HomeMy WebLinkAbout2566 OXFORD LN - Building Permits4
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(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.c��ILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2566 OXFORD LN
Suite:
Vicinity: ROOF
Parcel Number: 14137333
Applicant: SHAWN MCAFFEE
Address: 4144 RAMONA ST
ORANGE,CA
Owner: LINDER, LEROY HAROLD TR
Address 2566 OXFORD LANE
COSTA MESA, CA
Contractor. TOPS ROOFING CO
Address: 4144 RAMONA ST
ORANGE,CA
Zip: 92865
Arch :
Address:
Zoning:
Phone: 283-1211
Zip: 92865
Phone:
Zip: 92626
Phone: 283-1211
License: 745960
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 11/25/2003
Issued: 11/25/2003
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 30# LAYERS, 30 YEAR COMPOSITION SHINGLES, AND REPLACE SHEATHING AS
NEEDED. 28 S�UARES INCLUDES ATTACHED GARAGE.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
50.00
$125.25
$0.59
$0.00
$0.00
$0.00
$125.84
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear 0- 0
Rear 0-0
Reouired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$5,900.00
$5,900.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
�� EXPIRA710N: This permH shall automatically expire and become void if work is not commenced wNhin 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
� requlred inapectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit.
� FOR INSPECTIONS CALL: (714) 754-5626
2406�46(fl�00�
WORKERS' COMPENSATION DECLAHATION:
I hereby attirm under penalry of perjury one ot the following declarations:
❑ I heve and wil�maintaln a cetlificate of conseni to setl-Insure for workers' compensatlon, es pmvided for by section 3700 ot Ihe Lebor Catle, for tha pertortnence of the
�work tor which'(his permit is issued.
I have and wiil maintain workers' compensatlon insurance, es required by section 3700 of �he Labor Code, for the peAormance of the work for whic� this pertnit is issuetl.
My.workers' com en ation Insurence carrier and policy number are: �n�
Cerrier. . �1//�._� PolicyNumber ,%� ��2 —�-�cl�
(This secNon need not be canpleretl il the permif /s va/ued et one huntlretl tlollers ($f 00) or Iess.J
❑ I certity Ihat in ihe pedo e of the work lor which his pertnit is issuetl, I shall not employ any person in eny manner so as to become subject to Ihe workers'
compensetlon lews Ilf i, nd egrae Ih t it I s ulU become subject to the workers' compensetion provislons of Sectlon 3700 o the La r Cotle, I shell tort�with
comply with ihese sio s.
Applltant SlgneNre: Dete: II 7i,S� � 3
WARNING: FAI�URE TO SECURE WORKERS' COMPENSATION EMGE IS UNIAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 5 AND VIL FlNES UP TOONE HIINDRED
TFIOUSAND OOLLARE (5100,000), IN A�DIiION TO THE COST OF COMPENSqT10N, DAMAGES AS PROVIDED FOR IN SECTION 3'!OB OF THE LABOR GODE, IfJrEFEST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hera6y eNirm that I em licensetl
force and ettect. Lic. a
Contrac�or's Signature: _
wiih Section 7000) of Divislon 3 oi t�e Business end Prolessi ns C e, entl my Iicense is in full
ciessa �'-3�
— Data: �/ ZS f7�i
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm Ihat there is a consiruction lending egancy tor the peAormence ol iha work for which �his permi� is iSsued. (Sec. 3097, Civil Code).
Lender's Neme: Lender'S Addres5:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby alflrm ihat under penalty of perjury Ihet 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Profeuions
Code: Any ciry or counry which requires a permit to construct, elter, improve, tlemolish, or repair any siructure, prior ro its issuance, elso requires the epplicam for such permit
b tile e signed stetement that he or she is licensed pursuant b the pmdsions ol the Contractors License Lew (Chepter 9(commencing with Sectlon 7000) oi DMsion 3 of the
Business and Pmfeuions Code) or that he or she is exempt tharefrom and the besis tor the allegetl examption. Any violatlon of Sectlon 7037.5 by any applicant for e pertnit
subjects ihe applicant to e civil penalry of not more than tive �untlred dollars ($500).):
❑ I, es owner of the property, or my employees wl�h waqes as iheir sole compensetion, WILL DO THE WORK, and the structure is not in�ended or oRered for sale (Sec.
