The URL can be used to link to this page

Home My WebLink About2514 LOYOLA RD - Building Permits 4`ppTp M69 CITY OF COSTA MESA • BUILDING DIVISION j rr..v -,r DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER 1.4. /� PERMIT iktironno 03-01182 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cags-ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2514 LOYOLA RD BUILDING Status: ISSUED Suite: Applied: 07/14/2003 Vicinity: ROOF Issued: 07/14/2003 Parcel Number: 41913414 Zoning: Applicant: ERIC PETERSON ISSUED BY: Address: 1653 SUPERIOR AVE • , - Phone: (949)642-7222 COSTA MESA:CA Zip: 92627 Owner: HODGES, JAMES C JR Address .2514 LOYOLA RD Phone: COSTA MESA, CA/ Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE Phone: (949)642-7222 COSTA MESA, CA Zip: 92827 License: 349686 Arch : Eng: Address: _ - Address: , - Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1E/2"0.S.B.!30//FELT,50 YEAR PRESIDENTIAL.29 SQUARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $7,000.00 Permit: $139.25 • - - - Claim Valuation: $7,000.00 SMIP Res: $0.70 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 • • Total: $139.95 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 2446-461600) DECLARATIONS • IM 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 perfoniiance of Me work for which this permit is issued. L9-••1 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: '-, _ Comer: �(cC•-'�C' �r.'rCk CeplisyNumber.-- .2Qfrt 40 02.003 (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of e wo • 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,andagree t'- hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision ��— - Applioant Signature_-- :��"� fDate: ?/ y'1/4 3 WARMNOrFAILURE TO SE COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO-CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that am licensed underprovisions of Chapter 9(commencing with Section 7000)of Division 3 of;the Bilsiness and Professions Code,and my license is in full force and effect.Lic.a —3 Y CI'6 S 6 Coosa 'Contractors Signature:—f -Date:= 7/cc—/o3 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). Lenders Name: Lenders 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 fora permit subjects the applicant to a cNil 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 Drivers 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: 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 ❑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 a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ID Yes 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 facilityto 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 Alr Quality Management District or other air pollution control district or agency is required for the work which is the subject OT this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No B (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. • • e•al Owner(s) Date et y(0 And/0. z:• ••plicant—- Date -- - COPE I INSPECTION TYPE PAIS INTRIALS ;ODE INSPECTION TYPE ---PAIL It{1Q1AL$ 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final y 208 Final Plumbing 200 Final Re-Roof 7"a5"D3 ,,"��/._' 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA M a (CONSTRUCTION PERMIT (� / .IPERMIT N; �� TRACT NO• . LOT NO. UNIT NO. A.P.# 1 Zone Project Address L � `-'oYoLR r2D, am '7 Z.V 2. , S Main Building: Accessory Building: Applicant's Mailin• 'ddressC 2 CH-��tgni ,A en r.�.I 92(07{, TYPE OF CONSTRUCTION ❑ NEW U ADD L I ALTERATION Ii REPAIR E • . Z Owner's Name• • -+\0. •Rd . •C'1 ❑ CONVERSION ❑ DEMOLISH ❑ OT.ER _ T Front 0 L 1 ^ � 11 Phone t'(O-(o�S01 DES 'IPT ON OF WOR K/USE OE-3 D.G. ek-�fiinV {.B Rear • • N Address d.6I I-01�.oIQ CM Q'Zt, ZC, e.,24.__:“ : — . _a I .< i�MA.�-.� - A - N aI C Right Arch/Eng. License No. TYPE OF PERMIT GRADING FOU 'DATION STRUCTURAL K' G • Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left R ' Contractor's Name lam) ( 2 Phone ❑ OTHER • (1 ^� Ping. Ref.# Parking Req./Provided E �/ 1) PROJECT DESCRIPTION SQ. FT. IC ere) OCCUPANCY F� -• Plannin Notes: Address(mailing) CONSTRUCTION TYPE �N VALUATION$ Z-� g , ' - M 1 City License No. ZONE • GRADING CU.YDS. ACRES 1 T - - S. LICENSED CONTRACTOR DECLARATION p I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ,,t rys nn-�.� -� `,1 with section 7000) of Division 3 of the Business and Professions Code, and �" '-"'"� xthQ �..AA.VuS vyJ 1 my license is in full force and effect. VtAS\ (I/I' ELECTRICAL FEES License Class License No._ Tal JIV . - Date SignaturePLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 050+ KW • ' .^reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers I Yorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service SinkCooking Unit Meter ❑up to 100 amps ' ), Lab. C.) — Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps El Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel • Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant _ Fan Motors❑0-1'HP ❑1h.