HomeMy WebLinkAbout580 BAY ST - Building Permits(714)754-5273 • Fax(714)754-4856
Job Address: 580 W BAY ST
Suite:
Vicinity: HOUSE & GARAGE
CITY OF COSTA MESA
BUILDING DIV/SION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Parcel Number: 42213226 Zonin9:
App�icant: LEE ROOFING OF COSTA MESA
Atldress: 7653 SUPERIOR AV
CA Phone: (949) 642-7222
COSTA MESA Zip: 92627
Owner: DE LA TORRE, JESUS
Address 580 W BAY ST
Phone:
COSTA MESA, CA Zip: 92627
Contracror. LEE ROOFING OF COSTA MESA
Address: 1653 SUPERIOR AV
CA Phone: (949)642-7222
COSTA MESA
Zip: 92627 License: 349686
Arch : �. � Eng:
Address: Address:
Phone:
r.'�'
License:
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PERMIT NUMBER
�9-01585
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 10/4/1999
Issued: 70/4/1999
ISSUED BY: �/ " /
Phone:
License:
SCOPE OF PERMIT
REROOF - T/O, USE EXISTING SHTG, INSTALL 2 LAYERS OF 15# FELT AND NEW 30 YEAR COMPOSITION SHINGLES.
FEESUMMARY
Plan Check: $0.00 Calc Valuation: $3,�ao.00
Permit: $97.25 Claim Valuation: $3,iao.00
SMIP Res: $0.50
SMIP Com: $0.00 �
Other: $0.00
Inspection: $0.00
Total: $97.75
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0 Rear 0- 0 LeR 0- 0 Right 0- 0
ACCESSORY Front 0- 0 Rear 0- 0 LeR 0- 0 Right 0- 0
PARKING Ezistinq: 0 Required: 0 Proposed: 0
NOTES:
EXPIRED
�� � �D 6 ��
�� _
0
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a penod of 1 BO days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlona 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) 7545626
i
WORKERS'COMPENSAnON DECLARAnON:
I herehy ettirm under penally ol perjury one oi the following declarations: '
❑ I heve antl will mainteln a cetlificate of consent ro self-Insure tor workers' compensation, es D�ovided tor by section 3700 of ihe Labor Cotle, for ihe pedormance of ihe
work for which ihis permii i5 IsSued.
❑ I have and wlil maintein workers' compensation insuranca, as required by section 3700 of ihe Lebor Code, foi Ihe paAormance of the work for which Ihis permit is issuetl.
My wCorkers'% ompans tion Insuranca carriar end policy number ere:
Cerrier. 1'K!e �B� Policy Number.
(This secNon need not be complefetl U the permit is velued e( one hundretl dollers ($100) or Iess.J
❑ I certify that in the perlormance of the work for which this permit is issuad, I shall not employ any pereon in eny manner so es to become subject to the workers'
compenseUon I ifomie, tl agree thet if I should becoma subject to Ihe workers' compansation pmvisions of Sectip� 37W pf ihe Lebor Code, I shell fonhwit�
comply with thes ions. // ///�
Appliwnt Signature: Date: _ ��,l��� / �7 �
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMttOYER TO CRIMINAL PENAIRIES AND CIVI� FINES UP TOONE HUNDRED
TYIOUSAND DOLLARE (5100,000f, IN ADDIiION TO THE G1�ST OF COMPENSATION, DAM4GE5 AS PROVIDED FOR IN SECTION 31O60F THE LABOR CODE, INTEREST, AND ATiORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm thet I am licensed untler mvisions of Chapter 9(commencing with Section 7000) of DlWsion 3 0l the Busin anQ P ofessions Code, and my license is in full
tarce and ettect. Lic. a 3y46 �� Cless x � J
Conirectols SignaWre: Date:
CONSTRUCTION LENDMG AGENCY:
❑ I here6y aNirtn t�at there is a construction lending agency for the peAortnance oi t�e work for which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lentler's Neme: Lenders Address:
Signature: Date:
OWNER-BUILDER UECLARATIONS:
I hereby aflirm Ihat untler penalry oi perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the followinq reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit to wnstruct, alter, improve, tlemolish, or repair eny simcture, prior to its issuance, elso requires tha appiicant fo� such permit
to tile a signetl statement thet he or she is licensed pursuant to the provisions oi the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of the
eusiness and Professions Cotle) oi t�et ha or sha is e:empt therefrom antl the basis for the alleged exemption. Any violetlon oi Section 7037.5 by any applicant for e permit
subJects Iha epplicent lo e clvll penelty of not more ihan five hundred dollars ($500).):
❑ I, es owner of the pmperty, or my employees with wages as their sole compansetion, WILL DO THE WORK, and the stmcture is not intendetl or oHeretl for sele (Sec.
7044, Business end Professions Code: The Contractors License Lew does not epply to en owner of properry who builds or improves thereon, antl who does such work
himself or herself or through his or her own employees, provitletl ihat such improvaments are not intended or oHared tor sale. If, �owever, the building or improvement is
sold within one year of completloq Ihe owner-buildar will hava the burtlen of provinq that he or she did not builtl or improve for purpose of sele.).
� I, as owner of the property, am E%CLUSIVELV CONTAACTING WITH LICENSED CONTRACTORS to construct lhe pmject (Sec. 7044, Business and Professions
Cotle: The comractors License Lew does not appty to en owner of property who builds or impmves Ihereon, antl who contracts tor such project with a contractoqs)
license pursuant to the Contrectors License Lews.).
❑ I am axempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID vanFietl Dy tlnveYs license. ❑ Yes ❑ No Dnvels License No.
