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HomeMy WebLinkAbout2762 LONGWOOD CT - Building Permits • • A �'� I .-• CITY OF COSTA MESA + '��,� BUILDING DIVISION �: _, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER `min". PERMIT 1,77 R99-00978 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2762 LONGWOOD CT Status: ISSUED Suite: Applied: 06/28/1999 Vicinity: Issued: 06/28/1999 Parcel Nunmber: 13952613- Zoning: Imo• - ISSUED BY: l�[.•'� Applicant: MARION, RICHARD Address: - Phone: (949)548-3012 Zip: Owner: LONGWOOD GREENS HOA Address 2762 LONGWOOD CT i Phone: (714)966-0948 COSTA MESA,CA Zip: 92626 Contractor: MESA ROOFING -Address: 843 W 17TH Phone: 949-548-3012 COSTA MESA, CA ' ' Zip: 92627 License: 564151 Arch : Eng: . Address: Address: Phone: `Phone: : - ` Zip License: Zip: License? SCOPE OF PERMIT , . REROOF.-I/O, USING EXISTING SHEATING, INSTALL NEW 4 PLY CLASS"A"HOT MOP ROCK ROOF. FEE SUMMARY - Plan Check: $0.00 Calc Valuation: $1,500.00 Permit: $48.50 Claim Valuation: $1,5o0.00 SMIP Res: $0.50 SMTP Com: $0.00 �. Other: _ $0.00 - Inspection: $0.00 Total: $49.00 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 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 DECL RRAfIONS ) 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 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'co�ensation Insurazse carrier and policy number are: /- Carder: 5//tTLr .�� Policy Number: ZS 5'"9 7 OOO/Sty (This section need not be completed if 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: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($100.000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S 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.# 57114nS Class# c 3 9 Contractor's Signature: r Date: ^Z 9 •9 7 CONSTRUCTION LENDING AGENCY: ❑ 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). Lender's 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 properly,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) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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,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 a 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 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 greeter 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 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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? 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 end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. 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 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 Of Legal Owner(s) Date �p�28 -9 F And/Or Authorized Applicant Date CODE If INSPECTIONTYPE GATE INTRIAL$ CODE. INSPECTION TYPE PATE INIMALs 1616 I Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 7--2C2-9rf a.2 210 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 • 2446-46 41 City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY P.O. Box 1200 Costa Mesa,California The Building located at ",- zn`lp t has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group i' - >%4* Pt/ Occupancy. Use of Building TownhousePw/attached garage Legal Description A.P.#139-521-01. Int13 (See reverse side for Metes and Bounds) • Building Permit No 52259 Electrical Permit No. 48895 Plumbing Permit No. 7844-I Number of apartments —0" and/or guest rooms ISSUED TO: Building Official �/ by YAOfC `i'(k�at 1.2 & W DEVELOPMENT COMPANY Victor C. Newton-Director Building DiviE. D3eSeptember 22, 1981 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 lel U.B.C. Form OW 34 Rev. 11/70 7651, 8/13/50 166100 16+ COSTA MESA BUILDING-SAFETY DEPARTMENT APPLII(ATIf 1 "FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT For Applicant to Fill in Completely — Use Ink Only 49269 BUILDING uu it 3 A.P.NO. 139-521-01 • ADDRESS 2791 Placentia Pnlan rf25 BUILDING uu It l3 OWNER OR ADDRESS2791 Placentia. Pnlan S TENANT R & W Development UNIT OR cAgn5. 3 MAILING SPACE NO. 188 E. 17th St . ADDRESS TR.10792 LOT 13 BLK. TEL. CITY Costa Mesa NO.642-421E NEW ADD ALTER REPAIR MOVING DEMOLISH LLEENDER�ION United - California Bank X . BRANCH 4667 MacArthur OWNER R & W Development ADDRESS Newport Beach VALUE - - ARCHITECT Granada Design TEL USE Townhouse Dwelling s42 , 899 OR ENGINEER bro up N0.492-447ma ADDRESS 143. Ave. Granada, San Cleme ONE PDR-LD TYPE V GROUP oI CA CONTRACTOR R & W Development APPROVED S] DATE —/Q—> . ADDRESS 188 E. 17th St . L. cry Costa Mesa NO. 642-421£ I . STATE CITY APPROVED SETBACKS LIC.NO. 379731 • LIC. NO. Ly SIZE NO.OF BLDGS. (FROM C/LSTRE ET) S OF LOT 2 . 95 Acres NOW ON LOT 0 FRONT 338-FT. 0 // . Kt USE OF L:t C4 F EXISTING BLDG. R SIDE F Separate permits are required for L.SIDE [,e.Pa/'� G electric,plumbing and heating work. REAR 443 FT. O EW„ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a DATE ~ _a/ APPROVED Townhouse Attach Dwelling —BAPPROVED �.nl� / ngTF o /1 ci /8-a .