HomeMy WebLinkAbout2968 MILBRO ST - Building Permitsr •� �. 1
CITY OF COSTA MESA •
� MFS'q BYILD/NG D/VISION
it�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�,vw.ci.costa-mesa.w.us
°��� FOR INSPECTIONS CALL: (714) 754-5626
� PERMIT NUMBER: B09-00113
PERMIT TYPE B ROOF2 STATUS: ISSUED
APN: 14123407 DATE ISSUED: O6I24I2009
ISSUED BY: BJK
JOB ADDRESS: 2968 MILBRO ST CM
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 1800
Suite/Unit:
Valuation: $3,300.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP ROOF, REPAIRIREPLACE SHTG AS NEEDED,
1 LAYER 30# FELT. APPLY'30-YEAR COMP SHINGLES' PITCH 4:12 1800 SQ FT
OWNER: ROBB, DARCY
PHONE:
APPLICANT: ENRI�UEZ, MIGUEL
PHONE: 888-208•7663
CONTRACTOR: ALL QUALITY ROOFING CO
Address: 554 E CANDLEWOOD STUnit:
Ciry/State2ip: BREA, CA 92821
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
so.00
$97.25
$0.00
$1.00
$98.25
Address: 2968 MILBRO ST
City/Stale/Zip: COSTA MESA, CA
Address: 554 E CANDLEWOOD ST
City/State2ip: BREA, CA
Litense No.
License No.
PHONE:
License No. 799462
888•208-7663
CELL:
PHONE:
PHONE:
Unil:
Unit: :
NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the vrork authonzed 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.
o � wuetnox rrve
1616 Fixed $}5lem Final Fire Preventi0n
1286 Pool Spa Final
200 Final Re-Roof
201 Final Block/Relaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
DRTE IN7RIRl5
�L l�
CODE/ INSPECIIONME
ZO6 Final Mechanical
208 Final Plumbing
210 Final ElecWcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/OccuDancy
QR F NI TRULS
WORKERS' COMPENSATION DECLARATION:
I hereby af(irm untler penalty ol perjury one of the following declarations:
❑ I have antl will maintain a certifcate oi consent Io self-Insure tor workers'
compensation, as provided !or by section 3�00 of the Labor Cotle, for the
pertormance of the work for which Ihis permit is issuetl.
�� I have antl will maintain xorkers' cOmpeqsation insurance, as required by
sectan 3700 0( Ihe Labor Code, for Ihe peAom�ance o( the work for which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are: �^ /
Carrier:, S+�'�' C r l.t v�d
�--(Tlus serlwr neeC irof pe mnpetetlONepe�m9 is vaN� at pone nuMretl tlptlars (S IOJ) aless )
Policy�mber: i�9�i����'�p�0
❑ I certily that in the peAormance of lh8 work tor whic� this permit is
issued, I shall noI employ any person in any manner so as to bewme subject
to the v+orkers' compensation laws of Califomia. and agree that if I should
become subject to the vrorkers' compensation provisions ol Section 3700 of
the Labor Cotle, I shall forthwith wmply with tl+ese provisions.
�%�S'_ �" Co •a �l ' 0 �'
wN's SigwWre Da�eo
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVII FINES UP TO ONE HUN�RED THOUSAND DOLLARS
(5100,000�, IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE WBOR CODE, INTEREST, AND
AiTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby affrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0l the Business and Professions Cotle, antl
my license is in full force and eflecl.
�ic"u. —r4S�1(�d passtt� C-3�
�.�j�'�� lo-a`1-09
actw's Signawre '-��e �
7 "
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn thal there is a conslNction lending agency fw the
peAortnance of the v.ork fu which tNs pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
SignaWre
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury Ihat I am EXEMP7 FROM 7HE
CONTanCTORS LICENSE LAW for the f011owing reason (SeC. 7031.5,
Business and Prolessions Code: Any city or county which requires a permit to
construct, alter, improve, demoli5h, or rep3ir any slmcWre, prior lo its
issuance, also requires ihe applicant (or such permi� to fle a signed statement
Ihat he or she is licensed pureuant to the p�ovisions of the Contractors
License law (Chapter 9(commencing with Se�tion 7000) of Division 3 0( the
Business and Prolessions Cotle) or that he or she is exempt Ihere(rom antl
the basis for the alleged eaemption. Any viol8tion of Section 7031.5 Dy any
applicant for a permit subjects the applicant ro a civil penalry ot not more man
Me hundred dollars ($500�.�:
❑ I, as owner of the properly, or my employees vrith wages as their sole
compensation, WILL DO THE WORK, and tde sWcture is no1 intended or
oftered for sale (Sec. 7044, Business and Pro(essions Code: The Contractors
License law does not apply to an owner of properry who builtls or improves
thereon, antl who does such work himself or herself or through his or her ovm
employees, provided that such improvements are not intended or offered lor
sale. If, however, Ihe building or improvement is sold within one year of
completion, the owner-builder will have the burden of provinq that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct the p�l�t (Sec. 7044, Business and
Professions Code: The contractors License Law dces rrot apply to an owner of
property who builtls or improves thereon, and vMo contracts for such projecl vrith
a cmt2ctor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt un0er sec.
