The URL can be used to link to this page

Home My WebLink About2790 LONGWOOD CT - Building Permits r xw CITY OF COSTA MESA >°y ',$ BUILDING DIVISION 1- _ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER s# PERMIT . • Znnag2 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2790 LONGWOOD CT Status: ISSUED Suite: Applied: 06/28/1999 Vicinity: FLAT PORTION OF ROOF ONLY Issued: 06/28/1999 Parcel Nunmber: 13952622' Zoning: " • ISSUED BY: Applicant: MARION, RICHARD Address: 843 W 17TH Phone: 949-548-3012 COSTA MESA, CA Zip: 92627 • Owner: LONGWOOD GREENS HOA Address .'2790 LONGWOOD CT Phone: (714)966-0948 - COSTA MESA,CA Zip: 92626 Cont`iactor: 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 • TEAR OFF EXISTING ROCK ROOF& INSTALL 4-PLY CLASS'A'ROCK ROOF(FLAT PORTION ONLY-2 SQ.). ' • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,500.00 • Permit: $48.50 Claim Valuation: • $11s0o: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 DECLARATIONS f l ( ) 1 W.ORKERS‘'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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. 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: Carder: J/rYI7" "-tn/I7 Policy Number: Z S S - 9 ? OO&J&? (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 CAVIL FINES UP TO ONE HUNDRED THOUSAND DOLJARE($100,000),IN ADDRION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706OF 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.# S-62""1/ S/ Class# C 3 9 Contractor's Signature: �� Date: 62-1 8 - 9 S' 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: o 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,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 0 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 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 apemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes 0 No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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. t---«�^f,,t=�Owner(s) Date And/Or Authorized Applicant Date CODE I INSPECTION TYPE PSIS JNTMALS CODES INSPECTION TYPE PATE j)1TITIAIS 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 7 �qU208 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 • 204 Final Demolition 250 Final Building/Occupancy 244646 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F( "� &Q PHRMlTI 66e00 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 - ' .— - . ••••RECEIVrp BY PERMIT For Applicant to Fill in Completely —Use Ink Only (Jwx 49278 BUILDING ,init #22 A.P.NO. 139-521-01 ADDRESS 2791 P Ilan lan BUILDING It 2 OWNER OR ADDRESS 2791 Placentia nlan TENANT R Ea W Development UNIT OR �• MAILING SPACE NO. / 2— ADDRESS 188 E. 17th St . TELTR.LJf�,792 LOT 22 BLK. CITYNO.642-421£ 11U Costa Mesa NEW ADD ALTER REPAIR MOVING DEMOLISH LCONSTRUCTION • United California Bank X . BRANCH 4667 MacArthur OWNER R 8 W Development ADDRESS Newport Beach. CA VA UE ARCHITECT Granada Design TEL USE Townhouse Dwelling $42 , 899 OR ENGINEER Frn rlh No,4g2-447 a. N. • ADDRESS 143 Ave . Granada,San ClemenzoNE PDR-LD YpE V GROUP 1 CONTRACTOR R O W. Development CA BYPROVED ' „ �/ DATE 67•••••1943C.) ADDRESS 188 E. 17th St . �iT. CITY Costa Mesa TEL.642-421E NO. . I-� STATE CITY APPROVED SETBACKS LIC.NO. 379731 pLIC. NO. • SIZE '2 95 Acres NO.OF BLDGS. O (FROM C/LS/TREET) ' IL OF LOT I NOW ON LOT FRONT 9(o FT. • Q USE OF // // V) EXISTING BLDG. . R.SAIF C c ( ca F Separate permits are required for L.SIDE TO_-C._ /it /� G • electric,plumbing and heating work: REAR c¢90 FT. EW+ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION . Q A DATE Q !- ^' APPROVED aTownhouse Attach Dwelling B�ROVED kt o,e(f OATF SI- (9 /Et • IX . w I hereby acknowledge that I have read this application and state HOLD FOR CP n• (f that the above information is correct and agree to comply with ECIAL REDUIREMcry r1, O. all laws regulating building construction, and I shall not employ - i Z - any person in violation of the workman's compensation laws of 94�,,, the State of California. R[i�dyy++d EEe 433 S f • m 18()5 sO. FT Shcc n)r 83 5�. �" . N I hereby certify that I am properly licensed as a contractor under D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that suc• licenses are in full, rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the w '••ns of the a of California Business I / / and Professions Co-= •i fon 3,C2- 9. Sifa VALUATION PERMIT FEE $ ` !O .