HomeMy WebLinkAbout3338 MARYLAND CIR - Building Permitsr� �4
F CITY OF COSTA MESA
" - ' ° BI/ILDING DIVISION
> __ �
F DEVELOPMENT SERVICES DEPARTMENT 698-0088'I
�• PERMIT PERMIT NUMBER
��
(714) 754-5273 • Fax (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.IobAddress: 3338 MARYLANDCI
Suite:
Vicinity:
Parcel Nunmber: 13961137
npp�icane FRAME, CRAIG
Address:
Owner: SILVA, DAVID P
Address SILVA, KRISTIN C
COSTA MESA,CA
3338 MARYLAND CIR
Contractor: FRAME ROOFING
Address: 1542 SIERRA ALTA
Zoning:
Phone:
Zip:
Phone:
Zip: 92626
Phone: 714-730-0569
SANTA ANA, CA Zip: 92705
License: 661176
Arch / Eng :
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
T/0 EXISTING 8 REROOF WITH DIMENSIONAL SHINGLE.
Plan Check:
Permit:
Other:
Inspection:
Total:
$0.00
$87.25
$0.00
$0.00
587.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0. 0
PARKING Existinq: p
NOTES:
Rear 0- 0
Rear 0. 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0. 0
Proposed: 0
Status: ISSUED �
Applied: 05/21/1998
Issued: 05/2111998
Calc Valuation: S3,�oo.00
Claimed Valuation: Ss,7oo.00
Right 0- 0
Right 0- 0
EXPIRATION: This permit shall automaticalty expire and become void it work is not commenced within 180 days, or If work is suspended or abandoned
for a period of /80 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
requlred Inepeetione and final approvel must be obtainad. Failure to obtain inspections and final approval wlll result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
WORKERS' COMPENSATON DECLARA710N: � , �
I hereby eKrtn untler penalry ot perjury one of Ue fdlowing tleUarations:
❑ I heve end will mainlein a ceNficale of wnvem to self-Insure tor workars' compensatlon, es proviEed tor by sectlon 3700 01 ihe Lebor Cotla, for the pertortnance of Ne
xrork br which this pertnit is iuuetl.
❑ I heve end witl meintein xroifcers' compensatbn insurence. es requiretl Dy section 3700 oi the Labor Code. tar the peAortnance ol the xroAc fw which Uds pertnit iq IsweO.
My workers' compensetlon Insurance cartfer erM policy numbar ere:
Cartfar. Policy Number.
(Tlils sectlon neetl no( Oe completeC tl fhe permlrls velued er one nundred eol/ers (5700) or less.)
❑ I certly t�et in t�e pedortnance oi the work for which this pertnit is iuue4 I shall not employ any person In eny manner so es ta bewme sub�ect to ihe workers'
compensetlon lews ot Celitomia, and epree houltl bewme suD�ect to the workers' compensetion proNsions of Sectlan 3700 01 che Lebor Cotle, I shall lorthwith
comply wlth Ihese provision � �1 /
ApP�l�m Slgnewra: 5��� ��— Dare:l� 5� ^ z/� �
WARNINO: FAILURE �SECURE WORKERS' GUMPENSATION COVERAGE IS UNLAWFUL AND SHAIi SUBJECT AN EMPLOYEP TO CRIMIWll. PENALTIES AND CNIL FlNES UP TOONE HUNORED
THIXISPND OOl1ARE (5100.0001. w�dT�IXJ TO h7E COSf OF G�OMPENSAiIOH. DAN.4GESlS PROVIDED FOR IN SECTIIXJ 3108 OF THE IABOR CODE, INiEREST, AND ATTORNEV u FEES.
LICENSEDCONTRACTORSDECLARATON:
I �ereDy eHirtn Ihet I em licensetl untler provlsions
force end eflect. LJc. p
CoMractors Signeture: �
CONSTRUCTION LENOING AGENCV:
9(commencing with Sectlan 7000) ol Divisian 3 of t�e Business entl Proteuions Cotle, end my license is In full
Cleu #
� Date:X7 ^ Z �—
❑ I �ereby alflrm t�et there is e construction lentling egoncy for the Oertortnenco ol Ihe work for whic� ihis partnit is Issuetl. (Sec. 3097, Civil Cotle).
