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
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