HomeMy WebLinkAbout978 TRABUCO CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT.
PERMIT
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Job Address: 978 TRABUCO CI
Suite:
Vicinity: HOUSE & ATTACHED GARAGE
Parcel Number. 42205208�� � �
SO�1: \ °�
Applicant: HERMAN, RICHARD
Address: 4050 1/2 BROTHERTON
CORONA,CA .
owner: RUCKNAGLE, ERIC
Address 978 TRABUCO CIR
COSTA MESA, CA
Contractor: HERMAN ROOFING
Address: 4050 1/2 BROTHERTON
� CORONA,CA
Zip: 97719
Arch :
Address:
BUILDING PERMIT
2oning:
-Phone: (714)736-5677
Zip: 91719
Phone: (909)736-7757
Zip: 92626
Phone: (714)736-5677
License: 348265
Eng:
Address:
Y t
PERMIT NUMBER
I B00-00777 I
77 FAIR DRIVE, COSTA MESA, CA 92626 �
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Status: ISSUED
Applied: OS/31/2000
Issued: OS/31/2000
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ISSUED BY:
- Phone: � Phone: �
2ip: - � � License: License: .
SCOPE OF PERMIT
� REROOF EXISTING 2-STORY SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (i6 SQ). TEAR OFF EXISTING SHAKES
& RESHEATH WITH 7/16" OSB. INSTALL 1 LAYER OF 15# FELT UNDERLAYMENT 8 REROOF WITH 40 YR. "ELK"
COMPOSITION SHINGLES.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existina: 0
NOTES:
Rear 0-0
Rear 0- 0
Requiretl: 0
\, �
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
_\
a-_���..v :'�� `. . .
$3,480.00
$3,480.00
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 penod of 180 days. � �
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlona and final epprovel must be obtained. Failure to obtain inspections and final approval will resul� in the expira�ion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSATONDECLARAnON:
I hereby efrirm untler Denalry of perjury one of the following tleclarations:
❑ I have anC will maintaln a certificate of consent to setl-Insure tor workers' compensation, as providetl for by section 3700 of the Labor Cotla, for the peAormance of the
work lar which this permil is issuetl. .
❑ I have and will maintain workere' compensation insurence, as required by section 3700 ot Ne Labor Cotle, for ihe pertortnance d the woAc for which Ihis permit is issuetl.
My workers' compensation Insurance carrier and policy numbar ere: . �
Carner: Policy Number:
(This sectlon need not be completed il the permif is velued et one hundred dollars ($700) or Iess.J
� I.cartity that in Ihe pertortnance of the work tor which this pertnit is iuued, I shall not employ any person in any manner so as to become subject to the workers'
��compensation laws oi Calitomia, and agree Ihat if I shoultl Decome subject to the workers' compensation provisions of Section 3700 ot ihe Labor Code, I shall forthwith
comD�Y-�'��h �hese provisions.
Appicertt'Slgn�: (Dete: Sr'�j �� �
WARNING FAIWRE TO SECURE WORKERS' COMPENSFTION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLbVER O RIMINAL PENALTIES ANO CIVIL FINES UP TO ONE MUNDREO
THOUSAND OOILAFE (5100,000�, IN ADDITION TO THE 00.5T OF COMPENSATIIXJ, DAhL1GE5 AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CO�E, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm t¢etdam�lice ed under provisi s oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license Is in tull
�orce and enect(Lic. u 3�N S� 6� �Ciass x C.�', —�i �7
CONSTRUC710N LENDING AGENCV:
❑ I hereby aHirm ihet there is a constmction lentling agency tor the pedormance ot ihe work tor which t�is permit is issued. (Sec. 3097, Civil Cotle).
Lender'S Name: Lenders Address:
Signawre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm that untler penalry of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to construct, alter, impmve, tlemolish, or repair eny stmcwre, prior to its issuance. also requires the applicant for such permit
to file e signetl statement thet he or she is licensed pursuant to ihe prwisions of Ihe Comractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of Ihe
Business antl Professions Code) or ihat he or she is exempt therefrom entl t�e basis for the alleged exemption. Any violetion of Section 7031.5 by any epplicant tor a permit
sub�ects the applicant to a civil penalry oi not more than five hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe siructure is not intantlatl or offered for sela (Sec.
7044, Business antl Protessions Cotle: The Contractors License Lew does not apPly to an owner of property who builtls or improves thereon, and who does such work
himself or herseN or Ihmugh his or her own employees, provided that such improvements are not intended or oflered tor sale. If, hox•ever, the buildinq or improvement is
sold wiihin one year oi completion, the owner-builder will have the burden of proving that he or she tlitl not Duild or improve tor puryose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Protessions
Code: The coniractors License Law does not appty to an owner of property who 6uiltls or improves ihereon, and who comracts for such project with a coniractor(s)
license pursuant Io the Contrectors License LewsJ.
❑ I am exempt under sec. Business antl Professions Code for Ihis reason:
Signature: Date:
Owner ID verified by driver's license. ❑ Ves ❑ No DnveYs License No.