Lendels Namo: Lendefs Atltlress:
Signeture:
OWNER-BUILDER DECLARATIONS:
Dete:
I hereby eMirtn Ihat under penalry o1 pe�jury Ifiet I em E%EMVT FROM THE COHTRACTORS LICENSE LAW for the following reeson (Sac. 7031.5, Buslness erW Professions
Cotle: Any ciry or counry which requires e pertnit to construd, alter, improve, tlemolish, or repelr eny structure, pdor to Its issuance, elw requires Ne applicani br suU pertnil
to file e slpned stalament lhet he or she Is Iicensetl pursuflnt to che prwisions at the Coniractora LJcense Lew (Chapier 9(commendng wlth SecUon 7000) ot Division 3 0l the
Business flnC Professions Cotle) or that �e or she is ezempt iherefrom fln0 ihe Dasis for the elleped exemption. My Wolatlan ot Sedlon 7031.5 by any appqcam tor a pertnN
sub�ects Ne epD���ent ro a civil penalry of not more than five hundrea adlars (5500)J:
❑ I, as owner of �he property, or my employees wit� wapes es Neir sde compensetion, WILL DO 7HE WORK, antl Ihe structure Is not Intended or oHered tor sale (Sec.
7044, Business entl Professions Cade: The Contractars License Lew does not eDPly to en owner ol property who builds or improves t�ereon, antl who tloes such work
himself or hersett or Ihrough his or her own employees, provided Ihat such improvements ere not intended or oHered for sale. If, however, iha building or Imprwement Is
sold within one year of completlon, the or.neo-builtler wlll have Ihe burtlen ot provinq t�et he or she dltl not build or Improve Por puryase oi sale.).
❑ I, es owner of the property, am EXCLUSIVELY CONTRACTING WfTH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business antl Professions
Code: The contractors License Lew does nm eppty to an owner of pmperty who bullCs or Improves thereon, end who coMrects tor such project with e coniractor(s)
Iicense pursuant �o t�e Contractors License Lews.).
❑ � em esempt under sec. Business and Pmfesslons Code lor this reason:
Slgneture: Date:
Owner ID veAileO by tlrivers license. ❑ Yes ❑ No DriveYs License No.
Veriflcatlon oi Ownership by (rype ot tlocument, i.e. - property tac hill or tleed):
DIVISION OF INDUSTRIAL SAFETY VERMR CERTIFlCATION:
Expires:
❑ I hereby ceNty that no escavetlon tive (5) or mae feet In depih Inio which e person is requireA to tlescend, will be metle in connectlon wlih work eulhoAzetl by thb
permlt, enG thet no builtling strunure, scefloldinp, talsework, or demolitlan or tlismentling t�ereof, will be more then Ihirry-six (38) feet �ip�. (Chap. 3.2, Grp 2, Art 2, Sec.
3a1, 71t1e B, Celtlamla AtlminlslretNe Code).
❑ As awner-bullder, I wlll not employ enyone to Oo work w�lch waulA require e pertnit Irom Vio DlNsion of Indusirlal Satey, es notetl above, unless such person hes e
permit to tlo such work irom Ihe divislon.
SlgneNre: Date:
DiNslon ot Industdal Sefery Pertnit Number:
CERTIFlCATE OF COMPLIANCE ANO AUTHOROJITON OP ENTAV: I certily under penelry of perjury ihet I heve read this appliwiion end stete'that the intortnetion given is
cortect. t egree to compy with ell stete Wws and pry ordinences relaling to building consirudlon, entl authodze represenietives of the Ciry ot Costa Mesa m enter upon Ne
ebove-descdbed property for inspeclion purposes. I epree noi to occupy or ellow occupancy ot eny builtling auihorized by this pertnit untll tinal inspection.
