The URL can be used to link to this page

Home My WebLink About480 16TH PL - Building PermitsCITY OF COSTA MESA O�pMFQp B{IILDING DIVIS/ON i�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • www.ci.wsta-mesa.ca.us r � ` FOR INSPECTIONS CALL: (714) 754-5626 �'"'°'mfi PERMIT NUMBER: B10-00142 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 42515205 DATE ISSUED: O5/24/2010 ISSUED BY: KJB JOB ADDRESS: 480 16TH PL CM Vicinity: RESIDENCE AND ATTACHED GARAGE Squares: 2650 Suite/Unit: ` Valuation: $8,500.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF. RE-SHEATH AND COVER WITH 30 YR COMP SHINGLES. ROOF PITCH IS 4:12. SQUARE FOOTAGE IS APPROX 2650 SQ FT / INCLUDES ATTACHED GARAGE. OWNER: DAVISON, MARY J TR PHONE: APPLICANT: PLAYER, MICHAEL PHONE: 714-534-5696 CONTRACTOR: PLAYERS ROOFING Address: 71321 MAGNOLIA AVUnit: City/State/Zip: GARDEN GROVE 92841 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: �0.00 Reroof Permit Fee: $167.25 Reinspeclion Fee: $0.00 Bldg Sld Admin Fund 51.00 Address: 480 76TH PL City/State2ip: COSTA MESA, CA Address: 71327 MAGNOLIA AV City/Slate/Zip: GARDEN GROVE PHONE: License No. License No. License No. 516717 714-534-5696 CELL: PHONE: PHONE: Unit: Unit : TOTAL FEES $168.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monaay thru Friday - 7:0o am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays antl the following Federal New Vears �av. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivino Dav and Christmas Dav NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Cali(ornia stalutes antl related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all required inspections and final approval must be oblained. Failure to obtain inspections and final approval will result in lhe expiration of this permit. COOE/. INSPEG110NTYPE nnh xnnn� COOEt IN$pEGTIONTYPE o� ixTm� 1678 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 FinalRe-Rw( 5-�-_lU,(iy�_�� 210 FinalElectrical 201 Final Block/Retaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Builtling/OccuOancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one ol the follovnng declara�ions: ❑ I have and will maintain a certifcate o( consent to sel(-Insure for workers' c�ation, as provitled (or by section 3700 of the Labor Code, for lhe perf ance of the work !or which this permil is issued. I have and will maintain wurkers' compensation insurance, as require0 by s an 3700 of the Labor Code, for the pertormance of the v✓ork for which this pertnit is issuetl. My wo ers' compensation Insurance wrrier and policy numbet are: (l �'TIITB"!�^ � �L. �AiV� CJL� (T�issedionneetlrrofhecnmyeo dlh� �va' Iatone�untlieOtloflars(S100Jw1es5) Pw� ,�;�� 3 �� ❑ I certify that in the peAormance 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 vrorkers' compensation aws o! California, and agree thal il I should become su6ject to the cers' compensation provisions of Section 3700 of lhe Labor Code, I sh orthwith comply with these pmvis ns. p, �m,,YSigneWre,� � a1�2 �'. 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 DOLIARS �$100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of t�e Business and Pmlessions Code, and my license is in tu/ll -force and etlect. /' L. F"7 K� aes� ., l.� � � c $,Sig�uturc �V2Ie � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a constmctbn lentling agency fw Ihe per(ortnance of Ihe work (a which Ihis permit is issued. (Sec. 3097, Civil Cotle�. Lender's Name: Lender's Address: Dale OWNER•BUILDER DECLARATIONS: I hereby affirtn �hat untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions CoOe: Any ciry or counry which requires a permit to wnslruct, alter, improve. demolish, or repair any stmcWre, pnor to its issuance, also requires the appliwnt for such permit to fle a siqned statement [hat he or she is licensed pursuaN to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) o! Division 3 of the Business and Professions CoCe) or thal he or she is ezempt lherefrom and the basis tor the alleged eaemption. Any violalion of Section 7031.5 by any applicant for a pertnil subjects the applicant to a civil penally of not more Ihan five huntlretl dollars ($500).): ❑ I, as owner o( the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe struclure is not intended or oftered tor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an owner o( property who builds or improves thereon, and who does such work himself or hersel( or Ihrough his or her own employees, provided that such improvements are not intendetl or oRered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burtlen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractws License Law dces not apply to an owner o! property who builds or improves thereon, and who contracts for such project with a cmt2cta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Pro(essions Code for �his reason: Senawre oate 305]-A6(3I0'!