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Home My WebLink About2757 MENDOZA DR - Building Permits'�p MFS a p� e. ` � > . .. . � h � u.�� fi. � CITY OF COSTA MESA � , BI/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q74) 754-4856 • www.ci.costa-mesa.ca.us � -� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: B09-00331 �: . PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 14`I68204 � DATE ISSUED: 12/29I2009 � � ISSUED BY: KJB � JOB ADDRESS: �2757'MENDOZArUR'CMa Suite/Unit: vicinity: �' � - —�-' ' ' - - Squares: 2500 Valuation: � $6,000.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF. REPAIR / REPIACE SHEATHING AS NECESSARY. COVER WIHT 30 YEAR COMP SHINGLE . ROOF PITCH IS 5:12 - -� � OWNER: TRAN, TRACY TIN AND OAHNH LE Address: 2757 MENDOZA DR PHONE: 714d71-5113 . City/State/Zip: COSTA MESA, CA APPLICANT: DO, DENNIS PHONE: 714-07'I-5113 CONTRACTOR: OW NER-BUILDER Address: Unit: Ciry/State/Zip: � ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTALFEES $0.00 $125.25 $0.00 $1.00 $126.25 Unit: Address: -2757 MENDOZA DR , Unit : City/State/Zip: COSTAMESA,CA � ,�;•��_;�;33� i - License No. 000000 PHONE: CELL: License No. PHONE: � License No. �PHONE: � : Ci)P,,F� �n�!: Unii: . .: vS,.1.7:,i �." • i �: .NOTICE: Th� work authorized by ihis permit shall comply with all applicable handicap access requirements under Cali(ornia slatutes and relaled 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 comply 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. CODEN. INSPECTIONTYPE DATE INPPALS LODEN INSPECTIONTYPE OATE „i��.n INT71AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final p �{�, 208 Final Plumbing ' 200 Final Rn-ftoof D'�� u M`�w 210 Final Electrical �� J 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval "�'�� 203 Final Si9n 222 Final Si�e - 204 Final D¢moli�ion 250 Final BuildinglOccupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one of the following declarations: ❑ I have and vnll maintain a certifcate of consent to self-Insure for workers' compensation, as providetl for by section 3700 of the Labor Code, for the performance of the work (or which this pertnit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the peAormance of the work (or which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier. (ThrssMibnnee0ialb md�kdRlnepe�mrtis luedalonehuntlredddlars(St00)orless) P icy Number I certi(y that in [he performance the vrork for which ihis permit is is , I shall not employ any person in any manner so as to become subject he vrorkers' compensation laws of Califomia, antl agree that if I should becom subjecl to lhe rkers' compensation provisions f Secti n 3700 of the Lati I ode, I shall fo h� comply with these provisio s. � � Appllca^fs Signaw Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNL4WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 affirtn that I am licensetl under provisions of Chapter 9(commencing vrith Seclion 7000) o( Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class # GonVac�or's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm [hat there is a constructbn lending agency for the pertortnance of the v.ork fa which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: SignaWre Da�e OWNER-BUILOER DECLARATIONS: I hereby aKrm thal under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pro(essions Code: Any city or counly which requires a permit lo construct, alter, improve, demolish, or repair any s[ructure, prior to its issuance, also requires the applicant for such pertnit to file a signed statement that he or she is licensed pursuant [o the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is exempt therefrom and t�e basis for Ihe alleged exemption. Any violation o( Section 7031.5 by any applicant for a pertnit subjects the applicant to a civil