Venfication of Ownership by (rype of tlaument, i.e. - property �a�c 6ill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
Expires:
❑ I hereby certify ihat no excavation five (5) or more teet in depth into whlch a person Is required to tlescentl, will be made in connection with work authorizetl by this
permic, antl thet no builtling siructure, scaHolding, falsework, or demolition or dismentling ihereol, will 6e more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, CelAomie Administretive Code).
❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit from the Division of Intlusirial Sefety, as noted above, unless such person has a
permit to do such work from Ihe division.
Signamre: Oate:
Division ot Industrial Safery Permit Numbar:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I cetlity under penalry ol perjury that I have reatl ihis application and state that tha infortnation given is
corract. I agree to comply with all state laws and ciry ordinances relating to building construction, and euthorize representatives of ihe City of Costa Mesa to enter upon ihe
abova-tlescribed propehy lor inspection purposes. I egree not to occupy or allow occupancy of eny hullding euthorizotl by this permit until final inspection.
i naWraOlLegalOwner(s)
'lU I'r�
A NOr Authorizetl Applicant
COpE L INSPECTIONTYPE
1616 Fi:ad System Finel Fire Prevention
7266 Pool Spa Finel
200 Finel Re-Roof
201 Final8locWRetaining Wall
202 Finel Fectory Fire Place
203 Final Sign
204 � Final Demolition
2696 A6
o� rix rt ��s
%
COOE I INSPECTION TYPE
206 Final Mechanical
208 Finel Plumbing
210 Final Elacincal
212 Final Fire Prevention
220 Finel Planning Approval
222 Final Site
250 Final Building/Occupancy
o"� INiIfIpLS
OWNER $$K&H INC. v DATE ln-1���'
JOBADDRESS �R(1 R_ A� St_ BUILDINGPERMITNO: (��3
GENERALCONTRACTOR Dike & Colearove VALUE $�} QQ� ��
LOT 12 BLOCK TRACT �3�r�_,in lP Fam Ra
g S�CiL'I1C0—__
GROUP 1 TVPE V 20NE j�� FIRE DISTRICT
INSPECTIONS I DATE I SUBCONTRACTOR I PERMITS
Foundation Forms and Grade to
RoUgh�_Framing
Plumbing, Rough to Slah
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer �Qy
Sept�ank or Cesspool
Lathing
Plastering
Plum6ing, Final, Fixtures Compl
Plumbing, Final GasTest��
W iring, Final
Occupancy
Form 210 GH 1M 12-69
��C;osta DZesa Building Department APPLICA�'ION FOR PERIVIIT
�/J � 711 EAST 20th STREET � �O _ B U. I, L D��_N G_. __, _�
COSTA MESA,�CALIFORNIA
� t �'OR OP'FICE US� ONLX ;
FOR APPLICANT TO a'+ILL IN � ; eceipt No. %PermiQ2No. �
Buildin9 5a� B8 , . O�! iJ ,
Address y Street i i.- �`� �
Received'by Date Rec'd. Date Is'sued -
Costa Mesa, California T ; i: �
Nearest t � _ I /o-/IY=S'�
CrossSt. HflID�lt'.Ori $t',T06% euilding � � �
Address �
Owner Rg���, '� Costa D1esa, California •
Mall
Addreu 419 E. 17th .c.,t. Nearest � ; �
Tel. eT y Cross St. •'
City (iOSt.B �Q8S8 , No.8-1159 Zone P No.of Type // I Group �
Architect or Lia �/� �� I Plans I (/ � V il
Eng�oeerCarlsori—Middlb�'k.No. C1673 Approved � �
—"- by � Date I ' '
Addre ��� Garden Grove Blvd., G.G . � �
c�tY ���. � COH'rRECTIONS
ContrectorD�if2StC018�,TOIIB No. � � ' '
i
Address ¢lg E. 17th St. � C09t,e Mesa �
Legal Lot ' , j
Descrfption � No. 12 � sioc�tone I Trect 231 `"� � i
(Attach Metes and Bounds) �-- � i Ll j_ I
No. of Bldgs � � y � ' ,
SizeofLotES.84x106.461 raowo��ocNone _ _ - - , o
Useof I No.of I No.of : �.,y�Y's - A
Existing Bldg. - - F,amilies Rooms --��T�f-ry_ (� ,n
l� I 1 �J
Setback Line from ' Rear Vard r J54" `' ��Z
Center ot Street ,rj� t.%� Side Yard 5� r D
DESCI�IPTION OY�' WORK " '' "` '^f' �'M r
New I][ I Alteretion �I I Addition I �������J�� •
,::i -..n �� .r:,v.....�
Repair I I Moving I I Demolish I y '
'- Building No. oi
Size HO1138 Area Rooms 5 Stories 1
Exterfor Wall .- Roof _
Covering $t,llCCQ I Covering (�'O�_O_ APPRQVf��s
Use of New - Foundation Location Inspector Date
Building $in�16 Family Res. Forms,Materials,
� Under-Pinning
Frame: Fire Stops,
-- Brecing, Bolts
4 —
Lath.lnt. •
I hereby acknowlecige thaY I have read this Application -
and state that. thr lbove is correct and agree to comply Lath. Ext.
with al] City Ordinances and State Iaws regulating
building construction.
Plaster, Int.
Signature o1� �1���
Permittee i
Plaster, Ext.
Authorized Agt. r
- Masonry ReinTorced
Valu.ation Permit Fee •
Plan Check $ Bond Beam
$$��0�.�� Total � /���
Fee $ FINAL
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