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Home My WebLink About3261 NEBRASKA LN - Building Permitsi i ' CITY OF COSTA M@SA � BIIILDING DIVISION � > � 77 FAIR ORIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �.�� FOR INSPECTIONS CALL: (714) 754-5626 _ PERMIT NUMBER! 608-00221 PERMIT TYPE B ROOF2 • STATUS: ISSUED APN: 13906411 DATE ISSUED: 07/23/2008 ISSUED BY: RMD J46 ADDRESS: 3261 NEBRASKA LN CM . � Suite/Unit: ` Vicinity: HOUSE AND GARAGE ROOF.�;. , � � - �� - _ - � Squares: 2500 --_�� '� ':,, �� ` "" '`� -�-. Valuation:�;_ , ��$8,000.00 SCOPE OF WORK: TEAR OFE:(E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A 4:12 FITCHED ROOF AND REROOF WITH ASPHALT SHINGLES ON AN ATTACHED HOUSE AND GARAGE„APPROX 2500 SF. REPAIR AN� REPLACE SHEATHINGASNEEDED. .. . - - - � O NER: MCHUGH, CRAIG �� ,_ Address: - 3261 NEBRASKA LN '� . , Unit: PHONE: ' - - . , _ - City/State/Zip: COSTA MESA, CA � - .. ' � APpLICANT: ROBERT, NINKE ' Address: 21746 HERENCIA� .'� �'� � � ' . Unit: : ' PHONE: 949-951-9091 ��' �. � � City/State/Zip: MISSION VIEJO, CA -.. � � � � , _.. .._ . .. ,,. .. ._._ . .. . . _ , : - ': CONTRACTOR: CALIFORNIA ROOFING AND WEATHER PROOFING �. � License No. 371530 Aqdress: 21746 HERENCIAUnit: _ � - PHONE: 949-291-7561 CitylState/Zip: MISSION VIEJO,.CA '-� � �92692 . � . � � CELL: , ARCHITECT: .: , License No. . ' PHONE: - � " � ENGINEER: . . . � License No. PHONE: FEE SUMMARY � Reroof Plan Check: ' _��'$0.00 - � � � � � ' � . � . Reroof PermitFee: $15325�� ., �--.- � - - - �• . . � Reinspection Fee: $0.00� - � - , � . . - - � � � - " T4TAL FEES $153.25 ' . � � � NOTICE: The work authorized by lhis permit shall wmply with all applicable handicap access requiremenls under Califomia stalutes antl related rBgulations. (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 authonzed under this permit to be considered legal, such work must comply with all applicable wdes, and all r�quired inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. UE . INSFECTIONME Q/�T INTITIALS LOOEI INSPEL710NTYYE O4TE �N7171RL5 1816 Fixed System Final Fire Prevenlion 206 Final Mechanical �286 Pool Spa Final 208 Final Plum�ing � ZQO Final Re-Roof � �^ 210 Final Ely�tncal ' Z01 Frna181ock/Reta"inngWall 212 Final Fire Prevmtion 202 Final Factory Fire Place zz0 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildinryOccupancy WORKERS' COMPENSATION DECLARATIONr �. . I hereby a�An uhder penalry of peryury one of the following declaralions: . ❑ I hava and will maintain a certi(rate of consent to self-lnsure !or workers' wmpensation, as provided tor by section.3700 of the Labor Code, for ihe peAormance of the vrork for whlch [his parmit is issuetl. ❑ I have and will maintain workers' compensation insurance, as requiretl by seclion 3700 of the Labor Code, for the peAortnance of the work for which this pertnit is issued. My vrorkers' compensation Insurance carrier and policy number are: Cartier: - �,Q, � �AM� (Thk secfion neetl ianf he mmplINetl d the 2peim/R�'is valueE af one hundmd�llars (8f 00) w less ) Policy Number: V � �� 6' J`� � 2 0 J% ❑ I certify [hat in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to lhe workers' compensa[ion provisions of Section 3700 of the Labor Co I s all /orthwith compl with Ihese provisions. �' 2!1�0$ Appliwnl's Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm tha[ I am licensetl under provisions o/ Chap[er 9(commencing wi�h Section 7000) of Division 3 of Ihe Business and Professions Code, antl my license is in full (orce and effed. /� Lia # 5 Class # C, �J �1 �-2 �'D `3 ConVactor's SlgnaWr Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm tliat there is a constructbn lending agency for the peRortnance of the wurk fa wfiich this permil is issuetl. (Sec 3097, Civil Code). Lender's Name: Lender's Address: Signawre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 703L5, Business and Professions Code: Any city or counly which requires a peimit to construct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires Ihe applicant (or such permit to file a signed statement that he or she is licensed pursuant to the pmvisions ot the Contracbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Code) or Ihat he or she is exempt Iherefrom