HomeMy WebLinkAbout648 ROSS ST - Building Permits CITY OF COSTA MESA
4� BUILDING DIVISION
.. ,.,,,. ..4r DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
G. �,r�* tPERMIT g05-02127
d°° I
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SIjMLOING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 648 ROSS ST Status: ISSUED
Suite: Applied: 11/28/2005
Vicinity: ROOF Issued: 11/28/2005
Primary Occ: R3 Type of Construction: V-N
Parcel Number: 42223215 Zoning:
Applicant: WELLS, SARAH
Address: 2550 E MIRALOMA WAY (2,(/•/
1g,
STE 100 Phone: 714-632-6929 ISSUED BY: W"
ANAHEIM,CA Zip: 92806
Owner: KUREMATSU, TOSHINOBU
Address 648 ROSS ST - ��
Phone:
COSTA MESA,CA Zip: 92627-3412
Contractor: MESA ROOFING CORPORATION
Address: - 2550-E MIRALOMA WY . - , '
STE 100 Phone: 714-632-6929
.. ANAHEIM,CA ,
Zip:` , 92806 License: 564151
Arch Eng:
Address: Address:
Phone: - Phone:
Zip: License: - License:
SCOPE OF PERMIT
T/0 EXISTING ROOF,REPLACEW/30 YEAR GAF,TIMBERLINE OVER 2 LAYERS OF 15#FELT.T/O EXISTING'ON�FLAT ROOF'ANDREPLACE W.
4 PLY CLASS"A"ROCK ROOF.REPAIR AND REPLACE SHEATHING AS NEEDED.
- FEE SUMMARY .� ..t,,,,)
Plan Check: ", $0.00 Calc Valuation:. 67,915:00
Permit: $153.25 Claim Valuation: $7,915.00
SMIP Res: $0.79 - •
,.
SMIP Corn: $0.00 ,
Other:. - $0.00
Inspection: $0.00
Total: $154.04 •
. 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
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:
❑ 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.
4'^Phave,and will maintain workers'compensation insurance,as required by section 3700 of the Lab Code,for the performance of the work for which this permit is Issued.
—My-workers'co pensatlon Insurance carrier and policy number are: I "s
Carrier:, AN17cY.Number�.7 1— q✓) -2O Ji—
(Thls,secflon need not be completed if 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,end ree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these ps.
AApplicantgSl ure: x(,�r6 k) Q� D :'"'T al� I Ir(26/(>9_
WABNING:'FAILURE TO SECU RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTI S AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S10o000),IN ADDRION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am lice d under pr ons of Chapter 9(commencing with Section 7000)of Division 3 of the Busin s ectd professions Code,and my license is in full
force enc effect I:iaTer. P5 (�- 0 Class ( [l�r
Conttractof-s S e: trf Co n I/7 I t y l-Date: / �/
CONSTRUCTION LENDING AGENCY:V --C.IdT l
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: •f
Lenders Address:
Signature: - Date:
ti
OWNER-BUILDER DECLARATIONS:
._
I hereby that under chlty of perjury that I EXEMPT FROM THE CONTRACTORS LICENSEanLAW for oe following reason a sore.uireBusiness and hProfessionse
Code:Anycity t en which requiresr Ia permit to construct,alter,improve,demolish,eor repair any structure,prior t Its Issuance,also requires tthe applicantfivi ionh the
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 Drivers Ucense 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).
❑ A5 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? 0 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 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 greeter then 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 It an RMPP is presently required hes Section 25534 of the Califomla Health and Safely Code been fully complied with? ❑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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes El No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 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
correct. I agree to comply with all state laws and city ordinances relating to building construction,and 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.
oil Tglturenif OlenOwner(s)
AOurulhAppnca -� _1 ) )7�
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CODE r Iy5PECTION TYPE DATE INTIML5 00051 INSPECTION TYPE MTh MALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical _
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof ti® 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 FREINDLING, CHAS/ BURTCH, GORDON / DATE 3-19-56
JOB ADDRESS 6148-6149 Ross/Seal BUILDING PERMIT NO. 2513
' GENERAL CONTRACTOR Owner VALUES 2140.00
LOT 81-92 BLOCK TRACT1986 601-5i-thigh block fence
GROUP J TYPE III ZONE Rh FIRE DISTRICT 2536
PERMITS ISSUED
INSPECTIONS , DATE SUBCONTRACTOR DATE NUMBER
Footing Trench s2e./L/ 3—/9-C
Foundation Forms and Grade to Garage
Rough Framing
Plumbing,Rough to Slab
Plumbing, Rough Complete
• Temporary Pole
• Wiring, Rough
Heating,Rough
Heating,Final
Sewer, House Sewer,St.
