HomeMy WebLinkAbout881 LIARD PL - Building Permits• � CITY OF COSTA MESA '
B!/ILDING D/VIS/ON
F � 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.wsta-mesa.ca.us
�.�� FOR INSPECTIONS CALL: (774) 754-5626
PERMIT NUMBER. B08-00262
P�RMIT TYPE B_ROOF2
ApN: 41806409
JOB ADDRESS: 881 LIARD PL CM
Viginity:
Squares: 0
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
SCOPE OF WORK: T/OFF INSTALL 7/8" OSB 1 30LB FEL7 AND 50 YR COMP. SHINGLES
OWNER: BOBADILLA, ERNEST D Address: 881 LIARD Pt
PHONE: City/State/Zip: COSTA MESA, CA
ISSUED
09I19I2008
CAC
$5,000.00
Unit:
APpLICANT: SCOTT JOHNSON , � Address: 1260 N HANCOCK Unil: :SUITE 107
PNONE: 714-777�040 , ,- � . - Ciry/State/Zip: ANAHEIM,CA - �
CONTRACTOR: MC CORMACK ROOFING AND WINDOW CO License No. 643700
Address: 1260 N HANCOCKUnit: . , � , SUITE_107 PHONE: 714-777-0040
City/State/Zip: ANAHEIM, CA � �� 92807 � CELL: ' 949347-1400
ARCHITECT: . . � _ , License.. - � PHONE:
�GINEER: Licer�� PHONE' '
� 1
FEE SUMMARY �
�
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TQ7AL FEES
$0.00
$111.25 .
$0.00
NOTICE: The work authorized by this permit shall wmply with all aOP���ble handicap access requirements under Califomia statutes and relatee
regulations. (Ord. No. 92-28, § 7, 72-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. �.
INSPECTIONS: In order for the work authorized under lhis permit to be wnsidered legal, such work must comply with all applicable codes, and all
rgquired Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE� INSPECTONTYPE QSjf, N TIAL �j INSPEL710NTYPE �jF INTIn��s
1818 Fixed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final ���(� 208 Final Plumbing
200 Final Re-Roo( � y"r 2�0 Finaf Elachical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
z03 Final Sign 222 Final Site
2(M Final Demolition 250 Final BuildinglOccupanty
\
WORKERS' COMPENSATION DECLARATiON: ' �
I heieby aKrm under penalry of perjury one o! �he (ollowing Eeclarations: :
❑ I have anC will maintain a certifwte of consenl lo self-Insure for workers'
compensation, as providetl for by section 3�00 of Iha La6or Code, for tha
,pe�yrmance of the work for which this permit is issued. �
C�4 YI have antl will maintain workers' compensation insurance, as required by
5ection 3700 of the Labor Code, for tha pertormance of the vrork for which this
�permi� . M workers:�compensation Insurance cartier and policy
Y
numberare: � �� � � ��
!� Y'� ( V "({'
(Ths sMbn neeEnd bje m.�n.qeleE I Ne( p�eim^�l$ val�etl at ane �urMretl tlo9ars (St00) a less J
P�wcY�wAoer. ��� Y �%�• 7 J
❑ I ceAify lhat in the peAormance ot lhe work tor which this pertnil is
issued, I shall not employ any person in any manner so as to become subject
ro the workers' compensation lavrs of California, antl agree that if I should
become subject to Ihe workers' compensation provisions o! Section 3700 of
the Labor Code, I a b with comply with these��sion�`�
9
'Appl(caM's ' rL te
WARNING FAILURE TO SECURE WORKER9' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT .AN EMPIOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm lhat I am licensed under provisions of Chapler 9(commencing
with Seclion 7000) of Division 3 of the Business and Pro(essions Code, antl
my license is in full force and effec[.
Li�Y�% � U Ss: a 3�
�l , ._9'' � 9-°
Comred� re "'�—Date
CONS7RUCTION LENDING AGENCY: _
❑ I hereby affvm that there is a construction lending agency for the �
peRortnance o( the v.ork for wfiich this pertnit is �ssued. (Sec. 3097, Civil Code).
