HomeMy WebLinkAbout2732 MENDOZA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lobAddress: 2732 MENDOZADR
Suite:
Vicinity:
Parcel Number: 14168110
Zoning: R1 R1
Status: ISSUED
Applied: 03/11/2002
Issued: 03/11/2002
Applicant: COFFEY, BRIAN ISSUED BY: '
Address: 2428 NEWPORT BL ; -y,, - � �. - � � �
- - Phone: 949-222-8846
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Owner. LUND; WILLIAM A�,� , � � - '�!�-;��� =
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Address ,2732:MENDOZADR � _ _`.� � �
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%� �i /COSTA MESA; CA '- � � Zip: 92626 - � `�"
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Contactor. �'THEROOF,INGSPECIALISTS �`,:�� '�
. Address: 2428 NEWP„ORT BLVD #5 ��� ����� , , � ,
� ' , j �i;. ;� Phone; .'(949) 722-8846 �' ;�;. .
� � � -. COSTA;MESA, CA - '�. � , � ' �., �
� Zi � � 92672- � License =. 734068 � �� � '� �
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� � � „ SCOPE OF PERMIT _ y _ �
� �� TEAR OFP EXISTING ROOF, RE-SHEATH, APPLY 30 YEAR COMP AND ALL RELATED�FLASHING. .� ' � '
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FEESUMMARY �
�, Plan Check: � $0.00 ' - � ,, ; Calc Valuation $�,i�s.00 �
Permit: $153.25 -"" - , ' Claim Valuation ,��, ,� � Sr;��5 00`
�, SMIP Res:', � . $0.72 ` � �, �
� 'SMIP Com: ��� . $0.00 �� � � �
� Other> $0.00 � � � � � '�' ' ,
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, Inspection: `�� `',$0.00 �' �. r- � ; J
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�\.�� /j. ,A; .�' �'PLANNING&ZONING � -; � �;� ����
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SETBACKS� ` � �' � � � � � � �
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MAW STRUCTURE,Front,:0-,0 \� �� Rgar -0-0 � � Left 0-0 -- � Right � �0-0� . � /
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1CCESSORY �Front' 0-0.,�. ,� Rear- 0-0 Left -0-0 Right,���.0-0 "�'����
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ARKING Existing: _, o Re uired: o Proposed: 0
)TES:
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he work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
Ord. No. 92-28, § 1, 12-21-92)
': This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
780 days.
's: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
�etlona and finel approval must be obtainetl. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit.
'ONS CALL: (714) 754-5628
WORKERS'COMPENSAnON DECLARAnON: � , �
I hereby affirm under penalry of perjury one of the tollowing tleclarations: �
❑. I have antl will maintain a certificate of consent to self-Insure For workers' com0ensation, es provitletl for 6y section 3700 0l Ihe Lebor Code, for the pertormanca ol the
wo for which th' permit is issued.
have and will m t n work rs' satlon insura as raquiretl by section 3700 of the Labor Cotle, tor the pedortnance of the work for which t�is pertnit is issue�.
My workers' co a rance rrier and pol number a� '� ��� � O�
Cartier: Policy Number:
(Th(s section neetl no( be completed i/ the permit is velued et one hundred dallers ($100) or less.) .
❑ I certify that in the pertortnance ol ihe work lor which th's pertnit is issued, I shall not employ any pereon in eny manner so as to hecome subject to the workers'
compensation laws oi Celifomia, antl agree thai ii uld becoma su6ject to the workers' compensation provisions oi Section 3700 of iha Lebor Code, I shall forthwith
comply with th85e provisio�— —J '}� I
Applicant SignaNw: p!� Oate: `� � � I��
WARNING: FAIWRE TO SECURE WORKERS' COMPENS 10 CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALilES A D CIVIL FlNES UP TOONE HUNDRED
THOUSAND OOILARE (5100.000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F-0R IN SECTION 3Ip60F THE LABOq CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn that I am licensed under g' ie
lorce end eflecl Lic. n_---`�
Contractofs Signature: �
with Section 7000) ot Division 3 of ihe Business and Professions Code, an�li�5�jn tull
Class x _ I 1 Lf �
oate: �
CONSTRUCTION LENOING AGENCY:
❑ I hereby attirm Ihat ihere is a consimction lending agency for ihe pertormance of the work for w�ich this pertnit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's Address:
Signeture: � Date:
OWNEF-BUILDER DECLARATIONS: - �
I hereby aHirtn Ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or county which requires a pertnit lo consWct, alter, impmve, demolish, or repair any structure, pnor to its issuance, also requires lhe flpplicant tor such pertnit
to file e signad statement that he or she Is Ilcensed pursuant to ihe provisions oi ihe Cantractors License Lew (Chapter 9(commencing with Section 7000) of Dlvision 3 of the
Business and Protessions Code) or that he or she Is exempt iherefmm and ihe Dasis tor tha alleqed e:emption. Any violetion oi Section 7031.5 by any appliwnt for e permit
subjects tha applicam to a civil penalty of not more then five huntlred dollars ($500).):
❑ I, as owner of tha property, or my employees with wages as iheir sola compensation, WILL DO THE WORK, and tha structure is not intended or oHered ior sale (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves thereon, and who tloes such work
himself or hereetl or Ihrough his or her own employees, provitled t�at such improvements ere not intendetl or oHered for sale. If, however, the building or impmvemem is
sold within one year of completion, ihe owner-builder will have ihe burtlen of proving that he or she ditl not 6uild or impmve for purpose of sale.).
