Loading...
HomeMy WebLinkAbout130 THE MASTERS CIR - Building Permits 0 '41:14 — re • 4`DSTN&ft'r9 � CITY OF COSTA MESA N ! BUILDING DIVISION F ( il It DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT B00-00755 ( '',ORME? , (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 130 THE MASTERS CI Status: ISSUED Suite: Applied: 05/26/2000 Vicinity: HOUSE&ATTACHED GARAGE Issued: 05/26/2000 Parcel Number 11939108 Zoning: Applicant: EVERTS, DANIEL J ISSUED BY: 1 Address: PMB 446-26742 PORTOLA PARKWAY FOOTHILL RANCH,CA Phone: (949)460-9355 SUITE 1E Zip: 92610-1713 Owner: NEWLAND, WILLIAM Address 130 THE MASTERS CIR Phone: COSTA MESA,CA Zip: 92627 Contractor AMERICAN ROOF CONSULTING Address: PMB 446-26742 PORTOLA PARKWAY FOOTHILL RANCH,CA Phone: (949)460-9355 SUITE 1E Zip: 92610-1713 License: 753040 Arch : Eng: Address: Address: Phone: Phone: Zip: License: • License: • SCOPE OF PERMIT REROOF EXISTING 2-STORY SINGLE FAMILY RESIDENCE&ATTACHE GARAGE(28 S0).TEAR OFF EXISTING ROOFING &RESHEATH WITH 1/2"CDX PLYWOOD.INSTALL 1 LAYER OF 30#FELT UNDERLAYMENT&REROOF WITH"ELK"25 YEAR COMPOSITION SHINGLES. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,500.00 Permit: $139.25 Claim Valuation: $6,500.00 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.90 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 Existinq: 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 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. g,/ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Coda,for the performance of the work for which this permit is issued. My workers'compensation Insurance carne nd policy number are: ��/'G"T.� (ThiCarder: �j PC • Policy Number: / 5 /f (This section need not a completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work r 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, d roe t if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. //J��%� Applicant Signature: 1 Date: �L( WARNING:FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE IS100,0001,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.# 75 0 O Class# d.--- G Contractors Signature: A ,_ i... i Date: 5'/?Q'/�i 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: 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 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.). O 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 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,ora 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 0N (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification end 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 a ermconstruction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? Yes j�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 pert of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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 Califomia 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.1 agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. areO t•- •wner(s) ate • P5l d 5) An.i• Authorized Applicant 7 Dat CODE II INSPECTION TYPEAlf_TE INTITIAL$ CODE I INSPECTION TYPE PAIS INTfLALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final � 208 Final Plumbing 615/00200 Final Re-Roof 615/00 �,,,7'I'-^�',�CSL= V 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ONS U�CTIIO'N P/E��R�MI - PERM NO. TRACT NO. LOT NO. UNIT NO. 5463 9/17/87 5.00 TL Project Address IP I - ( _ �t�yp^�P� K 3r)a 90 �-1y Applicant's Maili Address ROO (9, Y sNs l/t� ©es -.)ne TYPE OF CONSTRUCTION U NEW LI ADD U ALTERATION LJ' REPAIR f Owner's Name Phoneme' (" CLS-2-9 El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone DESCRIPTION OF WORK/USE OF BLOG. Address S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT U GRADING U/FOUNDATION U STRUCTURAL E Front O Address ,, /1 �' ❑ TENANT ❑ ELECTRICAL W/PLUMBING ❑ MECHANICAL B Rear N Contractor's Nam• afiR'�J h kt Jaw ❑ OTHER A � C Right N iicwaratritri ' ,r PROJECT DESCRIPTION SD. FT. OCCUPANCY � Address(mailing/ s� L 1 S J CONSTRUCTION TYPE VALVATION$ S Left R City License No. ZONE GRADING CU.YDS. ACRES �,. p LICENSED CONTRACTOR DECLARATION Ping.Ref.# �� PkRtQjtp�•/ ei 5 �gg7 M 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: PlanningNotes: {�+I 1y�V{��"1Vl with section 7000) of Division 3 of the Business and Professions Code,and T , my license is in full :r ii, tl effect. (bn\\]II+`.p's- Licen - la S'I I LI e r a star e S Date s° ,..la NNW Signature dMAIA if ) �• NPN PLUMBING FEES / WORK RS' OMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-Insure or a Certificate 1 Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW u800, Lab. Ca1, /; p �'.{�� ,�./ EI-J-44 �-� .........1 Policy No. /Q lu'1�4'�1 7 Company : f' t - F L Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW Lertified copy is hereby furnished- 1 /' Cesss�{+crop i5_, with the city g/� 1rrrsss000���OOOj i n- Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date C f(Y'L/ / Applicant / �'/ EXEMPt ION d'ROM WORKERS'COMVENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). I Dishwasher Solar Piping C2/0 Dryers OGas ❑Electric Sub Panel I certify that in the performance or the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'F.