The URL can be used to link to this page

Home My WebLink About905 MACKENZIE PL - Building Permits(�ia) 75a-527s • Fax (7ta) 75a-a856 • www.ci.costa-mesa.��LDING PERMIT �� hAIH UHNt, I:VJ IA MtJA, GA tl[OZO Jobnddress: 905 MACKENZIE PL Suile: Vicinity: ParcelNumber: 41805236 npp�icant: JACK GOODGAME Address: Owner: BOWEN, JEAN M TR Address 1118 ESSEX LN NEWPORTBEACH,CA Contractor. SIERRA ROOFWG CO Address: 16631 KETTLER LN HUNINGTON BEACH, CA Zip: 92647 Arch : Address: Zoning: R1 R1 Phone: 714-847-1773 Zip: Phone: 949-642-8151 Zip: 92660 Phone: 714-847-1773 License: 511172 Eng: Address: StaWs: ISSUED Applied: 10/23/2000 Issued: 10/23/2000 ISSUED BY: �G� Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF SHEATH AND REROOF 30005F RESIDENCE W/COMP SHINGLES. SMOKE DETECTORS REQ PER 97UBC. Plan Check: $0.00 Permit: $12525 SMIP Res: $0.59 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.84 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 4 0 PARKING Existinu: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Lefl 0- 0 Left 0- 0 Pro osed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $5,940.00 85,sao.00 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 1 BO days. INSPECTIONS: In order for the work authorizetl under ihis permit to be considered legal, such work must comply with all applicable codes, and all requfred Inspections and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2d46d8 (6/00) WORKERS'COMPENSAnON OECLARAnON: � I hereby eHirm under penalry of pe�ury one of iha tollowinq declarations: ❑ I have entl will maintain e certificate oi consent to self-Insure br workors' compensation, es provitled br by section 3700 oi �he Lebor Code, tor the peAormance of the work for which ihis permii Is issued. ❑ I have antl will maintain workers' compensation insurance, as requirea by section 3700 of tha Labor Code, for the perfortnance of Ihe work for which Ihis Oertnit is issued. My w�orke� wrflpe� ti�� urance wrrier and policy number are: / Cemer. �� aSSO�o � oo�o?azS' Poli Number: (This section need no( be compleled I! the permi( is vslued et one hundretl dollers ($100) or IesSJ . ❑ I certify Ihat in I�e peRormance of t�e work for which this pertnit is Issued, I shall not employ eny person in any menner so as to become subject to ihe workers' compensaiion laws of Califomia, end egree Ihat' I should becoma subject to Ihe workere' compensation provlsions o1 Section 3700 0l the Le6or Code, I shell forthwith campywitht�es rovi5ion Applicant Signewre: ��'�n.Q 3� oa�e: /d- ��— d � WARNING: FAILURE T ECURE WOFKERS' COMPENS ON COVERAGE IS UNLAWFUL AND SHP1L SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOIXJE HUNDRFD THOUSAND OOLLARE �E100.000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECfION 3]OB OF THE LABOR WDE, IMEREST, AND NTTORNEV'S FEES. LICENSED CONTRAC70RS DECLARATION: 1 hereby aflirm that I am licensed untler provisions of Chapter 9(commencing with Sectio 0) of Division 3 of ihe Busines and Protessions Cotla; and my license is In full fOrce end efleci. Lic. N Class k /� - 39 i � Comractofs Signature. Date: �6— � 3� O U CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirm that there is e consiruction lending agency for the peAormance of ihe work for which ihis permil is issued. (Sec. 3097, Civil Code). Lentlef5 Name: Lendar's Atltlress: Signeture: _ Date: OWNER-BUIIOER DECLARATIONS: I hereby affirtn thet under penalry of perjury Ihat I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions Code: Any city or county which requires e permit to construct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, elso requires the applicant for such pertnit to lile e signed statament ihat he or she is Iicensed pursuent 10 the provisions of Ihe Contradors Ucense Law (Chepter 9(wmmendng wlih SecUon 7000) of DlNslon 3 of the Business end Pmfessions Code) or t�et �e or she is e:empt therefrom antl the basis Por Ihe alleged ezemption. Any violation of Section 7031.5 by any applicaM for e permit suDjects the epplicaM to a civil penally of not more than five hundred dollers (5500).): ❑ I, es owner of ihe property, or my employees with wegas as their sole compensation, WILL DO THE WORK, entl the structure is not