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Home My WebLink About3079 WARREN LN - Building Permitsk . Job Address: 3079 WARREN LN Suite: Vicinity: ROOF Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V -N Parcel Number: 14103810 Zoning: R1 Applicant: H. HAMMRSTROM Address: 18903 SAN CARLOS ST SMIP Res: FOUNTAIN VALLEY, CA Owner: MC CRACKEN, BEATRICE TR Address 3079 WARREN LN Inspection: COSTA MESA, CA ' Contractor: ABSOLUT ROOFING INC Address: 18903 SAN CARLOS ST FOUNTAIN VALLEY, CA . - Zip: 92708 Arch Address: Phone: Phone: 714-655-2231 Zip: 92708 Phone: Zip: 92626 Phone: 714-655-2231 License: 761118 Eng: Address: Status: ISSUED Applied: 11/13/2006 Issued: 11/13/2006 ISSUED BY: � oza�(—' Phone: Zip: License: - License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 4:12 PITCH, 30 YEAR TAMCO COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS NEEDED. 2,400 S.F. INCLUDES ATTACHED GARAGE, FEE SUMMARY Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.52 SMTP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 Calc Valuation: $5,180.00 Claim Valuation: $5,180.00 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 2"646 (8=) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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: /Ca nr ei:; S'T IQ 7 -N 1AE Policy Number: �) / S 0 „(7h15 sect/on need not be completed f rhe permit is valued at one hundred dollars ($100) or lass.) ❑ I certify that in the performance of the work for which this rmit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of all mla, end agregq{{hat If I shout become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with these Is s. n // I O (Applicant SSign_eture: � �/�/_� X /�/1_/1/i (Det=: _ - `WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,00)), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am kosed under Wovislons of Chapter g (comm)ncing with Section 7000) of Division 3 of the Busine s and Professions Code, and my license is in full -force`and effect. LIC. a '4 fO ,f' / Class a_ " 3 Ci yl -Contractors Signature: (q ��L Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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: 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 taw 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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 e 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 certity a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ 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 re rted 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 temperatureand pressure). ................................................................................................................................................___................................................................................................................................................. ............................................................................ t 2 Does or will the applicanor present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ 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? ❑ 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? _1 Yes LJ 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? ❑ Yes ❑ 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 ❑ No .........................................................................................................................................................................................................................................................................................................................................................................._._........... B (II 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 AUTHORVAT10N F ENTRY: I certity under penalty of perjury that I have read this application and state that the informatio]given car ct agreato comply with all state laws and city or antes relating to building construction, and authorize representatives of the City of Costa Mesa to enter e - escri propail r'nspection purposes. I agr not upy or allow occupancy of any building authorized by this permit until final inspection. v If AV S' natur Of Leal Owner / 9 , O / Date And/Or Authorized Applicant J (er-.'Date CODE 1. INSPECTION TYPE 2ATE INTRIALS CODE? INSPECTION TYPE QdiE INTMAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final —/f/� 208 Final Plumbing 200 Final Re -8001 �� 0 f/�f,/!