Verification of Ownership by (rype ot document, i.e. - pmperry tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
Ezpires:
❑ I hereby certity Ihat no excavation five (5) or more feet in tlepth into which a person Is required to descend, will be matle in connection with work euthorized by Ihis
permit, and that no building stmcture, scaflolding, talsework, or tlemolition or tlismantling Ihereoi, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Celifornie Administrative Code).
❑ As owner-huiltler, I will not employ anyone to tlo work which would require a permit from the Division of Indusirial Safety, as noted above, unless such person has a
permit to tlo such work from the tlivision.
Siqnature: Date:
Division of Indusinal Safery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AIJf}IORIZATION OF ENTRY: I certih/ under penal�y of perjury ihat I have read ihis application and state ihal ihe infortnaiion given is
correct I agree Io comply with all state laws antl ciry ordinances relating ro building constmction, antl authorize representatives of Ihe Ciry oi Costa Mesa to enter upon the
ebove-descnbetl proDeny for inspection purposes. I agrea not to occupy or allow occupancy of any building authorizetl by this pertnit until final inspection.
[ddT��7F��3iEP.��19�
1818 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Well
202
203
204
244636
Final Fectory Fire Plate
Final Slgn
Final Demolition
P�TE INTITIpLS
COQEI LNSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
272 Final Fire Pravention
220 Final Plenning ApproVal
222 Final Site
250 Final Building/Occupancy
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(714) 754-5273 • Fax (714) 754-4856
Job Address: 978 TRABUCO CI
Suite:
Viciniry: ROOF
Parcel Number: 422�52�8
CITY OF COSTA MESA
BlIILDING D/VIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Applicant: RUCKNAGEL, ERIC
Address: 978 TRABUCO CIR
COSTA MESA, CA
Owner: RUCKNAGEL, ERIC
Address 978 TRABUCO CIR
COSTA MESA, CA
contractor: OWNER-BU ILDER
Address:
Arch :
Address,
Zip: •
5 i
BUILDING PERMIT
Zoning:
Phone: (949)642-8662
Zip: 92626
Phone: (949)642-8662
Zip: 92626
Phone:
License: 0
Eng:
Address:
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: O6/01/2000
Issued: O6/01/2000
. � . Phone: Phone:
, � Zip: � � � . License: License: �
' SCOPE OF PERMIT
INSTALL TWO 30"x46" GLASS SKYLIGHTS (SKYVIEW SKYLIGHTS - ICBO #4063).
REF: B00-00777 FOR REROOF PERMIT. '
' Plan Check: '
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$38.75
$0.50
$0.00
$0.00
$0.00
$39.25
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
0
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
si,000.00
si,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 1 BO days, or if work is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inepectiona 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) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby attirm under penalty ol perjury one oF the following declarations:
❑ I have antl wiil maintain a cartificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of ihe Labor Cotle, for ihe peAormence of the
work for which ihis permit is issuetl. -
❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 ot ihe Labor Cotle, for the perfortnance ol the work for whiU Ihis permit is issued.
My workers' compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(fhis section need not be cromplefed it the permif is valued at one hundred dollare ($100) or less.)
❑ I certity that in the peAormance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree ihat if I should become subject to ihe workers' compensation provisions of Section 3700 of ihe Labor Code, I shall forihwith
comply with Ihese pravisions.
Applicant Signatura: Date:
WARNING FAILURE TO SECURE WORKERS' COMPENSATION ('pVERAGE IS UNIAWFUL AND SHALL SU6IECT AN EMPLOYER TO CqIMINAL PENALTIES AND CIVI� FINES UP TOONE HUNDRED
TFIOUSAND DOLLARE (5100,000), IN A�DITION TO THE fAST OF CAMPENSATION, �AMAGES AS PROVIDED FOF IN SECTION 31W OF THE LABOR WDE, IMEREST, ANO ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aHirm Ihet I am licensed under pmvisions of Chapter 9(commencing with Seciion 7000) of Division 3 of ihe Business and Professions Code, and my license is In full
�. foma antl ettect. Lic. M Class #
IComractors Signeture: Date:
, CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm ihat there is a constmction lending agency tor the performance ot ihe work tor which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name: �endets Adtlress:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereDy attirm ihat under penalty of perlury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW For ihe tollowing reason (Sac. 7031.5, Business antl Protessions
Code: Any ciry or county which requires a permit to consimct, alter, improve, demolish, or repair any siructure, pnor to its issuance, elso requires ihe applicant for such permit
to tile a signetl statement ihat he or she is licensetl pursuant b the pmvislons ot the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business antl Protessions Cotle) or Ihat he or she is exempt thereirom antl ihe basis for Ihe elleged exemption. Any violation ot Section 7031.5 by any epplicant for a permit
subjects the applicant to a civil penalry of not more than five hundretl tlollars ($500).):
� I, as owner of the property, or my employees wi�h wages as �heir sole compensation, WILL DO THE WORK, and �he siructure is no� intendetl or ottered for sale (Sec.
7044, Business and Protessions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who tloes such work
himseli or herself or through his or her own employees, providetl that such improvemems are not intended or ottered br sale. If, however, tha building or improvement is
sold wi�hin one year of completion, the owner-builtler will have ihe burden ot proving ihat he or she ditl not Duiltl or improve for puryose of sale.).