7044, Business end Professions Cotle: The Contractors License Law dces not eppty to an ownar ot property who builds or improves thereon, and who does such work
himself or herself or ihrough his or her own employees, provided that such improvements ere not intended or oNered for sale. If, however, the building or improvemeni is
sold within one year of completion, ihe owner-builder will have ihe burden ol proving thet he or she did not builtl or improve for purpose of sale.). '
❑ I, es owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTOiiS to constmct the project (Sec. 7044, Business and Professions
Cotle: The contrectors License Lew does not appty to en owner of pmperry who bullds or Impmves ihereon, and who contracis for such proiecl with a contrador(5)
iicen5e Dursuant to ihe ContreC�ors License Wws.).
❑ I em ezamp� under sec.
SignaWre:
Owner ID verified by drivers licanse. ❑ Yes � NO
Business and Professions Code for this reason:
Vetlfication oi Ownership by (type of tlocument, i.e. - property tac bill or daed):
DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICA710N:
�rlver'S LiCense No.
Date:
Expires:
❑ I hereby certlfy ihat no excavetion live (5) or more fee� in dep�h into which a person is required to descend, will be mede in connedion with work authorized by t�is
permit, and that no building swcture, scaHolding, falsework, or demolition or tlismentling ihereoi, will be more than �hirty-six (38) feet high. (Chep. 32, Grp 2, Ar12, Sec.
34�, Title B, Califomia Atlministretive Code).
❑ As ownerbuiltler, I will not employ anyane to tlo work which would require e permit trom the Division af Indusirial Sefety, as noted above, unless such person hes e
permi� �o tlo such work from ihe tlivision.
Signeture: Date:
Division of InOus�rial Sefety Permit Number;
CERTIFICATE OF COMPLJANCE AND AUTHORIZA710N OF ENTRV: I certify under penalty of perjury ihat I have read this application and state that the Infortnatlon given is
correct. I agree to comply wlih ell state laws entl ciry ortlinances relating to huilding wnstmction, antl authorize represemetives of the Clry of Costa Mesa to enter upon Ihe
ebove-described pmDerty for inspaction puryoses. I egree not to occupy or ellow acupancy of eny building authorized by ihis permit until finel inspection.
i
SignaWre Le I n, Dat
___�l�4� !� �s 43
AnNOr Au o A i ant ate
COOE �, INSPECTIONTYVE
1616 Fixetl System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re-Rool
201 Finel BIocWRetalning Well
202 Final Fectory Fire Place
203
204
Final Sign
Final Demolition
PdIE uIIIIleLS
Z-oz�, �
cooer ixsvecnoxrrre
206 Finel Mechanical
20B Final Plumbing
210 Final Electdcal
212 Finel Fire Prevention
220 Finel Plenning ApDroval
222 Final Slte
250 Finel BuildincyOccupency
PAg UII�ELS
OWNER COLLEGE PARK '"' DATE lc�-1],—SC�
JOBADDRESS 2566 Oxford Drive BUILDINGPERMITNO. �%IyO68
GENERAL CONTRACTOR Hd3'bOS' COASt. CO._ VALUE $ 12��yQ��OO
LOT 19 BLOCK TRACT 'Z726 Res. W�Btt.• �BS�
GROUP I& J TVPE V ZONE RLi FIRE DISTRICT (illi
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
� DATE I NUMBI
Foundation Forms
Rough Framing
Plumbing, Rough t
Plumhing, Rough I
Temporary Pole
Wiring, Rough
Septic Tank or Cessp ol
Lathing, In g '1'✓ 1
Plastering
Plum6ina. Final. Fixtures
Wiring, Final
OccupanCy
FORM 210 3M IO�v3
�qsta Mesa Building Department APPLICATION FOR P�RMYT
'�. 111 EAST 20th STREET �'� '� � g� B L D,� M G '
' i� COSTA MESA. CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. ��� yo.
