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Home My WebLink About264 ROCHESTER ST - Building Permits �sia�� CITY OF COSTA MESA BUILDING DIVISION F• r.etlAil! , • DEVELOPMENT~ERVICES DEPARTMENT PERMIT N BER PERMIT B -01695 I (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c$UIILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 264 ROCHESTER ST Status: ISSUED Suite: Applied: 09)26/2005 Vicinity: ROOF Issued: 09/26/2005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42546221 Zoning: Applicant: TOM KOZITSKY Address: 1511 S BAYLESS ST 1 //�/�j Phone: 888-525-5867 ISSUED BY: �(/�[.C_.J ANAHEIM,CA Zip: 92802 Owner: GENTRY, BRAD Address 264 ROCHESTER Phone: 949-300-7010 COSTA MESA,CA Zip: 92627 Contractor: ALLTOPS INC Address: 1511 S BAYLESS ST Phone: 888-525-5867 ANAHEIM,CA Zip: 92802 License: 722766 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/O EXISTING COMP SHINGLES ON PITCH ROOF AND CAPSHEET ON FLAT ROOF,REPAIR AND REPLACE SHEATHING AS NEEDED.INSTALL, 30#FELT AND 30 YEAR GAF TIMBERLINE SHINGLE SLATE AND HOT MOP ON FLAT ROOF ON ATTACHED HOUSE AND GARAGE,APPROX 3600 SQUARE FEET. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,500.00 R Permit: $167.25aim ':1 1:..n: $8,500.00 $0.85 SMIP Res: $0.85 SMIP Corn: $0.00 Other:, $0.00 Inspection: $0.00 Total: $168.10 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 - Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 , Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related I regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 2048-48(8/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensatiot/as provided for by section 3700 of the Labor Code,for the performance of the _work for which this permit is issued. .� .�- ( -❑'— I have end will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insuran-ce carrier and policy number are: t -Carrier- S/Air (✓!}UPolicy`N muc--he—r -/ 000/' SSU -(this section need not be Completed ll the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California and agree the 1 I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision Applicant Signature: /�)rT fi / Date: 9.---24 WARNING:FAILURE TO SECURE ORKERS'OOMPENtATION COVEAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(Maed0),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effeE Lic.a 7. (Class k) C13 91 Contractor's Signature: AMPAR7. -i Data:- - 9'-i L -o.S CONSTRUCTION LENDING AGENCY: El I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,CMI Cade). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 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 to construct,alter,improve,demolish,or repair any structure,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 provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DMsion 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for safe.if,however,the building or improvement is sold within one year of completion,the owner-builder 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 construct the project(Sec.7044,Business and Professions Code:The contractor&License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high,(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit HAZARDOUS MATERIALS AND EMISSIO S CER CATIO!. 1 Will the applicant or present or future building occupant need to filo and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health end 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 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aSermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). _. __......