Business and Prolessions Code for Ihis reason:
SignaWre
305]�a6(3/0I)
i '
Ovmer ID veri(ietl by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ownership by (rype of document, i.e. - pmperty tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certily ihat no excava�ion frve (5) or more feet in depth into which a
person is required to descen4 will 6e made in connection vrith �wrk autMrized
by this permi�, antl thai no building structure, scaftdding, falsework, p tlemoli�ion
or dismantling thereof, vrill be more lhan thirty-sia (36) feet high. (Chap. 32, Grp
2. An 2. Sec. 341, Trtle 8, Calilomia Atlminist2Me Code).
❑ As owner-builder, I will not employ anyone lo tlo work which would
require a permit (mm Ihe Division of Industrial Safery, as�notetl above, unless
such person has a permit to Co such work trom the tlivi5ion.
Appliwnfs SignaWre
DiviSion o( Intlustrial Safety Permii Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or (uWre building occupant neetl ro file an0
cenify a Business Plan br emergency response to release or threatened
release o� a hazar0ous material? ❑ Yes ❑ No
(Seclion 25505 of ihe Califomia Health and Salety Cotle requires, with some
exceptions, that a Business Plan be filetl wit� the Cosla Mesa fire
Department by every business which has at any one time during a repoAetl
year a quanlity of hazardous materials equal to or greater than a weighl of
500 pounds, or a volume of 55 gallons. or 200 cubic leet of compressetl 9as
al standard temperature and pressure).
2. Does or vnll the applicant or present or future building occupant need to file
a registration (orm Ior acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 0( Ihe Cali(omia Health and Safery Code. with some
exceptions, requires registralion with Ihe Cosla Mesa Fire Departmenl by
each business which al any one time has on hand a quantiry of awtely
hazardous materials equal ro or greater [han a weight of 500 pounds. or a
volume ot 55 galbns, or 200 cubic teet ot compressetl gas ai s�aiWard
lemperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazartlous matenals)7 ❑ Yes ❑ No
(Seclion 25534 of the California Health and Safety Cotle provides that the
Cos�a Mesa Fire Department may require lhe preparetion, cenification antl
fling with the Fire Depariment o! an RMPP by businesses which are required
to register awtety hazardous matenals with the Fire Department.
4. II an RMPP is presently required, has Section 25534 0( the Califomia
Health and Salety Cotle been fully complied vnth? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or fuNre building occupant r¢qui�e f0�
�he work which is ihe su6jecl o! this application a permit lor such wnsWction
or modifiwtion lrom Ihe South Coast Air Quality Management Dislrict or (rom
any olher air pollulion control tlistrict or agency? ❑ Yes ❑ No
(SecYpn 658502 of the Calilomia Govemment Cotle requires that the requestetl
inlortnation be (umished on applications !a non-resitlential building permits),
6. Will any part of the lacility to be consWctetl under this permi� be within
10001eet from the outer boundaries of a school7 ❑ Yes ❑ No
(II'yes", the facility must meet me requirement ot Sections 25534 and 42303
of �he Calilomia Health antl Safety Code).
7. If a permit from the South Coast Air �uality Management DisMct or other
air pollution control district or agency is required for the work which is Ihe
subject ol this application, have all of the disdosures prescribed by Calilornia
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf 'yes", attach certifcate of compliance from the appmpnate air pollutlon
coMrol officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penally of perjury that I have read this applicalion and state that
the information given is coriecL I agree to comply with all state lav5 and city
ordinances �relatiny to building consWction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy ot any Duilding
authOnzed hy Ihis permit until fnal inspection.
SignaWreolLegalOwner(s� /� Da�e
lp'.� �—" ��
or Aut�onzetl ApP6can1 � / pate' - .
�
Street
IT NO.
