HomeMy WebLinkAbout144 ROCHESTER ST - Building Permits T . 1.
CITY OF COSTA MESA •
j;r."` BUILDING DIVISION
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1:..; ,1, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
fmn � FOR INSPECTIONS CALL:(714)754-5626
�� �m PERMIT NUMBER: B08-00344
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42544309 DATE ISSUED: 12/18/2008
. ISSUED BY: YH
JOB ADDRESS: 144 ROCHESTER ST CM Suite/Unit:
Vicinity: - .
Squares: . 0 - • Valuation: - $5,000.00
SCOPE OF WORK: REROOF HOUSE&DETACHED GARAGE:TEAR OFF COMP. SHINGLES, INSTALL 1 LAYER OF 30#FELT AND
APPROX. 18 SOR'S OF COMP.SHINGLES ON 4:12 PITCH ROOF.
OWNER: FINFROCK,MICHAEL Address: 144 ROCHESTER Unit:
PHONE: - City/State/Zip: COSTA MESA,.CA .
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APPLICANT: FINFROCK,MICHAEL .. - Address: 144 ROCHESTER. ' . ' Unit: :
PHONE: 714724-4653 \,r City/State/Zip: COSTA MESA, CA F`rp_0034
CONTRACTOR: . ' • License No.
Address: Unit: PHONE:
City/State/Zip: CELL:
ARCHITECT: — . License No. . PHONE: 7
ENGINEER: - License No. PHONE:
FEE SUMMARY '
•
• .40
Reroof Plan Check: • $0.00
Reroof Permit Fee: $111.25 ' - .1
Reinspection Fee: $0.00
TOTAL FEES $111.25 - i `•
. 2::d
V
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. - •
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
LODE S. INSPECTION TYPE RAE LIMO CODE/ IN$PECnQN TYPE DATE INu1tALI
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
l—p Y
200 Final Re-Roof "'� 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
1.
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. nse. Yes` ❑No
I hereby affirm under penalty of perjury one of the followingdeclarations:
/ Expires: 7" S
[] I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document i.e.-property tax bill or deed):
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 •
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high, (Chap.3.2,Grp
(This section need not be completed the permit is valued al one hundred dollars($100)of less) 2,M2 Sec.341,Title 8,California Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feel of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic.# Class# (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
Contractors Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑ No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
That he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
I,'as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
G ompensation, WILL' DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of properly who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes', attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
•
completion, the owner-builder will have the burden of proving that he or she. CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury'the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the properly, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Mate oris and Emissions
LICENSED CONTRACTORS to construct the project(Sec. 7044.Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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
- / authorized by this permit until final inspection.
oe gnalureo a IO.megs) AAADate
Signa ire _ Dale3057-46(31071 - 7/2/
//!/ ���,{ /�
�4(ndl A M Applicant "T Dat! -
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• _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _ _
CITY OF COSTA MESA - PEg1fiIT NO. TRACT NO. LOT NO. • BLDG.NO..
CONSTRUCTION PERMIT (�(�Q�� rr ' '7912• ''14/2d/113f�ta50 •
iL
Applicant's Mailing Address �44`� k(X_/•/Fab/< ''TYPE OF CONSTRUCTION - u NEW U ADD U ALTERATION JE REPAIR
`elm' - - 0 CONVERSION 0 DEMOLISH 0 OTHER
Project Address
Owner's Name - ./Orel TOP/1124/s/ Phone ZV •SO DESCRIPTION OF,WORK /soot'//1/G -
��..pp ZONING REGULATIONS
Address y]M t- - •
TYPE OF PERMIT 0 GRADING ❑ FOUNDATION' ❑ STRUCTURAL - A.P:# - - ZONE '
Arch/Eng. ' ^ License No. - 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL ' PLNG.REF.#. - BUILDING - " 4
- -S'FTBGQK DTI 5T -
Address 0,OTHER .hI'XJI-//yam - TO BUILDING EAR YARD (TO P/Ll'
' PROPERTY LINE Address
Contractor's Name Or✓NF_J{ 6u/COF/j Phone PROJECT DESCRIPTION SQ. FT. - OCCUPANCY LEFT SIDE YARD RIGHT SIDE YARD '
Address(mailing) - _ CONSTRUCTION TVPF VALUATION$ /16000/
ZONE GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED
License No, __ - - -
LICENSED CONTRACTOR DECLARATION I Remarks: - STREET WIDTH PARK FEE$ .
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code,and - • - SPECIAL CONDITIONS:
my license is In full force and effect. -
License Class License No. • PLUMBING - - -
Date Signature • -
Bar Sink Sewer Cap ELECTRICAL
,riatIKERS'COMPENSATION DECLARATION
(---c2eby affirm that I have a certificate of consent to self-insure or a.certificate Backflow Preventer Sewer Connection Auto•matic Washer Meter Dover 100 amps -.
