HomeMy WebLinkAbout930 JUNIPERO DR - Building Permits�
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CITY OF COSTA MESA
61/ILDING DIV/SION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�vw.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626 .
PERMIT NUMBER: 609-00189
PERMIT TYPE B_ROOF2
APN: 14132221
JOB ADDRESS: 930 JUNIPERO DR CM
Vicinity: HOUSE AND GARAGE ROOF
Squares: 26
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
09/0912009
RMD
$5,600.00
SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A 4:12 PITCHED ROOF AND REROOF
WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 26 SQUARES. REPAIR AND
REPLACE SHEATHING AS NEEDED.
OWNER: CALAMARAS, GEORGE P TR
PHONE: 760-5914997
APPLICANT: WYNGAARDEN, ERIC
PHONE: 951-746-2306 �
CONTRACTOR: E S W CONSTRUCTION
Address: 30677 ADOBE RIDGE CIRUnit:
City/State/Zip: MENIFEE, CA 92584
ARCHITECT:
ENGINEER: � �
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$o.00
$125.25
$0.00
$1.00
$126.25
Address: 284 HANOVER DRIVE
City/State2ip: COSTA MESA, CA
Address: 30677 ADOBE RIDGE CIR
City/State/Zip: MENIFEE, CA
License No.
License No.
PHONE:
License No. 977476
957-746-2306
CELL:
PHONE:
PHONE:
Unit:
Unit:
NOTICE: The work authorized by this permit shall comply wilh all applicable handicap access requiremenfs under Califomia 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 wmply 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.
OC DE�, INSPEC710NTYPE 04T IN1111R15 COOEN INSPEC710NflPE DATE IN1111AL5
1816 Fised System Final Fire Prevention ZO6 Final Mechanical
1286 PooISDa Final 208 Final Plumbing
200 FinalRe-Roof ��'�-� �✓��� 210 FinalElectncal
201 Final BIocWRetaining Wail 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm untler penalry of perjury one of the following declarations:
❑ I have antl will mainiain a certificate o( consent to self-Insure for workers'
compensation, as provided (or by section 3700 0! Ihe Labor Code, for the
performance of the work (or which this pertnit is issuetl.
❑ I have antl will maintain workers' compensation insurance, as requiretl by
sectbn 3700 of the Labor Code, fw the peAortnance of fhe woM for which ihis
permit is issued. My vrorkers' compensation Insurance carrier and policy
number are:
Carrier
(�nis secfion neM not De mmplefed �/lhepermn is valued a( one bund�etl dollars (5100) or IessJ
Po�li-cy- ^N�u-m�ber:
(,�j—I-certify that in the perfortnance of the work for which this permit is
issuetl, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, and agree that il I shoultl
bewme subject ro lhe vrorkers' compensation provisions o( Section 3700 of
Ihe Labor Code, I shall torthwith comply with these provisions.
4, ` �__.-- - � - 5-.� S
�p7P�����'s Signalure -6aie
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn Ihat I am licensetl under provisions of Chapter 9(wmmencing
with Section 7000) of Division 3 0( the Business antl Professions Code, and
my license is in (ull (orce and eftect.
Lic.��4� 7 y � � Class-lt�3
Z� � ,--_- c•_r —' "7 — c1 —0 9
Con�tor's Sgnawre LO�Ie—""�=•
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is a construction lentling agency for the
pedormance of the vqrk for wfiich this pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
OWNER-BUILDER DECLARATIONS:
I here6y affrtn lhat untler penally o( perjury lhat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5,
Business and Pmfessions Code: Any ciry or county which requires a permit to
construct, alter, imOrove, demolish, or repair any strucwre, prior to its
issuance, also requires the applicant tor such permit to fle a signed statement
that he or She is liCensetl pur5uant to lhe provisions of lhe ConlfaCtOrS
Licensa Law (Chapter 9(commencing wi�h Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis (or the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicaM to a civil penalry of not more Ihan
five hundred dollars (5500).):
❑ I, as owner of lhe property, or my employees with wages as [heir sole
compensalion, WILL DO THE WORK, and t�e structure is no[ intentletl or
offered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply to an owner ot property who builds or impmves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intentletl or otfered for
sale. If, however, the building or improvement is sold within one year ot
completion, the ovmervbuilder will have the burden of proving that he or she
did not builtl or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces not apply to an owner of
propeny vfio builtls or improves thereon, and who coni2cts for such project with
a contracta(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Protessions Code for Ihis reason:
i .
