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Home My WebLink About1771 ORIOLE DR - Building Permits 'i pM 4 .p CITY OF COSTA MESA — —. �, BUILDING DIVISION PER T NUMBER . VC . DEVELOPMENT SERVICES DEPARTMENT PERMIT 99-01988 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1771 ORIOLE DR • Status: ISSUED Suite: Applied: 12/22/1999 Vicinity: HOUSE&ATTACHED GARAGE Issued: 12/22/1999 Parcel Number: 13962310 Zoning: R1 R1 - . _t______ Applicant: CORNELL, ROBERT ISSUED BY: Address: 840 N. FINDLAY AVE. Phone: (213)804-5940 MONTEBELLO,CA Zip: 90640 Owner: WHITAKER, RICHARD L Address 1771 ORIOLE DR _ . Phone: • COSTA MESA,CA - Zip: 92626 Contractor: - ROYAL ROOFING Address: 135 W SANTA FE AVE. - Phone:• (800)400-7692 FULLERTON, CA Zip: 92632 License: 432352 Arch : - Eng: Address: Address: • Phone: Phone: ' Zip: ' ' License: • 'License: • SCOPE OF PERMIT REROOF,EXISTING 2-STORY SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(37 SQ).TEAR OFF EXISTING COMPOSITION SHINGLES&REPLACE SHEATHING WITH 1/2 INCH CDX PLYWOOD. INSTALL 1-LAYER OF 30#FELT • UNDERLAYMENT&REROOF WITH CLASS A 40 YEAR DIMENSIONAL SHINGLES. FEE SUMMARY - Plan Check: : $0.00 Calc Valuation: $8,000..00 Permit: $153.25 Claim Valuation: $8,000.00 SMIP Res: $0.80 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.05 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 • EXPI ED DATE i 5 0 1. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. IINSPECTIONS: 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. 1 FOR INSPECTIONS CALL: (714)754-5626 • DECLARATIONS . ( y) �._ • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the p� work for which this permit is issued. 1" I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My wo�rk/prs'compensation Insurance carrier and policy number are: WC-35S q�1 ' Carrier: V cat.fe I/oe t S" Cc• Policy Number: 1 l_S (This section need not be completed if the permit is valued at one hundred dollars($100)or lass.) ❑ I certify that in the performance of the ork • 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�foAtr:,and',•a if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr• ' q Applicant Signature: r' _ Date: /2/2. / 5 WARNING:FAILURE TO SECUW•-KERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: • I hereby affirm that I am licen d under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.11 Class# 0'5/ Contractors Signature: C ilii e� c4-Gle— Date: / [YT Z-(99 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure 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 thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,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 the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes ❑No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS 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 threatened release of a hazardous material? 0 Yes ❑No - (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature 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 hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will anyfacility permit part of the to be constructed under this be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No ,(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE 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. Signature: jt It _ - ctt i?