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Home My WebLink About2511 LOYOLA RD - Building Permits . a`, ,a 69 i CITY OF COSTA MESA - BUILDING DIVISION F ,,' ilijlirl'TIM' ,I DEVELOPMENT SERVICES DEPARTMENT /B02-01672 RMIT NUMBER PERMIT (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c.a.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2511 LOYOLA RD Status: ISSUED Suite: Applied: 10/11/2002 Vicinity: ROOF Issued: 10/11/2002 Parcel Number: 14141253 Zoning: J Applicant: STERNBERG, RICK ISSUED BY: _ Address: 8662 DOLPHIN DR Phone: (714)968-3233 HUNTINGTON BEACH,CA Zip: 92646 Owner: HARRIS, STEVEN MICHAEL" Address 2511 LOYOLA RD ; i - " •_ Phone: COSTA MESA,CA - Zip: 92626 - " Contractor: - CENTURY ROOFING Address: 0, 8662 DOLPHIN DR . . Phone: (714)968-3233 HUNTINGTON-BEACH, CA • Zip: 92646 License: 674019 Arch : , Eng: Address: Address: - . - Phone: ` - • Phone: ' Zip: - License: - - License: SCOPE OF PERMIT 'TEAR OFF EXISTINGROOF AND REPLACE WITH SAME.30 YEAR COMPOSITION SHINGLES, 15#FELT,SHEATHING WILL REMAIN.2,400 S.F. INCLUDES ATTACHED GARAGE. . FEE SUMMARY • Plan Check: : • $0.00 Calc Valuation: $4,320.00 Permit: $111.25 - Claim Valuation: , 54,320.00 SMIP Res: $0.50 _- - SMIP Corn: .$0.00 Other: $0.00 'Inspection: . $0.00 . Total: $111.75 ' ' 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 c,` ',Required: 0 Proposed: 0 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 2446-46(6/00) DECLARATIONSff i 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''comp1e1nsationJpsurance carrier and policy number are: / a ' S a'f �V h CJ gliCy Number. /Lib 2.1-c C) is 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 alifornia,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 pr `pplicanf(Slgnelure:-- {DMatteCI V 0 - V WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUa1ECT AN EMPL VO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($106,000),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 roviions of Chapter 9(commencing with Section 7000)of Division 3 of the Businest and PP fessions Code,and my license is in full If fe Tt eaecruc-a. -,1 '-(- I `-t elas_s ati ` ' 1 Co bTs�Si nature: Date '.I O' I .a — 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 toe 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 drivers 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 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 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 akermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 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 pan of the facility to be constructed under this permit be within 1000 feel 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: •CERTFICATE 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 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 (rAnd/Or.Authorized Applicant e-, ..Date. --CODE I INSPECTIONTYPE ESTE a11L. CODE INSPECTIONTYPE on giOlDALA 1616 Fixed System Final Fire Prevention 4 206 Final Mechanical 1268 Pool Spa Final if 208 Final Plumbing 200 Final Re-Roof / if 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 V) . P r �� t...,. t t L.4J fa u 1i ' c•it ��._ 4.„ COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 Il . ^^,rrn >ii:cr • COSTA MESA. CALIFORNIA - .T FOR APPLICANT,TO FILL IN APPLICATION FOR PERMIT BUILDING 2511 Loyola Rd. BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER Mesa Highlands, Inc. MAILREC VED BY DATE RECEIVED ATc ADDRESS 1555 Placentia . BUILDING CITY Newport Beach. Cal. TNO. NI 6-3227 ADDRESS ARCHITECT same LIC. OR ' 'NEER NO. COSTA MESA. CALIFORNIA FIRE ADL rr(( . WW�� same /� r/ ZONE CONTACTOR Koll Const. COc NO 121 r ZONE NO.DE TYPE aP ITV LIC. PLANS ADDRESST same . sameAPAPPROVED PROVED DATE LEGAL LOT CORRECTIONS DESCRIPTION NO. 29 BLOCK TRACT 2029 • A.P.NO. OF LOT 64. X 100 NO. ON LOOTT O FB L 0 NOW USE OF EXISTING F BLDG. SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 25 SIDE YARD RIGHT 7 LEFT 7 DESCRIPTION ..OF WORK NEW X ALTERATION ADDITION REPA.. MOVING DEMOLISH SIZIE DING 1571 — 430 ROOMS 6 STORIES 1 EXTERIOR WALL stucco ROOF hot—mop COVERING p USE IOFLDINEWNG Residence & garage.att. BU Plan 2—E The Amount shown under valuation is for the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND purpose of establishing a permit fee only. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES A TATE LAWS REGULATING SW DING CON RUC- TION VALUATION SIGNATURE OF PERMIT FEE s 35.00 PERMITTEE 15 622.0017.50 PLAN CHECK $ AUTHORIZED A NT TOTAL FEES 52.50 `MF