HomeMy WebLinkAbout2032 ALISO AVE - Building Permits.
� ' ' ,
CITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci wsta-mesa.ca.us
FOR INSPECTIONS CALL: (774) 754-5626
PERMIT TYPE B_ROOF2
APN: 42625102
JOB ADDRESS: 2032 ALISO AV CM
Vicinity: REROOF AND SKYLIGHT
Squares: 2900
PERMIT NUMBER: B08-00282
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
10107I2008
BJK
$72,421.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHAKE ROOF, 1/2" OSB, 1 LAYER 15#
FELT, APPLY "50-YEAR PRESIDENTIAL COMP SHINGLES." PITCH 4:12 2900SF WORK INCLUDES A"EYEBALL
SKYLIGHT" OVER THE HALLWAY AREA (ICC #ESR 1334)
OWNER: ELLIOTT, RICHARD J TR
PHONE:
APPLICANT: WHITNEY, ROBERT -
PHONE: 949-548-0769
CONTRACTOR: WHITNEYROOFING
Address: PO BOX 15396Unit:
Ciry/State/Zip: NEWPORT BEACH , CA 92659
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
$0.00
$223.25
$0.00
$223.25
Address: 2032 ALISO AVE
City/State/Zip: COSTA MESA, CA
Address: PO BOX 15396
City/State/Zip: NEWPORT BEACH , CA
License No.
License No.
PHONE:
License No. 406022
949-548-0769
CELL:
PHONE:
PHONE:
Unit:
Unit: :
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and ielated
regulations. (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 authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
CODE �, i�vecnox rwe on� wsn� y� ixsvecnox rne � � ixnnn�s
1816 Fixed Syslem Final Fire Prevention 206 Final Mechanical
1286 Pppl Spa Final ��/ 208 Final Plumbing
200 F'�nal Re-Roo! ��� 'G�"• 270 Final ElecVical
207 Final BIocWRetaining 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
f' , � � 9
WORKERS' COMPENSATION DECLARATIO . '�
I hereby affirm under penally of perjury one of [he following declarations: ,
❑ I have and will main[ain a certificate of consent to sel(-Insure (or workers'
compensation, as provided for by section 3700 of lhe Laboc Code, (or the
peAorm� e�of the work for which this permit is issued.
�❑ ave and will mainlain workers' compensation insurance, as required by
ec[bn 3700 of [he Labor Code, for the performance of the work for which this
permit is issued. My vrorkers' wmpensation Insurance carner and policy
number are: r
Carrier: � /�� �'tv �
(Th8 sertion neetl iwt be��deretllthe perma is valuetl at one hundretl tlollais (St00) w less )
��� `
PolicyNumber OJ �U/ %
❑ I certify [hat in the pertormance of ihe work for ich this permit is
issued, I shall not employ any person in any manner so a to become subjecl
to Ihe vroricers' compensation laws of , and ree that it I should
become subject lo the worker ' pen on provi ' ns of Section 3700 of
the Labor Code, I shall �[h co with Ihese ovisions. �)l
O " `C/
Appliwnf iqnaWre �y
/
WARNING: FAIWRE TO SECURE WORKERS' COMPENSATION COVER4GE
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, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisi Chapter 9(commencing
with Section 7000) of Division 3 of the.Bus' s and Professions Code, antl
my license is in fu force and eHect�
/ l
Lic. # •, �(O� y lass #�
Q O �/
Contianor Signature �e
CONSTRUCTION LENDINCa AGENCY:
❑ I hereby affrtn tha[ there is a construction lentling agency for the
peAormance of the v.ork for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Dale
OWNER-BUILDER DECLARATIONS:
I hereby affirm ihat under penalry of perjury tha[ 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 b
constmct, alter, improve. demolish, or repair any structure, prior to i1s
i55uance, al5o requires the applicant for such permit to file a signetl statement
Mat he or 5he is licensetl pursuant to the provision5 of the ContfaClOfs
License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
BuSiness and Profe55i0n5 Code) o� �hat he or she is exempt Iherefrom and
the basis for the alleged exemption. Any violation of Seclion 7031.5 by any
applicant for a permit subjects ihe applicant to a civil penalty of not more than
fve hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
offered for sale (Sec. 7044, Business and Professions Code: 7he Contractors
License Law does not apply to an owner of property who builds or improves
t�ereon, and who dces such work himself or herself or through his or her own
employees, provitled that such improvemenls are nol intended or offered for
sale. If, however, the building or improvement is sold within one year of
completioq the owner-builder will have the burden of proving thal he or she
did not build or improve for purpose ot sale.).
