HomeMy WebLinkAbout2051 MEADOW VIEW LN - Building Permits�i"u Y �
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(714) 754-5273 • Fa�c (714) 754-4856
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CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPAFTMENT
PERMIT
BUILDING PERMIT
Jobnddress: 2051 MEADOW VIEW LN
Suite:
Vicinity: TO INCLUDE 2053,2055 AND 2057 MEADOW VIE
Parcel Nunmber: 42201342
npp�icant: PONDEROSA ROOFING
Address: 7045 HITES COVE
MARIPOSA, CA
Owner: SEA BLUFF CANYON ASSOC.
Address 2051 MEADOW VIEW LN
COSTA MESA, CA
Contractor: PONDEROSA ROOFING
Address: 7045 HITES COVE
MARIPOSA, CA
Zip: 95338
Arch :
Address:
Phone:
Zoning:
Phone: 209-742-5779
Zip: 95338
Phone: 9949-637-9086
Zip: 92627
Phone: 209-742-5779
License: 615531
Eng:
Address:
PERMIT NUMBER
1� 699-00775
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: O6/02/1999
Issued: O6/02/1999
Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
T/O WOOD SHAKE AND INSTALL 1 LAYER 30LB FELT AND REROOF WITH CLASS B WOOD SHAKE, USING EXISTING
SHEATHING.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$312.25
$2.20
$0.00
$0.00
$0.00
$314.45
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: 0
NOTES:
Rear 0- 0
Rear 0-0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
LeR 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
szz,000.00
s22,000.00
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 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorizad under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlrad Inepectlona and finel epproval�must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSA710N DECLARATION: ' _ � - ' .
I hereby etfirm untler penelry of perjury one of Ihe following declarations: - �
❑ I have antl wlll maintain e certificate of consent to setl-Insure for workers' compensation, as providetl for by section 3700 of the Labor Cotle, for Ihe peAormanca at the
�work tor which Nis pertnit is luued.
I have entl will maintaln workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of ihe work tor which Nis permit is issued.
My workers' compensation Insurenca carrier and policy number are:
Cartier. ST/-�%Y �liNf% PolicyNumber.
(This section need nof be completed il the permit is valued at one huntlred dollars ($100) or less.)
❑ I certify that In the pertortnance of Ne work tor which this permit is issueQ I shall not employ eny person in any manner so es to become sub�ect to the workers'
compensation laws of Calitomia, and agree that if I should become subject to the workers' compensa[ion provisions of Section 3700 of Ihe LaDor Code, I shall fonhwitN
wmply with ihese provisions.
Applicant Signature: Dete:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG'c IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO IXJE HUNDRED
TFIOUSAND DOLLARE (5100.000). IN FDDITION TO THE WST OP C/JMPENSATION, DAMAGES AS PFOVIDED WR IN SEGTION 3]O6 OF THE LABOR CODE, IMEREST, ANO ATTORNE`I'S FEES.
DECLARATION:
Rirm �hat I a
efrect. Lic. M
Chapter 9(commencing with Section 7000) of �ivision 3 oi the Business an�c,prote�c,ions Code, antl my license is in full
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that ihere is a construction lending agency for ihe pertortnance of Ihe woAc for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Neme:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lenders Address:
Dete:
I hereby affirm ihat under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for iha following reason (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry or counry which raquires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires ihe applicant tor such parmit
to tile e signed stetement ihat he or she is licensetl pursuant to ihe provlsions of t�e Contradors Licanse Lew (Chapter 9(commencing with Sec6on 7000) of DlNslon 3 of the
Business and Professions Code) or that he or she is exempt Iherefrom antl tha basis for ihe alleged exemption. Any violatlon of Section 7031.5 by eny epplican� for a permit
subjecis the epplicant to a civll penalry of not more ihan tive hundred dollars ($500).):
❑ I, as owner of ihe properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and Ihe sirucNre is not intentled or oftered for sale (Sec.
7044, Business antl Professlons Code: The Contractors License Law does not apply to an owner of proparty who 6uiltls or improves Ihereon, antl who does such work
himself or herseN or through his or her own employees, provided fhet such improvemenis are not intended or offered for sale. If, however, ihe building or improvement is
sold within one year of complation, ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of sele.).
❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business antl Professions
Cotle: The contrectors License Law tloes not eppty to an owner of pmperty who builds or improves Ihereon, end who coniracis tor such prolect with a contractor(s)
license pursuant to the CONrectore �icense Laws.).
❑ I am exempt under sec. Business and Professions Code tor this reason:
Signature: Date:
Owner ID veritied by driver's license. ❑ Ves ❑ No Drivefs License No. Expires:
Veritication of Ownership by (type ot dceument, i.e. - property tau bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMI7 CERTIFICATION: �
❑ I hereby certiry ihat no excavation five (5) or more feet in depth into which a person Is requiretl to tlescenq will be matle In connection with work authonzed by this
pertnit, and that no building strucNre, scaftolding, falsework, or demolition or dismantling thereof, will De more than thirry-six (36) feet high. (Chep. 32, Gry 2, Atl 2, Sec.
