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Home My WebLink About1108 VALLEY CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1108 VALLEY CI Suite: Vicinity: ROOF Parcel Number: 42203109 Zoning: 07/19/2002 Applicant: VAUGHT ROOFING SMIP Com: $0.00 Address: 8231 FLAXMAN DR. Inspection: $0.00 Phone: (714)764-0297 HUNTINGTON BEACH, CA Zip: 92646 Owner: HURTADO; REGINALD R TR Address , 1108 VALLEY CIR i Phone: - COSTA MESA, CA - Zip: 92627 Contractor: VAUGHT ROOFING Address: 8231 FLAXMAN DR. Phone: (714)764-0297 HUNTINGTON BEACH, CA Zip: 92646 License: 628955 Arch : Eng: Address: Address: Phone: ISSUED BY: Status: ISSUED Applied: 07/19/2002 Issued: 07/19/2002 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 50 YR FIBERGLASS, DIMENSIONAL SHINGLES OVER EXISTING PLYWOOD SHEATHING ON DECORATIVE PERIMETER OF DWELLING. 1250 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: FEE SUMMARY - Calc Valuation: $2,628.00 Claim Valuation: $2,628.00 PLANNING & ZONING Rear 0-0 Left 0-0 Right 0-0 Rear 0-0 Left 0-0 Right 0-0 Required: 0 Proposed: 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 244646 (6/00) WORKERS' COMPENSATION DECLARATION: I MINELL I hereby affirm under penalty of perjury one of the follo*ing 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. ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, tar the performance of the work for which this permit is issued. My workers' comporisation Insurance carver 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.) '❑ I certify mpe that in a perfortnan th ork F hich Is permit issued, I shall not employ any person in any manner so as to become subject to the workers' l�compensallon laws o a I e eg if ould ec a subject to the workers' compensation provisions of Section 3 DO of t e Labor Code, I shell forthwith _comply.with these provi Applicant Signature D1��/ WARNING: FAILURE TO SECURE KERS' COMPENSATION 40VERAG6 IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,0001, 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 lliiceeye au r o s of Chapte 9 (commencing with Section 7000) of Division 3 ol.the.Business Pr a ions Code, and my license is in full 5force and effect. Llc. # 42e?P7JE-�4J. Class #��4 Contractor's Signature:—/Na A Date:. CONSTRUCTION LENDING AGENCY: ❑ I hereby atfirm that there is a construction lending agency far 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.). ❑ 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 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. ❑ 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 Cade). ❑ 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? ❑ 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). ......................................................................................................................................................................................................................................................................................................................................................................................... 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? C]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. ........................ ...................................................................................................................................................................................................................................I...................................................................... 4 Ii an RMPP Is presently required, hes Section 25534 of the California Health and Safety Coda been fully complied with? ❑Ves [I No 5 Does or will the applicant or present or future building occupant require for the work which is me subject c this a plication aPPermit 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 Code requires that the requested information be furnished on applications for non-residential building permits). ......................... _................................................................................................................................................................................................................................................................................................................................................................. 6 Will any part of the facility to 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 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 California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ........................................c....................................................e.f............................op.......................Ilut...............................cer-................ ......................................................................................... .............. ........... .................................................. 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: CE ATE OFC P A I AND AIfTHpRIZATI N OF ENTRY: I certify under penalty of perjury that 1 have read this application and state that the information given is cor e t hip with at to to and c' ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above -do nb for in 'o urpo ee not to occupy or allow occupancy of any building authorized bythis pe/it unti na�spection. Signature Of Lega Owner(s)/!J 9 Date .-AmdtOr Authorized Applicant. i' Data 1 CODE4. INSPECTION TYPE OATS IN77TIAL CODEC INSPECTION TYPE p� Itffltll�44 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 200 Final Plumbing 200 Final Re -Roof --�—� ( 210 Final Electrical 201 Final BlocktRetaming 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 OWNER LE p�ggEgty DATE 2-13-69 .JOB ADDRESS 1108 va11Pv nirc1P BUILDING PERMIT NO. 2Q735 a GENEF AP No. 115-661-06 LOT 4 TRACT 6483 FIRE ZONE VALUE INSPECTIONS Signature Date GROUP j TYPE ZONE SOIL SUBCONTRACTOR _ PERMITS ISS ED GAS Date Number Si nature WATER PI umbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND Cl POWER ❑ ROUGH WIRING He.tinq and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN E OUT PLASTER, BROWN COAT STRUCTURAL, FINAL Electric_ HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST _ ELECTRIC, FINAL BUILDING, FINAL�— { FEB 13-69CH %O 287 0*****5.00 �. Z .5 LLi cL U Z Z< ON am J � J N Q W m J to J Q U U Za W � aW JO M z J W W Z_ F WO to 70 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely BUILDING ,r RECE/I/]�/�D/f D_ASJE R CEIV yp DATE ISSUED ADDRESS / O LL.G'�' C�%O✓ V (.7 — Z /� —� /jny� yI I� P R IT NO, OWNER V v� �� ! l L r i2�S A.P. NO. — — 35 MAIL BUILDING ' ADDRESS S A N ADDRESSAA TEL. CITY 0S 7A M67-SfA NO. TRACT 3 LOT BLOCK CONSTRUCTION W ADDREPAIR LENDER BRANCH OWNER ADDRESS VALUE C/t ARCHITECT TEL. USE $ 'qu OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP �} APPROVED CONTRACTOR y+Li'iI�"� /j!'f% �'D/ BY DATE L -p ADDRESS LL3� " NO. OF USE OF NEW CITY N (lam l�E �'t NO.S Z/ O(�L.3 — PLANS BUILDING YARDS APPROVECT LIC. NO. 3 �- LIC. NO. STATE CITY YARDS APPROVED BUILDINGACCESSORY BUILDING SIZE NO. OF BLDGS. (FROM C/L STRF�T) OF LOT NOW ON LOT FRONT FT FT. USE OF �,�;�`� N� EXISTING BLDG. S FT SIZE OF NO. OF NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALLROOF COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & ,r /f ! MAIN BLDGS. ACCESS. SLOGS. /51-1VAR.* DATE 710� <r�r� Q CU.P.-* APPROVED O/_ A40il_c APPROVE I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. eJ pI hereby certify that I am properly licensed as a contractor under SO. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIONIS FOR 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 VALUATION and Professions Code, Division 3, Chapter 9. i to ///��r��'}� p,/ � PERMIT FEE $ � Signature ofG,(�/I.r/e� ✓L'�`�I �Cle?Ce71 m Permittee Wy%V i /" G•� $ rT PLAN CHECK $ �— E UUU VV a Authorized Agent LL TOTAL FEE $ 1 28114 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 - COSTA MESA, CALIFORNIA 52RO For Applicant to Fill In Completely /7 R TYPE OR PRINT _ MAIL EXTERIOR COSTA MESA. CALI /Ie/v A6/- A NO, �/ •/ NOI 3. /)•{/ON e- IGY IT aiO/ REAR' SPT / RIGHT DESCRIPTION OF WORK �. or )OMS ROOF I xGrr ACKNOWLEDGE THAT 1 HAVI AND TATE THAT THE ABOVE 1E CORA PLY WITH ALL CITYORDINANCES AND BUILDING CONSTRUCTION. /7 AUTHORIZED AGENT X4 /D ; �13 1D WIG APPLICATION AND AGREE TO CON. R LAWS REGULATING JW -16-68t=-00 572* ****94.50 APPLICATION FOR PERMIT BUILDING . For Office Use Only RECEIPT NO. 29'r 14 REuI sY DA RE ��((�p ISSUED JAN z2D 1988 BUILDING //O ADDRESS FIRE ZONE TYPE ROUP APPROVED BY DATE ZONING EON[ NO. Or US[Or NEwa�',�a�w ruxE /� EmLDwo LEGAL n / DEURImOx /� 1 (D A. P. NO. NOTE: NO SAVE OVERHANG SHALL BE LEES THAN LO' TO SIDE a REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) - YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING ( PROM C/L STREST ) FRONT R. SIDS FT FT. SFT .SID PT. REAR PT. FT. D16TAN BR. BST. MAIN e t MAIN BLD ACCESS. SLOGS. vAR.# y -a � 9- 7 Owre J [�(( / C. U. P. APPROVED/:;'— APPROVSO� � I �� B7 L(l� O�J / DATE vro n cnn cncri n THE AMOUNT 8 OWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT PER ONLY. VALUATION PERMIT FEE /00 PLAN CHECK S3c^�50 TOTAL FEE