Building �fl
Address 2566 �XFORD �R I VE
Costa Mesa, �i&�OPllI& Received by Date Rec'd. Date Issued
Nearest � 7-- (— �' � �"—//'s
CrossSt. HARBOR BLVD Building
Address
Owner C�.O L L E G E PA R K N O. 2 Costa Mesa, California
Mall
Address 2'� �( $O. MA I N $T Nearest
Tel. Cross St.
CitySANTA ANA CALIF. No. KI %% Zone I No.aT I Type Group
Architect ar Lie. Plans �
Engineer No. Approved
b Date
Address CORRECTIONS
c�cr uo.3761
Contractor HARBOR �ONST.CONo.
Address $AM
Legal Lot I
Description No. � 9 Block � Tractz726
(Attach Metes and Bounds)
No. of Bldgx
Size of Lot 6� X � � Nowon Lot 0
Useof I No.of I No.of z
Existing Bldg. Famflies Rooms �
Setback Lfne Trom Rear Vard Z
CenteroiStreet � SideYard D
DESCRIPTION OF WORH '"
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No. of
Size � 52�J. Rooms Stories
Exterior Wall I RooT — -
Covering Covering (�Pp�V[iLs
Use oi New Foundation Location Inspector Date
Building RESIDENCE &: ATTACHED
Forms, Materlals�
G AR AG E Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is mrreM and agree to comply Lath. Int. �
with all City Ordinances and State Laws regulating
building construction. Lath. Ext
Signature of
Permittee HARBOR CONSTRUCTION C0. p�aster,�nt.
Authorized Agt. Plaster, Ext -
u'
Valuation Permit Fee $ 30 � Masonry Reinforced
I 2��.�.00, Plan Check S/J'—� sond 6eam
§ • Fee I - $ /S —� FINAL
FORM 204 S-HP 2M 8-55
f�
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6.r
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A
PLOT PLAN
&how location and distances from
property Iine and between buildinga
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OWNER rtca,trnnm� i • �� n DATE
10B ADDRESS 2�iE�Fi O:cf�rcl Lane ' BUILDING PERMIT NO. 5603 �
GENBRALCONTRACTOR Heet Rrns. VALUE$ 217.00
AP. No. LOT 19 TRACT2726 FIRE ZONE DESCR[PTION OF WORR Grane Stake Fenre
PLAN NO.
PERMITS 18SUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
�, ✓
COSTA MESA BUILDING DEPARTN9EidT
P. 0. BOX 317
COSTA MESA CALIFORNIA
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C•L. OF STREET
' �iPROP
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_�iPROP. LINE __ _
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
5630
FOR APPLICANT TO FTLL IN �/
BUILDING ADDRESS � � � ��X7rU �� �'y'
Owner f� i t � F u% �,(� %7
Mail Addres� �$ �'� �Xf"E%�� e_i�
City ��b S%/% /���-� Ph. No.
Contractor /'�-+�-���� Ph. No. �/�s`"� � yL
City Lic. No. ���///� State Lic. No. /Jv //�
— - - - -� — - - - - - = - - - - - - -
Size oi Lot AP No. T ���,��
Setbacks: C/L Street '�/^�� Rear �
Side Yard - Righ�t fj Left— � ('
Type of Fence r�'�+�-+�/�F ��/V-l? o ��✓> /
%�. , v�i �„ �. ,,u..' io �
� IlY ��
� gs7
D PT.9" � .
TAI MESA
I
I hereby acknowledge that 1 have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Luws regulating building consiruction.
Signature
oE Permittee � �� � _
-� _.. _ _. _ // /_� .
FOR OFFICE USE ONLY
by Date Received
� 2, oZo -S
VALUATION
Permit Fee
�� � I Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
AUG 2 0 1957