HomeMy WebLinkAbout212 MAYFAIR LN - Building Permits�^
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(774)754-5273 • Fax(714)75q-4856
CITY OF COSTA MESA
BUILDING DIV/S/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Zl,� �FA-i�2 Lnl.
Job Address: �1(-EN
Suite:
Vicinity: 212 Tp 214 MAYFAIR LANE
Parcel Nunmber: 41901342
npp�icane PEARSON, VESS
Address:
ownec GARbEN, PARK VILLAGE
Address HOM�OWNERS' ASSN
POBOX
%HOME FEDERAI S & L ASSN
Contractor. G M ROOFING
Address: P.O. BOX 3906-
, - �SEALBEACH,CA
Zip: 90740
Arch :
Address: .
Phone:
Zip: License:
Zoning:
Phone:
Zip:
Phone:
Zip: 92112
Phone: 714-761-8173
Licensei � 472566
Eng:
Address:
. PERMIT NUMBER
699-00005
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 01/04/1999
Issued: 01/05/1999
Phone:
License:
SCOPE OF PERMIT '
, REROOF OVER EXISTING 1 LAYER OF COMP. SHINGLE WITH NEW 25- YR. COMP. ROOF CERTIFICATE ATTACHED TO '
PERMIT.
• GARDEN PARK VILLAGE CONDO COMPLEX. � '
. ROOF "C" COVERWG 212 TO 214 MAYFAIR LANE. � _ - `
FEE SUMMARY
Plan Check: $0.00 Calc Vafuation: 5z,sso.00
Permit: $74.75 Claim Valuation: $z,sso.00
SMIP Res: $0.50
SMIP Com: $0.00 �
Other: $0.00 �
Inspection: $Q.00
Total: $76.25
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Right 0- 0
Right 0- 0
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days. .
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be ob�ained. Failure to obtain inspections and final approval will result in the expiration of this permit.
, FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: -
I hereby aNirm under penalry of perjury ona of the following declarations:
❑ I heve end will maintain e cartlticate ot con5ent lo seli-Insure for worker5' wmpensation, as provided tor by section 3700 0l the Labor Coda, for the peAortnence of the
wofk tof whiCh Ihis pef111ii i5 i55ued.
❑ I have and will mainiain workers' compensation insurance, es required by sedion 3700 of ihe labor Code, for lhe pedortnance of Ihe work tor w0ich this permit is issued.
My workers' compensation Insurence cartier entl policy number are:
Cartier. Policy Number.
(lhls sectlon neeO no! be cromp/eted i/ (be permil is valued et one hundred dollers ($f 00) or /ess.)
❑ I certify thei in ihe pertormance of tha wo�k tor which this permit is issuetl, I shall not employ any person in any manner so as to become subject to t�e workers'
compensetion laws of Calitomia, end�pree (ha� if I shoulC become su�ject to the workers' compensetion provisions of Sectlon 3700 of the Lebor Code, I shell fonhwith
wmply wi�h these prQv'isi¢ns. `� �+ (�
Applicent SignaWre: —�p�'�� `�,�„ `Oate:- �' i ^ l\
WARNING FAILURE TO SECUREWORKERS' COMPENgATION Q�VERAGE IS UNLAWFUL AND SHALL SUBIECi P.N EMPLOYER TO CRIMINAI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE (5100.000). IN ADDITION TO THE pp$T OF CAMPENSATION, DAMAGES AS PROVIDED f-0R IN SECfION 3'1O60F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensed under provision� Chapter 9(commencin9 with Section 7000) of Divislon 3 of the Business and Protessions Code, end my license is in full
torce end eHect. Lic. p i Class A
Canlractors,SignaNre:�i✓� � De[e� �
CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirtn ihat t�ere is a wnsWction I�naing agency tor Ihe OeAormance of Ihe work Por which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lenders Address:
Slgnaiure: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aHirtn thet under penelry oi perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e tollowing reeson (Sec. 7031.5, BuSiness end Professions
Code: Any dry or counry which raquires a permit to construcL alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicant tor suc� permit
to file e signed slatement Ihat he or she is Ilcensgd pursuent to the provisions ot the Contrectors License Ww (Ghepter 9(wmmencing with Section 7000) of Division 3 of t�a
Business and Pmtessions Code) or Ihet he or she is exempt thereirom and the basis tor ihe alleged e:emption. Any violation of Section 7031.5 Dy any epplicant tor e permit
sublecls the applicent to a civ�l penalry ot no� mora then fve huntlretl dollars ($500).):
❑ I, as owner of the properry, or my employees with wages es their sole compensation, WILL DO TME WORK, antl tha structure is not intendad or ottared tor sale (Sec.