�
Owner ID venfied by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Venfication of Ownership by (rype of document, i.e. - propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N:
❑ I hereby certily that no excavation frve (5) or more (eet in depth into which a
person is requiretl to descend, will be made in conneclion with work authorized
by this pertnit, antl thai no building structure, sca(Idding, falsework, a demolition
or dismantlinq thereof, vrill be more than thiAy-six (36) feet high. (Chap. 32, Gry
2. Art 2, Sec. 341, Title 8, Califomia Adminis[rative Code).
❑ As ownerbuilder, I will not employ anyone to do work which vrould
require a permit from the Division o/ Industrial Safety, as noted above, unless
such person has a pertnit to do such work from the tlivision.
Appiwnfs SignaWre Da�e
Division of Industrial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. will the applicant or present or tuture builtling occupant need to file antl
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Satety 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 reporletl
year a quantiry of hazardous materials equal ro or grealer than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas
al standard temperature and pressure).
2. Does or will Ihe applicant or presenl or future building occupant need lo fle
a registration form for awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 ot the Cali(omia Health antl Sa(ery Code, wiN some
exceplions, requires regisiratian vrith Ihe Costa Mesa Fire Departmenl by
each business which at any one time has on hand a quaniiry of acutely
hazardous materials equal [o or greater Ihan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at slandard
temperature and ptessure�.
3. Does or will the applicant or presen! or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous malerials)? ❑ Yes ❑ No
(Section 25534 ot the Califomia Health and Salety Code provides Ihat Ihe
Cosla Mesa Fire Department may require the preparalion, certifica[ion and
lling with Ihe Fire Depahment of an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 0/ the Califomia
Health and Safety Cotle been fully complied with? ❑ Yes ❑ No
5. Does or vrill Ihe applicant or present or future builtling occupant require for
Ihe vrork which is the subject of this appliwtion a permit for such constmction
or modification from the South Coast Air Quality Alanagement District or from
any other air pollution control tlistrict or agency? ❑ Yes ❑ No
(SecCan 65850.2 of the Califomia Govemment Cotle requires that the requested
information be fumished on applications for non-residential builtling permits).
6. Will any part of the facility to be conslructed under this permit be within
1000 leet from the outer bountlaries of a school? ❑ Yes ❑ No
(If'yes", the faciliry must meet Ihe requirement ot Sections 25534 and 42303
of the Califomia Heal(h and Safety Cotle).
7. If a permit from the South Coast Air Qualiry Management District or other
air pollution wntrol district or agency is required for the work which is the
subjecl of this application, have all of the disclosures prescribed by Calilornia
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf yes", attach certificate of compliance from the appropriate air polWtion
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify ihat under penalry of perjury the
information given a6ove is correcL I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
Signalure Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
Ihe information given is wrrecL I agree to comply with all state laws and ciry
ortlinances relating to builtling construction, and aWhorize representatives of
the City of Cos[a Mesa to enter upon the above-described propeny for
inspection purposes. I agree not to occupy or allow occupancy of any building
aNhorized by this permit until (nal inspection.
SgnaWreo(LegalOwner(s� Da�e
SiB�aWre Da�e � �'1�� �__ �— � �O �
305]-a6 (3/Ol) qntllo7AutFonzeE Apprwnl— � (�Oate
owNr� MESA DII, Max nEVELOPMENT Co. naTE 3-14-63
JOB ADDR�SS 930 Junipero Dr. BUiLDING P�RMIT NO.
GENERAL CONTRACTOR M
AP No. 1 1-�2`2-21 LOT
J*'SPECTIONS
Realty Co.
TRACT 3 53 FIR� ZONF
� Signatur� DA7'� GROUP
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VALUE $ 10�OJL.VV
DESCRIPTION OF WORK R@S.
TYPE p 7.ONE R_
SUI3CONTRACTOR
OCCUPANCY I I I � I
�ORM Bll4 � SM - 7�fi1 l C; )l.
" . � 18964
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 917 COBTA tlEBA. CALIFORNIA
For Applicani io Fili in Compietely
TYPE OR PRINT
BUILOING 930 Juni fL0
ADORE68 P
COSTA MESA. CALIFORNIA' _
ADDRE55 3800 East Coast
c�rr Corona del Mar
ARGHITECI'
nw rur.ivacw i'i8CC0 Realty CO
" ^" 07343-A-SB-1
LIC. NO.
��ZE.,r 6� S.F.
�EE RECEIVED
MAR 7 963
FINANCE DEPT. m,v
CITY OF COSTA MESF
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
NHC81Pl NO. PERMIT NO.
