HomeMy WebLinkAbout190 ROCHESTER ST - Building Permits •
it • CITY OF COSTA MESA
4- ` BUILDING DIVISION
Fu' AI9 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
'A. FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: B09-00059
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42541509 DATE ISSUED: 04/22/2009
ISSUED BY: RMD
JOB ADDRESS: 190 ROCHESTER ST CM Suite/Unit:
Vicinity: HOUSE ROOF
Squares: 1200 Valuation: $3,200.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS,APPLY 2 LAYERS OF 30#FELT ON A 3:12 PITCHED ROOF AND REROOF
WITH 30 YEAR FOMP SHINGLES ON A SFD,APPROX 1200 SF. REPAIR AND REPLACE SHEATHING AS NEEDED.
OWNER: WEISSHAAR,MICHAEL TR Address: 1763 ORANGE AVE Unit:
PHONE: 949-842-5115 City/State/Zip: COSTA MESA,CA
APPLICANT: JONES,JAY Address: 220 VICTORIA PL Unit: :UNIT A
PHONE: 949-650-1200 City/State/Zip: COSTA MESA,CA
CONTRACTOR: ARIES ROOFING COMPANY License No. 868990
Address: 220 VICTORIA PLUnit: UNIT A PHONE: 949-548-2056
City/State/Zip: COSTA MESA,CA 92626 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $97.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $98.25
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.
CODE#. INSPECTION TYPE DAi IN1111ALS CODE INSPECTION TPF, DATE INITTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical _
1266 Pool Spa Final e2 208 Final Plumbing
S"
200 Final Re-Roof ,O 7 t 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
WORKER.,-COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑ No -
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 4
❑ 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: l_^ f,^ (� person is required to descend,will be made in connection with work authorized
Ca'rci@ S 1"�� t—J K\�] by this permit,and that no building structure,scaffolding.falsework,or demolition
t_.- a or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm
(--Phis section need not be`�completed✓tthhe perm f is a)uuM!all one hundred dollars(S100)or less) 2 Art 2 Sec 341 TitletIe 8,Califomia Administrative Code).
Pollcy-Nurnber: 'V k�T`/ l/7
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 Appncanrs Signature Dale
the abor Code,I shall forthwith comply with these sr.visiQQons.
4- , re // /2 7/0 , Division of Industrial Safety Permit Number:
/ AanerSignamre /Dale
// !� HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
s.
WANING: F•"- RE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to the 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 full forceorand effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lf ?' ( c 0 Gran,- C-- 37
(Section 25533 of the California Health and Safety Code, with some
ter/ /+ exceptions, requires registration with the Costa Mesa Fire Department by
//,, T/Z 7 Q 7 each business which at any one time has on hand a quantity of acutely
(cyn K� / 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
CO UCTIO 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)? 0 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 Califomia
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 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
that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the Califomia Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
information be furnished on applications for non-residential building permits).
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
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 Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 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
IDI, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials 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: 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
IDam 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.
Signature of Legal Owner(s) Date
Signature Date .. / a.4. a- c:-/A-776-,
3057-46(3/071 • rl • dlor.Au •'!'App ant te
•
e ADDRESS OF BUILDING 190 ROCHESTER ST INT: CITY OF COSTA NF.SIA - BUILDING PERMIT
p OWNER'S NAME IF KNOWN: BURKART, WILLIAM A /PERM NC: B U /tiuIM
s onus, 1763 ORANGE AVE
COSTA MESA, CA 92627 PERMIT NO: B 074680 PLAN CHECK NO: N GOVT: N SUPP : U
I i AnPL.MUImoADORERS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: Vi'H
`I ARCHITECT OR ENGINEER: LIC.NO.( JOB DESCRIPTION : T/O 6 REROOF W/BUILT—UP SQ FT: 1 , 600
ARCH.OR EICS ADDRESS: INT:
CLAIM VALUE: 1 , 600 . 00 CALC—VALUE: 1 , 600 . 00 GROUP OCC: t-t-1 /
CONTRACTORSNAME( SERVICE ROOFING COMPANY ( 714 ) 525-4232
CCEDRACTOWSMMPIO P 0 BOX 133 COMMENTS : SMOKE DETECTORS IN EVERY BEDRM & HALLWAY PER 91UBC, REROOF 1500SF
mots: FULLERTON CA mw, 131545 ********sG*ift*t)E****************i**********nit*****i*t*itti***�`•dE}pO**t***t****1***
92632 WIT: Z ON ING R EQUIR EMEN TS vM KE
LICENSED CONTRACTORS DECLARATION:I hereby seam wider pertly d penury the I am licensed under porton d Chapter 9 S E T B ACK S ETEC TOR
(commenting with Section 7000)d Division 3 d the Business and Pro ess ons Code.end my license o in full force end effect.
