HomeMy WebLinkAbout159 ROCHESTER ST - Building Permits SCITY OF COSVA MESA
,, BUILDING DIVISION
a
i y'e:11 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
e. °4. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER. B07-00788
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PERMIT TYPE B ROOF STATUS: ISSUED
DATE ISSUED: 06/19/2007
ISSUED BY: SOK
JOB ADDRESS: 159 ROCHESTERST CM ' Suite/Unit: -
Vicinity: ROOF Const Type: ??
SQ. FT: 1800 " - - - - Valuation: . ' $7,500.00
SCOPE OF WORK: TEAR OFF EXISTING..ROOF. INSTALL 1 LAYER OF 30#FELT,6:12 PITCH, NEW 7/16"OSB SHEATHING AND 30 YEAR
COMPOSITION SHINGLES. 18 SQUARES. r..
OWNER: SCHANKE,LYNNEM - -Address: 159 ROCHESTER ST:Unit:
PHONE: - ` City/State/Zip:. . ,. = _ - COSTA MESA,CA ,
APPLICANT: MIKE BURKE • - Address: 1653 1/2 SUPERIOR AVE Unit:
PHONE: 949-642-7222 . - City/State/zZip: COSTA MESA, CA
CONTRACTOR: LEE ROOFING OF COSTA MESA - - License No. 349686
Address: 1653112 SUPERIOR AVEUnit: • PHONE: 949-642-7222
City/State: COSTA MESA, CA : ZipCode: 92627 - CELL: ,
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ARCHITECT:. License No. . PHONE:
ENGINEER: License No. .. • .. • - PHONE:
- FEE SUMMARY
Reroof Plan Check: $0.00 = _ _ „
Reroof Permit Fee: ''$153.25 -
Reinspection Fee: $0.00 - - 4 .
TOTAL FEES $153.25 - - - '
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
COPE t INSPECTION TYPE DAA INTITIAL$ CODE! INSPECTION TYPE 2I INm1AL$
1616 Fixed System Final Fire Prevention / T_ 206 Final Mechanical
p
1266 Pool Spa Final • -� (P7 "">vi� 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Well 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 DECLARATION: r Owner ID verified by driv se. ❑Yes 0 No
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I hereby affirm under penalty of perjury one of the ing declarations: ' • Drivbr's License No. Expires:
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❑ 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 • '
(
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: - //1� may/ person is required to descend,will be made in connection with work authorized
SfRr7p -C-/J/f�! •it,C) . by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier:- h L,,- or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(Tliis'seC.on need not De mmplelMJ 46 ppenM is valued al one hundred dollars($100)o•less)
2.Art 2Sec.341,Title B.California Administrative Code).
P011cyf Nurilber: 4/60610—b2,007
��--' ❑ 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 rkers'compensation provisions of Section 3700 of
Applicant's Signature Dale
the Lab. Co. h. writ comply with these provisions.
L._
��q y Division of Industrial Safety Permit Number:
App s Signature - Dat /, HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARN!IG: 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 feet 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 fullforceand effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Uc.# 3166 Klass# . (-3 (Section 25533 of the California Health and Safety Code, with some
l� exceptions, requires registration with the Costa Mesa Fire Department by
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each business which at any one time has on hand a quantity of acutely
ora signature •atehazardous 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
CO 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,Ovil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the Califomia 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 Califomia
• 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 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment 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 ❑ 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
compensation, 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 property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ 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
city ordinances regarding Hazardous Materials and Emissions.
❑ 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 ' , Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ am exempt uncle?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.
