HomeMy WebLinkAbout215 MESA DR - Building Permitsn
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Job nqdress: 215 MESA DR
Suite:
Vicinify: ROOF
Primary Occ: R3 Dwellings/ Cong Res <70
Parcel Number: 43921324
Type of Construction: V-N
Zoning:
/+pp�lcam: SANDOVAL, ISHMAEL •
Atldress: 106 W CANADA
SAN CLEMENTE, CA
Owner: TALLON REVOCABLE TRUST TR
Address P 0 BOX 795
SPRINGVILLE, CA -
Contractor: IRC SERVICES INC
Aqdress: . 106 W CANADA "
- SAN CLEMENTE, CA
Zip: 92672 .
Arch ,
Address:
Zip:
Phone:
License:
Phone: 949-500-4370
Zip: 92672
Phone:
Zip: 93265
Phone: 949-500-4370
License: 771813
Eng:
Address:
ISSUED BY:
Stalus: ISSUED
Applied: 10l04l2006
Issued: 10/04/2006
Phone:
license:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 7 LAYER OF 30# FELT, 4:12 PITCH, 30 YEAR COMPOSITION SHINGIES, REPAIR/REPLACE SHEATHING
AS NEEqED. INSTALI FIBERGLASS BASE AND ROLLED ROOFING. 1500 S.F.
_ FEE SUMMARY
Plan Check: $0.00 � Calc Valuation: sa,000.00
Permit: $9725 Claim Valuation: 5a,000.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00 - -
Inspection: $0.00
Total: $97.75
PLANNING & ZONING
SETBACKS ,
MAIN STRUCTURE Front 0- 0 Rear 0- 0 LeN 0-�0 �� Righl 0- 0
AGCESSORY Front 0• 0 Rear 0- 0 LeR 0- 0 Right 0- 0
PARKI%li'i . Exislin : 0 Reuuired: 0� Pronosed: 0 -
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (qrd. No. 92-28, § 1, 12-21-92)
EXPIRATION; This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 tlays. � � �.
� INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeetlona and tinel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
I FOR INSPECTIONS CALL: (714) 754-5628
... y.,. n � �
WORKERS'COMPENSAnON DECLARArON: '
I hereby effirtn under panalty of perlury one 0� ihe lallowing decleretlons:
❑ I heve end wlll melntein e certlficate of consent to self-Insure for workers' compensation, es proWdetl tor by sedian 3700 0l the Labor Code, tor the peAarmance ai the
work tor which this pertnit is Issued.
�I heva antl wlll maintain workers' compensation Ireurance, as raqulretl by saction 3700 of ihe Lebor Code, lor the peAormance of ihe work for which chis pennit is issued.
Mv workers' comoensatlon Insurance camer and oolicv numher ere:
PorcyNu�er:��/:�i?% ��NS — 2-00�
orless.J �"—'—^ , .
❑ I certify ihat in t�e peAortnance of the wa� for which this pertnit is issued, I shall not employ eny pereon in eny manner so as to become su6�ect to Ihe workers'
compensatlon laws of Calitornla, antl egrea thet ii I should become su6�ect to the workers' compensation provisions of Section 3700 of ihe Lebor Code. I shell forthwit�
comply with theseplw7v' ' sn ( /J , /
�AppRw in SlgneWre:.-C-�X� V lS��� Dete: `� ' i'� �
�WARNINO: FAILURE TO SECURE WORKERS' �MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPIOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE MUNDRED
THOUSuW 0 �OILARE (5100,000), IN FDORION TO'�E WST OF GYIMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIIXJ 31O60F THE IABOR CODE, IMEREST, AND FTTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
of Chapter 9(commencing with Section 7000) oi Division 3 of Ihe.Business and Protesslons Code, and my license is in tull
CONSTRUCTON LENDING AGENCV:
❑ I hereby aftirtn Ihat there is a consiruction lending agency for the pertortnance of Ihe work lor which �his permit is issued. (Sec. 3097, Civil Code).
LentleYs Neme: Lentler's Address:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm that untler penelry of perjury Inat I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions
Gode: Any ciry or counry which requires a pe�mit to consWcL elter, improve, tlemolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit
to tile a signe0 stetament thet he or she is licensetl pursuant to the provlsions ol the Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 of t�a
Business end Pwlessions Code) or ihat he 0� she is exempt theretrom antl t�e basis for Ihe elleged exemption. Any viole�ion o1 Sectlon 7031.5 by eny epp�icant for a pertnit
sublecis ihe applicant to a civil penelry cf not more then five hundred dollers ($500�.�:
❑ I, es owner of Ihe properry, or my empl0yees with wages es their sola compensation, WILL DO THE WORK, antl iha structure Is not Intendea or ottered for sale (Sec.
7044, Business antl Professions Code: The Contractors License Lew does not apply to an owner of property who builds or improves Ihereon, and who does such work
himself or herself or Ihrough his or her own employees, provided that suc� improvemenis are not intended or ottered for sele. If, however, ihe 6uilding ar improvement is
sold within one year of completion, tha ownerbuilder will heve �he burden of proving that �e or she did not build or Improve tor purpose ot sale.j.
❑ I, es owner ot Ihe pmperty. am E%CLUSIVELY COMRACTING WITH LICENSED GOMRACTORS to construct the projact (Sec. 7044, Business end Prote55ions
Cotle: 7Te conirectors Llcense Law does not epply to an owner ol property who builtls or Improves ihereon, and who comrects lor such Oroject with e contractor(s)
liCenSe DurSuan� to �he Conlractors Lic9nse Lews.).
❑ I am exempl untler sec. Business and Professions Catle lor this reason:
SignaWre: Date:
Owner ID verifletl by �nvefs Iicense. ❑ Ves ❑ No Drivefs LJcense No.
Verificatlon of Ownership by (type oi documan4 �.e. - property te: bill or tleea):
Ezpire5:
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATON:
❑ I hereby cetlity thet no eacavetion five (5) or more feet in tlepth into which a person is required to descend, will be metle In connectlon with work authodzed by Ihis
permit, entl ihat no building stmcture, s�ettolding, talsework, or demolitlon or dismantling thereoi, will he more then thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celitomla Atlministrative COtle).
❑ As ownerbuildar, I wiil not employ anyone to do work which would requlre e permit from Ihe Division of Industdal Safety, es noted above, unless such person has e
permit to do such work trom the division.
Signeture: Date:
Division of Indusirial 591ery Pe�mit Number:
CER7IFlCATE OF COMPLIANCE AND AIJTHORIZJITION OF ENTRV: I certify under penalry ol perjury that I have read this epplicetion antl state that the information given is
correct. I egree to comply wllh ell state laws antl ciry ortlinances releting to bulltling consiruction, and euthotlze representetives of the City of Costa Mesa to enter upon ihe
above-described propetly for inspection pury0ses. I agrea not to occupy or allow xcupency ol eny building authonzed by this permit until linel inspection.
CQOE 1. IHSYECTIONTYPE
1616 Fi:ed System Final Fire Prevention
1266 Paol Spa Final
200 Final Re-Roof
201 FIneI BIocWRataining Well
202 Final Fectory Fire Place
203 Final Sign
204 FInalDemolitian'
L+1IE 1I�55
x —�] ���
�—
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GOOE� INSPECfiONTYVE
206 Final Mechanical
208 Final Plumbing
210 Final EIeC�nWl
212 Finel Fire Pravention
220 Final Planning Approval �
222
250
Final Site
Final Building/Occupency
Q�T; INifIULS