No`AR 34220
FIRE
ZONE
APPROYED
BY
ZON6
Or 34220 LepAL
O68CRIP�ION
�NO. OP BLDcs. _ _ _
COSTA MESA. CALIFORNIA
TYPE / GROUP�
�
DATE
NING
INO. OP use or new
PU�NB �OUILDINO�/�
Lot 40, Tract 3853
�X����7i� � �
96TpACK LIN6 FROM � «�"�TEA uN� eT•�
CENTER OP BiileBi �LS REAR YARD � FRONT
SIDE YARD I lEF7 5� I RIGHT 6� R. 61OE
DESCRIPTION OF WORK
L. 51 DE
NFW X II ALTERATION I II ADDITION I ��. _
BUILOIN NO. OF
SIZ6 �] � C 6� �� ROOMS 6TOF
EXTERIOR WALL SCUCCOI ROOF
COVHRING �k1�A COVERING WOOd .
USB� OP BUILDING AND WORK TO BE PERFORMED
EVES
ALLO
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Plan �42-B Living Area: 1560 S.F.
Garage Area; 441 S.F.
I HBPEBY ACNNOWLHDGe THAT 1 MAVB RBAD TXIB MPLJGTION
AND BT�Te THAT THB ABOVH 16 COPM6R AND AGREe TO COM- THe �MOUNT 6HOWN UNDBP VALUATION 19 FOR THB
PUIiPOB6 OP BBT�9L19XIN0 A PERMIT FEE ONLY.
PLV WITH ALL CITY OROINANCEB ANO BTATe LAW6 RC�UtATINO
auItDlNa COXBiRUGT�ON. VALUATION
SIGNANRE OF Mesa Del Mar Develo I6Ci1[ r.0 �'ERMIT FEE $
PERMITTE r� `7 �
By� /��/�•� l S 16�SLZ.00 PLANCNECK $ r�' /'
AUTHORIZED AGE La/ "'�. �4���0 TOTAL FEE /�
OWNER gpU
�JOB ADDRE55
GFNERAL CON
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�` INWECTIONS
9 SOIL
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WATER
ROUGH PLIIMBING
PROP. SWR. LINE
SPRINKLING SVST
MISCELLANEOUS
ROUGH HEATING A
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UNDERGROUNO �
ROUGH WIRING
TRENCHES � F
FLOOft SVSTEM
BOND BEAM �
SHEATHING
HOUSE CON. U
41R CON�ITIONING
OR POLE
POWER �
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'EEL REINFORCE �
FRAME ANO FLASHING -
LATHING — IN � OOT n
PI -ER, BROWN COAT
5 lUFAL,FINnL
HEATING, VENT., REFRIG. AND A.C., FiNAL
PLUMBING, FINAL AND GAS TEST �I
FINAL
RIIIIf1Wf. GINLI
DATE T_;
BUILDING P
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VALUE $ G
SUBCONTRACTOR
PAlt, v fi:�Y
. � Iiu 21-75�;��•OQ�921•• �OO.S
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
AP 1 ATION
For App/icant to Fill in Completely
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OWNER (�/��ST� �R (� � Y A.P. NO �
MAIL BUILDING
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ADDRESS �/%I� �+DDRES � �
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FOR BUILDING PERMIT
w w TEL ZON NO.OF �
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WO STATE CITV �ARDSAPPROVED
y� �IC. NO. ' LIC. NO. MAIN BVILDING
� O /7 (FROM C/L S ET)
OF LOT O X / O NOW ON LO �/ qONT FT.
VSE OF
ExISTINGeLOG. S-S/OgA��6rr T.
� SIZE OF y NO. OF
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a EXTERIOR W ROOF /^/_,
V COVEFING QJA'� COVERING �(:rn� REAR T.
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d MAIN BLDGS.
a
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� ' APPROVE /i �
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VI �erebY ecknowletlpe thai I have reatl this application end siate
� that th9 above intormation is correct and apree to comply with
� all laws reB�leNnB buildin8 construction, antl I shall not employ
� any person in vlolation of the workman's compenwtian laws of
y the Stase of Californla.
zI hereby certify thet 1 am properly IicenseC es a co�tractor untler SQ. FT.
the Stete of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SMOV
Chepter 9, antl [hat such licenses are in tull force antl effact, or I THE PUFPpSE OF ES
em examPt trom t�e provisions of the State of Calitornia Business VALVATION
antl Professions /C�o�,/��}//¢@ Div_ision 3, C�lhapter 9.
SlBnetu�e ot (/�/_ � 1_ I/V', �ci- /J) /��%l V/
PermlttBe 514.Itari•- � �OkMS'(�/
+�-a $ c� �
LOT�-OI BLOGK
USE OF NEW
BUILDING
YARDS APP
BET.I
ACCE!
DATE
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