The URL can be used to link to this page

Home My WebLink About1106 VALLEY CIR - Building PermitsBUILDING PERMIT Job Address: 1108 VALLEY CI Status: ISSUED Suite: Applied: 01/14/2002 Vicinity: HOUSE & ATTACHED GARAGE Issued: 01/14/2002 Parcel Number: 42203108 Zoning: Applicant: AMARAL, MARK - ISSUED BY: Address: 22101 MALIBU LN - Phone: (714) 964-8461 HUNTINGTON BEACH, CA - Zip: 92646 Owner: HANZI,,JOAN W i Address /1106 VALLEY CIR Phone: COSTA MESA, CA Zip: 92627 Contractor: MARK AMARAL ROOFING Address:. 22101 MAL IBU LN - Phone: (714) 964-8461 HUNTINGTON BEACH, CA ' Zip: 92646 License: 696775 Arch Eng: - - - Address: Address: - - Phone: Phone: Zip: License: - License: —� SCOPE OF PERMIT. REROOF EXISTING SINGLE FAMILY RES -IDENCE & ATTACHED GARAGE (24 SQ). TEAR OFF EXISTING WOOD SHINGLES & RESHEATH'1/2" OSB. INSTALL 30# ASTM FELT UNDERLAYMENT & REROOF WITH 25 YR COMPOSITION SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: FEE SUMMARY $0.00 Calc Valuation: sa,000.00 $97.25 Claim Valuation: ,, $4,000:00 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS.,,�,- MAIN STRUCTURE Front 0-'o ,Rear 0-0 ACCESSORY Front- 0-0 Rear 0-0 PARKINGExistin 0 Required: 0 NOTES: PLANNING & ZONING Left 0-0 Left 0-0 Proposed: 0 i Right - 0-0 Right 0=0 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 M" WORKERS' COMPENSATION DECLARATION: , I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ I 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: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) 1 certify that in the performance of th work for 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, agr at if I should become tact to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pr ions. r�J Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER [UOCCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: hereby affirm that I am licensed underProYlsio f Chapter 9 (commencing with Section 7000) of Division 3 1:theBUsiness antl P ofes ons Code, and my license is in lull torte and effect. L�Lk ` �P l ( Class #—� Contrac r s Signature: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cotle), Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirn 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.). ❑ 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 contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ 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: ❑ 1 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 certity, a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ 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). ..............................................................nt-...................nt--......-utur-e--b-uil-di-...................an-t--n--e-d.-to-file..............................-fo-...........r--a-ut-............z-a-r-d-o..........a-t-.......i-s?............................................................................................... 2 Does or will the applicant or present or future builtling occupant need to file a registration forth for acutely hazardous materials? ❑Yes ❑ 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 ❑ ND ...................................................................-....................................................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication eppermil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Cade requires that the requested information be furnished on applications for non-residential building permits). ...................................................................................................................................................................................................................................................................................................................................................................................... 6 Will any parlor the facilityto be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ................... ......................................................... .................................................................... ................................................. ..................................................................................................... ............. ......_..............._....... -............ ................. .......... 7 If a peri 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 California Health and Safety Code Section 42303 been made? ❑ Yes ❑ 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. atur L' gal Owner($) n 51 � lel 713/�rAulhorized Appl aidt eteE::s•=;� CODE., INSPECTION TYPE ItdIE INTRIALS CODE. INSPECTION TYPE gag INTIDELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root'2( Z i�2- �C✓� 210 Final Electrical 201 Final Block/Retaining Well 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 AID ne 217?