7044, Business and Protessions Coae: Thp Contractors License Lew does not apply to an owner of property who builds or improves Ihereon, and who does such work
himself or herselt or through his or her own employees, provided that such Improvements ere not intentletl or oHered for sale. If, however, the builtling or improvement is
sold within one yeer ot completion, the ownerbuilder will hava the 6urden of proving ihat he or she tlid not bulltl or improve for purpase of sale.).
❑ I, as owner oi t�e properry, am E7(CLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to consiruct ihe proled (Sec. 7044, Business and Pmfessions
Code: The conirectors License Law Ooes not epply to an owner of property who builds ar Improves ihereon, and who coNrects tor such project wlih a conirector(s)
license pursuent to ihe Contrectors License Laws.).
❑ I am exempt under sec. Business and Professions Cotle for this reason:
Signature: Dete:
Owner ID verified by tlriver's license. ❑ Vea ❑ No Drivers License No. Expires:
Veniication of Ownership by (type of documeni, i,e. � property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATON:
❑ I hereby certity that no ezcavatlon five (5) or more teet in depth into w�ich a person is required to descend, will be mede in connection with work euthorizetl 6y t�is
pertnit, end Ihet no building sirudure, scaffolding, falsework, ar tlemolition or dismantling thereof, will be more then thirry-sic (38) feet high. (Chep. 32, Grp 2, An 2, Sac.
341, Tltle 8, Celitomia Administrelive Codej,
❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Intlustrial Safery, es notetl above, unless such person has a
permit to do such work from the division.
SigneNre: Date:
Division oi Indusirial Satery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AllTHOqVA710N OF ENTAV: I certify under penalry of perjury that I have read this application and state thet the information given is
correcL I agree to comply with all state lews and ciry ordinences relating to building consWction, and euthorize representatives ot Ihe Ciry of Costa Mesa to enter upon Ihe
above-describetl Droperty for inspection purposes, I agree not to occupy or allow occupancy ot any building euthorized by ihis permit until fnal inspection.
0'
gna�ure Of Legal pwner(5)
/�-`.
And/Or Authonzed qpplicant
LOOE 1. INSPECTONTYPE
1616 Fixed Sysiem Finel Fire Prevention
7266 Pool Spa Finel
200 Finel Re-Roof
207 Final Block/Retaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
2a46 46
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Date
COOEt ir�svetnoxrne
206 Final Mechanical
208 Final Plumbing
270 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupancy
UAiF ItlIl➢6L$
.. + --
i - COSTA MESA BUILD. AFETY DEPARTMENT
� P.O.BOX1200 COST�, ._SA,CALIFORNIA92626
0
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS ,,((
OWNER OR��C%/,I/i//�;�%'L/ �%/I �� N)/MJ' � ��L
TENANT RG
BRANCH
ADDflE55
ARCNITECT
CONTRACTOR
ADDRESS
CITV
H STATE �
� LIC. NO. �
{q SIZE
W OF LOT
a USE OF
� EXISfING BLDG.