' orkers' Compensation Insurance, or a certified copy thereof (Section • _
}•3 b0, Lab. C.) Backflow Irrigation Solar_Collectors Construction Pole Sub Panel •
Policy No. Company - f - Cooking Unit Sub Pole
•B
Certified copy Is hereby furnished. I Bathtubs , Solar Piping _I
Certified copy is filed with the city Building Division. C18rif seri ' Solar Tank Dishwasher Motors ❑0-1 HP ❑1 h$
Date • Applicant - ___ __.-.. . _ _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . •Dishwasher - Swimming Pddl w/Spa Dryers ❑Gas ❑Electric Inc.Solef'❑g-,15 HP 016-15+ '
(Thissection need not be completed if the permit is for one hundred($100)or — -
less) - I - Fan. • Microwave •
' I certify that in the performance of the work for which this permit is issued, I • Drinking Fountains Urinal
shall not employ any person in any manner so as to become subject.to te F.A.U. • Pole Light '
Workers' Compensation Laws of California. Floor Drains. Water Closet - - ,
Date Signature • ' Fixtures Ranges.. •
NOTICE: It,after making this declaration,you should.become subject-to the Floor Sinks ' ' - Water Heater - g w a -
Workers', Compensation provisions of the Labor Code, you must forthwith Boxes '
comply with such provisions or'.this•permit •shall be deemed revoked_; Gas Service flats - afar Service Sign '
CONSTRUCTION LENDING AGENCY i `, Outlets .Standing Sections 0
I hereby affirm that there Is a construction lending agency for the performance - cns interceptors '
of the work for which this permit Is issued (Section 3097 Civ. C:) . ' $witches
Lender's Name - - - Kitchen'Sink / � _ Trash Compect0.r �}
Lender's Address - - - - Garbage Disposal » !� t"
OWNER BUILDER DECLARATION • _Lavatories - - :8 t/S ,
I hereby''affirm that I am exempt from the Contractor's License Law for the - - - Generator ❑0-5 KW ❑5-15 KW I yl ~ /f!1
•
following reason (Section 7031.5 Business and Professiohal Code: Any city or P-Tfap• `- _ _ , - _ _• •
county which requires a permit to construct,alter,improve,demolish or repair - , I Transformer 015-50 KW ' 'Sr- s 7•
any structure, prior to Its•issuance, also requires te applicant for such permit Roof Drains - - P '
to file a signed statement that he/she is licensed pursuant to the provisions of �. ❑5U+KW Rei j,octiori Fee $15
t 4 Contractor's License Law.(Chapter 9(commencing-with Sectlon'7000)of - • Reinspection Fee 1 - - - _ -
v : ion 3' of the-Business and Professions Code) or that he/she'is exempt . Showers - , , : p . . - . $ 5 Meter ❑u to 100 amps,,,,-..from'and the'basis for the alleged exemption. Any violaf ion Of Section ' , P p IssueiFee ' '$ 3
- "LA:5 byanyapplicant fora permit subjects the-applicant to a civil Service Sink - Issue Fee • $ 3 - - -> _
end of not more than five hundred dollars($500). 1 ,,. Zoning Approved By pate • '
as owner of the property or my employees with wades.as their sole MECHANICAL I
compensation will do the work,and the structure is not intended or offered - - Application Approved By .- Date•' /
for sale (Section 7044, Business and.Professional-Code: The Contractor's • 1/ •
C ,� �[ c
License Law does not apply to an owner of a property who builds or improves •
' Boiler - Refrigeration System Application issued By - Data 4 ] Zs+`g
thereon, and,who does such work himself/herself or through his or her own -
employees, provided that such Improvements are not Intended or offered for • Duct-Under Ground ❑0-100,000 BTU ❑100,000 BTU •
sale, If, however,the building or improvement is sold within one year.of com- 5 MMARY OF FEES • 2 /
pletion, the owner.will have the burden of proving he/she did not build or im- - yJ�G0 1 t 7 O
grove for the purpose of sale). . Duct-Structural System Repair/Alteration BUILDING PERMIT $ w ' SMTP $
U I,as owner of the property, am exclusively contracting with licensed con- a •
t.we
tractors to construct-the project (Section 7044,Business and Professions Code: • • Duct-Ventilating - - . _ - . • PLAN CHECK $ PERMIT :�
The Contractor's License Law does not apply to an owner of property who •
PLUMBING $ • ISSUANCE $ ,
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑ -
tractor(s) license pursuant to the Contractor's License Law). ' PLAN CH •ECK $ ; GRADING $
❑ I am exempt under Section - B.& P.C.for this reasonFirepl/Fact.Blt. ICBG# $
•
' ELECTRICAL $, '
`'
Date :_a2S._1Owner , :�l-., LG: Hdating'System& Ducting ' i MICROFILM I $
'I hereby'certify that-I have read'this application and'state that the-above - ' ❑o-100,000,BTU 0100,000BTL - - - - , - - PLAN CHECK $ I
information is correct. I agree to comply with all city and county ordinances IME MECHANICAL $ TOTAL'FEE ' $
and'state laws relating to building construction,•and hereby authorize repro- Hood or Type I ❑' LESS
sentatives of this city•to enter upon the above-mentioned property for , • Reinspection Fee; $15 PLAN CHECK $ i
Py ADVANCED PC ' $
Inspection of es { 1 Cano Type II ❑�
Signature /-a✓+•-•e-n G .62-.I.,#------ Date Lo-27-Z' •
Registers Issue Fee $ 3 /ry
Drivers' License or 55# $ 9 ! FINAL FEE $ •
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor -
:' rtCONSTRUCTION AND'PLANNING' - - '"• _d _ 7. POOb ::ifPA: --- • _
m z - . Date Z rinspector ' �'- - ' :Date Inspector.