Septic Tank or Cesspool
Lathing, In Out
Plastering
Plumbing,Final,Fixtures Complete
Plumbing,Final Gas Test
Wiring,Final 3 T
../ _
Occupancy tt�1 r➢n.fJ .,2:1 401 rit5"i
FORM 210 3M IO-'}!
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 2536 BUILDING 1
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Builin / / /' ;5705.9 — c^ Receipt No. Permit No.
Address U r? — (D 7 Q J 64/ 573
Costa Mesa, California Re/peeeke& by Do te R/ec'd. D to issss ed
Nearest se..„„.�i , y // ral '.r//973� �i/7/7-SZ
Cross St. N/jT . �6C e4 . Building
Addre
OwnerC%e,.Fh 6# € 477 t / ✓ Costa Mesa, California
Mall /
Address re- 679 — -cc — fail*. Nearest
�8� -,c ) Tel. 7 Cross St.
City d-dS/R., /*era( No. /tars 6.r3 Zone/J4 I No.of I Type ;it--- Group
Architect or Lic. C" ''7922 Plans �f�
Engineer No. Approved
S Date _
Address CORRECTIONS
City Lic. _
Contractor c'e,v d No.
AddressLegp.Il QUI
Description l I No.p 1—ter 1 Block I Tract/9pp
G
(Attach Metes and Bounds)
/ 1� No.of Bldgs.
Size of Lot G6 /� //U I Now on Lot /6Q, j��'�Q
Use of i/ No.of No.of _...-
13474141
-� �� 141 i 73
Existing Bldg. 441/2j F' • I Families I I Rooms
Setback Line fromRear VardOn /'ne ,
Center of Street ..5.-0 7 Side Yard Z
DESCRIPTION OF WORK ;•.,.!_..". 19 195 r
New I>I Alteration I I Addition I (����� pitrSA
Repair I `It/Moving I I Demolish I CM OF v { 1-
Building ` �a T ii No.of V `
Size Rooms Stories
Exterior Wall I Roof —
Covering Covering APPROVALS
Use of New /
Building S Z /v/C ii 1-en c Cr Q4y Foundation Location inspector Date
/ Forms,Materials,
ti-Of tr-)yy �/4j,o 70• /n1�/ Under-Pinning
e'
C vc,/P Al SID( id n l 1Frame: 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 egul ng
building const,ru�/ccti /J, �4G7. Lath.Ext
Signature of •d"
Permittee O- -ra.-.-- IL,,.. 40...i Plaster, Int
Authorized Agt. Plaster,Ext
Valuation Permit Fee $ a. L O Masonry Reinforced
�f O_° Plan Check$ Bond Beam
$ (Jf Total 0
Fee $ 6• FINAL
cnnaT OIN C_n0 Ot C_RR
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Street
PLOT PLAN
Show location and distances from
property line and between buildings.
OWNER FREINDLING, CHAS./ WARREN, WM. / DATE 3-19-56
JOB ADDRESS 648 & 652 Ross BUILDING PERMIT NO. 25114
•GENERAL CONTRACTOR Owner VALUE $ 240.00
LOT 81-82 BLOCK TRACT o�1986 60' blocic fence - 511 high
GROUP J TYPE III ZONE RIa FIRE DISTRICT 2535
PERM ITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench olt9.P.2
Foundation Forms and Grade to Garage
Rough Framing _
Plumbing,Rough to Slab
Plumbing,Rough Complete _
- Temporary Pole
Wiring, Rough
Heating,Rough _
Heating,Final
Sewer, House Sewer,St.
Septic Tank or Cesspool
Lathing, In Out _
Plastering
Plumbing,Final,Fixtures Complete
Plumbing, Final Gas Test
Wiring,Final /� r�
Occupancy or etry: d4or
.',��//;i
FORM 210 3M 10-55
Costa Mesa Building Department APPLICATION FUR MACRE'
111 EAST 20th STREET 535 BUILDING 11
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. I Permit No.
nadrressG'9f ---/055.• 'on Rocs ..2.s--/y
Costa Mesa, I I d
i R iv by D e R� di , Da I 3 Jz
iuilding /C
Address
/ &•'z/Costa Mesa, California
MaIl
/ „ Nearest
Cross St.
Zone 2l 1 I No.of I Type Group'
�(, 7y� Plans r• �J
Engineer No. Approved
by Date
Mdress CORRECTIONS
City Lie.
Contractor -Ce/Y. No.
Address
Description Block I
(Attach Metes and Bounds)
k I)
Setback Line from s--,4 7_, Rear Yard z
Center of Street "7 G, r SideYard i � �
MAR 19 1956
D r
CITY OF COSTA MESA
Repair 1•••• 1 Moving I I Demolish I
Size 7 No A4(.0 Rooms Stories
Exterior Wall I Roof . ,--•
Covering I Covering APPROVALS
Buildingrhiel Foundation Location Inspector Date
,,C / Forms,Materials,
�c a i^/ V ///HN' l a , /019 Under-Pinning
(10 i3 p„ L a ' _ n, Frame: Fire Stops,
I 7'c-nC'S (LP 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 constrnue�.on' Lath.Ext.