�, 00 851Ro** **25.00 CITY OF COSTA MESA PLANNINu 6PARTMENT A.P. No. 115-661-09 Bldg. Permit No. r y PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1106 Valley circle Owner's Name W41tar Hurtado Bachelor or 1 - Bedroom Units 1 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units Total Number of Dwelling Uni 1 Planning Department Approval Date 3-21-72 By WLD:pil b3 Applicant's Signature_ @ $25.00 = $25.00 @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = $25.00 Total Fee Park Area No. 10 CITY OF COSTA MESA PLANNING-EPARTMENT A.P. No. 115-661-09 Bldg. Permit No. U ZT 77 PAI' oA �1-7(_E-,17 00 851RJ***=25.00 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1106 Valley Circle Owner's Name Walter Hurtado Bachelor or 1 - Bedroom Units $25.00 = $25.U0 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units $70.00 = 5 - or more Units @ $75.00 = $25.00 Total Number of Dwelling Units l Total Fee Planning Department Approval Date 3-20-72 Park Area No. 10 By WLD-" bb Applicant's Signature � � ER HURTADO, Walter DATE 3-21-72 BUILD] 2AP No. 115-661-09 LOT TRACT FIRE ZONE VALUE $ 1 200,00 - INSPECTIONS Signature Date GROUP 1 TYPE V ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED Date Number Signature GAS WATER Plumbia ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES L:] FORMS ❑ STEEL REINF. m. y FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING �� Z FRAME AND FLASHIN LATHING — IN OUT a7 PLASTER, BROWN COAT _ STRUCTURAL, FINAL Electric_ HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL C CDr,i RFnIIIFFMFWTG _ Z . d U HZ _ZQ O t~it am J7 J to Q W m J J m U cn cr Z Q d IL W Z J Q m Z J CC W W OI- Z_ WO to m DO v 34472 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 PA19 CR %1 <<cws;00 8Lt9ar*1QA8 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R I D B DTE veD D TE ISSUED LDING ADIDRESS 6 LL 6..// G!� ` -r;L — OWNER ` -2 ';2;. PO t C_/ �O PER T A.P. NO. J l'7 MAILBVILDING ADDRESS (/ �[ r 1 ( C,�n�L ADDRESS ( P n // r TEL CITY. C.O GJ `�J'LI!— N0.6y ". �//, TRACT �/G LOT BLOCK CONSTRUCTION W ADD A RREPAIR LENDER O E BRANCH OWNER L E/Z /7L/Q% l)L ADDRESS VALUE USE $ ARCHITECT TEL. i. _ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED _ CONTRACTOR a/,r A/� 4//L De.2 BV DATE L ADDRESS I✓c� TEL. ZONE NO. OF USE OF NEW (),µtil'( CITY-- NO. 'i PLANS 2 BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. �� - LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET it OF LOT IND NOW ON LOT FROM FT. FT. USE OFEXISTING �'�/17/G fr BLDG. .J %�eL`/' F . FT. SIZE OF NO. OF �'Q NEW BLDG. Y/ Z ROOMS STORIES L. SIDE FT .+ FT. EXTERIOR WALLS/j$? 00/4IB0F 1f FELT ,. r // COVERIN COVERING G/G REAR Q FT. FT. USE OF BUILDING AND -WO K TO BE PERFORMED DISTANCE BET. BET. MAIN & a Ai cya y e. L e MAIN BLOGS. ACCESS. BLDGS. VAR.# DATE O x p C.U.P.# APPROVED APPROVED t . rL&5 (J I hereby acknowledge that I have read this application and state "'SATE ' that the above information is correct and agree to comply with - all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of the State of California. as W I hereby certify that I am properly licensed as a contractor under SO. FT. TAX o THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a, am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. m VALUATION J PERMIT FEE $ !! N PLAN CHECK $ f ^ Signature of- ! / $ /�C% MPermittee E o u_ _yC� Authorized Agent TOTAL FEE $ 28115 ~ COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E Fr Applicant to Fill in Completely /TaYPE OR PRINT 7i /'� //O �� / eJ'l COSTA MESA, CALIFORNIA 18 ARCHITECT R®� IT.//�.I(• !NO.LC.NO/0 76 N SIZE / iJ ? / . ®® f1F 1 !1T . T - SETBACK LINE FROYf CENTER or STREETREAR YARD G� SIDEYARDI LEFT 4z I 'RIGHT / DESCRIPTION OF WORK BUILDING SIZE 6d l) / 'x- /O / �A� is EXTERIOR WALL\'kl.:reir. v cc -fl,. I 1 HEREB ACKNOWLEOW AND STATE THAT THE A PLY WITH ALL CITY ORC BUILDING CONSTRUCT!39 SIGNATURE OF PERMITTEE AUTHORIZED AGENT 10,.16,68RS!°SAO 573• ****90.00 APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. T qL RectivrD y� oA/ ^ //os 4 F [ L LC. T5 ZONE I NO. or Puns ��1LBYILDING (J i DESOCRIP ION C.) Fs: NO RAVE OVERHANG SMALL BE LESS THAN TO SIDE S REAR P. L. v IES READ DRIB APPLICATION .OWED (U. B. C..REQU1REMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING IOM C.L RERI VALUATION )NT -10T.09 0-dPERMITFEE IID6 FT. /A VAR.# G. U. P. DATE / d APPROVED MATK 1 OF c• eG. Rr. v � READ DRIB APPLICATION TNR N UNDER VALUATION IS FOR 0 j O R CORRECT AND AGREE TO CON. OSE O EX ONLY. PURPOSE OF ESTABLIBNINO A PERMIT r¢[ ONLY. 115 AND OTAT(..LAWB REGULATING t VALUATION A D D 0-dPERMITFEE ' p TOTAL FEE $ r