•1 ( (�� m w 0 I hereby acknowledge that I have read this application and state riOLD FOR 'SPECIAL REQUIRE N cg that the above information is correct and agree to comply with Mhn I." L all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of (yy(�� ]r' �¢* 3 3 a 0 the State of California. 1805 SO. FT. i+a1COnS74$3 Sa. . m VS I hereby certify that I am properly licensed as a contractor under N V� D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a! Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; ' am exempt from th= :ov 'ens of the a - al California Business VALUATIONq and Professions Co• D' slop 3, C PERMIT FEE $ /46• -_ m (� ./� PLAN CHECK $ �— ••i a` Signature / `' Permittee of fee $ TAX S �— LL `�`ly�` or /�/ 0- Autho -d Agent Date 'R" '���� TOTAL PAID E 166 . 00 U 6T16 12/07/79 86. 1q , TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY 'PERMIT269 For Applicant to Fill in Completely —Use Ink Only /y /y BUILDING Unit 13 A.P. NO. 139-521-01 ADDRESS 2791 Placentia Plan #13 BUILDING Unit #13 TOiWNER a Plan OR R 8 W Development ADDRESS 2791 Placentia Plan #B UNIT OR MAILING SPACE NO. ' ADDRESS 188 E. 17th St. TR.NO. LOT BLK. TEL. 10792 l 3, CITY COStd Mesa N0- 642-4218 NEW I ADD ALTER REPAIR MOVING I DEMOLISH LENDER United United California Bank X BRANCH 4667 MacArthur • }., OWNER R & W Development ADDRESS Newport Bract ' VALUE /,� Qpp ' ARCHITECT Granada Design TEL. USE Townhouse Duelling E'7y[][ OR ENGINEER Group No. 492-4470 Ny ADDRESS 143 Ave. Granada, San Clemente ZONE PDR—LD TYPE V GROUP I APPROVED CONTRACTOR R & W Develop ent BY DATE _ ADDRESS 188 E. 17th St. TEL. CITY Costa Mesa No.642-4218 F STATE CITY APPROVED SETBACKS LIC.NO. 379731 LIC. NO. ku SIZE NO.OF BLOCS. (FROM C/L STREET) 0. OF LOT 2.95 Acus I NOW ON LOT 0 FRONT FT. Q USE OF .N+ EXISTING BLDG. R.SIDE FL X F Separate permits are required for L.SIDE FT. electric,plumbing and heating work: REAR FT. _ . F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION e DATE APPROVED >-. Townhouse Attach Dwelling _AYPROVED _DATE CC ,� a. L I hereby acknowledge that I have read this application and state 0 XX that the above Information is correct and agree to comply with L all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of u Lthe State of California. Garage 433 sq. tt. m 3 I hereby certify that I am properly licensed as a contractor under 1805 SQ. FT. Balcony 83 sq. ft. w hthe State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Y '\ Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am and exempt from tovisions of th+ tate of California Business VALUATION PERMIT FEE $ e Ns Professions Codhe ivislonC'.pter 9. s PLAN CHECK $ SJ�(j ^ 2 k Signature of a /7 m , o Permittee $ TAX 3, a. Authoriz / ' $ (o rized Agent Date .. TOTAL PAID sey6', p 1 U '.17652 166,00 !Lk COSTA MESA BUIL IC-SAFETY DEPARTMENT APPLII ION FOR STRUCTURAL PERMIT P.O.BOX 1200 COs,A MESA,CALIFORNIA 92626 RECEIVED BY PERMIT For Applicant to Fill in Completely— Use Ink Only 49268 BUILDING ��tt 1t t�7Z A.P.NO. 139-521-01 ADDRESS 7791 Plarent ie Pnlan #R—R i 1 1 OWNER OR ADDRESS 2791 Placentia .Plan TTO—F TENANT R 8 W Development MAILING UNIT OR SPACE NO. ADDRESS 188 E. 17th St . TR.NO.79Z LOT 12 BUS. TEL. 79 CITY Costa Mesa No• 642-4211 NEW ADD LTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER United California Bank X BRANCH 4667 MacArthur ADDRESS Newport Beach, CA OWNER R r; 14 Development VALUE ARCHITECT Granada Design TEL USE Townhouse Dwelling $42 ,899 OR ENGINEER roup No, 492-447 ADDRESS 143 Ave. Granada ,San Clemen+ezoNE PDR-LD njYPE V GROUP 1 Q CONTRACTOR R 8 W Development CA APPROVED Ica - S DATE g47—C � ADDRESS 188 E. 17th St . T . ((�'WW�` CITY Costa Mesa NNo642-4218 ow STATE CITY APPROVED SETBACKS LIC. NO. 379731 LIC. NO. SIZE NO. BLOW. (FROM C/L STR/EET)Og O. OF LOT 2. 95 Acres NOW ON LOT FRONT ...S.CY FT. 0 Q • USE IN csz' �C � EXISTING BLDG. R SIDE to HSeparate permits are required for L.SIDE �'9/FT. 0 ci electric,plumbing and heating work. REAR '�7 FT. TO [—, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a A DATE ..1 APPROVED Q Tnwnhniige Attach Dwelling ELY l7 DATE Fr6eil40 a 7� lu pI hereby acknowledge that I have read this application and state rIOLD FUR SPECIAL REQUIREMENT C ce that the above information is correct and agree to comply with O. all laws regulating building construction, and I shall not employ > Z any person In violation of the workman's compensation laws of o s the State of California. d e e 4 tS 1805 SD. FT. gdicgny sa• t• I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that s h licenses are in full ce and effect,or I THE PURPCSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt from -<r•visions of the - .f California Business fie‘ q DO VALUATION PERMIT FEE S. /( /_ • and Professions �e, vision 3,C .51 9. ! �sY n , I PLAN CHECK $ G �S Signature of �'/ Permitte. S !/s'i� $ TAX $ LL or - /yy _Q_ �_ u Aut •r ed Agent Date ass Ar TOTAL PAID $ 166 . 00 y e