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Home My WebLink About226 ROSE LN - Building Permits 5� F CITY OF COSTA MESA 4 BUILDING DIVISION •_,r ,( DEVELCPMENTSERVICES DEPARTMENT PERMIT NUMBER 4 PERMIT JB02-00900 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 226 ROSE LN Status: ISSUED Suite: Applied: 06/20/2002 Vicinity: Issued: 06/20/2002 Parcel Number: 42614315 Zoning: dp/� Applicant: CRANK,JIM ISSUED SY: Address: 126 COMMERCIAL WAY Phone: 949-548-5569 COSTA MESA,CA Zip: 92627 Owner: DOBBINS, CLIFFORD C Address 226 ROSE LN Phone: "COSTA MESA,CA Zip: 92627 - Contractor CRANK BROS ROOFING CO INC Address: 126 COMMERCIAL WAY Phone: (949)548-5569 COSTA MESA,CA Zip: 92627 License: 794724 Arch : - Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT RE-ROOF.TEAR OFF.INSTALL 2 LAYERS FELT, INSTALL 30 YEAR GAF. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,897.00 Permit: $97.25 Claim Valuation: $3,897.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 • Total: $97.75 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 NOTES: • 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: 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 2446.46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: r ❑ I have and will maintain a certificate of consent to self-Insure for workers'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 permit is issued. My workers'compeeation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be c•-.toted if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the p= ance of the work for pe ' I ssued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws •alifomia,and agree t'' ould •. • e subject to the workers'compensation provisions of Section 370 of the L r Code,I shall forthwith comply with these p#1. s. t n 0 Appliwnl,Signatur.�. "Pr Date: WARNING:FAI •- - CURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND:• • 100,0011),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTOR-•CLARATION: I hereby affirm that I am liven under provisions of Chap -:mom cing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.II 1_ . ' `'" Class R Contractor's Signal_ urea l /��W / - Date:_ CONSTRUCTIO LENDI' AGENCY: • ❑ I hereby an at there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). 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 Division 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 sale.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 contractors 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. 0 Yes 0 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,California 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 Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? D Yes ❑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 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 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 California 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification . from the South Coast Air(Duality Management District or from any other air pollution control district or agency? j�Yes 8 No (Section 65850.2 of the California Govemment 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 0 No (If"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 California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air 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 cones agree to comply with all state law d city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the atm: ribed property for inspectio - !< es.I agr-e not to occupy or allow occupancy of any building authorized by this permit until finalfiinspection. V . atur: : : •. :r(s) 0(7 )/ o Z /I D/ S ' ndAut OEho' : — -ntb ate Br it INSPECTION TYPE PAIS ILCOBALS CODE. INSPECTION TYPE DATE PUMAS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 7-1--07-- 6•A'r 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 OWNER DIKE & COT.ZIROVE / DATE 12-15-55 JOB ADDRESS 226 Rose Lane BUILDING PERMIT NO. 2175 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000.00 L 30 BLOCK TRACT 2562 Residence & garage GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 2198 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR C. �( DATE NUMBER Footing Trench `iCC/5— Foundation Forms and Grade to Gala,e Rough Framing "rex .0' Plumbing,Rough to Sla• a�'/ _ _ Plumbing, Rough Complete — 9- - f•„y--_ I)f ?,E, Temporary Pole J Wiring, Rough 1 2 o-56 &9b' Mum.✓ /,a-OSS /9a/ Heating,Rough _,✓v/ !H!eating Ft I l -: ',3-1A-ea--7--r-or 7.yret--. , .. 1 - r A7 VSewer, L Sewer,St. et /t1�-,-La , d-ri ?S( y a / 7 Septic Tank or Cesspool• ,,'' �LL I. ng, In Out)( ie/V6 ale:.