-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16.15+ NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name - _ - Range Lender's Address Kitchen Sink Water Service Switches Sign - OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Disposal Garbage following reason (Section 7031.5 Business and Professional Code: Any city or Standing Sections I county which requires a permit to construct,alter,Improve,demolith or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactotor structure, psince, also requires the applicant for such permit to file a signed statementthat he/she is licensedpursuant to the provi0of Roof Drains Contractor's License Law(Chapter 9(commencing mm with Section 00 )of 'vision 3 ofthe Businessand Professions coe) or that he/she s exempt=r1tom and the basis for the alleged exemption. Any violation of Section J31. by any decant for a permit subj$5ti lh¢ applicant to a civil — Malta of not more than five hundred dollars($500). co I, n owner of the work, my employeesctwith wages intended theif sold Reinspection Fee I §75 Issue Fee $ 3 for sale ( ec, will 0 the work,and the orucion isnot The or offered _- - - - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section ap Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved By Dale prove for the purpose of sale). ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑O-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP S proof or their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ 55 ob ISSUANCE $ Date owner Heating System& Ducting Registers PLAN CHECK 25% $ - ENERGY P.C. S I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S • sentatives of this city to en •r upon the above-mentioned property for - inspection pfp04, / �j/,�n/�� MECHANICAL $ TOTAL FEE $ '•O Signature s/ _, � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ y CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor CONSTRUCTION AND'PLANNING POOL &SPA Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit# 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 Conduit-Undrgrnd. 55. Electrical Bonding J 5. Steel Reinforcement 56. Rough Plumbing & Pressure Tesj 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNIITE 7. Footings 58. Electrical Conduit-Undrgrnd.'41 8- Foundation 59. Gas Pipe, El Undrgrnd.,Test%jt 9. Water Pipe Undrgrnd. 60. Backwash Lines,P-Trap, O Uydrgrnd. 10. Structural Floor Sysetem 61. APPROVAL TO DECK 11. Property Sewer LinA.&House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 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 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 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 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 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 1 33. Final Electric Notes: 34- Final Heating& Air Conditioning • • - 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 3.404 11 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • • 42. Backflow Preventer • • 43. Backflow Irrigation . 44. Landscape Irrigation System i • • • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed • . 49.-Electric Release to Edison 50. Gas Release to Southern California Gas Co . • 51. CERTIFICATE OF OCCUPANCY . - No. Date • _ I AID .?Q FEB 20-70c0 612* ***163.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BV DATE RECEIVED DATEqISSUED BUILDING .K.-'/9.- /� %<�O 7a ADDRESS 130 The Masters Circle .,. o PERMIT p41-., OWNER United Savings 8 Loan Assoc. A.P. N . .51 /1-./1 1 MAIL BUILDING 0 ZZs 1'n Z 9 ADDRESS 9800 S. Sepulveda Blvd. ADDRESS/3/t/ ��`(' �l�rr ILL) CITY Los Angeles, Calif. NO. 670-7550 TRACT4 5-7 LOTL/> BLOCK Z CONSTRUCTION NEW ADD ALTER REPAIR Moms nFM01 ISH ON LENDER Owner '} p s�/rr J BRANCH ,// / yr P � -J OWNER.','�.lne•'• Gt. .it/71 a!//Y. fV�A c lif ADDRESSOF 1 CO m ARCHITECT TEL. USE yie VALUE RiisO\ J Q OR ENGINE R R.J J . Mary i ck No. 839-3840 �� •7 O N FIRE 9 Z 2 ADDRESS 1538 N. Century, Santa Ana ZONE TYPE71-- GROUPs, 6. W W Z APPROVED u� JO CONTRACTOR Ryness-Smith Co. BY DATE�C-I/ '� _ . ,i, z W co ADDRESS 140 E. Industry Ave. ZONE NO.OF USE OF N W/ yf4 = TEL. PIANS BUILDIN ZF CITY La Habra, Cal tf. NO. 879-3111 C� d-A � � an= 2 STATE CITY YARDS APPROVED YARDS APPROV N CC LIC.NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUIL (NG D0 SIZE • BLOCS. (FROM C/L STRE ET) OF LOT 4D X I 1 NOW ON LOTFRONT L( 3 FT. k FT. USE OF EXISTING BLDG. I R.SIDE 3 FT. FT. • I- SIZE OF NO.OF QNEWBLDG. 2165 ROOMS 7, STORIES 2 L.SIDE 3 FT. FT. EXTERIOR WALL ROOF 3 C.1 COVERING aTOCCO COVERING Wood Shake REAR ,;- FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL 1 MAIN BLDG& ACCESS.BLOCS. Q VAR.# <E 11 lc DATE --4.7 6 hie Single family dwelling and two car C.U.P.# ZE/ —.6 APPROVED ...7 4.9-6/ yattached garage APPROVED ti) DATE cz /7/24 zo Lot 42 Plan 4-A ���^^^���/// Ir// U I hereby acknowledge that I have read this application and state D that the above Information is correct and agree to comply with it all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws Of y the State of cerCalifornia.tify hat /� (.4S-07 m 6 lP z I hereby certify that I am properly licensed as a contractor under SO. FT. O the State of California Business and Professions Code, Division 3, THE MOUNT SHOWN UALUATION IS FOR >" Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLIPERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION and Professions Code 'vision 3,Chapter 9. m PERMIT FEE $/O .. N Signature of SY �° m Permittee !/ j //r/P�'//�_--���31��--V!//�. 5 PLAN CHECK $ ID.- Authorized Authorized Agent O Vl 7 /3O/ TOTAL FEE $14 3; CO LL