/�'-f— 210 Final Electrical 201 Final Block/Retaining Well 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 Moved from 1491 baker OWNER COLTBME MESA CO. DATE 6-17x159 _ JOB ADDRESS 3079 Warren Lane BUILDING PERMIT NO. 9568 GENERAL CONTRACTOR a ale Co. VALUE $11000.00 AP. No. LOT 32 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Found.Reloc.ltea-. INSPECTIONS DATE I GROUP TYPE ZONE p jLw Underground So' 3` U.G. Water SUBCONTRACTOR PERMITS 1ssuED 1 Underground Gas p _[1/ DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Isine— Hou/Con. St. Swr, Sprinkling System ' Heating, Final Plumbing Fixtures bN Final Gas Test Construction Pole "'' Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing _ Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY Form 210-3M-4-59 95 9545 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA I FOR APPL/CANT TO F/LL /N COMPLETELY' TYPE OR PRINT, ADDRESS 3079 Warren Lane Costa Mesa COSTA MESA. CALIFORNIA t .I s JUN 10 1964 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFF/CE USE ONLY OWNER College Mesa Company RECEIPT NO. I PFIRMIT NO. fD/ATF��SSUED AMAIL DDRESS P.O. Box 2277) BTOokhurst Sta. RECE VIED BY I DiTECEIV I PG/ JC I /y S L.�,., Anaheim TNORi' CITY 5024 AODR SS COSTA MESA, CALIFORNIA Quigley CENGINEER BE 7191 ORNO. and Clark ADDRESS 1102 W. 17th St., Santa Ana FIRE ZONE STATE. 0 STATE 735 The Hale Com //G /u/ C Ow/ CONTRACTOR, an- BBYPROVED ax DATE V ADDRESS p.Q. Box 2277 Brookhurst Sta Z66JING LEGAL I LOT 1 2611 ZONE NO. OF (PLANS USE OF NEW (BUILDING DESCRIPTION NO. 32 BLOCK TRACT A.P. NO. �/-� ��- APPRO BYJr -� D D r DATEgot SIZEOF NO. OF SLOGS. YARDS ES - LOT 64 X^123 NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. ONT L% �-/FT. IN. 5O SETSA CK LINE FROM CENTER OF STREET 50 RE YARD R. SIDE FT. IN. I � qI /II 't§ SIDE YARD LEFT RIGHT T L. SIDE FT. IN. DESCRIPTION dF WORK RE FT. IN. NEW ALTERATION I ADDITION I II XII REPAIR MOVING 11 DEMOLISH DINQO•B X 21 1 SIZE ROOMS STORIES EXTERIORLLWALI,, ROOF compo COVERING JtucCO COVERING USE OF BUILDING AND WORK TO BE PERFORMED -/ relocatedbuilding being upon )7' original agreement in accordance with Permit #7126. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. College Mesa Company VALUATIONnn ��ll SIGNATURE OF. (�j,Li' COMPANY Gen' 1 PERMITTEE By njV $ 11000.00 PERMIT FEE $ �/ n PLAN CHECK $ By nor AUTHORIZED AGENT TOTAL FEE $ OWNER COLLEGE MESA CO. Moved fran 1!191 t�r6_59 DATE JOB ADDRESS 3079 Warren Lane BUILDING PERMIT NO. 9 The Hale AP. No. LOT j� TRACT e0f t. FIRE ZONE DESCRIPTION OF WORK FOund.&RelOC.94 INSPECTIONS 1- 1141 DATE ------------------------- I GROUP TYPE ZONE Underground Soil U.G. Water - � % SUBCONTRACTOR _ PERMITS ISSUED , ', Underground Gas � F DATE NUMBER Overhead Water and Gas t Rough Heating 4 N/ 1 Rough Plumbing$. �9-S `� oZ0&-67 Miscellaneous _ a Prop. Swr. Line House Con. St. Swr. _ .11A 7 Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole �P�< V— Underground Power Rough Wiring Trenches Forms Steel �2 Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing _ Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY T_ Sr-Zl =lJ Form 210-3M=4-59 - 9549 4W ' 9549 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA FOR APPL/CANT TO f/LL /N COMPLETELY TYPE OR PRINT BUILDING ADDRESS 3079 Warren Lane, Costa Mesa COSTA MESA, CALIFORNIA -r � t ? t G�LG;i FINANCE DEPT. rl_.. r nnCT4 PAFSQ APPLICATION FOR PERMIT BUILDING FOR OFF/CE USE ONLY ADDRESS P.O. 2277, Brookhurst Sta,Anahe CITY Anaheim T o: 3-3161 AB u ESS ORCENGENEER BulOt,and C U g _y_ y NOL. 7191 ADDRESS1102 W. 17th St., Santa Ana FIRE ZONE STATE 7350 APPROV EC CONTRACTOR LIC. NO. 1 ADDRESSP•0. 2277, Brookhurst Sta,Anahei LEGAL I LOT 2671 ZONE IQ DESCRIPTION NO, 32 BLOCK TRACT SIZE OF LOT 64 x 123 INS. OW BLOT 1 NOW ON LOT SETBACK LINE FROM CENTER OF STREET SIDE YARD ILEFT A DESCRIPTION OF WORK BUILDING NO. OF 1 SIZE 27.6x47.3 ROOM$ 5 STORIES EXTERIOR WALL ROOF COVERING Stucco COVERING COMDO with Permit #7126 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. College Mesa Company PERMITTEE°FBy THE HALE COMPANY Pgn'l IGNATURE IZED s BY I6Y �TE,$ ..J /IBE/ I DADATE .VS I$SI1FV COSTA MESA. CALIFORNIA /G DATE L; V Z ING NO. OFUBE OF NEW y� PLANS / BUILDING (CENTER LINE ST.) R. SIDE T AMOUNT SHOWN UNDER VALUATION IS FOR THE P POSE OF EETABLISHING A PERMIT FEE ONLY. VALUATION ai PERMIT FEE $ S 1,000.00 PLAN CHECK S TOTAL FEE S /.LSC