� I, as owner of lhe properry, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not apply to an ovmer of
property who builds or improves ihereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exemp[ under sec.
Buainess and Professions Code for this reason:
305�-46(3/Ol)
j '1
Owner ID veri�ed by Arive icense. � Yes ❑ No
Dnver s License No. Expires:
Venfication of Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify iha[ no excavation five (5) or more teet in depth inb vfiich a
person is required to descend, will be made in connection with wnrk authorized
by this permit, and that no builtling s�ructure, scaffdding, falsexork, a demolilion
or dismanlling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, Arl 2, Sec. 341, Ttle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone lo Oo work which would
require a permit from the Division o( Industrial Safety, as no[ed above, unless
such person has a permit to do such vrork from the division.
Applicanfs 9qnaWre
Division o( Industrial Safety Permit Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or (uture building occupant need to file and
certify a Business Plan for emergency response to release or lhreatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of ihe California Heallh antl Safery Code requires, with some
exceptions, that a Business Plan be fled wi[h the Costa Mesa Fire
DepaAment by every business which has at any one time dunng a reportetl
year a quantity o( hazartlous materials equal to or greater ihan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperalure and pressure).
2. Does or will Ihe applicant or present or future building occupant need lo file
a registration form for awtery hazardous malerials? ❑ Yes ❑ No
(Section 25533 0! the Califomia Health and Safety Code, with some
exceptions, requires regisiration with ihe Cosla Mesa Fire Department by
each business which at any one time has on hand a quantiry 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
tempera[ure and pressure).
3. Does or will Ihe applican� or present or future building occupant need �o
prepare an RMPP (Risk Management and Prevention Program tor acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Cali(omia Health and Safety Code provides that Ihe
Costa Mesa Fire Department may require the preparation, certification and
filing wilh the Fire Departmen[ of an RMPP by businesses which are required
to register acu[ely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safety Code been (ully complied with? ❑ Yes ❑ No
5. Does or will ihe appliwnt or present or future builtling occupant require for
the work which is the subjecl of this applica[ion a permit for such construction
or modification fmm Ihe South Coast Air Quaiity Management District or from
any o�her air pollu[ion control district or agency? ❑ Ves ❑ No
(Section 658502 of the Calitomia Govemment Cotle requires Ihat the requested
infortnation be fumished on applications (a rron-residential builtling pertnits).
6. Will any paA of �he facility to be constmcted under this permil be within
1000 feet from Ihe outer boundanes of a school? ❑ Yes ❑ No
Qf yes", the lacilily must meet the requirement of Sections 25534 an0 42303
o( the California Heal[h and Safety Code).
7. If a permit from the South Coast Air Quali[y Management DisMct or other
air pollulion control distncl or agency is required for the work which is Ihe
subject of this application, have all of the disclosures prescribed by California
Healih and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach ceAificate of compliance from the appropriate air pollution
control officeQ. '
CERTIFICATE OF COMPLIANCE: I�certify that untler penalry of perjury the
information given above is correct. I agree to comply with all state laws and
ciry ortlinances regarding Hazardous Materials and E�'ssions.
CERTIFICATE OF COMPLIANCE AND AUTHORI TION OF ENTRY: I
certify under penalry of perjury that I have read this a lication and state that
the information given is cortecL I agree to comply wi all state laws and city
ordinances relating to building constructio d au onze representatives of
the Ciry of Costa Mesa to eNe the ab e-tlescnbed property for
inspection purposes. I agree o cupy or all occupanGy of any building
authorized by this pe til ( inspection.
naWre a � Da�
,�
An0/or ul�onzeC AOW���� - ate ,
_� Applicant to fill in all spaces except thoze wiihin neavy DorGer lines and sign all aporoD��ate Oeclarations. � . 1
CI7Y oF COSTa mESA CONSTR GTION P MIFJi T
. Project Address ��3 Z �l S jL�_
Applicant's Mailing iYtldre s
Owner's Nam9 Phone �^ 1133
Address S��
Arch/Eng. License No.