r APrROVALS , Permit#- - : 1- APPROVALS r Permit# -
' 1- Temporary Electrical Service or'POIe , : ' a..' 6 , :'52 Pool & Equipment Location ' •
' 2? Soil Pipe-Undrgrnd.' _" r ; i -3 - '-63'.;Steel Reinforcement - '
- 3) Electrical Conduit Utility-Undrgrnd. , ; 54.'Forms'" -^ - .
4. Electrical Conduit-Undrgrnd. - - C '.` 55:`Electrical Bonding: ..,
5; Steel Reinforcement ; - - - - , 56. Rough Plumbing-& Pressure Test - '
6: Electrical OF ER Grnd. _ ' - , ;571(APPROVALTO COVE R-GUNITE • __
7. Footings _ - V' _ - r.58. Electrical Cpnduit-Undrarnd. ' :
8. Foundation ' . • i -.1- - - = 59. Gas Pipe r0'Undrgrnd:,Test ' . : -
9. Water Pipe-Undrgrnd. : _ -i. _ ::60 '
. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK -1r -
11. Property Sewer Line & House Connection - ''; ; ; 62. Backwash.& Receptor-Final Cr '
•
12. Sewer Cap • 3 t '' - 63. Heater &'Vent-Final .
•
13. Roof Drains - - 64. Plumbing-System - Final
14. Rough Plumbing _ '65. Electrical-Final- -• - -
u
15. Rough Electrical-Conduit i r ; - . - "66. Solar System-Fi'hal -
16.- Rough Electric Wiring. e i " .- 1- 1- . --67:1'Fencing &-Access Approval - - ;
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17. 'Rough Wiridg'Sign•- i I , 68. APPROVED FOR PLASTERING '
18. Rough-ElectricalT'Bar Ceiling, ' , '., . ' 69. POOL/SPA SYSTEMS FINAL
" 19. 'Rough Heating &;Air-Conditioning a ' I - ' i i ' AFIRE DEPT.:REQUIREMENT" - •
20. Rough Factory Fireplace . ' ' ' ' I , ; APPROVALS �Permit# - '
•
21. Ducts,.in Structure- " 1 , 70.1 Underground Hydro
•
•
22. Ducts, Ventilating !, { j 71.• Product Piping 0Gas 0Oil ,
',23. Ges Pipe-Rough & Test - �• �. • •• `,72. Untlergrdund Flush
'24. _Roof Framing .i:- ' - 73.' Undergrnd:Storage Tank 0 Gas El Oil ,
25. Roth• Sheathing ! - - _ - - 74. ;Overhead Hydro
26.• T-Bar Ceiling (Structural),& Monocoat ' ; , _I ' 75.; Dry Chemical ,• _
' 27. Frame and Flashing� • I 76., Dry Standpipe -
- ; 28. .Lathing& Siding ' ' '1 � , I { 77.: FIXED SYSTEM FINAL , •
_29. Insulation . i '- i , 'I I i i . ;78.• FIRE PREV.. FINAL
30. Drywall Nailing f i .Notes: ,
• a 31. Plaster Brown Coat - i 4 , r I . - - - _ -
- 32. Electrical Power Meter-Final ' .
- ' 33. Final Electric _ ' 1 _ - _ I
34. Final Heating& Air Conditioning I -
35. Final Gas Pipe-Test' "' I . .
36. Hood or Canopy- , -. , . ' r i I I - _ ' I - - '
37. Final Factory Fire•place'1 �I d - •. I i
38. Final Plumbing i, I ' I _
39. Water Service-Final; , ' I -
40. Gas Service-Final ' • • . '
41. Solar Domestic-Final r i -
42. Backflow Preventer. ,_ t I - • -- - - -
43. Backflow irrigation - 1 - _ ' I
44. Landscape Irrigation System ', •-, - - • ' -. I : - -
I'- T . ,EXPIRED
45. Sound. Attenuation e '
� - Incpectio�s
46. Handicap Regulations � ' i '`. - - i IIIIT�(nPlet '
I
47. FINAL STRUCTURE & BUILDING " : � , Late
48. Special Requirements Completed I -
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49. Electric Release to Edison. ; J . ' - ___ _ -_ a. ' ,
50. Gas Release to Southern California Gas Co I ' -
51. CERTIFICATE OFIOCCUPANCY _. i._
No Date - - - I