341, lltle 8, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit from the Division ot Indusirial Safety, as noted aDove, unless such pereon has e
permit to do such work from the division.
Signature: Data:
Division of Indusinal Safety Permi� Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORVJ1T10N OF ENTRY: I certify under penelry of perjury that I have read ihis application end state ihat the intormation given is
correct I agree to comply with all state laws and ciry ortlinances relating to builtling constructioq and authonze representatives of the Ciry of Costa Mesa to enter upon ihe
above-described property for inspection purpases. I agree not to occupy or allow occupancy of any building authonzetl by ihis pertnit until finfll inspection.
CODE 1. INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final �emolition .
2466ds
I�RT� INfRNLS
p��
� , /i_
�i � ��/ -D�
\
C OEI INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Pinal Site
250 Final Builtling/Occupancy
I�III�Iiilu414i
�
-� � CITY OF COSTA MESA REQUEST POR OCCUPANCY
: .
TRACT N0. SM 121 DATfl� ��� I,� ��
C �.
LOT N0. 64 pLp;a�ilYG DEPT.
ADDRESS 2051 Meadow View Lane �l!r�� 1 I �`'���
P�t
Atd
; 7r8i9�10.�11�12�1�2! i4i5i6
2'he developer of the above entitled tract desires to sell the above set forth
�
lot prior to.the time that the tract has been completed and.its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City.of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the tiine the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason o£ the
aforementioned uncompleted condition. The undersigned acknowledges that this
agreement is, made solely for the benefit of the city and does not inure to �
the benefit of the undersigned or any of them. .•-- -
BY
Purchaser
J.�}i� � EG R� �pA . ,
BY ��V;�
� Developer d or authorized
� represen tive -
� aY I ,,,,,.. GREAT_WESTERi�
k3�84 WILSHIRE.BOULEVqRD
BEVERLY.HILLS, CALIF. 90211
" `r . �j�E YREsio�Ldi
CITY OF COSTA 1�1'r:SA P,P9UEST FOR OCCUPA.NCY
j ,• TftP.CT N0. DATE
LOT N0.
P.DDRESS
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time thet the tract hzs been con,pleted and its streets
accepted by the City of Costa P•1esa.
The undersigned, by executing this lIegreement, ecknowledges that (he-she-they)
(was or were) I advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was zpproved.
The city assunes no liability for the enforcement of the conditions necessary
for approval other than those conditions �rotected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason o£ the
aforementioned uncompleted condition.
BY ��2c' / i / �liLc? �%'��L�CR�✓
Purchaser
BY
Developer and/or authorized
reDresentative
m
Lender
� CITY OF COSTA MESA
l._� � � EUiLD!NG SAPE�V DEPARTNIENT
POST I�I CQivSPICUOUS PLACE
- ON- TH� JOB
� A.P. NO. .-
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ILDING ADDRE55 '
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}'�` 2 1 adow iew Lane
TRACT . LOT.' � BLOCK ,
icoi8 . 64
� ]i�,'� NEW ADD ALTER REPAIR MOVING DEMOLISH
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?;.:,; ' 'SETBACKS , '
i�,� ' Front Yd �� Side Yd. R��_ L�_ Rear ���
§' Side Yd. R L Rear
BUILDWG INSPECTION RECORD .
TO KEEP BUILDI�JC PERMITS VALID, WORK�MUST BE COM- .
MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT �', �
� LEAST EACH 120 DA�S THEREAFTER UNTI L COMPLETED. �
� � STRUCT RAL N . DATE ',
`. .� � -�:r .
�,, � Trenches Forms ------------------ ' �
;,, . - ,. ..- 5.
.. -- •G d—•
. .�F, FloorSYstem�..-'�"""':""""'_""" � _ , .�. .
. ,, , _
, � ,, i �
• SteelReinf."""'.....'_""'."""."' , a-_ ;.
. . , . � , � �� .,.
(t: Sheathing."'�"'..._..."""__""""' _ -' ' '
�'�., FrameandFleshin9"-"""""-""""' '
� � ' Insulation.'"""""""""""_""" - "��''' ...
: ' � '� , , ' •� v_ :;;:p ' , �
Lethir. �
', g"'.""""�"""""'__""""' _
i Dry Wall Neilin8......"""'-"""""' f �'C!l� �
4:-� Plester.BrownCoat•""""'•"""--'-" �: �:� V../��lf .
•; . SoundAttenuation"""""""""""""_ —^-.' ��'" '
��' Handica R """ - '� '�
P e9ulation.'„'"'"""""'"""" �
�.;;, . � FINAL � ��.(.':'�� ' S .tp'•�,� ..