�� N I PLAN CHECK $ `�� o rt1� Signature of rn III ' C/ l/V�' Permittee Ar �` ' $ —0— TAX $ u or . s _ u Authors • Agent Date TOTAL PAID $166 . 00 Ell 2.13. j 17/79 86.00 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STIt CTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT �.-/fes {� / 4 ?27 For Applicant to Fill in Completely—Use Ink Only VY .BUILDING . ADDRESS 2791 Placentia • 9an �2 A.P. NO. 139-521-01 BUILDINGUnit 22 TOiWNER ii..A OR R & W D=velopnEnt ADDRESS 2791 Placentia Plan 2f B UNIT OR MAI LING ADDRESS 188 E. 17th St. SPACE NO. TR.NO. LOT BLK. TEL. 10792 2---2 CITY Costa Mesa NO 642-4278 NEW ADD ALTER (REPAIR (MOVING DEMOLISH CONSTRUCTION LENDER United California Bank X BRANCH 4667 MacArthur - OWNER R & W Deve]opment ADDRESS Newport Beach, CA - VALUE (ia, dr ARCHITECT Granada Design TELUSE Townhouse Dwelling $7�pJJ OR ENGINEER up No.492-4470 ADDRESS 143 Ave. Grenada, San Clemente ZONE PDR—LD TYPE V GROUP I CA APPROVED CONTRACTOR R & W Development BY DATE ADDRESS 188 E. 17th St. TEL. CITY Costa Mesa N°.642-4218 F. STATECITY APPROVED SETBACKS LIC.NO. 379731 . LIC. NO. Lu 512E NO.OF BLDGS. (FROM C/L STREET) 0. OF LOT 2.95 Acres . I NOW ON LOT . _FRONT FT. — se • USE OF .-. EXISTING BLDG. R._SIDE FT. m HSeparate permits are required for L.SIDE FT. O electric,plumbing and heating work: REAR FT. (W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION se GI DATE Q Townhouse Attach Duelling _ APPROVED APPROVED >s - _$Y DATF • .-1 ai . fal O. I hereby acknowledge that I have read this application and state 0' ed 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 Sthe State of California. Rair"1Fe 4 s _ m I hereby certify that I am properly licensed as a contractor under 1805 SO. FT. C nV SI . __. N �� the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro \\" Chapter 9, and tha uch licenses ar: in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: " am exempt from provisio • he State of California Business iC VALUATION PERMIT FEE 1' end Professions ••e, Divis- -,Chapter 9. $ m Signature of /�, n/y A' PLAN CHECK $ Z�S —� o Permitteeos I $1126 e% TAX $ Ve __ _ u. �. _ 7(/ / Autho ed Agent Date ,t U g TOTAL PAID $ L6 of - 7t to ,00 �-7 L JG- 7652 166.00 - f L COSTA MESA BUIL DEPARTMENT APPLII ION FOR STRUCTURAL PERMIT P.O.BOX 1200 COM r A MESA,CALIFORNIA 92626 RECEIVED BY PERMIT For Applicant to Fill in Completely-Use Ink Only 49268 .BUILDING jlylj 2R ' A.P.NO. 139-521-01 ADDRESS 2781 piRrentia p an na tt OWNER OR ADRESS ii ii 2791 Placentia Pili i, TENANT R 2 14 Development UNIT OR MAILING SPACE NO. ADDRESS 188 E. 17th St . TR.NO0792 LOT 12 BLK. TEL. CITY Costa Mesa NO. 642-4211- NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION _ LENDER United California. Rank X • BRANCH 4667 MacArthur ADDRESS Newport Beach, CA OWNER R 8 W Development VALUE • ARCHITECT Granada Design TEL. USE Townhouse Dwelling s42 ,899 OR ENGINEER roup NO.'492-447L ADDRESS 143 Ave . Granada,San Clemen--ezoNE PDR-LL I(7YPE V GROUP 1 Q CONTRACTOR R a 14 Development CA BYPROV EO DATE gam' 940 ADDRESS 188 E. 17th St . CITY Costa Mesa nTio642-4218 (, STATE CITY APPROVED SETBACKS LIC.NO. 379731 LIC.NO: • IM SIZE NO.OF BLDGS. • (FROM C/LL ST,R/EET) O. OF LOT 2 . 95 Acres NOW ON LOT FRONT 3S7 FT. 0 Q USE �� '� USE OFG BLDG. R SIDE . 0 . F Separate permits are required for L.SIDE /2-IF FT. 0 • 1:1. electric,plumbing and heating work. REAR '/7 FT, I.., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION It c DATE ..1 APPROVED Q Tnwnhniice Attach Dwelling �y,ROVED Owe DATE 5-/It 40 C W 0 I hereby acknowledge that I have read this application and state MOLD FOR SPECIAL REQUIREMEN-I C ce that the above Information is correct and agree to comply with A. all laws regulating building construction, end I shall not employ > Z any parson In violation of the workman's compensation laws of Garage .33 P the State of California. 1805 50. FT. Bloy4 b 3 Sq: rt N ,; I hereby certify that I am properly licensed as a contractor under ThState of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR M Chapter 9, and that s h licenses are in full co and effect,or I THE PURPOSE OF ESTABLSHING A PERMIT FEE ONLY: — ern exempt from ty-r.r• isions of th%. • - .f California Busine» VALUATION PERMIT FEE $ /l 4 end Professions re, vision 3,C 9. �6 Signature of PLAN CHECK $ 1O i o to Permitt .// �� I �� $ TAX $ _ 4 I F or �•24r. -0- .�� u V� Aut •r atl Agent Data W �+� TOTAL PAID $ 166 . 00 i