(c'r ?! I Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON,OF:ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and cityordiriances relating to building construction,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 of any building authorized by this permit until final inspection. /wear atur Of Leg Ow er(s) Dat /1zg5 And/Or Authorized Applicant ate CODE I INSPECTION TYPE DATE INTMALS CODES INSPECTION TYPE 29I€ JNTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 2-1 all0LIS-4-v\- ` 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 C.L.-± OF COSTA MESA REQUEST FOR OCC. _.NCY TRACT NO. �/�Q DATE /71q..✓9 ,./ /7..2a LOT NO. 6� ADDRESS /2'7/ ' " ' '° '' JY The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she the (was or4g3D advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BYae' L/ p. an/NJ Purchaser ) BY xCG2Y!. 4� .9' j% � 'G; Developer and/or authorized representative BY /� ,fc7C"Ac- ®r /7..244.991 a Lender 33616PATO SEP 11i-71E700 370* yr''*701.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 9262E APPLICATION FOR BUILDING PERMIT 69 For Applicant to Fill in Completely // RECEIVEBV DATE ECEIVED ADDRESS / 7 / /. o/(��_c_ /lL/tic.r•}-.Q. "� �/ SEP 14 1971 •�f '�//� //,� /� (74,47 � A.P.NO. fhl ..�f- PER^MY/j,JJ6�) rs OWNER /MAIL /�/- tl—O�.L I•'�y/L�L'-!'`.LiCEAI BUIDR ESS -'��< v„�JJ%C2 ADDRESS 4 3 6 )'d' / 77/ Z � �� /� /! n a d 0 CITY 6_4,LpLJ_0 7 00/7 NO. 4,ZS3�3'ft TRACT 6j'/✓2 LOT/s C' BLOCK Z / 3 /� NEW ADD ALTER REPAIR MOVING DFMOI LSH Z Q CONSTRUCTION RCTION !, O N LENDER J tD o BRANCH OWNER / Yeti W/+••r//• - W ADDRESS ,/ di VALUE• ARCHITECT: /I A' . n7� ✓ c- TEL n USE r!.G�I'La// (!/J/ •NACUSi/Z6-1,e— _i < _// l� J Q OR ENGINEE //'1' /\•Uw4'^ NO. d•7O -.51g2-, .41y{ ��!• UN .t S�/�p n .��[r FIRE W Q ADDS ESS, CC/�� 55" C� I .Ct.a,rtinL ZONE TYPE GROUP„7L� W w ( u`-( nx�r� -ic f� BVAPPROVED. DATE W Z CONTRACTOR /` 1. JO n CCI Z W w ADDRESS �col /i.., �/( }moi i -- NO.OFI ' USE OF NE 1 �p /J p TEL r, �Z(5 PLANS ry BUILDING ✓Y ZI- CITY fte4, . F-t�y /2P(f_j__ NO.cl-/0-2833 \A f ./1••••- u: gyp- r mO STATE CITY YARDS APPROVED YARDS APPROVED j O LIC. NO. )44 yi_ 3 LIC.NO.x,768 3 MAIN BUILDING ACCESSORY BUILDI G SIZE s� NO.OF BLDGS. (FROM C/L,STREET/ OF LOT(DO /O/ /O 0 � INOW ON LOT (5 FRONT ,7 `) FT. FT. • USE OF / EXISTING BLDG. _a SIDE .tJ FL_ FT. - 1 SIZE OF p / C' NO.OF Z NEW BLDG. �1.�./ 6 to ROOMS �( STORIES/62 L.SIDE /O FT: FT. RIOR ROOF C� COVEERIING ALa `T(,L6C0 COVERING c./2/_)/5 DISTANCE.24-/FT. ± BET.MAIN& FT. J USE OF BUILDINGINAND WORK TO BE PERFORME 1 MAIN BLOCS. ACCESS. BLDGS. Q ( / /j- S VAR.# DATE 0 �LJ- ��'LU/l` C.U.P.sI`- Nf /� APPROVED NAPPROVED /) . L/ DAT 9—/3- 7 Z l VI hereby acknowledge that I have read this application and state HOLD Fnp that the above information is correct and agree to comply with SP[C•1gi. U1RF' • CCall laws regulating building construction, and I shall not employ Kt'.O M >\rry I— any person in violation of the workman's compensation laws of W the State of California. �• m Z // / // a) I hereby certify that I am properly licensed as a contractor under `"'// SQ.FT. �(S o the State of California Business end Professions Code, Divisicn 3, . THE AMOUNT SHOWN UNDER VALUATION IS FOR • Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; CC am exempt fro, he provisions a State of Ce i ornia Business VALUATION �,t� by m and Professio- •de,Di &ion Ch Ater 9. / PERMIT FEE $ N 3 Signature of j h.. 0 Permittee -� A $ PLAN CHECK $ � / ' _ E Authorize• Agent ` J UQ\ LL TOTAL FEE $ _i ®" /u o t