Lentler's Name:
Lender's Address:
Ddle
OWNER-BUILDER DECLARA710NS:
I hereby affirm that under penalty of perjury lhat I am E%EMPT FROM THE
CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5,
Business and Professions Code: Any ciry or county which requires a permi[ t0
constmct, alter, improve, demolish, or repair any strucNre, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuan[ to the Provisions of the Contrectors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Pmfessions Code) or Ihat he Or she is eaempt therefrom and
the 6asis for the alleged exemption. Any violation of Section 7031.5 by any
applicant lor a permit subjects the applicant lo a civil penally of not more than
five hundred tlollars ($500).):
❑ I, as owner of the propeAy, or my employees wit� wages as their sole
compensation, WILL DO THE WORK, and lhe slr�clure is not intended or
offereC for sale (Sec. 7044, Business and Pro�essions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
ihereon, and who dces such work himself or berself or through his or her ovm
employees, provitled that such improvements are not intendetl or ofleretl for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have Ihe burden of proving that he or she
did not build or improve for purpose of sale.). - , ,
❑ I, as owner o( Ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consiruct Ihe prqect (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not apply to an owner of
property who builds or impmves thereon, and who contracls tor such project vnth
a cont2cta(s) license pursuant to the Cont2c10rs License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reasoP:
' SgnaWre Date
305]-O6(3/0])
Ovmer ID veri(ed by Ariv',. .cense. ❑ Yes ❑ No � _
Dnver's License No. Expires: �
Verifcation of Ovmership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certify that no excavation frve (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by Ihis permil, and that no building structure, scaRdding, (alse�wrk, a demolition
or dismantling lhereof, will be more than thirry-siz (36) feet high. (Chap. 3.2, Grp
2. M 2, Sec. 341, Ttle 8, Califomia Adminis[2Me Code).
� As ovmer-Duilder, I will nol employ anyone to do work which vrould
require a permil fmm the Division of Industrial Safely, as noted a6ove, unless
such person has a permit to do such work from the division.
Applicam's Signalme Date
Division of Indus[rial Safery Permit Number .
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will Ihe applicant or present or future buil0ing occupant need to file and
certify a Business Plan for emergency response to release or threalened
release of a hazardous material? ❑ Yes ❑ No
(SeCtion 25505 of lhe Cali(ornia Health and Safety Code reqUireS, vrilh 5ome
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Depanment by every business which has at any one time during a repoAed
year a quantiry of hazardous materials equal to or greater Ihan a weighl of
500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or fuWre building occupanl need ro file
a regis[ration fortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Code, wilh sOme
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantity of acutely
hazardous malerials equal to or greater than a weight of 500 pounds, or a
volume o( 55 gallons, or 200 cubic (eet of compressetl gas al standard
tempereture and pressure).
3. Does or will the applicant or present or tuture building occupaN need to
prepare an RMPP (Risk Management antl Prevention Program for awtely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of Ihe Califomia Heallh antl Safery Cotle provides that the
Costa Mesa Fire Department may require the preparation, certifcation antl
fling with Ihe Fire Depariment of an RMPP by businesses which are requiretl
to register acutely hazartlous materials with Ihe Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safely Code been fully complied vrith? ❑ Ves ❑ No
5. Does or vrill the applicant or present or tuNre builtling occupant require tor
the work which is Iha subject of this application a pertnit for such construclion
or modification from the South Coast Air �uality Managemenl District or from
any other air pollution control tlistrict or agency? ❑ Yes ❑ No
(Sectbn 658502 ot the Cali(omia Govemment Code requires that the requested�
infortnation be fumished on applica[ions for non-residential building permits).
6. Will any part o( the lacility to be constructed under Ihis permit be vnlhin
7000 feel from the outer boundaries of a school? ❑ Yes ❑ No
Qf yes", the facility musl meet the requirement o( Sections 25534 antl 42303
of lhe Cali(omia Health and Safely Code).
7. If a permit (rom the South Coast Air �uality Management District or other
air pollution control disMct or agency is requiretl for the work which is the
subject o! this application, have all of the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qt'yes", attach certifcale ot compliance from Ihe appropriate air pollulion
control oKceQ. � � �
CER7IFICATE OF COMPLIANCE: I.certify that under penalty of perjury tfie
information given above is correcL I agree to compty with all state laws:and
ciry ordinances regarding Hazardous Materials and Emissions. �_ �,�
� Oate .
CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I
certify under penalty of perjury that I have read this application and state Ihat
Ihe intormation'given is wrrecL I agree to comply with all state laws and ciry
ordinances relating to building construction, and aWhorize�representatives�of
Ihe Ciry ol Costa Mesa ro enter upon [he above-described property for
inspection purposes. I agree not to cecupy or allow occupancy of any building
authonzed by Ihis permii until final inspeclion. . .
SiBnat� iia lOwneqs) Dale p
9"/ 9-04
An 1BMteCAppliwn� Date
��
CITY OF CClSfA MFS�A
: a�. la. a� • �=�i�713�.Lti1
�,cr r�o. i
wr tao. 30
p,p�,g 881 Liard Place,m Costa Mesa, Cal.
n�Te: 3-2-80
4he ��eloper of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been aanQleted and its streets
accepted b�+ the City of Nsta Mesa.
By exewting this agreement, the undersigned adcnowledges that he/she/they
�.ras/were advised that this tract has not been given final inspection rior has
it been acoepted b�+ the City of Costa Mesa as having oortplied with the oonditions
of approval which were u�posed.ty the City at the time the Final Tract Map was
approved.
The City ass�snes no liability for the enforce�nent of the oonditions necessary
for approval other than ti�ose wnditions protected bj surety bond.
The undersigned agrees to indenmify and hold the City harmless from any claim
resulting in dam3ge or personal injury to the undersigned b� reason of the
aforementioned uncortpleted condition(s).
RECEIVED
CITY OF COSTA MESA
DEVELOPMENT SERVICES DEPARiMENi
MAR 5 1980
AM PM
7igi9�i. ��l i:_.,�.� i4i5i(
�
anq
SY��� c�'-�-t'---�.� oSf---._..."''�i
(Si ture of Pur er)
BY �-(�U/`T //1 ���
(Signature of DeveloQer and or
authorized representative
Aome Savings and Loan
BY
(Signature of Lender)
a.
�
- WILLIAMS INSULATION COMPANY
OF CALIFORNIA
1201 E. Hunter Ave., Santa Ana, California 92705
(714) 547-5148
THERMAL INSULATION CERTIFICATION
THIS IS TO CERTIFV THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
CURRENT ENERGV REGULATIONS, CALIFORNIA ADMINISTRATNE CODE, TITLE 24 STATE
OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Tract Name:
Lot No. �»� Tract No. �•�� �� Block No.
Street � ���/ City
EXTERIOR WALLS:
R—
Mfg, w''�=�� e��i="' Thickness/Type ��'� Value
Cei I i ngs:
Batts: R_
Mfg. "'"—�� �=='�'-�" Thickness/Type St� Value '�
Blown In: R_
Mfg. Thickness/Type Value
Sq. Ft. Covered _
Floors:
Mfg.
Other
Mfg.
General Contractor
No. of Bags Used
Thickness/Type
Thickness/Type
California Contractors License No.
Williams Insulation Co. of California
California Contractors License No. 267522
i
R—
Value
R—
Value
R—
Value
Date
Date '�%'
. � - :,'i�9.� S:t :."..
'" ' Signature Title
JOB COPV-WHITE BUILDING DEPARTMENT-PINK
GENEflAL CONTRACTOR-YELLOW FILE COPV-GOLD
fj.� 7,•; �
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. eOX 1200 COSTA MESA. CALIFORNIA 92626
3358 2%13/_79
* 335H' 2/ I 3/.79 j.�% CKT�'
9358' 000�4474 39 '� "��
APPLICATION FOR STRUCTURAL PERMIT
For Applican[ [o Fill in Comple[ely — Use Ink Only
REGEIVEOBV DATERECEIVED DATEISSUED
BVILDING I
ADDRESS I
Z PERMIT NO.
OWNER Foley ConstruCtion Co. � IRC. p..P. NO �O �
MA�L BUILDIN
AODRE55 2101 E. Fourth St. , �ZOO �+DDFESS
CITY �n� �T1d No.`' S43-947 TRACT LOT BLOCK
CONSTRUCTION W /aDD A T P
LENOER
X
BRANCH
OWNEF Fble Constsuction Co. c.