Signature OI al Owner(s) Date
...i. .�, � " 'Z 7 ^ `j �
AnNOr AulhodzeC Aoolirant DOtB
CO�E 1. INBPECTIONTYVE '
1818 Fi:ed System Finel Fire Preventlon
1288 Pool SDa Finel
200 Flnel Re-Roof
201 Finel Black/Reieining Well
202 Finel Factory Fire Poace
203 Final Sign
204 Flnel Demolitlon
zasre
� I��
S-2c - p !� 4,(�-
FQp[j INSPECTIONTYiE
208 Finel Mechenicel
200 Finel Plumbing
210 Final EleMdcel
212 Final Fire Preventlon
220 Flnal Plenning Approvel
222 Final Site
250 Finel BuilCing�Occupancy
�
,t . , ;r�,.
` CITY OF COSTA MESA �
° BIIILDING DIVISION
, _ �
� DEVELOPMENT SERVICES DEPARTMENT 898-00882
�• � PERMIT PERMITNUMBER
��
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3341 MARYLAND CI
Suite:
Viciniry:
Parcel Nunmber: 13961136
App�icant: FRAME, CRAIG
Address:
Owner: COLEMAN, RODNEY E
Address 3341 MARYIAND CIR
COSTA MESA,CA
Contractor: FRAME ROOFING
Address: 1542 SIERRA ALTA
Zoning:
Phone:
Zip:
Phone:
Zip: 92626
Phone: 714-730-0569
SANTA ANA, CA Zip: 92705
License: 661176
Arch / Eng : .
Address: �_ . .
Phone:
Zip:
License:
SCOPE OF PERMIT
T/O EXISTING & REROOF WITH DIMENS�ONAL SHINGLE.
Plan Check:
Permit:
Other:
Inspection:
Total
$0.00
$87.25
$0.00
$0.00
$87.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0• 0
Proposed: 0
Status: ISSUED �
Applied: 05121/1998
Issued: 05/21/1998
Calc Valuation: Ss,soo.00
Claimed Valuation: $s,soo.00
Right 0- 0
Right 0- 0
EXPIRATION: This pertnit shall automatically expire and become void it work is not�commenced within 780 days, or if work is suspended or abandoned
for a period ot 180 days. �
INSPECTIONS: In order tor the work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all
requiret! inapaetlona end flnal epproval must be obtained. Failure to abtain inspections and final approval vnll result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
WORKERS' COMPENSATION DECLARATION:
I hereby efHrtn under penalty oi pe�jury one ot the following declaretions:
❑ I heve end will malntein a certificata o1 cansent to self-Insura for workers' campensation, es provitletl for Ey soction 3700 of the Lebor Cotla, lor ihe pertortnence of t�e
work for which lhis permit is issuetl. _
❑ I heve erW witl meintain workers' oompensation insu2nce, es required by section 3700 of ihe Labor Code, br ihe peAormflnce ot tha work fw which this pertnit is issued.
My workers' wmpensation Insurence certier and policy number are:
Certiec Policy Number.
(Thls sectlon need not be comp/efed il the pelmlt /s va/uetl ef one bundied dallers (S/00J or /ess.)
❑ I cenity that In the peAormance of ihe work fo� which'this permit is issued, I shell not employ any person In any mennar so es to become sub�ect to the workers'
compensation laws of Celifomle end egree thet H I me sub�ect b the workers' compensation pmdslons of Section 3700 af t�e Labor Cotle, I ahall torthwith
comply with Ihese provisions �
Ap0lkant Signeture:J� �'�-�. �-^`; Deta/��F� S� - �Z � - �/
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SW1L15UBIECT AN EMPLOYERTO CRIMINAL PENALTIES AND qNL FlNES UP TOONE HUNDRED
TFKKISPND DOl1.ARE (5100,000), IN A�DITION TO TME OOST OF ODMPENSATION, DAM4GES AS PROVI�ED FOH IN SECTION 3)O60F THE LABOR WDE, INiEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn thet I am licensed untler DroNsions of Chepter 9(cammencing wit� Sedion 7000) oi DiNsion 3 of the Business end Professions Code, antl my license is in full
force entl eflecL Lic. W qass #
CoMractor's SlgnaNre: � Date;�-, 4- 2/- �r
CONSTRUGTION LENDING AGENCY:
❑ I hereby ettirm thet ihere is a construction lending egency far the perfortnence of Ihe wark for which �his pertnil is issuetl. (Sec. 3097, Civil Code).