� �l Owner ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifica�ion of Ownership by pype of document, i.e. - property taa bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feet in depth into wfiich a person is requiretl to tlescen0, will be made in connectbn with work authorizetl by ihis pertnit, antl that no builtling sWCNre, scaffddinq, falsev.ork, a demolition or dismantling thereol, will be more lhan thirty-six (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 347, Ti�le 8, Califomia Atlminisirdtive Cotle). � As owner-builder, I will not employ anyone lo tlo work which woultl require a permit from the Division o( Industrial Safery, as noted above. unless such person has a permit to do such work from the division. Applitanl'S SignaWre Division of Industrial Safery Permit Numbec _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. will the applicant or present or future builtling occupant need to file and certify a Business Plan for emergency response to release or Ihreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safery Code requires, wiN some exceptions. that a Business Plan be fled vrith the Costa Mesa Fire Depariment by every business which has al any one time during a reportetl year a quamiry of hazardous matenals equal �o or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressetl gas at standard lempereNre and pressure). 2. Does or wiu me applicant or present or fWure building occupam need to file a registration form for awtely hazartlous materials? ❑ Yes ❑ No (SeClion 25533 of �he Califomia Health antl Sa(ely COde, wi�h some exceptions. requires registration vrith the Costa Mesa Fire Department by eaCh bU5ine55 whiCh al any one time has on hantl a quaMity of acutely hazartlous materials equal to or greater t�an a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl temperature anC pressure). 3. Does or will Ihe applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program (or acu�ely hazardous materials)? ❑ Yes ❑ No (Section 25534 of Ihe Califomia Health antl Sa(ety Cotle provides that Ihe Costa Mesa Fire Department may require the preparation, cenifwtion antl fling with the Fire Deparlment of an RMPP by businesses which are requiretl to register acutely hazardous materials wilh Ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health antl Satety Code been fully complied with? ❑ Ves ❑ No 5. Does or will the aDP��an1 or presenl or future building occupant require lor the vrork which is Ihe subject of lhis appliwtion a permit for such construction or motlifcalion from the South Coast Air Quality Management District or from any other air pollution conirol district or agency7 ❑ Yes ❑ No (Section 65850.2 of the Cali(omia Govemment Code requires that the requesletl infortnation be fumished on appliwtions for non-resideNial building permits). 6. Will any part o( the facility to be conslructed under �his permit De within 1000 feet from the outer boundaries of a school7 ❑ Yes ❑ No Q( "yes", the facility must meet Ihe requirement of Sec�ions 25534 and 42303 of the Califomia Health and Sa(ery Code). 7. If a permit from I�e Soulh Coast Air Quality Manaqement District or olher air polWtion control distric� or agency is required for the vrork which is Ihe subject of this application, have all o! the disclosures prescribed by Califomia Health and Salely Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropriate air polWtion control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury Ihe information given above is correct. I agree to comply with all state laws antl city ordinances regarding Hazartlous Malerials and Emissions. SigwWre Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certi(y under penalry of perjury that I have read this application and state that the information given is correcl I agree to comply with all state laws and city ordinances relating �o building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit unlil final inspeclion. SipnalureolL Owner�s) `� Date ✓ � r�Of .._ _ OZ¢d.APGlitpn� � Da�a— � •, v�sta Riesa Building Department APPLICATION FOR PERMIT • 111 EAST 20th STREET 238: B U I L D,� N G � ' COSTA MESA, CALIFORNIA FOAM 204 �-X 2M 9-34 ri.a�i rauu� Show locatlon and distances Trom property line and between buildings. . . _ .. . _. . ' _' ' r . �_.+�3. , • • . "ric� -.��._• „� ° . � _ J" cosrf � �iC 15-SiPDilESt. �''GK . {L•�..•�:'iF1. � �}iD