-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors _ (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher • Solar Piping I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains ' Solar Tank Microwave WorkeWgrrr tion Laws of Califors�l� - Date .., / y f signature G71_,k AA- / Floor Drains Swimming Pool w/Spa Device Boxes. Pole Light NOTICE? If,!after making this declaration, you should become ubject to trle Outlets ,_Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Switches Sign ,- 1 hereby affirm that there is a construction lending agency for the performance ' of the -work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name . Lender's Address Kitchen Sink • Water Service • Generator 00-5 KW 05-15 KW Trash Compactor. _ OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - - following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of -Roof Drains - - the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ^'vision 3 of the Business and Professions Cotle) or that he/she is exempt Reinspection Fee $15 Issue.Feet '^ $ 3 efrom and the basis for the alleged exemption. Any violation of Section • • ___ 1.5 by any applicant for a permit subjects the applicant to a civil • -- -,p1fy of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee • $ 3 Zoning Ap5 oved By ": Date compensation, will do the work, and the structure is not intended or offered R pp2�t[ for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL C FEES Building Aps$roved By Date License Law does not apply to an owner of a property who builds or improves pT� rcL ''� thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ E ^ r t Application Issued By r/ xl Date I'- r;-� -61 employees, provided that such improvements are not intended or offered for • Boiler sale. If, however,the building or improvement is sold within one year of com- Canopy Type II dncomplete Inspectic ns SUMMARY OF FEES- pletion, the owner will have the burden of proving he/she did not build or im- j Duct-Under Ground �^ V prove for the purpose of sale). l $y t� f - BUILDING PERMIT $ 7y SMTP $ _ 0 O I,aspwner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration bat¢1A - PLAN CHECK $ PERMIT tractors..construct the project (Section 7044,Business and Professions Code: L/ lC.�._-; Sig --- """ ISSUANCE----$Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU DDUBTD` PLUMBING $ $ - builds oi' improves thereon.and who contracts for such oroiects with a con- . ENERGY P.C. $ tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. d} ELEOTRICAL $ GRADING $ ❑ I am e�iiempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dam ers . ' Date _ 1q MICROFILM $ •�. ,/Owner 1,,,_ /r Heating System & Ducting Registers PLAN CHECK 50% $ I hereby certify that I have read this application and s ate that the above 00-100,000 BTU 0100;000 BT MECHANICAL $ TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this cit to enter upon the abve-mentioned p oPert for ' I inspection p ry pgses: �( Noy Signat ur=�rl1VJl/1. �� Date Reinspection Fee $15 Issue Fee $ 3 1 I Q1 QQQ�bSI�-QQ0369±} TOT S4 l ry .JV 0865-46,rev. 5/88 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: :I/:Q �{7 I Iht= �:. Q2 CONSTRUCTION AND PLANNING POOI 'PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. " 53. Steel Reinforcement. " " - . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4.-Electrical•Conduii: Undrgrnd. r 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE 7.-Footings =-I 58. Electrical Conduit-Undrgrnd. 8..Foundation J 59. Gas Pipe, 0 Undrgrnd.,Test "' 9. Water Pipe-Undrgrnd. 60. Backwash Liries, P-Trap, 0 Undrgrnd. •�` I. 10: Structural Floor System ._" 61. APPROVAL TO DECK 1 f. Property Sewer Line & House Connection 62. Backwash & Receptor.-Final - 12. Sewer'Cap -- 63. Heater & Vent-Final '-I i - - - 13..Roof Drains ".1 64. Plumbing System - Final 14.,Rough Plumbing /• 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17'. Rough.Wiring Sign 68. APPROVED FOR PLASTERING f8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT is 20. Rough Factory Fireplace �' _ APPROVALS Permit# i 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &-Test _ 72. Underground Flush 24. Roof Framing , S 73. Undergrnd.Storage Tank 0 Gas 0 Oil r 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &Monocoat 75. Dry Chemical .... 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding - 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - - ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED' _r 33. Final Electric Notes: 0 , VO off tc&Ac 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy _ . _ 37. Final Factory Fireplace 38. Final Plumbing -. 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation f - - I .- 44. Landscape Irrigation System EXPIRED f ' 45. Sound Attenuation Irlcoruple ti' we..tfge�,R/`.�,�/ -� 46. Handicap Regulations _ Date 7. 2.. SIg =- F�' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison V 50. Gas Release to Southern California Gas OD • _ 51. CERTIFICATE OF OCCUPANCY ., i No. Date F 8526 J SIL AEua— JELL) ,s a 11 /S9 COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 . COSTA MESA, CALIFORNIA dITv OF C,fCTA o:IETh FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESSD2514 Loyola Rd.• BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PER852 OWNER Mesa Highlands, Inc.. - (`'' MAIL 1555 Placentia N/EJSEIVED BY DATE RECEIVED DATE ISSUED ADDRESS I(-JA �xj Lj. �S 7 B 6 1959. CITY Newport Beach, Cal. TNO. MI 6-3227 ADDRESS G OR ' NEER NNO. ARCHITECT same O. COSTA MESA. CALIFORNIA • FIRE ADD. .. same Co. ZONE K. W. Koll Const. CCITY LIC. 1217ONE ilk/ NO.OFPLANS ITyPE GROUP CONTRACTOR NO. ADDRESS same TNO. same BYPROVED DATE _ LEGALCORRECTIONS [ DESCRIPTION NO. 26 ' BLOCK TRACT 2029 . A.P. NO. SIZE 1 NO.OF SLOGS. 0 OF LOT 67 x'95 NOW ON LOT USE OF er EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET' 50 REAR YARD [20 , SIDE YARD RIGHT 8t_6t"LEFT 1_611 DESCRIPTION OF WORK .. NEW T ALTERATION ADDITION r REPA I,, MOVING DEMOLISH SIZE DING 1571 — 430 NO.OF ROOMS 6 STORIES 1 EXTERIOR WALL ROOF COVERING stucco COVERING wood shakes _ USE OF NEW BUILDING Residence & att. garage. Plan 2—AR The Amount shown under valuation is for the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only. CITY ORDINANCES A • STATE LAWS REGULATING BUILDING CONSTRUC- TION. r VALUATION SIGNATURE OF / PERMIT FEE $ 35.00 PERMITTEE ' G 1.4_,/ 15 622.00 J••1 l7.50 • PLAN CHECK $ AUTHORIZE.-A•ENT TOTAL FEE $ 52.50 did,