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Home My WebLink About3061 YUKON AVE - Building Permits • 4 CITY OF COSTA MESA A BUILDING DIVISION Fy .::-,,� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • wrowv.ci.costa-mesa.ca.us FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: B09-00016 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 41806213 DATE ISSUED: 01/26/2009 ISSUED BY: BJK JOB ADDRESS: 3061 YUKON AV CM Suite/Unit: Vicinity: RESIDENCE AND ATTACHED GARAGE Squares: 2000 Valuation: $4,000.00 SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING WOOD SHAKE ROOF, 1/2"CDX SHTG, 1 LAYER 30#FELT,APPLY"30-YEAR COMP SHINGLES."PITCH 4:12 2000 SO FT • OWNER: UNDERWOOD, LEONARD ROYCE Address: 3061 YUKON AVE Unit: PHONE: .City/State/Zip: COSTAMESA,'CA APPLICANT: JOHNSON,SCOTT Address: 13672 ONKAYHA Unit: : PHONE: 714-778-6294 City/State/Zip: IRVINE,CA CONTRACTOR: POPA ROOFING INC License No. 675902 Address: 13672 ONKAYHAUnit: PHONE: 714-778-6294 City/State/Zip: IRVINE,CA 92720 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $97.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $98.25 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE S. INSPECTION Pm DATE INTIALS CODE t INSPECTION UPF, DATE INTmazs 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final Z 7 �_� �y� 208 Final Plumbing 200 Final Re-Roof .-7.15247 -r/7q [nfri 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 0 N... I I WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv.. .,sense. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CI have and will maintain workers'compensation insurance, as required by s 3700 of the Labor Code,f r the pe ormance of the work for which this"irDIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' permit is issued. y rkerg''/comae tion Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: /({/„�/ person is required to descend,will be made in connection with work authorized 1 • by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp ' - (This sedan need not be corn led Atha nM is vatted al a hundred dollars(S100)0/less) U j � /� 2,AA 2,Sec.341,Title 8,California Administrative Code). Policy.Number: 0 As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to a workers'compensation provisions of Section 3700 of -- - - - the Labor Code,b all forthwith comply with these provisio s. �+ nptt�ca^rs Signature nate lir / > % ' J Division of Industrial Safety Permit Number: A.. .:-'. 'Rine Dal' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is i full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No Lic:#_ - -5 /' 2 ' Class#-.. 9 (Section 25533 of the California Health and Safety Code, with some 1:-..1 - / _ / ��j� o exceptions, requires registration with the Costa Mesa Fire Department by �/ / each business which at any one time has on hand a quantity of acutely c contra. "`� .wrap Date _ 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the Califomia OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she - CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). . information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. . LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date ' property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. Signature• ••.er(s) Date Signature Date , i - / 3057-46(3/07) i c/o-7 And/w`Aulh• pr�rant` Date L_ > No. WILLIAMS INSULATION COMPANY OF CALIFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 547-5148 THERMAL INSULATION CERTIFICATION THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE,TITLE 24 STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Tract Name: Lot No. 6 r ,TTract�No. �10513 Block No. 3O Street ) c-_ f 1k �'C7'��l � City Costa nests EXTERIOR WALLS: Oen Corning 5° R Mfg. Thickness/Type Value 1° Ceilings: Batts: R— Mfg. Ot afl Corning Thickness/Type n Value lb Blown In: R_ Mfg. Thickness/Type Value R— Sq. Ft. Covered No.of Bags Used Value Floors: R_ Mfg. Thickness/Type Value 0 - R—� Mfg. Thickness/Type Value General Contractor California Contractors License No. Date Signature Title Williams Insulation Co.of California California Contractors License No. 267522 �n�Date e "�?