LenOers Name: Lendefs Atlaress:
Signature: Date:
OWNER-BUILDER OECLARATIONS:
I hereby aHirm that un0er penalry ot perjury t�at I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW lar t�e following reason (Sec. 7031.5, Busineu end Professions
CoAe: Any clry ar counry which requires e pertnit to construct, alter, improve, demolish, ar repair any structure, pdor ro its issuence, alsa requires ihe appllcant for such pertnit
to tlle e signed stetement ihat ha or she Is Iicensed pursuent to the provislans of t�e Contrectors License Law (ChaD�er 9(cammencing with Sectlon 7000) of Divislon 3 of ihe
Buslness and Professions Cotle) or that �e or she is e:empt Ihereirom end ihe basis for the alleged exemption. Any violatlon ot Section 7031.5 by any applicent for a pertnit
5ubfeCt9 ihe epDllcaN to e civil penelty of not more than five hundretl doller5 ($500).):
❑ I, es owner oi Ihe properry, or my employees with wages as their sole compensatlon, WILL DO 7HE WORK, end Ihe siructure is not intended or oXeretl for sele (Sec.
7044, Business end Professions Code: The Contractors License Lew tloes not epply to en ownar at property who builds or Improves theraon, entl who does such work
himsell or herseli ar ihrough his or her own employees, proNCed �het such Impmvements ere not intended or oMeretl tor sale. It, however, t�e bullding or impmvement is
sold within one year ot completion, Ihe owner-builder will have the burtlen of proving ihet he or she tlitl not bulld or Imprave to� purpose of sele.).
❑ I, es owner o1 Ihe property, am El(CWSIVELV COMRACTING WITH LICENSED CONTRACTORS to consiruct the prqect (Sec. 7044, Business end Protessions
Cotle: The wniredors License Lew does nat appty to an owner of property who builds or Improves Ihereon, and who conirects tor such proJect wlth e contractor(s)
Ilcense pursuant Io the Contrectors License Lews.).
❑ 1 em e:empt untler sec. Business anC Professions Cade tor this reason:
Signeture: Date:
Owner ID verified by dnvefs license. ❑ Yes ❑ No Driver's License No. Expires:
VedNcetlon oi Ownership by (type of dacument, I.e. - praperty tex bill or tleetl): _
DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICATION:
❑ I hereby ceRify ihet no excavetion tiva (5) ar more teet in tlepi� into which e peroon Is requlretl to tlexenQ will be mede In connection with work authorizeC by this
permit, entl thet no builtling slructure, scaBUtling, felsework, or demolition or tlismentling thereof, wlll be more then thirry-six (36) teet high. (C�ap. 3.2, Grp 2, An 2, Sec.
341, T01e e, Celitomia Adminlstretive Cotle).
❑ As ownarbuilder, I will not employ anyone to tlo work whic� would requlre e permit from Ihe Division of Intlustdal Safery, es notad ebove, unless such person has a
pertnit to da such work from t�e tlivision.
SignaNre: Dale:
Dlvision of Industrial Safery Permit Number:
CERTIflCATE OF COMPLIANCE AND AUTHORVATON OF EMAY: I certify under penalry of perjury thet I heve reatl this application end state ihat the Information given is
conecL I agree to compty wilh all siate laws end ciry ordinances relating to builCing wnsWction, end authodze representatives of the Ciry ol Coste Mesa to enter upon Iha
ebove-descnbed property for Inspectian purposes. l agree not to occupy or allow occupancy of any building authorized by ihis pertnit until linal inspection.