gn of •ad er(s) a/;/47
Date
Signature Date / - /� r!2// 0
9 7
3057-46 13/071
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cA for ulna a Appll nl Date
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Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. -
FOF
COSTA MESACONSTRUCTION PE- IT PER NO. TRACT NO. LOT NO. UNIT NO. 02 ` a/0''/f�G' • �ct Addres., VI ( /�[.0 /L -�� • �0196l
Applicai ` ^
Ys Mailing Address • 'l// S• •s • TYPE OF CONSTRUCTION Li NEW ti ADD U ALTERATION U REPAIR
f ) ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.96 Zone
Owner's Name '�'4 �/C- _ /-� Phho�ne /''"('`n`;�J, '.�1 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: AccessoryBuilding:
'S • a/i .If /ee , / ' ( 1,4 7 / g'
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION 0 STRUCTURAL T Front , _ ZO
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear N
❑ OTHER
Contractor's Nam a �aa}��i a �1e C Right N
Address(mailing/ smwit1 /_ Aar ( PROJECT DESCRIPTION SQ. FT. OCCUPANCY KLeft G
OF CONSTRUCTION TYPE VALUATION 5 S R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
O
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: '
with section 7000) of Division 3 of the Business and Professions Code, and M
my license is in full force and of{act. T
License Class License No. — S
Date r Signature PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
,J,hereby affirm that I have a certificate of consent to self-insure or a certificate
" Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service SinkC,100, Lab. C.) Automatic Washer Transformer 0 15-50 KW
'Policy No. Company - Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+KW
BCertified copy Is hereby furnished. - -
Certified copy is filed with the city Building Division. - Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - ' Dishwasher '' Meter.Rover 100 amps - S
(This section need not be completed if the permit Is for one hundred ($100)or -1fMJ
less). Dishwasher Solar Piping \ Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner as to be m? bj c to the Drinking Fountains Solar Tank + _ Fan Motors 00-1 HP OVA-8
workers' "anon Laws of California. _ -
Data �/9 fr1 • Signature �, '# Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑915 HP ❑1615+
'NOTICE: If after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures '
comply with such provisiont or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY - ' Gas Service Outlets Water Closet • Device Boxes
I hereby affirm that there is a Construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. 'C.) -
Interceptors Water Heater Outlets e Ran
Lender's Name g
Lender's Address Kitchen Sink . Water Service Switches ' Sign
OWNER BUILDER DECLARATION .
I hereby affirm that I am exempt from the Contractor's LICense Law for the Lavatories - Auto-Wash Garbage Disposal 'Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
'any structure, prior to its Issuance, also requires the applicant for such permit - Generator 0-5 KW 5-15 KW Trash Compactor
to file a signed statement that he/She is licensed pursuant to the provisions ofRoof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she Is exempt
'•erefrom and the basis for the alleged exemption. Any violation of Section '
131.5 by any applicant for a permit subjects the applicant to a civil s
i4nitly of not more than five hundred dollars($500). •
$ 3
I, as owner of the property Reinspection Fee $15 Issue Fee
ill do the work,and the structure is no iwn en a Or offered Reinspection Fee I $15 Issue Fee $ 3
eelfor sale cdtton 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply tg an owner of a property who builds or improves _._. _... .._ DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑
employees, provided that such improvements are not intended or offered for 1 yp Zoning Approved By - Date
sale. If, however, the building or improvement is sold within ono year of com- Canopy Type II 0
(netion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
prove for the purpose of sale). - /1 3Aig/
0 I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 1J` - Date tl
i .
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU-0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). 1 am aware that 0 Multiple❑- System Re air/Alteration BUI LDING PERMIT $ SMIP $
of Exhaust Systemp y Repair/Alteration their worker's Compensation insurance should be provided to me. _ PLAN CHECK $ - PERMIT
❑ 1 am exempt under Section B.& P.' .for this reason u Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Dates Owner I/n//Al�b� C. 2 1t'`� Heating System& Ducting ' Registers PLAN CHECK 25% $ p•o0 GRADING $ENERGY P.C. $
I hereb c ify that I have read this application and state that the above ❑o-100.000 BTU 0100,000 BTL •
Information Is correct. 1 agree to comply with all city and county ordinances - ' S
ELECTRICAL $
and state laws relatin to buildin co truction,and herebyauthorize repre- - PLAN CHECK 50% $ MICROFILM $
sentatives of this c��llgy to enter U♦ [i he'Above-mentioed pr petty for
inspection purpoSGs/AQ/ (,/[/J�//f9iw . 3 p/ 1 MECHANICAL $ ' TOTAL FEE . $ �•OD
Signature YY////((((__�E((,� ( /, wr' Date pr
C� Reinspection Fee $15 Issue Fee $ 3 . PLAN CHECK 25% $
Drivers' License or SS'/ _ •
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor /
CONSTRUCTION AND PLANNING POOL 'A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. 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, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural 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 3(3!/vLo l ni 67. Fencing & Access Approval
17'..Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. 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 0 Gas ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final ( I � 80. FOOD CERTIFICATE ISSUED
33i
33. Final Electric i It -
Notes:
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
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
- 49. Electric Release to Edison
\50. Gas Release to Southern California Gas Co
`;1. CERTIFICATE OF OCCUPANCY
No Date
by f