_..—..__.... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (It-yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality 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 Health and Safety Code Section 42303 been made? 0 Yes 0 No _ _.... 8 (If'yes",attach certificate of compliance from_tthhe appropriaateeair pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is correct. I agree to comply with all state laws end city ordinances relating to building construction,end authorize representatives of 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. SignatureOf /Own�r(s) Date -26_6 r L And/0thOdzed Apjant- / (Date ' 000E I INSPECTION TYPE PATE Mal Poe I INSPECTION TYPE DAN BMW 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Well 212 Final Flre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA SERVICE REQUEST & PUBLIC ASSISTANCE FORM ✓� yy Date ��'/ 5 .2_7 Time /5 Caller's Name ' .-"L+-r-e- � --/ i � 1 r> �+ 6 - Address- 77:-*�D � �� C /� Phone . un 53-6- 3ii43 Naturi.ol Request: -(location, type. severity) �iC./c7rl�.._cYi-moi n /A q yt tel--0 e2 9'u r-479 a * la r///1/ of e- 0 0 h. is 5 /kr' ,•J/ri'y_ / ///�1.7 u//9!t /s . / /// ) 77 �i, nYc, finet. e.-/y Referred to ,1 AlWl eW Call back Service Only Information Only n Person Receiving Call 4�"�Q� &�� ti 2 '< .i^. vY l rdJ CG> s YGl/Yt C-7? y-:>:.:•: 'll. • 6 - (i tom/ ` - / ,�.,--'HY4 +yL� I f( S ;iYytLtClf,H'LQ .GL^'YU . • c�2� 2NyU 4t.„0,4)34 . . , d--(x /71: i 3 75 r k5> - ✓1YL'C�' ."A: -- AN 4Z /l V OWNER =WOOD FOREST DEVIIAPERS. #14 DATE 6-h-58 _ JOB ADDRESS 264 Rochester Street BUILDING PERMIT NO. 6830 GENERAL CONTRACTOR Lido.Const. VALUE $ 16,884.00 AP. No. LOT 9 TRACT 3227 FIRE ZONE DESCRIPTION OF WORK Res. & At. Garage GROUP I&J TYPE V ZONE R4 PLAN NO. 6830 I SECTIONS DATE PERMITS ISSUED SUBCONTRACTOR DATE NUMBER Trenches Forms Steel d t 4 -2.,-3-,i I/ Floor System I Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing -.' irdWallillLathing, In Out Arra li. - y- b' Plaster, brown mat - /t,- 4 -4 Rf Underground soil M(�S W/.O Pipe Tcs', S , Top Out Furnace ✓n" . S�• ��`% l�_ t� - - .` �Z�7dd Gas Vents -- i Rough Plumbing // $-/S- • , :i 1uT�-��Mil Cesspool Septic Tank alin� Prop. Swr. Line Hn„se Can .t. Swr. F 7W �i'1� C- - = - o Sprinkling System ,n J Heating Final /VHS , Plumbint Fixtures, Final AY- p- Jr F Gas Test i S'-- iLjfS a-33-5*' allIllIlle ? L. .ruction 'ole -Mi=iiMaT, y Underground Power �r �--�I Rough Wiring nhureasir al!` r4r� - C Fixtures, Final Wit +OCCUPANCY Sa a VII i efilreaSI Form 210.-5M-1-57 I s;30 • 6830 , .�.t. i U, u ,, a7_S- VI-- COSTA MESA BUILDING DEPARTMENT FINANCE O.BOX 3 1] DEPT. COSTA MESA. CALIFORNIA CITY Or COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 264 Rochester Street BUILDING ADDRESS COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY • RECEIPT NO. V(0 P S ll OWNER Sherwood Forest Developers #4 (��( RECEIVED BY DATE RECEIVED DATE ISSUED MAIL 3404 Via Lido ADDRESS ‘S- d7-4 JUN 1195E CITY N ewport Beach TEL.Or 3-1240 BUUIL DIN ARCHITECTLIC.Raymond Levana.s NOO. ORC 747 COSTA MESA. CALIFORNIA ADDi .i3432 Via Oporto, N. B. FIRE ZONE CITY LIC. PUNSOF GROV ZONE NO. TYPE�/ CONTRACTOR Lido Constr. NO. 7520 ADDRESS 3404 Via Lido TEL: OR 3-1240ABvPROV DATE LEGAL LOT 0 3227 CORRECTIONS DESCRIPTION NO. J BLOCK TRACT A.P, NO. SIZE IRO.OF BLDGS. OF LOT 74 x 81' 111 Now ON LOT 0 USE OF C EXISTING BLDG. SETBACK FROM 37' REAR YARD 201 CENTER OFFSTREET SIDE YARD RIGHT 5' LEFT 6' DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPA. MOVING DEMOLISH SIZIE DING 1688 Sq.ft RMS OO8 STORIES 1 EXTERIOR WALL woodROOF Rock COVERING stllcr0 COVERING USE OF BUILDINGEW Dwelligg _ Att. Garage - 400 sq. f t. / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND �T t STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL /� F� CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC. TION. VALUATION , � PERMIT FEE $ SIGNATURE OFF A tA� 3 6 ..r ` PERMITTEE /�^ l �t /, j/(6 r/ city !