and the basis (or the alleged exemption. Any violation of Sec[ion 7031.5 by any appliwnt (or a permit subjects the applicant to a civil penalry of not more than five huntlred dollars ($500).): ❑ I, as owner of lhe property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and the siructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves lhereon, antl who tices such work himself or herself or through his or her own employees, provided ihal such improvements are not intended or oflered for sale. If, however, the building or improvement is sold vrithin one year of completioq the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). , ❑ I, as owner of ihe pmperty, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Professbns Code: The contractors License law dces not apply to an owner of pmperty who builds or improves [hereon, and wfio con[2cts fa such project with a contracta(s) license pursuant to the Conlractors License Wvrs.). ❑ I am exempl under sec. Business and Professions Code for this reason: 9gnaWre 3057-46(3/0]) f Owner ID venfietl by drivi cense. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype o/ tlocument, i.e. - property [ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • ❑ I hereby certdy [hat no excavation (rve (5) or more fee� in dep[h into wfiich a person is required [o descend. will be made in connection with work authorizetl by [his pertnil, antl [ha� no building structure, scaffdding, falsework, p demolition or dismantling thereof, will be more than thirty-sa (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia AdministraWe Cotle). ❑ As owner-builder, I will not employ anyone lo do work which vrould require a permit from the Division o( Industrial Safery, as noted above, unless such person has a permit to do such vrork from the division. Applicanfs SgnaWre Division of Indus[rial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuNre building occupant need to file antl certify a Business Plan tor emergency response to release or [hreatened release of a hazardous matenal? ❑ Yes ❑ No (Seclion 25505 of [he Califomia Heal[h antl Safety Cotle requires, with some exceptions, that a Business Plan be filed with �he Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazardous materials equal [o or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas a[ standartl temperaWre and pressure). 2. Does or will the applicant or present or fuNre builtling occupanl need to file a registration form (or acutely hazaidous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceplions, requires regislration with the Costa Mesa Fire Department by each business which at any one [ime has on hand a quantity of acutely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature antl pressure). 3. Does or will the applicant or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for aculely hazartlous materials)? ❑ Yes ❑ No (Section 2553A of the Calitornia Health antl Safety Code provides that the Cosla Mesa Fire DepaAment may require the preparation, certifcation and filing with Ihe Fire Department of an RMPP by businesses which are required to register acu[ely hazartlous materials with the Fire Departmen[. 4. If an RMPP is presenUy required, has Section 25534 of the Califomia Health and Safety Code been fully complied wilh? ❑ Yes ❑ No S. Does or will ihe applicant or present or future building occupant require for the work which is the subjecl o( lhis application a permit for such wnslmclion or modifica[ion from the South Coast Air Quality Management District or from any other air pollution contml district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemmen[ Code requires [hat [he requestetl intortnation be fumished on applications for rwn-residential building permits). 6. Will any part of Ihe facility lo be consWcted under this permit be wilhin 1000 feel from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Calitomia Health and Safely Cotle). 7. If a permit (rom the South Coast Air �uality Management DisMc� or other air pollution control disirict or agency is required for Ihe vrork which is the subject of this applica[ion, have all of lhe disclosures prescribed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. pf "yes", anach certifcate of �compliance from ihe appropnate air polWtion conlrol oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state layrs and city ordinances regarding Hazardous Materials and Emissions.. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury Ihat I have read this application and state Ihat the informa[ion given is corteLt. I agree to comply with all sta�e laws and city ordinances relating to building construction, and authorize represenlatives of the City o( Cos[a Mesa to enter upon the above-descnbetl property for inspection purposes. I agree nol lo occupy or allow occupancy of any building au�horized by lhis permi� un[il (nal inspection. � Signatu o! Legal Owner(s Date �(.(�-�� 7 - 2� -6 D AntllorAutbonzeOA I¢anl - Oale PLUMBING PERMIT Job Address: 3261 NEBRASKA LN Suite No Vicinity: Parcel Nunmber: 13906411 Applicant COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY Owner: MCHUGH, CRAIG Address 3261 NEBRASKA LN COSTA MESA, CA Phone: (714)241-1414 Zip: 92708 Phone: Zip: 92626-2254 Contractor: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY WATER HEATER CHANGE OUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas(Over4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY Phone: (714)241-1414 Zip: 92708 License: 529727 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer . 50.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/11/2005 155ued: 02/16/2005 ISSUED BY: � ', SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E35.80 �TY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 7247-92) EXPIRATION: This permit shall autometically expire and become void if work is not commenced within 780 days, or if work is suspended or abandonetl tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetiona end final epproval must be obtained. Failure to obtain inspections antl final approval will result in the expiratlon oi this permit. FOR INSPECTIONS CALL: (774) 754-5626 2446d6 (fl�W) WORKERS'COMPENSAnONDECLARATON: I hereby aXirtn undar penalty of perjury one of ihe following declarations: ` ' � ❑ I heve entl will mainteln e certiNwte ot consent to selt-Insure for workers' compensetion, as provided for by sectlon 3700 oi Ihe Lebor CoOe, tor Ihe pertormence oi ihe work for which Ihis pertnit is iuueC. nd will maintain workers' compensatlon insu2nce, as required by sectlon 3700 oi Ne Labor Code, for �he perfortnance ol Ihe work tor w�kh this pertnit Is issued. cers' crompensetion Insurance carrier antl pollcy number are: a� �/ �� `�N O �Pallcy.Number. �1 �J��Jv —� �`7 neetl not be comp/ete0 i! the pertnif !s velued et one hundred dallars ($100) or less.) � ❑ I cartify that in tha peAortnance of Ihe work tor which Ihis permit is issued, I shall not employ eny person in eny menner so es to Decome sub�ec� to tha workers' compensation laws of Calllomia, a d egree that if I aultl become subjact to the workers' compensatlon proNslons of Sactlon 3700 ot the lebar Code, I shall forthwit� comply with ihese provlsions. ApplicantSigneWre: \ Dete: % I � �IbT .r�—... WARNIN�:FAILURETOSECUREWORKERS'0 MPENSATIqJCOVERAGEISUNUWFULANDSHALL5UBIECTANF}WLOYER�TOCRIMINALPENALTIESAN�GVI�FlNESUPTOONEHUNORED Ti�WSM1D Dq1ARE (5100,0OO�.IN ADDITIIXJ TO THE CQST OF COMPENSATION, DMMGES A$ PROVIDED FOR IN SECiION 3]OB OF THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attlrm thet I em Ilcensed under provisi< rorce and ettect.-tic: x�--� SZ�1 I 21 with Sectlon 7000) of Division 3 of the Business entl Professions Code, entl my licanse is in full _ ciaea.s_ G� 3 t� _ oe�e: 2 i� o r CONSTRUCTION LENDING AGENCY: ❑ I hereby eRirm thal lhere is a consiruction lentling egenty for the peAormance of I�e work for which this permil is issued. (Sec. 3097, Civil Cotle). Lendels Name: Signeiure: _ OWNER-BUILDER DECLARATIONS: Lender s Atltlress: Date: I hereby ettirtn that under penelty ol perjury thet I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business and Pratessions Code: Any ciry or counry which requires e permit to consWct, alter, improve, demolis�, or repair any structure, pnar to Its issuance, also requires t�e applicant tor such permit to fila e signetl stetemenl ihat he or she Is Iicensetl pursuent to ihe provisions of the Contrectors Licensa Lew (Chepter 9(commencing