Address
Contractor's Nam Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR OECLARATION
1 hereby atfirm tbat 1 am li[ensetl untler provi5ion5 0( Charte� 9(commencing
with section 7000) of Division 3 ot the Busine55 antl Pmfessions Cotle, antl
my license is in full force antl eftect.
License Class License No.
Date Signature
WORKERS' COMPENSATION DECLARATION
' hereby affirm that I have a certificate of consent to selt-insure or a certiflcate
kers' Compensation Insurance, or a certifietl cOpy thereof ($ection
��ab. CJ
Policy No. Company
❑ Certifietl copy is hereby fu�nishetl.
❑ Certifietl copy is filetl with the city Builtling Division.
Date Applicant
EXEMPTION FROM WORKERS• COMPENSATION DECLARATION
(Thissection neetl not be completetl if ihe permit is for one nuntlretl ($300) or
less)
1 certify that in the perfo�mance of the work fo� whicb tltis pe�ml{ is issuetl, I
shall not empioy any person in any manner so as to becop�e su ect to the
Workers' pe 5at" n Laws of Calitorni,�f `/' �// �/ �
Date Si9nature /�--�t�L. J% /[.i �.�
'rvoTICE: I, ait r making this declaration, you shoultl bec me subject to he
Workers' Compensation provisions of the Ldbor Cotle, you must torthwith
comply wilh such provisions or this pe�mit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I nereby atfirm that there is a construction lentling agency for the pertormance
of the work for which this permit is issuetl (Section 3097 qv. C.)
Lentler's Name
Lentler'S Atltl�ess
OWNER BUILDER �ECLARATION
I hereby affirm that 1 am exempt trom the Contractor's License Law tor che
followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or
munty whi[h requi�es a permit to const�uct, alt¢r, Improve, tlemolish o� �epair
any structure, prior to its issuance, also requires the appliCant for such permit
to file a signetl Statement that he/she is Ilcensetl pursuant to the p�oviSiOns of
the Contractor's License Law (Chapter 9(commencing with $ection 7000) ot
.Division 3 of the Business antl Protessions Cotle) or that he/she is exempt
:"`heretrom antl the basi5 far tM1e alle9etl exemption. Any violatlon ot SectiOn
.s>;°03L5 by any applicant for a permit subjects the applicant to a civll
;� 3, ¢p�lty of not more than tive huntlreG tlollars ($500). '
�I, as owner of tM1e property or my employees with wages as their sole
compensation, will do the work, antl the structure is not intentletl or ofteretl
for sale (Section ]044, Business antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner ot a property who builtls or improves
thereon, antl who tloes such work himself/herself or through his or M1er own
emplayees, provitletl that such improvements a�e not intentletl or offe�etl tor
sale. If, however, tne builtling or improvemenf is soltl within one year of com-
�, pletion, the owner will have the burtlen ot proving he/she tlitl not builtl or im-
prova for tne purpose of sale).
❑ I, as owner of the properry, am exclusively mnVactinq with licensetl con-
tractorsto constructthe pro�ect (Section ]044, Business antl Protesslons Cotle:
The Contractor's License Law does not apply to an owner of property who
builtls or improves thereon, ana wno contracts for such projects with a con-
tractor(s} lirense pursuant-to the ConVactor's License Law). 1 am aware that
proot oi their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am ezemDt w�tler Section B. & P. C. for this reason
Date Owner _� "L
I hereby certif that I have reatl this
information is carrect. I agree lo comp
Signdfure '�(.S�
Drivers' License or 55 �
TYPE OF CONSTRUCTION LI NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
�ESCRIPTION OF WORK/USE OF BLDG.
