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HomeMy WebLinkAbout1244 LONDONDERRY ST - Building Permits r •. .� ifiry 9 CITY OF COSTA MESA 4 BUILDING DIVISION h • ry„y DEVELOPMENT.SERVICES DEPARTMENT PERMIT NUMBER PERMIT � •��Q B00-02020 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1244 LONDONDERRY ST Status: ISSUED Suite: Applied: 12/20/2000 Vicinity: FRONT OF HOUSE Issued: 12/20/2000 Parcel Number: 14163111 Zoning: R1 R1 Applicant: CONTORELLI, DEBORAH ISSUED BY: Address: 1244 LONDONDERRY ST Phone: (714)538-0243 COSTA MESA, CA Zip: 92626 Owner: CONTORELLI, DEBORAH Address 1244 LONDONDERRY ST Phone: (714)538-0243 COSTA MESA,CA Zip: 92626 • Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT LEGALIZE EXISTING NON-PERMITTED GABLE ROOFS 8 REMOVAL AND REPOUR OF EXISTING FOUNDATION AT FRONT OF HOUSE. NO ADDITIONAL AREA WAS ADDED TO THE HOUSE. GABLE ROOFS REPLACED AN OLD SHED ROOF. FEE SUMMARY Plan Check: $287.46 Calc Valuation: $30,000.00 Permit: $442.25 Claim Valuation: $30,000.00 SMIP Res: $3.00 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $732.71 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 244646(6/00) . • DE4ARATIONS n • C) 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 it the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FNLURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MID CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),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 licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.4 Class 4 Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: O 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). 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(commenting 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 subJ' cts the applicant to a civil penalty of not more than five hundred dollars($500).): Q 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.). O 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) licens suant to the Contractors License Laws.). O I art). xe un r sec. a Business and Professions Code for this reason: ( Signature: 0 al\0 1 A Win%-1 APi l(ey 1—Expires'gy p''I 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,faisework,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: I 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? 0 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 Califomia 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 application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U 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'ryes",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? 0 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 COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is rect. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the (aab�e-d�nescribed prope r inspection urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. )301 00 1..... ..,#Signature Of egal Own ) �� ( Date }J And/Or Authorized Applicant Date ODE I INSPECTION TYPE DATE INTITIAL£ LODE# INSPECTION TYPE DATE ItIT)UALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof _ 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 �y 204 Final Demolition 250 Final Building/Occupancy 87X311 OWNER HARBOR HALL OF FAME HOMES INC. DATE NOV 2 9 1962 JOB ADDRESS 124 Londonderry St. BUILDING PERMIT NO. 18148 GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 19,055.00 AP No. LOT 19 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gal IP"'DECTIONS Signature DATE GROUP I & JPYPE V ZONE Rl cL// /te/. PERMITS ISSUED SUBCONTRACTOR Gas (// /)r Ye DATE NUMBER ti Rough Corn. Refrig. ❑ Air Cond. ❑ [L/ .1/-4-` Rough Heating w - ., , _ . ,z/at/�a /iiG_� F Rough Plumbing . ':_ % ; / id' i l, no �LlL sept �i'.r.► , .._/i-39—G� � 7 /� — Miscellaneous _ _ _ Prop.Swr.Line$! House Con. 0 St.Swr. ❑ f_L// 2 26--63 i' . en?,-l. a a/•-G,3 . .J/5R LInenI, Sprinkling System / �I Construction Pole - "("77�e.f�io,e,azeie..e...-.4 //-.2 7_Z7 /827 ,,..,,,- Underground s,^Underground 0 Power 9 ��� _J/�,�, "� � �/�� —7 Rough Wiring 4i2 /-2s^L3 ?/i/ .e.C. ite9& e�N '/ .- /9/o /- Trenches Trenches L9' Forms [Lr Steel Remf. 0 -. .,tat i/-/y_(.� _ Floor System ,W49 /$-^,f'-55 Bond Beam ❑ Steel Reinforce 9 Sheathing /94 / /.-/;;•-‘�� Frame and Flashing /'?45-1.6f /-3/_(0, Lathing — In ©. Out lE" i(,�fA -a,-/��C3 Pin ter, brown coat / 3-'7-Cl ' . 0 Air Cond. 0 Final i ag, Final 2)-a9---,(7/77 Plumbing Fixtures, Final Final Gas Test Bleeding Fixtures, Final //� �/ 54441L2 Building, Final (earl T-G[ tV> OCCUPANCY FORM BU4-5M — 7-61 • 18148 I FEE ECEIVEQ • NOV 20'1962 COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 19, Tract 4356 I,p] SQ -A „, P. O. BOX 917 COSTA MESA. CALIFORNIA CITY, OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT • TYPE OR PRINT BUILDING BUILDING // // ST ADDRESS / Z'Y'1 La dre/ei COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. BM171111 c •, OWNER Harbor Hall of Fame Homes IE�`UU.jj 4C[Jl MAIL RECEI('D BY 9�CEI E NOV ��E ISSUED ^ ADDRESS P.O.- Box 2066 I J' ! -�i-'I __ DESS. CITY Santa Ana TEL„.... 9-270 BUILDING ARCHITECT TEL. COSTA MESA. CALIFORNIA 44 OR ENGINEER Jamison NO. 5 -004.' ADDRESS 225 IIDII St. Tustin FIRE y ZONE TYPE ��GROU ; CONTRACTOR Lifetime Residential Bldg Col% APPROVED DATE ADDRESS -2131 SO• Artesia ZONING Santa NO.OF USE OF NEW SM �n,f07 CITY ' Ana a—, I PLANS E I BUILDING W/_ ,L 9dr. STATE No.208676 TEL.KI 9-2204 LEGALLoi- / 7 %R17'3 s6 DESCRIPTION SIZE nnl� NO. OF BLDGB. OF LOT 60001 NOW ON LOT O A.P.NO. USE OF YARDS EVES EXISTING BLDG. None APPROVED ALLOWED SETBACK LINE FROM p • (CENTER LINE ST.) L CENTER OF STREET 501 REAR YARD 0.401 FRONT 30 FT. �- IN. SIDE YARD I LEFT - 51 I RIGHT 61 R.SIDE v FT. —^ IN. DESCRIPTION OF WORK ...s—FT. — NEW ISII{ L.SIDE IN. `ALTERATION I II ADDITION I REAR 3Q' Yr Ft IN. REPAIR I II MOVING I II DEMOLISH I APPROVED ///X� DATE /O/ E�c L BUILDING NO. OF 7.(Y SIZE 1790 ,,BIROOMS 10 STORIES] COVERING WALLEXTERIOR Plastei'COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED AND STATE THAT THE ABOVE IS CORRECT AND LI TOM- _ /7SH a D / P0 A/ I HEREBY HAT T EDGE THAT I HAVE READ THIS AGREEAPTO COR.ION THE AMOUNTF SHO B UHING VALUATIONMIIS FOR THE I PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDIN E9 AN STATE LAWS REGULATING BUILDING CONSTRUCT N /`I VALUATION PERMIT FEE $ VL� x SIGNATURE OF 1/` 9 PERMITTEE no"-- $ //� 0�� PLAN CHECK $ �j s0 n I AUTHORIZED AGENT E . .. ..:-. • TOTAL FEE : O