penally of not more than hundr dollars ($500).): as ovmer of the property, or my employees wilh wages as their sole co ensalion, WILL DO THE WORK, and the structure is no[ intended or ofleretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such vrork himself or herself or lhrough his or her own employees, provided thal such improvements are not intended or offered for sale. If, however, the builGing or improvement is sold within one year of completioq the ovmeo-builtler will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property. am EXCLUSIVELY CON7RACTING WITH LICENSED CON7RACTORS to wnsWct the project (Sec. 7044, Business and PrOfessions Code: The cont2ctors License Law does not apply to an owner of property who builds or improves thereon, and who cont2cts for such project with a contractw(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Pro(essions Code for this reason: nn1S � I Z�l � Sienawre � Da�e I J051�a6�310]) Owner ID veri(ed by drivei a license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ovmership Dy (type of document, i.e•- propertytax Dill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certAy tha[ no excavation (rve (5) w more feet in depth into wfiich a person is required to descend, will be matle in connectbn with work au[honzed by this pertnit, and that no building structure, scaffdding, falsework, p Cemolition or dismantling thereo(, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As ovmer-builder, I will not employ anyone to do work which woultl require a permit from lhe Division of Industrial Safery, as noted above, unless such person has a pertnit to do such wnrk from the division. AOP�icanfs SiB�a W re Date Division of Industrial Safety Pertnit Number: MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or Ihreatened release of a hazardous matenal? ❑ Ves ❑ No (Sec[ion 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filetl with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quan[iry of hazardous materials equal ro or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stan0ard temperature and pressure). 2. Does or will the appliwnt or preseni or future building occupant need to file a registration tortn tor acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 ot lhe Califomia Health antl Safery Code, with some exceptions. requires registration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantiry of acutely hazardous matenals equal to or greater Ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet ot compressetl gas at standard temperature antl pressure). 3. Does or will the applicanl or present or future building occupant need lo prepare an RMPP (Risk Management and Prevention Program for awtely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Sa(ery Code provides that the Costa Mesa Fire Department may require lhe preparation, certification and filing with the Fire Department of an RMPP by businesses which are required ro register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Calitornia Health an0 Safery Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuNre building occupant require for Ihe vrork which is the subject of lhis application a permit for such consWction or motlification from lhe South Coasl Air Quality Management Dislricl or from any other air pollution conlrol tlistrict or agency? ❑ Yes ❑ No (Sectbn 658502 of the Calilomia Govemment Cotle requires tlut Ihe requesletl intortnation be fumished on applications for non-residential building pertnits). 