y
CITV
LIC. NO.
NO.OF BLDGS
NOW ON LOT
F Separate permits are required for
Q electric, plumbing and heating work:
H USE OF BUILDING AND WORK TO BE PERFORA
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8455 12/12/79 126.4�'TL
APPLICA', FOR STRUCTURAL PERMIT '
RECEIVED BY PERMIT ,�� � y�
A.P. NO. (f �[] �
ll-�
BUILDING
ADORESS ZEZ
UNITOR �
SPACE NO. '
� RO.NO. � LOT
NEW ADD LTI
APPROVED
APPROVEDSETBACKS
PLANNING ACTION
��-�q-:
nvc ov �
DATE
E
0 I hereby aeknowletlBe thet I have �ead ihis application and stete �'
y� that the ebove Information Is eorreci antl apree co comply with �
p. al� lews reguleting builtling cons[ruction, and I shall not ¢mp�0y YiOLD FOR SPECIAL REOUIREMEN'i ��� ; �
Wany persan in violation of the workman's compensation laws of m
� ffie State of Californla. y �+
,3 1 hereby certify thet I em pro0erly Iicensetl as a coniractor under
SQ. FT. / �J rv �+
the Stata of Callfornia Busineu antl Profassions Cotle, Dlvision 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR m IC�
Chaptar 9, and thet such licenses are In full force and effect, or 1 THE PURPO6E OF ESTABLISHING A 7ERMR FEE ONLV: � \
am exempt from the rovlsiona of the State of California Busineu VAIUATION PERMIT FEE �
and vro�asstona Co O Wision 3, Chepter 9. E� ei
I ��� � PLAN CHECK $ / 0 (�1
SIB�eture of ✓
Permlttae $_S�% �'7D� � �
Or o�yJ / TAX E f M
U �)
Authorized Agent e — TOTAL PAI D E/ �1 L•✓ _ '�
� COSTA MESA BUILL
AFETY DEPARTMENT
,275s II/j3/80 IB9.00
APPLICA'. FOR STRUCTURAL PERMIT � �� '
RECEIVED PERMIT
For Applicant to Fill in Completely - Use Ink Only 49306
BUILDING A.P. NO. Z �
ADDRE55 ' ZI.Z Mdj�Pd1Y Lane - '
'OWNEROR AODRE55 212 Ma fair Lane
TENANT MCKinnon-Bibb Properties,Inc.
MAILING SPACENO. j�13R B—R8
nooaess' 2737 E. Coast Highway
TR.NO. LOT BLK.
cirv Corona del Mar No`'675-2311 10856 19
CONSTRUCiION' NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER Home Federal Savings & Loan
X
BRANCH 1702 N. Main
OWNER MCKinnon-Bibb Properties,I
ADDRESS Santa Ana VALUE
ARCNITECT TEL. USE �j`OW71110llSe w/att.garage E
OR ENGINEER Geo. R. Wiseman N 642-5594
ADDRESS 833 Dover Drive N.B. � ZONE ii4 TV �% GROVP H&J �
APPROVED
CONTPACTOR Bell Construction B�' DATE �� -
ADDRESS 105 E. 18th Street
TEL. COriCiO URlt.
cirv Costa MEsa No. 642-4372
- APPROVEDSETBACKS
uc No. 367816 �ic�No. �42�
SIZE ' NO.OF BLDGS. O (FROM GL STREE
OF l0T NOW ON LOT F OM FT.
USE OF O
EXISTING BLDG.
Separate permits are required for . �. sioe FT.
electric, plumbing and heating work:
FEAR FT.
USE OF BUILDING AND WOflK TO BE PERFORMED PL.4NNING ACTION
es
ZE-79-58 �oa�v�Roveo'1-9-�9
APPROVED
I hereby acknowlatlga that I have reatl this applieetion antl state
that the above Informetion is correct and apree to comply with
all laws regulating building construction, antl � shell not employ � .
any perwn in v(olation of <he workman's compensation laws of
Me Scete of California.
1 heraby certify.thai I am p�operly licansatl as a conttactor under 1377 sQ. Fr. J 664 �'6�. 5
the State of California Busi a P�ofessions Cotla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and thai sue icenses a in full force a ef ct, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the ovtsions the State of C' or ' Business
VALUATION PERMIT FEE $
and vrofessions Cotl Divisi 3, Chaptar 9. � 1$9.00
SiBnature of � . /1 VLAN CHECK S �_,
Permlttee � /� Q $ ) I TAX S
AuthorizetlAgent Date �l � (�� C/
TOTALPAID E 1$9.00