/- PLAN CHECK S $ ! AUTHORIZED AGENT TOTAL FEE 5 ( SME 'UYINCM LA BORDE, Coultas UAIC 3-1-76 "'JOB ADDRESS 264 Rochester Street BUILDING PERMIT NO. 41355 UGENERAL CONTRACTOR firmer/R1 Ar DESCRIPTION of WORK Legalize Encl.Patio Cover AP No. 117-202-22 LOT TRACT FIRE ZONE VALUE $ Loon ofl • "'ECTIONS Signature Date TYPE V GROUP J ZONE R-2 1 / GAS SUBCONTRACTOR PER ISSQED Date Number Signature WATER Plumbing ROUGH PLUMBING I I PROP. SWR. LINE ❑ HOUSE CON. y SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING I^� �Q 7�` Heating and Vent. TRENCHES C] FORMS U STEEL REINF. ri _ij 7 6 FLOOR SYSTEM ' BOND BEAM n STEEL REINFORCE El • SHEATHING ' OO FRAMEAND NASHINC��74/ ' / U LATHIHII NG - N I I OUT -/ 3 -IQrn �J PLASTER, BROWN COAT Rte- 3-3 frit. STRUCTURAL, FINAL ','•��.w^11 �/ _H' 'NG, VENT., REFRIG. AND A.C., FINAL 2W n .,3-I. 7 . Non 6l F .PING, FINAL AND GAS TEST ELECTRIC, FINAL ,qw a-3I-2b BUILDING, FINAL /Q‘(/ Si-al $. 4 41355PAIL' MAR —1-7E,ThT,.00 041* ****30.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A C ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—Use Ink Only RE DATE RECEIVED D TE (SSU BUILDING ,f y� 1�,t ADDRESS �6µ ARQChec1so ( . lvi r/t i Z COLI��'G$ gyVOt'1h@ Late,rde �11 .-24)2----22— PERMIT NO. OWNERA.P. NO. , �- MABUILDING IL ^ ADDRESS2'/ Ct �`5,�--`�-� -�\ r ADDRESS Rochester r� CITY Costa Meld NO.TEL4 2 324 , TRACT3ZL-� , LOTS BLOCK CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH LENDER hone X BRANCH OWNERQ it Vut4.1 L&I Qp6 Con f ADDRESS 1EEf0AL1QE iT1'IO G:ate 1 ARCHITECT TEL. USE OR ENGINEER none NO. FIRE «{+ ADDRESS /��//+/ ZONE TV E GROUP `1 (/W�3 ��+{{.. APPROVED iy / �/ CONTRACTOR none — e onstriicleJ by BY DATE✓ (v ADDRESS-or'tier owner. TEL. ZO 2 NO.OF USE OF NE�WE�L�L Ili CITY NO. PLANS Z BUILDING ' rR.\lea i STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L ST EET) 0., OF LOT NOW ON LOT I FRONT t'T I�Tr FT. FT. Q USE OF I 4 EXISTING BLDG. resi deny, H.! SIDE SFT., ~ t FT. cn FSeparate permits are Iequired for L.SIDE �/ FT.C.9 ' FT. A electric,plumbing and heating work. REAR ....la'. FTo FT. W USE OF BUILDING AND r/Or3K.TO BE PERFORMED I yP DISTANCE BET. BET.MAIN& Tp RI\S t` S A n ex l5 1/l Q patio 1'l O S I d D MAIN SLOe.GS. ACCESS.BLDGS. ^�/ DATE QAnd in Ovar. Q�J 1 S/!{jw/� CU.P# 76 )O APPROVED�-Is-7e,c, ,7. LccIe c/Ze /� JCfl l.✓'tcoa �Y APPROVE J DATE - I �� b / z .ENCLOSED a7`- ric 19t- 9 K w QI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with m p4 all laws regulating building construction, and I shall not employ i. Z any person in violation of the workman's compensation laws of the State of California. � m• I hereby certify that I am properly licensed as a contractor under IV�1 SQ. FT. (v the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTAI IJ P aMIT Fr ONLI "' am exempt from the provisions of he State of California Business i ((f{� a and Professions Cod , ivWon 3 apter 9. VALUATION P E $ ��/ n J r'(/ PLAN CHECK $ /1I O PermitteSignature /L VVV $ !r-�Mry�]/]_J TAX $ I-V 2 O ll-O Authorize Agent TOTAL PAID 4Q ,,S'o