with Section 7000) ol Dlvision 3 of Ihe Business and Prolesslons Code) or thet he or she is exempt iherefrom end the basis for the allegetl exempiion. Any violation ol Section 7031.5 by eny applicant for a pertnit suCjects the applicant ta e civil penalry af not more then Me hundreA dollars ($500).): ❑ I, as owner of the properry, or my employees wl�h wages as their sole compensation, WILL DO THE WORK, end the structure is not intended or otterad for sala (Sec. 7044, Business and Prolessions Code: The Coniractors License Lew does not apply to an owner of property who builds or improves thereon, and who does such work himself or herselt or through his or her own employees, provided that such improvemen�s are not intended or oNered for sele. If, however, Iha building or improvement is sold within one year ol completion, the owner-builder will have the burden ot proving that he or she ditl not Duild or improve tor puryose of sale.). � ❑ I, as owner oi the praperty, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruci the pro�ect (Sac. 7044, Business and Professions Cotle: The contrectors llcense Lew does not epply to en owner of property w�o bullds or Improves thereon, enC who conirects lor such prolect wl(h a conirector(s) license pursuam to the Contraaors License Lews.). ❑ I am e:empt under sec. Signature: Owner ID vanfleC by dnver's Ilcense. ❑ Ves ❑ No Busine5s end Professions Coda tor ihi5 reason: Venfication of Ownership by (typa ol tlocument, i.e. - property tat bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: DnverS License No. Date: Expires: ❑ I hereby certity thet no excavaHon flve (5) or mora teet in depth into which a person is requlred to descend wlll be made In connectlon with work euthonzetl by this permi4 and Ihat no builtling siructure, scaflolding, talsework, or demoli�ion or tlisman�ling �hereof, will 6e more ihen Nirty-six (36) feet �igh. (C�ap. 32, Grp 2, Art 2, Sec. 341, Tllle B, Calitomle Administrative CotleJ. . ❑ As owner-builder, I wiil not employ enyone to tlo work which would require a permit irom the Division of Indusirial Safety, es noled ebova, unless such person has e permit 10 do such work from the division. Signature: Da�e: Division ot Industrial Salery Permit Number: CER71FlCA7E OF COMPLIANCE AND AUTTIORIZA710N OF ENTFiY: I cenity under penelry of perjury thet I have read ihis epplication and state thet Ihe infortnation given is correct. I egree to comply with all state lews end ciry ordinances relating Io building construction, entl authorize represematives ol the qry of Costa Mesa to enter upon ihe aDove-descnbed property br inspection purposes. I egree not to occupy or ellow occupancy of any building euthorized by this permif until tinal inspection. COOE 1' INSPECTIONTYPE �-�--�^" 1616 Fixetl System Final Fire PrevenUon 1266 Paol Spa Finel 200 Finel fie-Rool 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QS¢, �$ �Qp[� INSPECTIONiYPE 20fi Final Mechanicel 208 Final Plumbing 210 Final Electricel 212 Flnal Fire Prevenilon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAI& 1+�45 •� � LoT 10 TR 37zz . . �.35�23 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Appiieant fo Fiii In Completely TYPE OR PRINT BUILCING326� NEBRASKA LANE ADDRE68 COS7A MESA CALIFORNIA nwure K Et E DEVELOPMENT CO.� INC. TEL. � ARCHITECT � STATE . TEL. �oo I NO; OP'BlDG9. O U6E �F EXISTING BLDG. BBTBACK LINE FROM �O � zO � <etma on ernHHr REAR YAR� / / BIDE YARD LEFT RIGHi DESCRIPTION OF WORK BUILDING � •J u�`� NO. OF / 81ZE E ROOMS o STORIES EXTERIOR WALL IROOF WOOD SHINGL GOVERING iCOVERING USE OF BUIFDING /WD WORK TO BE PERFORMED FIRE ZONE R- �ece� APPROVEO �EE RECEIVED � ocT 2atsso FINANCE DEPT. CITY OF COSiA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only pECEIPT NO. I PCRMIT NO. COSTA MESA. CALIFORNIA ZONING NO.OF USE OF NEW PLANS Q BYILDING�� ei.l FT iasueo rLAIV -HR � XER68Y ACNNOWI2DGH TXAT I HAVB pEAO THIB APPLIWTION TMg �MOUM BHOWN IINOEH VALUATION 19 FOR TH[ AND BTATH THAT TH6 ABOVE IB CORRECT AND GPC¢ TO COM- pUPPOBE OP EBTA9LIBHING A PEftMIT PE6 ONLY. vLY WITN ALL CITY PADINANCE9 AND ATE �8 IiH6ULATINO BUILDINo CONBiRU N. VALUATION � PERMIT FEE $�� — PERMA,TTUERB OF /� ��A/ / d �� /�� $ � PLAN CHECK $ �AUTHORIZED