�,,.�
PLUMBING
� ' So�i -- �------- ' � ' ' %,� ' �?
, ---•-•------------ — --
�� � Under9roundWater-..""""---'-""" �" '��7 •
:. ' � RouBh Plumbin8 """"' �
-----------�-- � -i�- �-
';, Prop. Sewer Line end House Conn. --........
,�. - . � �� , :
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� Street Sawar Conn. ....". / .� � ` � G - r � � . .
""". _ """"' 1 '
-' ' . , �. 3' � 'V _;dy: %:l '
; WaterService """"""""""""•- 7
�'��.� SprinklinpSynem -- - � � "�
"""-"-"--""" .
.�� GasTest .'_"""""""""""""' '../d- ..
- ' , FINAL �%�-J� .-
�. ' HEATING, AIR•COND. AND REFRIGERATION'
; Retr. Linet, Pressure TesC """ �r-" �---•��-`
� Duc[s. Under9round-.."""""""""' �� ! �
� ,
Ducts, in Siructure _ _� ...:............. ... � �' �� y'"�''-'� � .
..lL; " i
uucts,Ve�:i:a[in9 '"'...""'""'""'"'" ;:,,:._.K.:.. Y
..f
, �:.• .
IRoughHeatingandAir-Cond.""'-"'-"'- � 'J.''��1� -../ •7!
..- � � � � FINAL :;+''��`r='P�1 �-/�-'.3�
' Temporary Service or Pofe . ... . . .. . . . .. . .. .
. , ._._.�.�_
�. , . Underground }'"'""""""""_"""'"' � °. ^ [
���" PowerMeter..L....""'..."'_"""'_ ��
' . RGu9hWiring �._.:...�."'..."""'•"' ", ' /
� ' ' FINAL � <
. Dc not occupy Rhis project until iinal inspection has
. been made and occupancy has been'ayproved �
� - , 8uilding Final � ' � Q
Speciel Requirementt '
`�
a
• NOTICE - . . �
'� I, •�' 24•hr. notification required when the job is r^vdy for inspection. Vou � f'
' must furnish PERMIT P.IUMBER and the JO:_aDDRESS FOR EACH � /
, RESPECTIVf INSPECTION. CALL 556•5273. � � -
�, APPR6VED PLARS SHALL BE ON JOB AT ALL TIMES
CMF0559-06 �i�:�.i^ . .. - . .. � ' . • .
�� ' �i J � G O .p .._ .. _, _ � 790 61.30I.7B ` �'�g�`•� Tih
17�0 6�/30YiB ��31�. CK
� COSTAMESABUILD�NGSAFETYDEPARTMENT ilY9b� bD00448960 "�"����Q� �
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 . � ... ..
. � .w.�e.;:. • •-
APPLICATtON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only -
FiECEIVE�eV OATERECEIVED nercicciicn
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BUILDING
ADDRESS -
OWNER the �re O /a�P� NO. � �
MAIL , BUILDING
ADDRESS 18 - air� a 'd �+ODRESS
TEL. TRACT 1
ciT'v costa mesa N451-'iAKn
BFANCH
ADDRESS � -�
ARCHITECT arrison orenzir�a�. -.
ADDRESS 3187-g airway ave
CONTRACTOR gregory construction co
ADDRESS 3187-g airway ave
c�Tv costa mesa No`.751-38�+0
� � No. 255987- ��o�No. 008179
SIZE %.'Z`l'x99�, NO.OFBLDGS.O
OF LOT NOW ON LOT
Separate peimits are required for
electric, plumbing and heating work.
VSE OF BUILDING AND WORK TO BE PERFORh
new c
attac
I he�eby acknowled8e that I have �ead this application antl state
that tha above Informaiion is eorrect and agree to comply with
all laws regulatin8 builtlinB conrtruetion, antl I shall not ampioy
any person in vlolation of the workman's compansation laws of
the State of Califomia. �
I �ereby certify that 1 am prope�ly licensetl a contracto� unde�
tha State of California Business ntl P fess Code, Division 3,
Chepter 9, antl thet such licen s ar n f orce and atfect, or I
am exemp o the pr visio s ot e S of California Business
and Pro7 � sions od , iv �i 3, ap 9.
Pelmfttae
Gr
FIRE
ZONE
APPROVED
fNE`� NO.OF
'L PLAfS
VARDSAPPROVED
OISTANCE BET
MAIN BLDGS.
VAR. �
VALUATION
$ �3 l40
//z I PERMITNO.
.,. . . . �
USE OF NEW/ /
BUILDING �,�0
VARDSAPPROVED
ACCESSORV BUILDING
BET.
ACCE
DATE
,�_
n
m
i
m
A a
VN UNDER VALUATION IS FOR m
'ABLISHING A PERMR FEE ONLY: �
PERMIT FEE E a
I �
PLAN CHECK-. § ' M
r �
TAX E LL
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TOTAL PAID � $ �