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Home My WebLink About2223 RUTGERS DR - Building Permits • • 7 CITY OF COSTA MESA o BUILDING DIVISION 1. 1 et--1DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER J ��ls • PERMIT -"�om1rrNl11'd`� BOO-02007 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 2223 RUTGERS DR Status: ISSUED Suite: Applied: 12/18/2000 Vicinity: Issued: 12/18/2000 Parcel Number: 41906114 Zoning: Applicant: PRICE, BOB ISSUED BY: Address: Phone: 714-573-0155 Zip: Owner: O'DONNELL, MICHAEL B TR Address %CFG INVESTMENTS INC FOUNTAIN VALLEY, CA Phone: 17220 NEWHOPE ST#224 Zip: 92708 Contractor PREMIER ROOFING Address: 17501 NORWOOD PARK PL Phone: (714)573-0155 TUSTIN,CA Zip: 92780 License: 634404 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF TWO ROOFS. REPAIR AND REPLACE SHEATHING AS REQUIRED.COVER WITH 20 YEAR COMP. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,100.00 Permit: $83.25 Claim Valuation: $2,100.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 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: ❑ 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'compensation Insurance carrier and policy number are: & Carrier: Policy Number: (This section need not be completed if the permit Is vat :d at one hundred dollars($100)or less.) ❑ I certify that in the pe anc work f ich this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws f,C If I , d agre. . I should become subject to the workers'compensation provisions of Section 3700 of the Lap or Code,I shall forthwith comply with these prov' I�� l' Applibaiu P Date: UYUj// WARNING:FAILURE T ECURE WORKERS'•. - ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND VII.FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO • 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 licens.• .er ons of Chapt_r 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force.and.effect.Lic.k Aar/,� Class if �Contractor'sSlgnature: � /7I . Date: CONSTRUCTION LENDING AGENCY: ❑ 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). 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(5500).): ❑ 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 driver's 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,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 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? ❑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 a plication aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Li Yes 8 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 part 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 Califomia 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 st: : laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov: 'es,ribed property for inspecy'n purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. /fl j um Of Legal Owner(s) DA 4^ //9 (,-)..at1 pp Or Authorized Allcant�• (/ Date CODE t INSPECTIDNTYPE DAM I11MA4 CODE INSPECTION TYPE LAM BMW 1616 Fixed System Fin: ire Prevention 206 Final Mechanical 1266 Pool Spa Final p� 208 Final Plumbing 200 Final Re-Roof `2 'h —s' 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 _ .t,i Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. (CITY Oi COSTA MESA CONSTRUCTION PERMIT - PERM1 10.- � �� TRACT NO. LOT NO. UNIT NO. 14346 r/G7/ r ,j„ P rdject Address A3 .S RtJTC RS V((�� O'1 / • P•0. Bac ISSEA TYPE OF CONSTRUCTION ❑ NEW U ADD H ALTERATION L REPAIR Applicant's Mailing Address IE CONVERSION LI DEMOLISH CI OTHER A.P.# Zone Owner's Name CFG INVF..STNE;NTS Phone DESCRIPTION OF WORK/USE OF BLDG. Address S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT U GRADING L.•d-FOUNDATION ❑ STRUCTURAL T Front p Address n CI TENANT CI ELECTRICAL s�PLUMBING Cl MECHANICAL B Rear N Contractor's Nemo'. BROTHERS PLUMPs11JG Phone ..2'I 00 , ❑ OTHER A • I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) P.O. 80' sTNE.SAK IS$le C{ A ICA CONSTRUCTION TYPE VALUATION$ S Left R City License No. ZONE ft •DING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION / Ping. Ref.# Parking Req./Provided E I heieby.affirm that I am licensed under provisions of Charter 9(commencing Remarks: -- r r Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code, and A In M my license is in full force and effect. I T License lass . I Li -ns • i► _ S ii Date _ - • Signature 'D .% r .1,• ,-d " - PLUMBING FEES WORKERS' COMPENSATION DECLARATION . Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure • a certificate ELECTRICAL / FEES f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transform ❑ 15.50 KW - Policy No. - Company Backflow Irrigation Sewer Ca 050+KW 8 Certified copy is hereby furnished. p Construction Pole Sub. Certified copy Is.filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit _ Meter up to 100 amps / Date Applicant - 1 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher ,. Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric ' Sub Panel I certify that in the performance of the work r which t is permit Is Issued, I - shall not employ any person in any man , t com subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP Di%-8 Workers' Coirnpsg5y{�on Laws of Calif ornl — Date SIJ-(1`F 1 Signature ..44, iii Floor Drains Swimming Pool vv/SpaF.A.U. NOTICE:If,after making this declaration, you should become ject to the Inc,Solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you t forthwith Floor Sinks Urinal comply with such provisions or this permit shall be dee ed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY 3 Gas Service 5 Outlets Water Closet b• � 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 Lender's Name Range Lender's Address Kitchen SinkWater Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or ( 9 P Standing Sections county which requires a oermit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑05 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor • to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of 'vision 3 of the Business and Professions Code) or that he/she is exempt - - treirom and'the basis for the alleged exemption. Any violation of Section i31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee 1 $15 Issue Fee $ 3 • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES R EQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ ZoningApproved sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ pP By ' Date pletion, the owner will have the burden of proving he/she did not build or lin- DuCt- Under Ground Building Approved By Date prove for the purpose of sale). . ❑ I, is owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued By Dat 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 00.100,000 BTU ❑100,000 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). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ - 'SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ - PLAN CHECK $ PERMIT PLUMBING $ O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers — ISSUANCE $ Date Owner Heating System & Ducting Registers _ PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTL • GRADING $ information is mI agree to co with all city and county ordinances ELECTRICAL $ and state laws relating to builds g onetnstruction, and hereby authorize repro- - - $ • MICROFILM $ inspection sentatives of till • y, o onto pop the above-mentioned property for PLAN CHECK 50% inspection purpo t, ( n • Signature fiL(l',((/1 tX Gr�/Lt/trt Date 53/z7/g7 MECHANICAL $ TOTAL FEE $ q--- Drivers' License or SS# Reinspection Fee $15 ' Issue Fee $ 3 PLAN CHECK 25% $ • - - CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant: Pink -Accounting: Goldenrod - Assessor CONSTRUCTION ANDtiPLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1: Temporary Electrical.selvice 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,;.1 60. Backwash Lines, P-Trap, O Undrgrnd. r 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 67. Fencing & Access Approval 17. Rough Wiring Sign Q 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 O Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑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 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: (./_kg peetar €yp,R,pq Ac ion; 34. Final Heating & Air Conditioning z&s UPC t.C C 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 - )7-. 42. Backflow Preventer . 43. Backflow Irrigation - - 44. Landscape Irrigation System •• 45. Sound Attenuation 46. Handicap Regulations r - 47. FINAL STRUCTURE& BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison • • . I 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No, Date ' 8065 :ley Ri L/tuV' U COSTA MESA BUILDING DEPARTMENT FOWIC DEPT. p� COSTA MESA, CALIFORNIA CITY OF COM "ZA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BU I LO I N G ADDRESS 2223 Rutgers Drive A, B. C COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY (^�� Towne a� RECEIPT NO. Pr8LTCAG. OWNER Towne Est s, Inc. Pre" (VJ MAIL RECEIVED BY DATE RECEIVED DA ISS [� ADDRESS 1555 Placentia - 1/-2,1-,(77//77-v ,S CITY Newport Beach, Cal. TND.MI 6-3227 ADDREISS 2223 flu I'? aS ARCHITECT N • owner O. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE KK 1 K , 8534 ZONE NO.OF TYPE I GROUP CONIRIlerOR011 COnst. CO. CITY LIC. ) PLANS �O ADDRESS seine TEL. same By PROVE �/ Cf C �J{( DATE J LEGAL NOT. [O DESCRIPTION BLOCK TRACT 2788 CORRECTIONS A.P.NO. V 4 f�T if 1.1c: {C E SIZE x 100 NO.of SLOGS. 0 n\•L I� A n i V `r✓ ti OF LOT 60NOW ON LOT USE OF •� £. rti rh; ,� FD yam/ I!nI EXISTING BLDG. y' .4 F� 0 1' 1 t t RI SETBACK LINE FROM �'� ` CENTER OF STREET 45 ft REAR YARD 10 I SIDE YARD RIGHT 10 LEFT 10 DATC DESCRIPTION OF WORK VAR. No.&Q aPFROVED -. - i NEW S ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING ,{} NO.OF SIZE 2480 SCI ft ROOMS 12 STORIES 2 • EXTERIOR WALL ROOF COVERING stucco COVERING hot mop ' USE OF NEW BUILDING Apts. Triplex and attached 3 car garage. 02feeHa 47 — 771 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND A STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 6 /a (///`JI CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. VALUATION SIGNATURE OF 1--67,-,-„_10-,1,-1PERMIT FEE S / 6-J PERMITTEE ' S / /3 PLAN CHECK S 0224�� Jc V 411`AUTHORIZE GENT TOTAL FEE $ �i