HomeMy WebLinkAbout2766 LORETO AVE - Building Permits •
CITY OF COSTA MESA
a
pMFq BUILDING DIVISION
ue,I) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
•
4t1w•iiimripes PERMIT NUMBER: B09-00121
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 14130316 DATE ISSUED: 07/09/2009
ISSUED BY: BJK
•
JOB ADDRESS: 2766 LORETO AV CM Suite/Unit:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 2200 Valuation: $4,000.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE:T/O BUILT UP ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED,
INSTALL 1 LAYER 30#FELT AND APPLY 30-YEAR COMP SHINGLES. PITCH 3:12 2200 SQ FT
OWNER: LEVERETT,JOHN M Address: 2766 LORETO AVE •
Unit:
PHONE: • City/State/Zip: COSTA MESA,CA
APPLICANT: JOHNSON, SCOTT ' Address: 13672 ONKAYHA Unit: :
PHONE: 714-778-6294 City/State/Zip: IRVINE,CA
CONTRACTOR: POPA ROOFING INC License No. 675902
Address: 13672 ONKAYHAUnit: PHONE: . 714-778-6294
City/State/Zip: IRVINE,CA 92720 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $97.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
•
TOTAL FEES $98.25
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: 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 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.
CODES. INSPECTION TYPE DATE INimALS CODES INSPECTION TYPE DATE INTTALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /,�q/)� 208 Final Plumbing
200 Final Re-Roof 1 -ta•01 au .�_ 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
`
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
pe mance of the work for which this permit is issued.
�- I have and will maintain workers'compensation insurance, as required by
sec n 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My worker ' compflnsation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
numberare•�/ k'/4-y)- !Y// person is required to descend,will be made in connection with work authorized
Carrier:+ (/p by this permit,and that no building structure,scaffolding.falsework,cc demolition
ho section need nal be completed if k valued at one hundred dollars less) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(r
/ 2,,7S"0 -7 2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number:> "/
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above. unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date
the LaborCode hall forthwith comply with these provisions.
' 9 Division of Industrial Safety Permit Number
Appli ih -`- azure ate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is In,{uII forge and effect. (/•I 7 a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# - ' (p S/0 Class#-4 v`1 (Section 25533 of the California Health and Safety Code, with some
Sr 7/
24 7 exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
cont 4. ... Date- 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
o I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? CIYes IDNo
Lender's Address: (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.
Signature Date
4. If an RMPP is presently required. has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve. demolish. or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
El I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
progeny who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
CI I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Signal f er(s) Date
Signature Date — e7/
S °Yi
3057.46(3/07) /J /
And/or Authorized Appliranl. ._Date
12339 F EE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT j JUN 1.7 19-0
P. O. BOX 847 COSTA MESA. CALIFORNIA UPI.F AfdCE c \ MESA
For Applicant to Fill In Completely APPLICATIO R1FPEif{�AlT
TYPE OR PRINT Lot # 104
BUILDING
BUILDING
ADDRESS 2766 Loreto Avenue Plan R 3A
COSTA MESA, CALIFORNIA For Office Use Only
I RECEIPT NO. 1121,38rn
OWNER MPRs Del Mar Development Co. I��VVJJ II-�{J{l-JC{✓.0
MAIL ' y RECEIVED BY I pi/REO-K o I • ATE ISS6a
ADDRESS Suite 1 3800 E. Coast Highway �-,.LSP/ 60-'7,1-K
� cf-rP// ��y_66
CITY Corona del Mar NO. Or 3422C BUILDING
ADDRESS 2766 Loreto Avenue
ARCHITECTTEL. COSTA MESA, CALIFORNIA
OR ENGINEER Raymond Levanas NO. Or 3701C
ADDRESS 3432 Via Oporto, Newport Beach FIRE 7/ ,'
ZONE TYPE GROUP
CONTRACTOR Macco Corporation APPROVED
BY DATE
ADDRESS 3800 E. Coast Highway ZONING
ZONEITY I O.OF I USE OF NEW
Crnrona del MAT PLANS BUILDING
STATE TEL.
98808 . Or 34220 LEGAL
DESCRIPTION Lot 104 Tract # 3749
Vim 70 x 93 I NO. OF BLDGS. 0
NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. _ APPROVED ALLOWED
CENTERSETBARK OFINE STRESTM 50 REAR YARD 30 FRONT
LINE ST.) --O
� V FT. IN.
SIDE YARD I LEFT 5 I RIGHT 5 R.SIDE S[ FT. IN.
DESCRIPTION OF WORK L.SIDE 3 J FT. IN.
NEW I X II ALTERATION I II ADDITION REAR U FT. / IN./
REPAIR UMOVING I DEMOLISH APPROVED/ /- 9- DATE (� -Li/_6
NO. OF
BUILDING `O X 42 ROOMS 7 STORIES 1 LA [�
EXTERIOR
aQ�WALL
�jj Stucco I ROOF COVERING Rock ' / O a (__
COVERINUSE OF BUIL-0-DI ND WORK TO BE PERFORMED ��\/
Y `70 ./ b !— '..-Q-7i
Construct Single Family Residence
with attached garage
I
HERESY ACKNOWLEDGE ATI I HAVE READ THIS AP LICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
ANO STATE THAT THE A0 V8 IB CORRECT AND AGR TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORO ANCES D STA LAWS GULATING
BUILDING CONSTRUCT VALUATION
SIGNATURE OF PERMIT FEE $ 32.00
PERMITTEE tett, }3 j 6 N
$ PLAN CHECK $ 16.00 4
Project Manager 13,960.00 I
AUTHORIZED AGENT TOTAL FEE 48.00 0
n