CITY UC.NO.: 028080 uC.cLASS: C 39 uc.No.: 3154"r E�.P: 01 /96 MAIN BUILDING ACCESSORY BUREO El� p
�J, FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: Lai4tOLN
9 Dale: /0//9 /95— caeWm� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
OWNERireason(Section Business affirm ion Code:penallof Mydty oy thely which require*ummt rectlacorLoerne Lew for the• PARKING REQ: PROV: PARCEL: 42541509 ZNE: REF NO:
NiR BUILD(Radon DECLARATION:&titer herebya Professions Code:Any thy a county a axe from a Pamela ors Lie.sea.improve.
temdeh,or rem/any structure.prior to es issuance.also requires the applicant for such permit to file a signed rnement that he or she PLANNING NOTES>'
r licensed pursuant to the provisions of the Contractors License Law[ChapterB(nommendn,T with Section 7000)of Division 3 of the •
Business and Professions Code(or that he a she is exempt therefrom and the basis for the alleged exemption.My:notation of Section >
7031.5 by any applicant for a permit subjects the applicant to civil penalty d not more than five hundred dollars($500)). **********************************************************************.*********
❑ I,as over of the appenyor my employees wth wages as thea sole compensation.vall do the work,and the structures not intended DEVELOP MEN T SERV ICES REQUIREMENT S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owners property
who bolds or inproves thereon,and who does such work himself a hersel or through his or her own employer,provided that such
improvements are not intended or offered for sale.If.however.the building or inprovemem is sold within one you of completion.the ZONING APPROVED ,BY DATE:
ownereuilder will have the burden d proving he or she did not build or improve for the purpose 01 sale).
❑ I.as owner of the property.an exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does nal apply t an owner of property who builds or irngw«thereon and who
contracts for arch projects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ lemexempt under Section: B.&P.C..for this reason: APPLICATION ISSUED BY: DATE: (OVA (51
**************3t****************************** *********£**********VHF *********
o M°' owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify set I am aware of and understand the requirements ci Cations Health end Safety Code Sections 25505.25533,end
25534,end that I or any future building occupant will/wit 1101(circle one)need to comply with said Male codes and the requirements for BLDG PMT PLUMBING ELECTRIC ' MECHANIC FIRE SMIP/RES GRADING
e permlfaawuuCten a moddretion from lMAi I yuTl.eneg°ntm District.Residential Osmactknappfmbn aaeexemgfrom these
provisions. PERMIT 37 . 00 . 50
Dae: Applicant: PLAN SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penallyof perjury one of the olow'og dedaatons: ISSUE FEE
❑ I have and wM maintai•certificated consent tosee4nare tor work«e'compare/ian.as prodded for by Section 3700 of thelabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cede.f«the pafam.ncedmr cork for with co «
this pmeoloued. TOTALS----> 37 . 50 0 . 00 0 . 00 37 . 50 37 . 50 . 00
❑ I have and el maintain workers'compensation Surma*,as rearmed by Section 3700 d the labor Code,or the performance of the
work for which this penes is issued.My woken'compensation insurance comer and poky number are:
Coder: GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 37. 50 OVER/SHORT: . 00
Poky Number: NW(-/Yl / 1000 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This**dial reed not he completed Ithe penal is tor ore hundred dotes(S100]or less) 37 . 00 . 50
❑ I certcy the in the periarmance d the work for which the permit s issued.I Mug not empoem y ern[WWII in any manner a es to
become acompensates,to the workers'compcompensates,sda5l
oue Cria. and ree the C l subject to the workers' *******************************************************************************
compensation prows
Appian:'ns d Section 3700 d d,I shall f the Labor Coh mm, '/n•� INDIVIDUAL F E E BREAKDOWN
Dae: /d/f 4/ Sr-
�eE
Warning:Fallen to secure waren'compensation coverage Is subunlawful,and shell san svLgtoyer to criminal panetlsa and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000,In eddldan to the coal of comperes ot%damages es provided for In
Section 3rosofthe Labor Code,Interest,end atnmey'efees. SFR 1600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 600 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d perky the there s a conutnwion lending agency for the END OF FEES
performance of the work for which the penes Is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify the I have reed this application and Mate that the above information is coned.I agree to comply with all city and county ordinances ,
and stale laws reWig to building conmudan end hereby authorize representatives d this city to enter upon the above-mentioned property
for inspection purposes. SCOT)' SELTZER
•
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CONSTRUCTION AND PLANNING POOL a SPA
APPROVALS Permit# Date inspector APPROVALS Permit# Date Inspector
r ,
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 UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 Drains64. 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 re •
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 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing `0-2e••-?9 Q _ 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 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:
34. Final Heating & Air Conditioning /0/7 (X9,
� 4N . /o tin1b/Zo ? �.4nr
35. Final Gas Pipe-Test d/ /j.1 CJ4..-+hcalve i4-P-_
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 !c 446 &toe
48. FINAL PLANNING
49. Electric Release to Edison it'
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date