LOUE I. INSPECTIONME
1616 Fixed System Finel Fire Prevention
1286 Pool Spe Final
200 Finel Re-Roof
201 Finel BIocWRetaining Wall
202
203
204
z4abe6
Finel Factory Fire Plece
Final Sign
Finel Demolition
� UIIIDEIS
-t�� y. "'i�
l=={-t
Date
i0 7� - ZJ� �j�
Dete
CODE I INSYECTION TYPE
206 Finel Mechanicel
208 Finel Plumbing
2�0 FlnelElectdcel
212 Final Flre Preventlon
220 Final Planninp Approval
222 Final Site
250 Finel Building/Occupancy
�g
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OWNER MODULAR
JOB ADDRESS 3;
GENERAL CONTRAC
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SOIL
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WATER
ROUGH PLUM9ING
PROP. SWp� LINE OU
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEPTING ANO AIR
TEMPORARV SERVICE OR
UN�ERGROUND � POV
ROUGX WIR�NG
TRENCHES FORMS �
FLOOR SVSTEM
BONO BEAM ❑ STEE�
SHEATHING
FRAME ANtl FLqSHING
LATNING � IN OU
PLASTER, 9ROWN COAT
1TURAL, FINAL
R....ING, VENT., REFRIG.
PLl1MBING. FINAL ANO GP
ELECTRIC,FINAL
Inc.
DATE
RACT b5t3Z FIRE ZONE VALUE
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33279
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
�or Applicant to Fill in Completely
BW LDlMG
ADOREss lanrl f irrlp
OWNER M�dular Technolo y Inc.
o; aFss 1104 E. 17th Street
CITV Sa,[�'tg
CAN5TRVCTION
LENDER
BRANCH
ADDRESS
AflCHITECT
ADDRESS
cirv
STATE
�IC. NO.
SIZE
OF LOT
USE OF
EXISTING E
SIZE OF
Same
N1ALL rer
� Plan
JILOING AND
TE�.
NO.
•1L,�, ra No.` F�44-
;. �o on � M•
TEL.
NO.
CITV
LIC. NO. 16�
INO. OF BIDGS.
NOW ON LOT
NO.OF
FOOMS % STORIE:
ROOF
coveqiNc Wnnri SY
K TO BE PERPORMED
Construct new res
attached �ara,�e.
)UL ZO-7jPAIDOO� ��� � 56.r.�
CNSd '�
APPLICATION FOR BUILDING PERMIT
RE�EDB,}' D�TEZRECEI\/ED p� /S
� � � J�
A.P. NO.
BUIIDING
ADDRESS 'j��
TRACT 6
ER Mo
Res
FIRE
ZONE
nrvaoveo
LOT
ZONE NO.OF USE OF NEW '
R2 PLANS Z BUILDINfltt. gdTdg2
VARDS APPROVED VARDS APPROVED
MAIN BUILDING ACCESSORV BUILDING
REAR FT.— FT.
DI5TANCE BET. BEf. MAIN &
MAIN BLDGS. ACCE55. BLOGS.
C VRP �V��S�(/� APPFOVED �`�"CJ
APPROVED �, ir an �_i� � i
I hareby acknowletlge cha[ I have reatl [his aDP���ation antl stete Hp� FOR :
[hat the above information is correct antl agre¢ m comply wich
nll Inwz reBulating building consvuction, ontl I shall mt employ �Q
any person in violation ot the workman's compensation laws of
ffie State of Calitornie. S
I �ereby cartify 2hei I am pro0erly licensetl as a eonbactor untler �� � SQ. F
the Statc ot Californie eusiness antl Professions Coda, Divisicn 3, THE AMOUNT
Chapter 9, nhtl that suc licenses ere in fuil forca antl effect, ar I THE PURPOSE C
am oxempt f�om the r wions of the Stete o Calitornia Business VALUATION
entl Protessiqns Co ,�ivisian 3, C eptg
Stpnomre of /
Permittee $ /�' �
Aut�orized qgant � Ol / ��
m
I �
0
VA�Ul1TIpN IS FOR �
A PERMIT FEE ONLV: m
¢
E 5 IO� '^� �
�y �' �
�,K $�oC � �— E
§ S�/ LL
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