GENERALCONTRACTOR Welcome Homes VALUE $ 9�'](�0.0�
t 28 BLOCK TRACT 2896 Sin�le Res. x/att gar
INSPECTIONS
Footing Trench
Foundation Formsand
Rough Framing
Plumbing, Rough to 9T
Plumbing, Rough Comi
Temporary Pole
Wirina. Rouah
Heating, Final
l�Sewer, House Sewe
Septic Tank or C spool
L 'ng,ln Out
F. _erinp
Fixtures
Wiring, Final
Occupancy �
FORM 210 3M 10�95
St.
DATE
PERMITS ISSUED
SUBCONTRACTOR
DATE � NUMBER
�
�
.--�= qsta Mesa Bailding Department
t.� ✓ P. O. Box 3!7
�"`COSTA MESA, CALIf-0RNIA
FOR APPLICANT TO N'ILL IN
Building �{,���y
Address -�ycL�A.ilbro Street
Costa Mesa, California
Nearest
CrossSt. Post
owner l9eloo� Homes, Ino.
Mail
nddress E628 YJesi�ninster Ave..
Westminster Te�. ` 5
city No. 11em.
Architect or Lic.
Engineer No.
Address
�cractorYlelcone Hoires,'Im.N�oy�
Address �28 l'lestaninster Ave.
Legal I Lot I
Description No. 28 I Block I
Size of Lot r78x1� I Now on Lot �T017B
l�seoi I No.of I No.ot
Existing Bldg. NOrio Familles Rooms
Setback Line irom 0 Ft. Rear Vard� .
Cente� oi Street 5 Sida Yard 't.
X
:�PPLICATION FOR PERMIT
3��7� BUILDING '
FOR OFFICE USE ONLY
Receipt No. Permit No.
—� a 3 �
Received y Date Rec'd. Date Issued
- �r/� -i� .�6 ..s ��-.f�
Costa Mesa, California
Nearest
Cross St.
Zone n,/I No.of I Type ,/
�C �f Plans V
Approved
by Da
CORRECTIONS
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n'' �'i I /+'� � ^ r.' •' ,.. �
� .s: Ve ll��,�:7. ..._.il�
Repair I I mov�ng � � oemo�ish I
Building No.of
6ize 25�7 Rooms 6 Stories 1
Exterior Wall I Roof
.���y Stucao Coverinq 'nlood ApPROVALS
of New Foundation Location Inspecto
euiiding S��le familv residence Forms,Materlals�
and two car gara e attsched. Under-Pinniny
Frame: Fire Stops,
Bracing, Bolts �
I hereby acknowledge that I have read this Application
and state that the abme is crorrect and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building rnnstruction. �ath. Ext.
Signalure of
Permittee Plaster, Int
Authorized Ag �.q..� Plaster, Ext.
Valuatlon�•4��%� PermitFee$ aL� "' MasonryReinforced
Pian Check $ � f� �' Bond Beam
$ ,I� Total � [
`� Fee $ � " '= FINAL
rtn zo� �o�Os o. P. e s.
PLOT PLAN
6how Ioeation and distancea irom
property Iine and between buildings
TC"fJ , .'iC �1 UL,
1 J 20 .
.0.1 . �G. P G 110.[7
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OWNER CA�
� JOB ADDRESS
GENERAL COi
JAP xo.1�+1-2'
�I""nECTIONS
�(�J Gas
lL' Water
� Rough Com. Re
DATE �-13-
BUILllING PERMIT N0.
Vni.UE $ 400.0
DESCItIPTION OF WORKA
SUBCONTRACTOR
��
' � / 7-� 9
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C�A�SA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9fY COSTA M69A. CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT
BIIILDIN6 C'I/� M�L /�/��
ADDRE53 �� � �� /J
COSTA MESA, CALIFORNIA
OWNER /� i L � :I'
MAIL . i _
■ ARCHITECT
r,
STATE
LIG NO. �
SIZE 1" ' �
OF LOT V
USE OF
EXISTING BLD6.
6ETBACK LINE FNOM
DESCRIPTION OF WORK
BIIILDIN6
SIZE
EXTERIOR
I HEREBY �CKNOWL606¢ TH�T i X�VB REAp TXIB APPLICATION
AN� STATE THAT iHE ABOVE 19 COqRECT AND /1�REE TO COM-
PLY WITH ALL CITY ORUINANCi9 �NO BTAT@ uW8 P80OLATING
BUILOINO CONBTqU�R/10N.
SIGNATUREOF/'�O � .. � isA�w�.�ii.�
� AUTHORIZED
J
FEE RECEIVED
MAfl 1 3 1984�
FINANCE DEPT.