� Fi�C Sr t `-Signature Title JOB COPY-WHITE BUILDING DEPARTMENT-PINK GENERAL CONTRACTOR-YELLOW FILE COPY-GOLD 3326 2/13/79 77' ��77 77 r' A ';/" I J , - 3329: 2/13/79 I1I7:27CKT�` 3328[ 00004444 15 .1A 01/ -KV Vt COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only a RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS �t V BUILDING �Or I .j0)63wrr`) a p t r tj _ //�el � PERMIT NO. OWNER Foley Construction CO. . Tres A.P. NO.I Z/7 MAIL ADDRESS (BUILDING ,I(3 /jy 30 j \UED ^/ ` Nye_, ADDRESS 2101 E. Fourth St. , #100 - � CITY NO.TETRACT 10513 LOT 6 BLOCK Santa Ana543-9471 CONSTRUCTION NEW ADD ALTER REPAIR MOVING. OFMOI ISH LENDER X BRANCH OWNER Foley�Go traction E / wa ADDRESS 2�Qs�� i.�9 QM ARCHITECT VALLIS 68..OC1+1/• OR ENGINEER Hales-Langston NOL' 547-086 SE \ FIRE ADDRESS 777 S. Main, #105; Orange ZONE TYPE GROUP CONTRACTOR Owner-DeVelOT�r APPROVED DATE ADDRESS Same 1 TEL. ZONE NO.OF ^ T-USE OF NEW 5 r CITY Sarre NO. 1 PLANS BUILDING Dw�llnq F-, STATE CITY YARDS APPROVED YARDS APPROVED 1 LIC. NO. See LIC. NO. MAIN BUILDING ACCESSORY ACCESS OORYBUILDDIINNG (FROM DFt_SIZE V Iw K. Ave,OF LOT INOWONLOTT0FRONT 239F'1 wUSE OF N/A / EXISTING BLDG. R.SIDE UET O FT.ct C—/F Separate permits are required for L.SIDE FT. v FT. electric,plumbing and heating work. / WREAR 3 i FT. 0 FT, E.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& ' qMAIN BLDGS. ACCESS.BLOCS. DATE .:1) Development of 41 single-family CURD# APPROVED detached residence units. _E R PA/Pc.7tle DATE 3-(6-7`i Ix GU 0 I hereby acknowledge that I have road this application and state n Sthat the above Information is correct and agree to comply with HOLD FOR SYEL.IAL titl/UIRtMt,N'I'J all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 7q W the State of California. ��Or� 'a �d( a •.: r I herebycertifythat I amF',x-G'� Sd'. FT. .�/""( 7!O/ a !'1 properly licensedProfesas a contractor under ` the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR iya Chapter 9, and that such licenses are In full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business 4- VALUATION ^I PERMIT FEE $ c and Professions Code, Division 3,Chapte 68 , / ` In Signature ofr .ei.� / PLAN CHECK $ ! / ?ASO 0 01 Permittee /N-V �! S Q TAX $ lie )� L Authorized Agent TOTAL PAID $ / /Z. '_ UM 3727179 _ `225.000KTQ Y r u �� 5180 000040415 "" -" ' IA .._ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED - BUILDINGADDRESS . 9 " `, L A BUDRENS • V __. PERMIT NO. / A.P.NO. OWNER ha f_ _ ',ley 4/�Ialb _ MAIL BUILDING S /_ I Yvr J AO au k / ADDRESS ADDRESS (Q /�'.(f TEL. TRACT I LOT QJ BLOCK CITY NO. KKKK//// CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER Q, r ,a /I /�•y� Jilt_ BRANCH OWNERTh`� CA IJS&.A ' ADDRESS VALUE • ARCHITECT TEL. USE $ OR ENGINEER NO. " - "' " FIRE ADDRESS ZONE TYPE GROUP y� APPROVED CONTRACTOR/ 1 / BY DATE ADDRESS �J ` TEL. ZONE INO.OF USE OF NEW PLANS BUILDING CITY NO. STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE I NO.OF BLDGS. (FROM C/L STREET) A. OF LOT NOW ON LOT FRONT FT. FT. et USE OF ca EXISTING BLDG. R SIDE FT. _ FT. V) F Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. REAR FT. _ FT. IQ USE OF BUILDING AND WORK TO BE PERFORMED I—, DISTANCE BET. BET.MAIN& OQ MAIN BLOCS. ACCESS,SLOGS. VAR.#` DATE C.U.P.$`• APPROVED -C APPROVED > BY DATE .•1 W A, 0 I hereby acknowledge that I have read this application and state n C that the above Information Is correct and agree to comply with w 0- all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of a 2 the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. iv the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ �/1 o a and P Tessio Code,Division 3,Chapter 9. p(e(S. en PLAN CHECK E n Slgnatur t en Perml e $ TAX $ U. �— u -U Authori3atl Aga TOTAL PAID $ gs--,--ed