6. Will any part of Ihe facility to be constmcted under this permit 6e within 1000 feet trom Ihe outer boundaries of a school? ❑ Yes ❑ No Qf yes", ihe facilily must meet Ihe requirement of Seclions 25534 and 42303 of Ihe Cali(omia Health and Sa(ety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for Ihe work which is the subject of this application, have all of the disclosures prescnbetl by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. Q( yes", attach certifcate of compliance from the appropriate air pollution con[rol offcer�. CER7IFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury thal I have reatl this application and state thal the information given is correcL I agree to comply vrilh all state laws and ciry ortlinances relating to building construction, and authonze representalives of the Cit of Costa Mesa to enter upon Ihe above-tlescribed property for inspectio purposes. I ee not to cupy or allow occupa y of a building authorize this per� ' inali spec[ion. ^ � Slgnature o( Legal Ovmer�s) / Dale Andlor Aul�onze0 POOlicanl Dale vnavc.n t3UItLVL'1'1'. YHL�L L. LH1G j-il-bb JOB ADDRESS 2757 Mendoza Drive BUILDING PERMIT NO. 2571}7 GENERAL CONTRACTOR Owner-Builder DESCRI�PTION OF WORK patio Roof A,^�'�o. 1�+1-�2-04 LOT TRACT FIHE ZONE VALUE $t}00.00 3d'.�i��CTIONS I Sienah�re I Date � GROUP .T TYPE V ZONE R�l SUBCONTAACTOR or F � '* " 574� COSTA IdESA BUILDINGSAFkIY DEPARTMENi X.O. BOX 1208 COSTA MESA� CALIFORNIA 92E28 For ApplkaM fo Fill le Complaroly TYPE OR PRINT °:ooR�a E Do �7,e COSTA MESA, CALIFORNIA �,.,�,.. y, � n. R„p �/E n- ARCHITlGT 88TBACK LIN[ PROtl Q7 / / ��} p R10lfT � DESCRIPTION OF WORK � ,z.�-, x z9, i sianan'r wexxomeDO� TXAT.1 NAV6 q ANO 9TAT6 TM/�T TXL ApOV�,18 CORp6C PLV WITN ALL CITY OpDINANC�i ApD R CYIL�INO CONBTPY5/'�ON. � 8I6NATUR60P /�j�� {f'y CITY �f t;��; A ��SA MAY 311966 ArPLICATION FOR PE R . BUILDING R6Ct1I� NO. NO.OI � YD60�NlW n^I lIAN� -OYILDINO�� ro7 L � � :� �I-� g ` N/^ 6�z -� 'E OV ERHANO BHALL B8 Ll88 THAN YAADBAPPROVED YARDBAPPROVBD MAIN BUILDINO ACC6860RY BUILDIN6 ioMci��r �[rrl,. . A - v�re. # I owre AP�R01��j� DATH S� i I �� V"V QO "�. � 1-/. � b0 w �� o�r — w �.�e �" � .. �-uo-re�� sup oa-;aw��Fa�U . � x TX6 11MOUM 1XOWN Ut{O[q VALUATION I6 IOR TH[ � rYflP09[ O!� f@fAGLIGMINa A rCRMIi F6{ OT1LY. � VALUATION � s �� PERMITF88 -� w � s, � TOTAL Pfifi � �� . I 9489 � COSTA� MESA BUILDING-SAFEfY DEPARTMEM P.O. BOX 9f 7 COBTp MEBA, CALIPORNIA For, Applicanf to Fill In Complately TYPE OR PRINT - BUILDIN6 ADDRESS 2757 Mendoza 1%r�.V@ . COSTA MESA. CALIFORNIA - owr,eR Macco Realty Compaay MAIL �3SOO E�i�i088t H�.g11G78Y ADDRESS �,r Corona del Mar,Calif. rT,o•OR 34; OR EN1GENEHRM�CCO Realty Co ,T,o � OR � 3� AM�, ��,,s sama ae above CONTRACTORM8CC0 R@81CY CO wooRsca eEme 88 abOVe - � OR 34220 SIZE �QI X 93t � no.ore�oo OF LOT Now oN LOT .USEOF IIOTIe . EXISTING BLDO. ' s¢re�erc unc nrtom 50 t c¢rvTEn oF aTaSn REAR YARU31 $1 SIDEYARDI LHFf 8' I RIQHT DESCRIPTION OF WORK si�eLD1N654'x41'6" ROOMS 7 EXTERIOR WALLCLLCCO � I � COV�ERINI •COVERING J ,-��•1-� 9'ir I��L'�i�� r�AY 2 � 1963" \ � INFiNCE DEPi. APPLICATION FOR�v�RMITMESA BUILDING for Office Use Only I fl8CE1PT NO. I PERMIT NO. ZONING ZOry � NO. Op US[ OF NE L I PLANB � EYILDINO. I�� (� ,( Uli_ _�o_ L80AL yot 21 - Tract 4784 DiDCPIPTION A. P. NO. NOTE: NO EAVE OVERHANO SHALL BE LE83 THAN 80' TO 81DE B REAR P. L. BAVES ALLOWEO (U.B.C.REQUIREMENT'. YAROSAPPROVEG VARDSAPPROVED MAIN BUILDIfi6 ACCE950RY BUILDINQ �V�� FR NT —V R. &IDE L. SIDE REAR DISTANCEBET MAIN BLO63. n VAR.$F � C. U. P. �j A.�� B PR r \ �le Fam.Rea. W/Att Garage PLAN NO-500-E . .. 1 HERE6Y ACKNOWL6DOQ TNAT 1 NAVB q6A� TH19 APPLICATION ANO 9iAT8 TXAT TNH ABOV6 IB CORR6CT AND A00.6E TO COM. PLY WITN ALL CITY ORDINANC[B �A�ND� ♦9TAT[ LAWB P[GULATINi eU�LU1NG CONBTRURIQJj.CCO LU'mI�TY CO rie. SIGNATURE OF � AUTHORIZHD A6HNTBy F BET. MAIP! Q ACCES3. BLI DATE UWCLllLLb'�LLVV J�P• Vo; �1Vv �s�a • H so.Fi. � THE AMOUNT 9XOWN UNDER VALUATION 18 POR TNE F PURP09fi OF H8TA6LI6HIN6 A PERMIT FEE ONLY. � VALUATION - N PERMITFEE S ��- j s 23,925.00 A c E 37•� a o Tl1Tf� iFF R //� e.�V 4