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Home My WebLink About2778 LONGWOOD CT - Building Permits G 1 Cr 4 CITY OF COSTA MESA FI� BUILDING DIVISION PERMI NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT B99-00980 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2778 LONGWOOD CT Status: ISSUED Suite: Applied: 06/28/1999 Vicinity: Issued: 06/28/1999 Parcel Nunmber: 13952605 Zoning: . . ISSUED BY: ' PAPA Applicant: MARION, RICHARD Address: Phone: (949)548-3012 Zip: Owner: SHANEYFELT, BRUCE TR Address 2756 LONGWOOD CT •_ 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 : - - End: ., Address: Address: Phone: Phone: • Zip License: Zip: License: i SCOPE OF PERMIT ` REROOF:T/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: $1,500.00 . SMIP Res: $0.50 SMIP Corn: $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 DEty - RATIONS 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: 5/.4-72- '-Ct..lo Policy Number: Z P s-9 9 r00/S(Q 2 (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(S100,000),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.a S(O'rY/S/ Class 4 G 39 Contractor's Signature: Date: 6-2P -9'9 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 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) 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. 0 Yes 0 No Driver's License No. Expires: 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,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 Dees or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LI No (Section 65850.2 of the California Govemment 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'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 and 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. ':-. . - a ,:'::I Owner(s) Date ?8-9 g And/Or Authorized Applicant Date CODE I INSPECTION TYPE BATE I[iEE161.5 CODF4 JNSPECTIONTYPE DATE ONTDIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 7 �j-20 %7' 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 City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY P.O. Box 1200 Costa Mesa,California The Building located at rr .? ni r.---, has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group IQ- 3E41 Occupancy. Use of BuildingTownhouse w/attachpri dance Legal Description A.P.4139-521-01. LOT 6 (See reverse side for Metes and Bounds) Building Permit Nd 7 1 Electrical Permit No. Ainn+ Plumbing Permit No. 1Qa.11 Number of apartments —n— and/or guest rooms —0— ISSUED TO: Building Official by -c J �. C... • +,r�STrjDPS 'IT cC2PAIY Victor C. NeWtnn-Dircccor Date :;-Ar.-pr .r 27_ 1Ct1 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 (e) U.B.C. Form BU 34 Rev. 11/70 76488/13/80 • 166.00 TU COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICA17ON-POR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT For Applicant to Fill in Completely — Use Ink Only 4 9 2 61 BUILDING t� It ,55 A.P. NO. 139-521-01 ADDRESS 2791 Placentia Plan 0A-RBUILDING �t ,,55 OWNER OR ADDRESS 2791 Placentia Pnl an B-R TENANT R & W Development UNIT ORMAI LING SPACE NO. •V A...... (13 ' ADDRESS 188 E. 17th St . TR.NO..792 LOT 5 BLK. L 10 CITY' Costa Mesa No.642-421F CONSTRUCTION NEW ADD ALTER REPAIR_MOVING DEMOLISH LENDER United California Bank X BRANCH 4667 MacArthur • OWNER R & W Development ADDRESS Newport Beach , CA VALUE ARCHITECT Granada Design TEL USE Townhouse Dwelling $42 , 899 OR ENGINEER br011p No.492-4470► / ADDRESS 143 Ave . Granada,San Clemer—?oNE PDR-LD TYPE V GROUP I CONTRACTOR R 8 W Development CA BYPROV ED DATE 71-i —lt ADDRESS 188 E. 17th St . L. CITY Costa Mesa . No642-4218 F STATE CITY APPROVED SETBACKS gLIC.NO. 379731 LIC. NO. SIZE NO.OF.BLDGS. (FROM C/LSTREET � /I Oa OF LOT 2 . 95 Acres . INOW ON LOT 0 FRONT (�P O`--c 6L-oL a • USE OF C4 EXISTING BLDG. R $IDE o29.5FL O H Separate permits are required for L.SIDE 17/3 -FT. electricat- ,plumbing and heating work: REARa � A o.( IW„ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION - - -C . . .3I APPROVED Townhouse Attach Dwelling —AAPPPROVED A� t lk,(JDATF t/I9 Ira .