TVPEOFPERMIT GRADING ❑ FOUNDATION ❑ $TRUCTURAL
❑ TENANT ❑ ELECTRICAI. � PWMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPANCV
CONSTRUCTION TVPE VALUATION $
ZONE GRADING CU. VOS. ACRES
Remarks:
Sink
Preventer
Irtigation
�rinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptor5
Kitchen Sink
Lavatories
P—Trap
Roof Dreins
Reinspectian Fee � $15
Boiler
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. IC80 #
Heating System & Ducting
❑0.100,000 BTU 0100,0006T
Reinspection Fee � $15
CMF 0865-46, rev. 10/84 White - Builtling; Canary - APpliwnp Pink - Acwunting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
A uto-W ash
�aundry Treys
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
$ 3
FEES
$ 3
A.P. #
S Main Buildi
E
T Front
8 Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
3�sr, �ji� i � ;:
Accessory Buildin9:
ELECTRICAL
Automatic Washer Transformer ❑ 1&50 KW
Consttuction Pole Sub. � 50 + KW
Cooking Unit
D ishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
OuUets
Switches
Garbage Disposal
Generator OO-5 KW �5-15 KW
Zane
Meter LJup to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors DO-7 HP Ot'fe-8
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Range
Sign
', Standing Sections
Trash Compactor
Fae �$75 � � Issue Fae
DEVELOPMENTSERVICESHEQUIREMENTS:
Zoning Approved By
Building Approved By �
Aoolication laued Bv
:... T:_
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ ��7� PERMIT
PLUMBING $ �11_ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $ �
MECHANICAL $ TOTAL FEE $ �s �
PLAN CHECK 25% $
,,
� CGNSTRUCTION AND PLANNING POO ,PA
Y�� APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5: Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trep, O Undrgrnd.
10. Structurel Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77: Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Ory Chemiral
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. •Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: j� �` � Q�� . rT�q,), �
34. Final Heating & Air Conditioning
35. Final Gas�Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing � � ��
39. Water Service-Final
40. Gas Service-Final
47. Solar pomestic-Final
42. 8ackflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No._ Date
. � • �'�MY `
�
COSTl�,:iv1E5A BUILDING-SAFETY DEPARTMENT
+d0. BOX 31� COSTA MESA. CALIFORNIA
fOR APPC/CANT TO F/LL /N COMALETECY
TYPE OR PRINT
BUILDING
ADDRE55 Q � � 1
COSTA MESA. CALIFORNIA
ARCHITECT LIC.
OR ENGWEER �_ NO.
6..C^ 9at—�J?_. . .nl�
�v✓ JUN � 1959
FIf�A10E UEPT.
C(TY OF COSTA �9ESA
APPLICATION FOR PERMIT
BUILDING
fox officE usE oNty
IFECEIPT NO. I PERMIT NO.
RECEIVED BY O TE qECEIVE� DATE ISSUEU
_/�L� �- 'L-S
eui�oirvc
ADDRE55
COSTA MESA. CALIFORNIA
ADORE55 I /� ZONING
LEGAL I LO�( /� + I %�z ZDNE NO.OF USE OF NEW
pESCRIPTION NO. Q �6LOCK TRACT �� IPLRNS �BUILDING
A.P. NO. /� S� ��/� ��+� , BYPROVED / DATE E
L
SIZE rvo.oF e�o�s.� yqRDS EVES
OF LOT CG � How o�+ �o'r REQUIRED ALLOWED
USE OF ICENTER LINE iT.�
EXISTING BLDG. FRONT � FT.
SET�RCK L�NE FRQM � ( .
cervrea ow sraesT �} �� REAR YARD( R. SIDE .\ FT.
SIDE VARp ILEpT �� IRIGHT \� L.SIDE ,� FT.
DESCRIPTION OF WORK __._ 7, � __
MOVING I IIDEMOLIS
NO. OF
ROOMS STOR
ftOOF /�, �
.n COVERINGC.(/('JC
ID WO�JLTO BE qERFORMED
1 MEREBV ACKNQWLEOGE THRT 1 NqyE REAO THIS RPPLICNTION
pNO STATE THAT TXE ABOVE IS CORRECT RNO RGFEE TO COM-
PLY WITH ALL CITY OROINANCES AND STATE LAWS REGULATING
BIIILDING CONSTqUCT N�
SIGNATURE O��j/�Q���
PERMITTEE [
AUTHORIZED AGENT
5
�
�
� S ��J �'' � �'
d-�> --
THE AMOl1NT SHOWN UND VRLUATION IS FOF THE
PURPOSE OF ESTA6LISHING A PERMIT FFE ONIY.
VALUATION � � J
PERMIT FEE $
$ /L! /�/%j_ PLAN CHECK $ ,�
/ �/U TOTAL FEE $ V � ""'