❑ I, as owner of Ihe prOperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projeci (Sec. 7044, Business entl Profession5
Code: The contractors License Law tloes not appty �o an owner oi property who �uilds or impmves thereon, and who contracts for such project wlth e coNractor(s)
license pursuant to the Contrectors License Laws.).
❑ I am exempt untler sec. 8usines5 and Professions Code for Ihis reason:
Signature: �ate:
Owner ID venfietl by tlriveYs license. ❑ Yes ❑ No Drivefs license No. Expires:
Veritiwtion oi Ownership by (rype of document, i.e. - properry tax bill or daetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICA710N:
❑ I hereby cetlify that no eacavation five (5) or more feet in depth into which e person is required to descend, will be made in conneciion with work authonzed by this
permit, antl ihat no builtling strucWre, scaflolding, talsework, or demolition or dismantling ihereof, will be more �han thirry-sia (36) feet hiqh. (Chep. 32, Grp 2, Atl 2, Sec.
341, Ttle e, Californie Adminisirative Cotle).
❑ As owner-builtler, I will not employ anyone to tlo work which would require e permit from the Division oi Industnel Sefery, es noted ebove, unless such person has e
pertnit to do such work irom the division.
Signawre:
Division ot IndusMal Satery Permit Number:
Date:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the appliwnt or present or tuture building occupant neatl m file antl certity a Business Plan for emergency response to releese or threatened releese of a hazartloi
matenal? � Yes ❑ No
(Section 25505 of ihe Calilomia Health end Safery Code requires, with some exceptions, that a Business Plan 6e filed with the Costa Mesa Fire Depertment by evF
busineu which has at any one time dunng a repohed year a quantiry of hazardous materials equal to or greater than a weigh� of 500 pounds, or a volume oi 55 galla
or 200 cubic feet of compressed gas at siandard temperawre and pressure).
.................................._................................................_..........................................................................................................................................................................................................................................................................................,
2 Does or will Ihe applicent or present or tuWre builtling occupant need to file a ragistration fortn br acutety hazardous meterials7 ❑ Ves ❑ No
(Section 25533 oi Ihe Califomia Health and Satery Code, with some eacaptions, requires regisiration wiih t�e Costa Mesa Fire Departmenc by each Dusiness which et
one time has on hand e quantiry of acutely hazardous materials equal to or qreater than e weight of 500 pounds, or a volume of 55 gellons, or 200 cubic te�
compressed gas at stantlard temperature antl pressure).
..............................................................................................................................................................................................................................._............................................................................................................................................
3 Doas or will the applicam or present or future building occupant neetl to prepare an RMPP (Risk Management entl Prevemion Program for acutely hazardous materie
(Section 25534 of Ihe Califomia Health antl Satery Code provitles ihat the Costa Mesa Fire Department may require Ihe preparation, cehification and filing wi�h ih�
Department of an RMPP by businesses which are raquired to register acutely hazartlous materials with tha Fire Departmem.
.......................................................................... _.............................................................. _......................................................................................... _..........................................................................................................................
n en RMPP is presently required, has Section 25534 of the Califomia Healih entl Safery Code been fully compiied with? ❑ Yes ❑ No
........................................................................_.................................................................................................................._.................................................................................................................................................................,
Does or will the applicant or present or future building occupant require tor the work which is tha subject ot this a plication a Pertnit for such consimction or motlil
from ihe South Coas� Air Ouality Management District or from any o�her air pollu�ion coNml tllstnct or agency7 � Yes �J No
(Section 658502 of the Califomia Govemment Cotle requires thet the requestetl information be fumis�etl on applications lor nomresitlentiel building pertnits).