-1 C a] 6. I hereby acknowledge that I have read this application and state HOLD FOR SPECIAL REQUIREMEN'1'A m athat the above information is correct and agree to comply with 0m all laws regulating building construction, and I shall not employ - Z any person in violation of the workman's compensation laws of [` rr g • m the State of California.1.14 1805 SO. FT. Sal cgny4 Sa. f E• N • w 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 D V Chapter 9, and that s .h licenses are in full •rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ur am exempt tromro ions of the S of California Business / '1 and Protasslons C•• vision 3,Ch VALUATION PERMIT FEE $ /V� �- N -% m Signature of r' A ' �/ PLAN CHECK $ -- IIN O Permittee $ TAX f Or A "'ue TOTAL PAID E1 V Authize• Agent Da ' . COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR!SILOS/T '/RSI PERMIT 86-.00 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT / 26/ / For Applicant to Fill in Completely—Use Ink Only `!�"/A ABUILDING DDRESS 2791 Placentia Pian R A.P.NO: 139-521-01 BUILDING ant #IJ TO WNER NANTOR R & W Development ADDRESS 2791 Placentia an #B-R UNIT OR MAILING SPACE NO. ADDRESS 188 E. 17th St. TR.NO. LOT BLK. TEL. 10792 .5 • CITY Costa Mesa NO. 642-4218 NEW ADD ALTER REPAIR MOVING DEMOLISH LENDERL �ON United California Bank X BRANCH 4667 MacArthur OWNER R & W Development ' ADDRESS Newport BR-90115 CA VALUE ,,..r QQQ ARCHITECT �Y'dliada LeSign TEL. 1 USE Townhouse Dwelling $JfjOlJ OR ENGINEER (roup NO. 492-4470 ADDRESS 143 Ave. Granada, San Clemente ZONE PDR-LD TYPE V GROUP 1 CA CONTRACTOR R & W Development BYPROV ED DATE ADDRESS 188 E. 17th St. TEL. CITY Costa Mesa NO. 642-4218 F.. . STATE CITY APPROVED SETBACKS LIC.NO. 379731 LIC.NO. Lu SIZE NO.OF BLOGS. (FROM C/L STREET) L OF LOT 2.95 Acres NOW ON LOT 0 FRONT FT. Q USE OF 1-.1 R.EXISTING BLDG. R.SIDE IT. rA F Separate permits are required for L.SIDE FT. O electric,plumbing and heating work: REAR FT. F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q • DATE i < Townhouse Attach Dwelling APPROVED 7 APPROVED } —B-Y _DATE I:4 - w 0 I hereby acknowledge that I have read this application and state m g that the above information is correct and agree to comply with O. all laws regulating building construction, and I shall not employ ti Z ' any person In violation of the workman's compensation laws of m P., the State of California. 1805 Garage 433 sq. ft. m - 3 I hereby certify that I am properly licensed as a contractor under sn. FT. Balcony 83 sq. ft. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR co Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — ie am exempt from the provisions of •.State of California Business and Professions CDivisi•.3.3 • apter 9. _ VALUATION PERMIT FEE $ d• ;, _ l Signature of n PLAN CHECK $ 63._ mo � Permittee ' e $ 2/y.99 TAX $3.wis / 2 \ Authoriz-• Agent Date 7 \ TOTAL PAID $ ge , v j • 7652 166.00 , k COSTA MESA BUII IG-SAFETY DEPARTMENT APPL 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 4 9 2 6 8 BUILDINGLL�� It 2 A•P•NO. 139-521-01 ADDRESS 7791 Plar'entia P an #ts-R � 1 OWNER OR BUILDING 7DDRESS 2791 Placentia Pian B�F TENANT p F W Devel npment )) - MAILING SPAC ORPACENO. ..-ADDRESS 188 E. 17th St . SPA TR.10792 LOT 12 BLK. TELGITY Costa Mesa ND 642-421 a. NEW ADD LTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER llni_ted Ca] iforni a Bank X BRANCH 4667 MacArthur ADDRESS Newport Beach, CA OWNER R & 'd Development _ ARCHITECT Gran da Design TEL. USE Townhouse Dwelling VALUE s42 ,899 OR ENGINEER roup ND, 492-447 as • ADDRESS 143 Ave . Granada,San Clemenl,e2oNE PDR-LD I pE V GROUP I CONTRACTOR R & W Development CA APPROVED i - . Y DATE /5-4430 ADDRESS 188 E. 17th St . CC��C.//�� CITY Costa Mesa TNo1.542-4218 wi gSTATE CITY APPROVED SETBACKS LIC.NO. 379731 LIC.NO. .\ W GS SIZE NO.OF BLO (FROM C/LSTq/,E ET) 0. OF LOT 2 . 95 Acres NOW ON LOT FROM' 3cyFT. 0 Q USE OF � Q // 0 EXISTING BLDG, R SAIF ata-C 4CJLO'` l'+ Separate permits are required for L.SIDE /2'' FT. ? FT. 0 I] electric,plumbing and heating work: REAR ("VET. F.. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a - 0 .Z• DATE Q � APPROVED c ROVED C�� 1M DATE ail(778-0 >-, TnwnhrnlsP Attach Duelling i na /0 C4 W _ O o+ I hereby acknowledge that I have read this application and state hULD FOR SPECIAL REQUIREMENT_ C C that the above information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ • i Z any person In violation of the workman's compensation laws of o W the State of California. (, - L+ 1805 so. FT. Saricorny4a s�: St: N 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 ere In full , ca and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from t•r•r• Isions of the . - •f California Business VALUATION PERMIT FEE' $ and Professions •Ke, vision 3,C 9. G6^� .n Signature of �/ / f PLAN CHECK $ o �(••�s��r� Permitte. SS / :/� $ TAX $ LL �l or '� U Y\ Aut •r ed Agent Date ane - -' TOTAL PAID $ 166 . 00 q,. • 0