Intentletl or otteretl lor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvements ere not Intentled or oflered for sale. If, however, the 6uilding or improvement is sold within one year of completion, the owner-builder will heve the burtlen ot proving ihat ha or she ditl not build or improve for purpose of sale.). ❑ I, as owner oi the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: Tha contractors License Lew does not apply to en owner of propeny who builtls or Impmves ihereon, antl who contracis for such pmject with a comrac�or(s) license pursuant to iha Coniractors License Laws.). ❑ I am exempt under sec. Business and Profeuions Cotle for this reason: Signeture: Date: Ownet ID vBnfietl by dnvef5 liCensa. ❑ Yes ❑ No Drivefs License No. Expires: Verllice�ion oi Ownership by (typa af tlocumenl, i.e. - property tex blll or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: � ❑ I hereby cehify that no exwvetion tive (5) or more feet in depth into which e person is requiretl to tlescend, will be meda in connec�lon with work authonzed by Ihis permit, and that no 6uildinq strucWre, scattolding, talsework, or demolition or tlismantling thereot, will 6e more Ihen �hirry-six (36) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, Title B, Califomia Administretive Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which would require e pertnit from the Division of Industrial Safery, es noted ebove, unleu such person has e permit to tlo such work from iha division. Signature: Date: Division ot Industnal Safary Permit Num6ec HAZARDOUS MATERIALS AND EMISSIONS CER7IFICA710N: 1 WIII the epplicant or present or tuWre builtling wcupant need to tile end certiry a Business Plen lor emergency response to release or threatened release of a hazaraous meterial7 ❑ Yes ❑ No (Section 25505 of the Calitomia Healt� antl SaFery Cotle requires, with some exceptions, Ihat a Business Plan be liletl with t�e Coste Mesa Fire Department by every business which has at any one time during a reponed year a quantiry of hararAous matenals equal to or greater than a weight o1500 pountls, or e volume of 55 gallons, or 200 cubic feet ot compressetl gas at standard temperaNre antl pressure�. ....._ ........................_.........................._............................._.._._..._............................................................................_...................................................................................._........................................_............_........................................_....... 2 Does or will Ihe epplicant or present or luture building occupant need to lile e registration fortn lor acutety hazardous matenals7 ❑ Ves ❑ No (Section 25533 ot the Calitomia HealU and Safety Code, with some exceptlons, requires registretlon with t�e Costa Mesa Fire Depariment by each business which at eny one tima �as on hand a quamiry ol ecutely haierdous meterials equel to or greater then e welght of 500 pounds, or a volume ol 55 gallons. or 200 cubic teet oi compressed ga5 a� 5tantlard �BmDBreNre and pre55ure). � or oresent or prepare an ❑ Y85 ❑ No (Section 25534 oi the Califomia Heal�� antl Safety Cotle pmvides that the Cos�a Mesa Fire Depariment may require ihe preparetioq certifiwtion end filing with the Fire DeDariment ot en RMPP by businesses which are requiretl to register eatety hazardous meterials wi�h Ihe Fire Depatlmenl. ................................. ...................................................................................................................................................................................................... ........................ ................................................................... If en RMPP is presently required, hes Section 25534 of the Califomie Haelth end Safery Code been fully complietl with9 ❑ Ves ❑ No ................................................................................................................................................................................................................................................................................................................_............................................................ Does or wlll the applicant or present or future building occupani requlre for the work whic� is the subjecl of Ihis a plication e permit tor such construction or modilication fmm t�e Sout� Coas� Air Oualiry ManaBemen� District ar fmm eny other eir polWlion coniml disMct or egenc� � Yes u No (Section 658502 of the Califomia Gavemment Cotle requires that the requesied infortnation be tumishetl on applications tor non-resitlential Duilding pertnits). .......— .............__......................................._.__......................._..___............................."_ ..................__ _'._...... ..._.................__............_.........._._ Will any part ot [he laciliry to be consWcted under this pertnit �e wit�in 7000 feet trom the outer bountlaries of a school7 ❑ Yes ❑ No (If �es", Ihe faciliiy must meet ihe reQuirement oi Sections 25534 antl 42303 ol ihe California Health antl Satety Cotle). ................................................................................._.........................................................................._..........................................................................................................._...................................._............................................................ tl a permii irom the South Coast Air Oueliry Manegement Disirici or other eir pollution control tlisMct or agency is requiretl tor t�e work which is t�e subject of ihis epplication, have all of the tlisclasures prescnbed by Callfomla Healih and Safery Code Sectlon 42303 been mede7 ❑ Ves ❑ No ...................................................................................................................................................................... ......... . ............................................... pl'yes", attach certificate oi wmpllance from Ihe appropriate eir pollmion control oHicer). CERTIPICATE OP COMP�IANCE: 1 certity that under penelty ot perjury the iniormation given above is correcL I agree to comply with all state laws end ciry ordinances reqarding Hazartlous Matenals and Emissions. Signature: Date: CER71FlCA7E OF COMPLJANCE AND AUiHORVATION OF EMAY: I cenity under penalry of perjury that I have read this application and state that the infortnation given is correcL I agree to wmply with all stete laws and ciry ordinances relating to 6uilAing conswction, and euihorize representa�ives ot Ne Clry ot Costa Mesa to enier upon the ebove-describad properry for inspectian purposes. I agree not to occupy or ellow occupancy of eny building authorized by this permi� until final inspection. cooe .. 1816 1266 200 201 202 ixsvecnoN rrve Fixed System Final Pire Prevention Pool Spa Final Finel Re-Root Final Block/Retaining Wall Final Factory Fire Place PA7E 1[�1dL5 a4l- ryw�i_ / — '�e �� COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 203 Finel Sign 222 Final Site 204 Final Demolition . 250 Final euiltling/Occupancy Date Qdg II�EL@ " � 25427 COSTA MESA BUILDINCrSAFEIY DEPARTMEM P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92626 For Appllcanf fo i111 In Compfetory TYPE OR PRINT ��oiNa 905 Mackenzie Place DRE88 COSTA MESA, CALIFORNIA ■ ARCHITECI' � BIZE OP LOT U8E OF p� uneoReu T!L 2940-A Randolph Costa Mesa, Calif. T"• 54ac 99 no. inn� � �°W°� DESCRIPTION OP WORK 0 u ud.t�a e / ^ �../ 1 HlR6BY ACKNOWL6O06 TMAi I M�V[ IICAD TNIY MPLICATON ANO 9TAT6 TNAT TN6 AOOV6 IY CORRHCT�AlID I�ORH[ TO COM. PLY WITX ALL CITY OpDINANCO ANp �TATi L11W� R[OUTATIN BUILOINO CON8T111CTION. BI ONATURB Cr 1 ' P6RMITf6 � wu '�eowoerrr CITY Of C�Si1 �1� MAR 23 1966 ' FOf Offlce Use Only 11[CIIA'HO. ^�lFj�M1�0 ��•rL ! �.�.��.. '�`-f7�GL �'"'�d 2�`^� BUILDIN6 ADDREBII FIRB I/ �f ZON! TYPC f� 6ROUP APrROV[D EY DATB ZONING . x [ Ho.o� ua[o�niw J ruH� � auitoiHa Y �o.� . -/- � J YARUB MPROVHD MAIN BUILDINO fOM WLGTRRIT) o�erwnc[ err. MAIN BLDpi, VAR..�C �--- SHALL O6 LE88 THAN (U.B.C.REQUIR6MHNT: YARDS MPROVHD ACCE680RY BUIL�INO esT. Mw�N e ACGEHD.BLO DATB wPPreoveo DAT! J � ` a w � � I 1 �D eQ.Rr. a iN[ 11YOI1NT BXOWN UNDBR VALU�TION IB !OH Tf8 j •YPPOG[ OP i6TA8LIBNINO A PBRM�T r8H ONLY. Z3 �w�,,.�oN �; �3 � PERMI7FEE p / Q` ^/ � a// D� y I w r / TOTAI FEH S / �7