............................................................................................................................................................................................................................................................................. ........................ ................................................
Will any part of 1he faciliry to he conswcled under this pertnit be within 1000 feet irom the outer boundaries of a school7 ❑ Ves ❑ No
Qf'�es", the faciliry must meet the requirement oi Sections 25534 and 42303 oi the Califomia Health antl Safety Cotle).
.........._ ....... .. ..... .. . ... .. .... ............................................................................................................................................................................................_......................................................................................
tl e partnil from ihe SOuth Coast Air Quelity Manegement Dislncl or other eir pollution conirol disirict or egency is requiretl for Ihe work whlch Is the su�iw�
have all ol the disclosures prescnbetl Dy
an meda? ❑ Yes ❑ No
CERTIFICATE OP COMPLIANCE: I cenify that untler penalry oi perjury t�e information given above is correct. I agree to comply with all stete lews and city o
regarding Hazardous Matenals and Emissions.
Signature: Date:
CERTIFlCATE OF COMPLIANCE ANO AUTHORIZA710N OF ENfAV: I certity under penalty of perjury tha� I have reatl this application and state that the inlortnal
correct I agree to comply with all sia�e laws and ciry ordinances retating to building constmction, antl authonze representatives of Ihe City of Casta Mese to eN
ebove-descnbed property for inspection puryoses. I egree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
CODE t.
i61fi
7266
200
207
202
203
204
INSPECTIONTYPE '
Fixed System Final Fire Prevention
Pool Spa Final
Final Re-Roof
Final Block/Retaininq Wall
Final Factory Fire Place
Final Sign
Final Demolition
" —�f' /�7 �CYi
3 i� (� ��a
Date
INTITInLS GOOE1 INSPECTIONTYPE
n 206 Final Mechanical
�/ 20B Finel Plumbing
�/ 210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 FinelSite
250 FinalBuilding/Occupency
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. . . �.���G�.
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. 60X H1] COBTA MEHA� CALIFORNIA "
For Applicant to Fill In Completely
�
TYPE OR PRINT -
ADDRESS 2732 Mendoza Dr.
COSTA MESA, CALIFORNIA
xFca vm
OWNER Macco Realty Co,
BUILDING
wooResa 3800 E.'CoaSt Highway ADDR659
FIRE
��.�.Corona clel Mar, Calif. NoOR 34220 ZONE
APPROVEC
OREN'GENEfiR Macco Realty (�.0� Ho`oR 34220 BY
Macco Realty'Co. �
" L80�L
Same as above o���a!'T
STc oEio. 207343=A-SB1 N�L� OR
OF LOT 143 x-95 I"„o.
USE OF RORE
EXISTIN6 BLDG. '
6ETBACK LINB FPOM (+Z'
cervTeR OF sTrsEiT REAR
�
SIDE YARD LEFT 6 R16HT
DESCRIPTION OF WORK
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-b" x
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wortecro e
res, w�a
Plan 400-B
r.
32'
6'
� � HEHEBY ACKNOWLEDOB THAT I H='Vg q�O THie APPL�C�TION
ANU BTATE THAT THH ABOVH 16 COflRECT ANU AOFEE i0 COM.
PLY WITH ALL CITY OHDIHAf�C{l ANG BTAT[ LAWB RtOU1.Ai1N0
BUILOINO CONBiRUCT10N.
A
e AUTHORRED A6ENT
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� L�y 2, ; iS63
E��vr,r�c� oEF�.
APPLICATION�FOR P�ERMR� PAESA
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BUILDING
f01' �fflCe U5e �n�Y
Z
ZONING � ,
. OF � U8H OF Ng
1N9 BUILDI
Lot 44 Tract 4784
JOTE: NO EAVE OVERHANG SHALL BE LE55 THAN
90" TO SIDE Q REAR P. L.
iAVES
4LLOWEO . � (U. B. C. REQl11REMENTI
YARDSAPPROVEO YARDSAPpROYED
MAIN BUILOIN6 ACCESSORYBUILDING
IFROM G/L6TREET)
YAR.#
DATE
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89 S.F. Gar. 483 S.F.
�wellinQ so.Fr. "
m
THE AMOUNT SHOWN IINDER VALt1�TION IB FOR THE
PIIRP056 OP iSTABLI8HIN6 A PEflMIT FB8 ONLY. E
O
VALUATION m
PERMI7FEE $ �� ^ �
�
0
$ ZO,2HH.00 A HE K — ¢
0
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