDG. T ES. FT D'
q 1
Separate permits are required for � sio Fr. / FT.{
electric, plumbing and heating work. � "
fiEAR FY. D FT.O
USE O BUILDING AND WORK TO BE PERFOR ED �
� C� /C.G S�� MAIN BLDGS T ACCESS. BLDGS.
�/.d��/ I/ VAR.qW DATE
%' if 8�,C/JS E�'S c.u.P.� APPROVED
APPflOVED � �
O
1 heraby ecknowletlpe thet 1 have reetl this appllcatlon entl stote '
thet the above Information Is correci an� a0ree io comply wlth
all laws rapuletlnB bulltling consSructlon, entl I shell not employ
any peraon In vlolation of Me workman's compencetion laws of
<he Stace of Celifornie.
I heraby ceriify ihat I em proparly Ilcensetl as e eonttector untler SQ. FT.
Me Stnia of Celifornle Buaineu entl Profession� Code, Divislon 3, TNE AMOUNT SHOWN UNDER VALVATION IS FOR
Chapter 9, antl thet auch Ilcensas ere in full torca entl affect, or i THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�V:
em ezempt from Me p�ovlafonz of tha State of Califprnla Business VALUATION PERMIT FEE E
antl Protasslons Cotla, Dlvlslon 3, Chepter 9. � 00
SlOneture of ���� � � PLAN CHECK S �—
Pelmittee 2���� = $ �50 TAX y �Q
AuihorizetlABent TOTALPAID § � O