APkIIITi'A7(d�rC��4 ai18$It
BUILDING
For Office Use Only
OATS
ruxe
YARDBAPPROVED
MAIN BUILDING
iOM GL &TREET )
VAR: #
ZONING
'— .-Y S �Y � U
HANG BHALL BE LE85
VARD9APPROVED
:CESSORY BUILDIN6
i•]aV�l
TXE AMOUNT BHOWN UNGER VALUATION �8 FOp THE F
PURPoB6 OR EBT�BL�eXiNO A PERMIT FEE ONLY. Q
VALUATION m
�] PERMIT FEE $ � �
(/� �
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f f d) '� C C L�1 0
!/(J � _
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sa._
�ac
DATE 9-14-73
Milbro Street BUILDING PERMII
R Owner builder DESCRIPTION of WORK LeQalize
LOT 28 TRACT 2896 FIRE ZONE VALUE E 7.400
�ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON.
� SPRINKLING SYSTEM
MISCELlANE0U5
ROUGM HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
FLOOR SVSTEM
BOND BEAM � STEEL REINFORCE
SMEATHING
FftqME AN� F�ASHING
LATNING — IN n OUT
PLASTER. BROWN COAT
H .G, VENT., FEFRIG. AND A.
PL�mBIN6, FINAL ANO GAS TEST
ELECTRIL, FINAL
BIIILDING, FINAL
SUBCONTRACTOR
' 37279
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COSTA MESA BUILDING-SAFETY DEPARTMENT "'-"
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
P I TION FOR BUILDING PERMIT
For Applicant to Fill in Complete/y
FE I Y TE R CE ED p E I�S�E�
ADIDRE5S 29108 M��oao srecer �/ '
OWNEFi BQDoicS ChVAeIAJGH
A.P. NO. 1 I_ ��+ 1— U 7 P M T O.
MAIL ADIDRE S p� —/b� �/[.,/.7/�L �
ADDRESS 31O M1cHELfi QZ� � p
TEL. 72(a TRACT LO �( LOY � p BLOCK
cirv V19rq 92063 No. �g4a
CONSTRU�ION �ONE W A P
LENDER
BRANCN �
OWNER
ADDRE55 � �y �`/ALUE
ARCMITECT �, TEL. US ���� ' ��/ 5
OR ENGINEER N .
FIRE
ADDRE55 '�' 20NE TVPE GROUP
n�' APPROVED
CONTRACTOR OW1.lEit— 'F�VILDEFL BV DATE
ADDRESS 31O MICI1GLJff' V{�.
TEL. "��4 ZONE NO.OF USE OF NEW
,/ PLANS Z BUILOING '� O
CITV y�STM 9ZOB`3 NO'�IZG'I3�}'O
STATE CITV VARDSAPPROVED VARDSAPPFOVED
LIC. NO. �— LIC. NO. MAIN BUILOING ACCESSORV BUILDING
SIZE e � 1 NO.OF BLDGS. �
OF LOT SO. b X IOZ. �i' NOW ON LOT � ROfYT .� FT.
VSE OF
E%15TINGgLDG. 511.1QLE F�1M. �ES�OL�.10E
SIZE OF /�, �I NO. OF
NEWBLDG. X I ROOMS STORIES 9 L.SI�E FT. FT.
EXTERIOP W�+LL ROOF C�
COVERING COVERING REAR .7 FT. FT.
USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE 9ET. . MAIN &
MAiN BLDCS. ACCF$S. BLDGS.
VAR. �WW OATE
C.U.P.$'+ APPPOVED
APPROVED •f �
1
pTE
I hareby acknOwledpe that I hava reatl [his epplication antl steta
that che Sbove iniormation is w/rect ontl nprea to wmply wI[h
all laws rdgulatinp builtlin8 consnuction, antl I shall not employ �
any perso� �� ��OleUon ot the workman's compensation lews of
Ma Stere ot California. ✓ m
b
I hereby certify that I am proparly licansetl es a contractor untl¢r 5�. FT, o
tha State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR ^
Chepter 9, anG tha[ such ficenses ere In full torce antl eifect, or I THE PURPOSE OF ESTABLISHING �+ PERMIT FEE ONLY: Q
am exempt trom tha provisions of the State of Calitornia Bus(nezz VALUATION
antl Professions Cotla, Division 3, Chapter 9. ,— m
� PERMR FEE 5 �
Slp^eture f �.w � �/7 m
Permittee��•y_ya � $ / � PLAN CHECK 5 ' E
i � `o
Authorizetl ABont LL
TOTAL FEE 5