A�DRESS �/ VALUE DO
ARCHITECT �-]�1e5—I�Il S�An rE�. 547-086 � � 5
OR ENGINEE g N
p FIRE
ADDRESS 777 S. Mci1T1 St.� tt1OS; Oran e ZONE TVPE GRO
/�,� APPROVED
CONTRACTOR RJI12i/'-'�VElO�i BY DATE
AODRESS S��
TEL. ZONE o NO.OF ^ USE OF NEW
CITY `�� NO. ^ P�� ,L BUILDING �
STATE S'�re CITV �'ARDSAPPROVED VAPDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
S12E NO.OF BLDGS. 0 (FROM C/L STfiEEy�T.�)� � /�a �/
OF LOT NOW ON LOT qpN7 � F� v L
use oF N/A �
EXISTING BLOG• T FT
Separate permits are required for L SIDE / FT.O FT.
elec[ric, plumbing and heating work. �, Z!
REAR d FT FT.
VSE OF BUILDING AND WOfiK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
MAIN BLDGS. ACCEY^.BLOGS.
�VelO�IRP11t of 41 single-family C URP. q� APPflOVED
detached residence imits. �R vEo � �' _.
I heraby eeknowleAga thet I have reatl ihla applleation entl state
that tha above informatlon is correct antl aprea to comply wlt�
ell laws regul9tlnB bulltllnB �onrtruction, and 1 shall not employ
ony parwn in ��olatlon of Me workmen'a compensation laws of
tha Stota of Celifornia.
I heroby cartifV that I am properly Iiconsetl as o contractor undm S�. FT /—
ihe Steta of Gelifornle Business antl Protealona Cotlo, Dlvlaion 3, THE AMOUNT S OWN UNOER VALUATION IS FOR
Chapter 9, end that zuch licenses are in full force and etfect, ar I TiE PURPOSE OF ESTABLISHING A GEFMfi FEE ONLV:
am nxemv� frPm t�e provislons of theSiate of Celltornio Businasa VALUATION PERMIT FEE E
antl Professions Cotle, Divifton 3, Chapter .
7B� ��� PLAN GHECK E /,Z �
$IQl10hlI0 O} C�
Purmittae __ S-�.�.�vv YAX S
Authorixed Agant TOTAL PAIO S a '9
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
87�i4
8�
�"y
3%27119
37E7/79_
GOOQ4474 39
�a���gcK�
APPLICATION FOR STRUCTURAL PERMIT
For Applican[ to Fill in Completely — Use Ink Only
RECEIVEDBV DATERECEIVED DATEISSUED
BUILDING
ADDRE55
PERMIT NO.
OWNER A.P. NO.
MAIL BUILDING
ADDRESS �+DORESS 8 /
TEL. TRACT D� LO - BLOCK
CITV NO.
CANSTflUCTION NEW ADD ALTEF PA
LENDER
BRANCH
OWNER
ADDRESS
VALUE
ARCHITECT TEL.' S S
OR ENGINEEF N
FIRE
ADDRESS ZONE TVPE GROUP
APPROVED
CONTftACTOR BV DATE
ADDRESS
TEL. �ONE NO.OF USE OF NEW
CITY NO.
PLANS BUILDING
STATE CITV �'AFDSAPPROVED YAROSAPPROVE�
LIC. NO. I.IC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OFBLDGS. (FROMC/LSTPEET)
OF LOT NOW ON LOT FROM FT. FT.
USE OF
EXISTING BLDG. FT. FT.
Separate permits are required for �. SIDE FT. FT.
electric, plumbing and heating work. REAq FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOCS. ACCESS. BLDCS.
VAR..$ DATE
C.U.P.# APPROVED
APPROVED
I hereby acknowletl8a that I have read ihis applicetion antl rtate
that the ebova Informetion is corract and agree to comply with
ell laws regulating butldin8 �onsvuction, antl I shall not employ
any person in vlolation of the workman's compensation laws ot
the Stata of California.
I hereby certify that I em properly licensetl as a contractor untler SQ. FT.
the State of California Business and Profeulons Code, Oivision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses ere in full force antl effect, or 1 THE PURP05E OF ESTABLISHING A vERM1T FEE ONIv:
am exempt from the provisions ot the State Qf California Business VALUATION D
antl Profassions Cotle, Divislon 3, Chepte� � PERMIT FEE $
PLAN CHECK $
Signature of
Permittea $ TAX $
Authorixed Agent TOTAL PAID S 2 5
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