Signature of ,..,„ ' p�p,, �LS�' ��\ � •
Permittee 1/VIA) °'�'•".• ' '1.I i^1+ ?,_gl'� Plaster, Int.
,
Authorized Agt. Plaster,Ext.
Valuation Permit Fee $ c,4 ____— Masonry Reinforced
j, Plan Check$ Bond Beam
$ ol(7 6 Total ry
Fee $ �f 011--0FINAL
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Street - -
PLOT PLAN
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property line and between buildings.
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OWNER HARBOR ESTATES DATE 7-12-55
JOB ADDRESS - (418 ROSS St• BUILDING PERMIT NO. 1502
GENERAL CONTRACTOR Dike & Colegrnve VALUE $ 8,000.00
LOT 81 BLOCK TRACT 11986 Single family residence Plan 12C
GROUP I TYPE V ZONE R!, FIRE DISTRICT 1522
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
_ Q�dDATE NUMBER
Footing Trench U -� /r/-1�y •
Foundation Forms and Grade to Garage
Rough Framing_ -a 14- 9 -6 'CS
Plumbing,Rough to Slab Nt&'- 6-i-I rin
Plumbing, Rough Completer?8f ' -z—.ty 1_2__3-fC .22g2
Temporary Pole 7i
Wiring, Rough . ‘a�• I-.3/'rr?e,,fr ytars, !j-o[1 $1- /4 ^/ 7 y' l"9 s-(l
Heating,Rough
Heating, Final )Ge/j' // is,„„,,„-„, f&- q___23-,rd- 2778
Sewer, House"- Sewer,St. .(, //#L&. , g—/i-SS-- c2/77
Septic Tank or Cesspool `
Lathing, In OuX 1-# "4-$3
Plastering , 47_ a-. ;f
Plumbing,Final,Fixtures Comptet: eel - .. - <
Plumbing,Final Gas Test P ,r i I/- -,I _ 1. mac,.,/� /l ill .'/ —t(, W//
r cam✓ -��/ d-
Wiring,Final )'�� / - - _
Occupancy /� 4- - i
Form 210 G-H 15001-55
Costa Mesa Building Department , APPLICATION FOR PERMIT
5 111 EAST 20th STREET 1.522 BUILDING- - „ _ _ -.-� _ '1..
e,'' COSTA MESA, CALIFORNIA .
- --
fFOR OFFICE USE ONLY 1
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building I 1 , — `
Address (,J l Rnss Street ` i I r 1' 0�
Costa Mesa, California Received bx1 Date Rec'd.� 'S
ate Issued i
Nearest / ---/ `S— 7a�4I a
Cross St. 19th Street Building,
Address .
_Owner Harbor Estates - Costa Mesa, California
Mall
Address 419 East 17th Street . Nearest .
Tel Cross St. i I
City Costa Mesa No.LI 8-1159 Zone i`� No.of pe I Group=-
Architect or Lic. r ;I Ty
Plans I
Engineer L:nrl Ron & Midd31ebrd4c . Approved
b Date •
Address Garden Grove
'
. . ..-1�11 i
�
City
Contractor Dike & Colegrove No L'Y301
1
Address 419 F,aat 17th Street .., III Iti---1)
Legal 1 Lot ' _- _ f
Description I No. Al I Block I Tract 1986. . • w't 1 2 1 55
•
(Attach Metes and Bounds) l l •
No.of Bldgs.
Size of Lot (IQ X 110 I Now on Lot none CITY O�OSTA-NFC� o
Use of I No.of I No .of - . .
Existing Bldg. nope. Families Rooms - 6
Setback Line from Rear Yard 6Ql - ' - - - --- -
Center of Street 501 Side Yard rj 1 y
DESCRIPTION OF WORK r
New 'd I Alteration I I Addition I
_Repair I I Moving I I Demolish I
4 Building No.of
Size 984 'sq. ft. Rooms 5z Stories 1
Exterior Wall - I Roof
Covering stucco_ Coveristucco_ ng. carp APPROVALS
Usof New
Building 1' Foundation Location Inspector Date
g Plan 1 - Forms,Materials,
Single family residence Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature of Plaster, Int.
Permittee Dike & Colegrove •
/0 / Plaster,Ext.
Authorized Agt. C '� W E
Masonry Reinforced
Valuation '
Permit Fee $ ,f,0• ' 'lam
Plan Check $ 3, C D Bond Beam
$ 8,000.00 Total
Fee $ ale 0 FINAL
L:vn, 2114 C.H IM I2.C2
C O
• . JUL i2-55PDWF5An4 5 t-;:*23.00
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•
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Street
J .
PLOT PLAN
Show location and distances from •
•-
property line and between buildings.
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