�I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business and Professions
Cotle: The contractors License law tloes not appty to an owner of property who builds or impmves thereon, antl who contrects tor such projec� with a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ lam
Si9naWre:
Owner ID
sec.
licen5e. /[] Ves ❑ No
Business and Professions Code for Ihis reason:
Verification of Ownership by (rype of tlocumen6 i.e. - propeM tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Onver's License No.
Date: C 00
Expires: O
❑ I hereby certity Ihat no ezcavation tive (5) or more faet in depih into which a parson is requiretl to descend, will be made in connection with work authonzed by ihis
permit, antl ihat no builtling structure, scaRolding, Falsework, or demolition or dismantling thereot, will be more than ihirty-siz (36) tee� hig�. (Chap. 32, Grp 2, An 2, Sec.
341, TM1Ie 8, Calitomia Administretive Cotle).
❑ As owner-0uilder, I will not employ anyone to tlo wo/ic which would require a permit irom the Division of Indusirial Sefery, as noted above, unless such person has a
permit to do such work from the division.
Signawre: Date:
Division of Induslrial Safety Permit Number:
CERTiFiCATE OF COMPLIANCE AND AUTHORVA710N OF EMAV: I certify under penalry of perjury that I have reatl Ihis application and state ihat the information given is
correct I agree to comply with a0 state laws and city ordinances relating to huilding constmction, and authorize representatives ot the City of Cosia Mesa to enter upon ihe
above-descdbe ropeny for ins ection puryoses. I agree not to occupy or allow occupancy ot any builtling authonzed by this permit until linal inspection.
�i�"�' � ��c �f%o
Signature O egal Owner(s) ate
AnNOr AUNorized Applicant
CODE Y. INSPECTIONTYVE �
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
204
24d636
Final Sign
Final Demolition
DjTF INTITIRLS
CODE♦ INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuiltlinglOccuDancy
pRTE
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INTRIALS
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City of Costa Mesa Pla Department
Post Office Box 1200 �
77 Fair Drive
�j p� Costa Mesa, California 92626
� ���i �[ �[� (�14) 55G5245 -
REQUEST FOR OCCUPANCY R E C E i V E D
ClTY OF CCST'. i
(Single Family Residential or ��� ^ ��•�
Condominium Units)
' V*� ��, ��,_...
AM PM
7i8i9il0�11i12i1i2=3;4i5i6
p s
Tract No. / � ) / 2 Date � �� — � %
Lot No. b
Address %78 %RH %J UCO C�. CO�� %yIeSA
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, theyl_� q��lwas or werel�advised that this tract has
not been given final in ection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and, hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
�
CMF 0569-26
43624
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 � COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only �
BVILDING (yQ ���r..� %% r •
AODRESS S/ C�!' C� C�(�
OWNER J.H. Gregory
MAIL 318% "G" Airway Ave. �
ADDRESS
CITV Costa IvIesa No`751=38.
BRANCH
ADDRESS
Hester �,�'-759-021
ADDRESS
CONTRAC
VASU
�,�a-a-����:<,OC so�w: --�3Z4.51
APPUCATION FOR STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED neTeiccnGr
x.c � � � I
OWNER J.H. Gregory
Res W/Gar
USE
FIFE V
ZONE TVPE
APPROVED
ADDRESS3187 "G" Airway Ave.
' TEL. � NO.OF
c�rr Costa Mesa No.751-38�4 P1-"�
LIC.NO. g��*�X ZS CITY �7(� �'ARDSAPPFOVEI
5-98� LIC.NO. QOHZ(7 MAINBUILDING
SIZE s� NO.OF BLDCaS. (FROM C/ 5 REE
OFLOT 3SOOSOy.1t.`dVeY�a.gENOWONLOT � qONT FT.
USE OF
EXISTING BLDG. 51 FT.
Separate permits are required for L SIDE Fr.
electric, plumbing and heating work. � � ��
REAR
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET.
Single Family Res.
I hereby acknowletlge thet I have read this application antl staie
that the above intormaiion is corract antl agree to comply with
all laws reguletinB builtlin8 construction, and I shall not employ
eny p¢rsOn in violation of the workman's compensatiDn lews of
the Stace of Californle.
I he�eby certify that I am properly Ilce d as a contractot under
ane Sm[e ot Californie Business end Pr ssions Code, Division 3, �
Chapter 9, antl thet such lica ses� e full force and effect, or I
am e from the p�ovisi ns6tk teie of California B�siness
and rofessi s Coa�ivisi� n�� ier 9. .
VALUATION
Pa m�tta`°'�`�,�LL/� i A s36; 660. o0
VALUE 36,660
$
-
GROUP 'I&J
DATE
USE OF
VARDS APP
ACCESSORV
BET. MAIN &
J=467sq.ft.
IOWN UNDER VALUATION IS FOR
E5TA645HING A PERMIT FEE ONLV'
PERMIT FEE $
PLAN CHECK $ �
TAX $ �S
TOTALPAID $ z s�
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