% Plastering ,. .3-G-5G Plumbing,Final,Fixtures Complete B q,� Plumbing, Final Gas Test G d� dl�n.Gii/ ISM )/L Wiring,Final y. /• ��:�f��Tl�f�l SW' " — • Occupancy A0./1../1-b-1 -tin Form 210 G-H 1500 1-SS - ' Costa Mesa Building Department 5-1-68 APPLICATION FOR PERMIT A , 4V 111 EAST 20th STREET BUILDING 1 4 COSTA MESA, CALIFORNIA4. • FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN I Receipt No. I Permit Nom Address 226 Rose Lai- A' S Costa Mesa, California Receiv d by I Date Reed. Date Issued Nearest ��Y / ,(11-� /2 /3--�� Cross St. 21st St. & Orange Ave. Building U Address Owner Dike and Colegrove Costa Mesa, California Mail Address 419 E. 17th St. Nearest Tel. % Cross St. City Costa Mesa No. Li.8-114Q ,Zone/2w I No.of I Type G%� ` Architect or Lic. Plans Engineer Carlson & MiddlehroNk• i. Approved by Date _, ;dress Garden Gro e CORRECTIONS ,. - City Lbw ractor Dike and CoJ.ecrovNo- 2707 Address 419 E. 17th St., Costa Mesa Legal Lot I Description I No. 30 1 Block I Tract2562 r (Attach Metes and Bounds) No.of Bldgs - -- , -- Size of Lot 82,c I X 71,.11 I Now on Lot none _ Use of No.of No.of 1 l ''t' �,==1�';� i ! i ' -�\ y Existing Bldg. none I Families], I Rooms 53 Setback Line from Rear Yard 37.51 • I .j`' ____i_ , 1 i Z Center of Street 501 Side Yard �j11 � y.s .-- , y DESCRIPTION OF WORK JLU i a itiab r• New I X I Alteration I I Addition ' Repair I I Moving I I Demolish I UIIY 1W rne-rn nar-nn Building No.of "" • h i i 1 C;,I-WI • Size 971 sq. ft. Rooms 5.. Stories 1 e: E- or Wall Roof ?' C.. ng Fr. Stucco I Covering Como. APPROVALS Use of New Building Si ng)e Family Regi dente & Cara P. ! Foundation Location Inspector Date )_' 1 Forms,Materials, Under-Pinning Plan 11A ` Frame: Fire Stops, __Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply : Lath. Int with all City Ordinances and State Laws regulating building construction. Lath. Ext Signature of --- Permittee Dike and Colegrove _ Plaster, Int. Authorized Agt. (:i . -s Plaster,Ext •. Valuation • Permit Fee $ c2 0 .0-0 Masonry Reinforced Plan Check $ /®. o-o Bond Beam $ 8000.00 r4 Total Fee $ 39. 0'e) FINAL FORM 204 S-BP 2M 6-55 • • . • S .1 C d _ • --- -. .. a • • a. I- - - nr COSTA rc C , 5-55PUuesa 744a. *.-•"•110.110 Street . . . PLOT PLAN Show location and distances from property line and between buildings. . r‘.' UWNhilt uv..ui �.1 `'a"..L..v JOB ADDRESS 226 Rose Lane BUILDING PERMIT NO. 2W ) GENERAL CONTRACTOR Air-Vent DESCRIPTION OF WORK Add Sunshade to Res. AP No. 118-111-5 LOT TRACT FIRE ZONE VALUE $ 800.00 ECTIONS Signature Date GROUP I TYPE IV ZONE RI Son I PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 _ Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System _ Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out p Plaster, Brown Coat S Lural, Final Electric I. .ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final � Building, Final /`m e 55;42_6,43, A . . 24445 (� /+ rT,1 MESA COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF CDSTA P.O.BOX 317 COSTA MESA.CALIFORNIA IIIIII 1 ��SS For Applicant to Fill In Completely APPLIe&VA N FOR9FERMIT TYPE OR PRINT BUILDING BUILDING /� FD�FF y� J ly ADDRESS 2 Z G 2-O S t L AJ L . ' RECEIPT NO. PER ITT O COSTA MESA, CALIFORNIA Q4'Y"f_ IJQ .� 0 �� DAT' ReZ.I / OWNER G -• Ty C,-Oe- 4 � jNS DIL A �!.Y 2 O sr? �A�•. ADRE88 .�.... � TEL. c . ROUP CITY ( •f.,5TLQ inFS.�) No. .�( e-qE�f Vw- ARCHITECT -) l TEL. BTPROVED ,//�.}O 'r ORFNGINEER ( •9 �,C'/ NO. eery ZONING AD. _SS 7 /, d. A_ • 0../ l 2. t. ZONE/ NO.OF USC OFmNal /2t..t L• / I PUNS U�Ij<;IN0�)4J lL (ALO_IOO'!/ CONTRACTOR 4 / 2 l/ mac. T/ A J� CS I ee LEGAL DESCRIPTION G. 3o it. zS 4 ?— ADDRESS i A.P.NO. CITY A-3 FAA. E .-- _ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.TNO. 117 6 -i NO. `eTEL. r,JI 3 D 33 6 90-TO SIDE S REAR P.L. OF LOT �)�cS /� 77.IO I NOW ON LOT / EAVES SIZE .-/ NO.OF BLDG... ALLOWED (U.B.C.REQUIREMENT/ USE OF / YARDS APPROVED YARDS APPROVED EXISTING BLDG. • MAIN BUILDING ACCESSORY BUILDING (FROM ettERK4IR M' SETBACK LINE FROM FRONT I FT. CENTER OF STREET REAR YARD ' t I cc ' SIDE YARD LEFT 2 0- RIGHT / R.SIDE ,� FT. FT. DESCRIPTION OF WORK L.SIDE 2tt FT. FT. REAR FT. FT. NEW ALTERATI N I'ADDITION DISTANCE BET. BET.MAIN Ft MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING IIf111 DEMOLISH BUILDING NO.OF SIZE ROOMS ST•RIEB C.U.P. -- EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK( ge�PERFORMED s',4_€24),-A L — •• ____ .1.: . Lo c,F/t S Ate— S . L 12 e s, _ SQ.PT. , N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION �� u BUILDING CONSTRUCTION. N • SIGNATURE OF Ct.L,,, _ Lic'4-- LI/ PERMIT FEE $ O PERMITTER D c s g o Q PLAN CHECK $ C AUTHORIZED AGENT \� Al G�L�-4ar• • / mC) E TOTAL FEE $ V/