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HomeMy WebLinkAbout1708 MINORCA PL - Building PermitsCITY OF COSTA MESA 4q�p MFsq BUILDING DIVISION >A 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesas .us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: B09-00300 PERMIT TYPE B_ROOF2 APN: 13933101 STATUS: ISSUED DATE ISSUED: 12/11/2009 ISSUED BY: BJK JOB ADDRESS: 1708 MINORCA PL CM Suite/Unit: Vicinity: REROOF AND INSTALL 2 BY 4 FT SKYLIGHT Squares: 42 Valuation: $13,000.00 SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHAKE OVER WOOD, SHINGLES, 7/16" OSB, 1 LAYER 30# FELT, INSTALL CORNING 56 -YEAR COMP SHINGLES. TORCH DOWN CRICKET. 42 SQUARES PITCH 4:12 & 12/12 - WORK ALSO INCLUDES INSTALLATION OF ONE 2' X4' VELUX SKYLITE BETWEEN THE RAFTERS. ICC #NER-216 OWNER: STRAUB, CHARLES A Address: 1708 MINORCA PL Unit: PHONE: Reinspection Fee: City/State/Zip: COSTA MESA, CA APPLICANT: FERGUSON, LEW _ Address: 1260 N HANCOCK Unit: :SUITE 107 PHONE: 714-777.4040 City/State/Zip: ANAHEIM, CA CONTRACTOR: MC CORMACK ROOFING AND WINDOW CO License No. 643700 Address: 1260 N HANCOCKUnit: SUITE 107 PHONE: 714-777-4040 City/State/Zip: ANAHEIM, CA 92807 CELL: 949-347-1400 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $223.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $224.25 License No. PHONE: License No. PHONE: 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: 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. CODE if INSPECTION TYPE DATE INnnALS CODE INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final Q 208 Final Plumbing 200 Final Ro-Roof Z P' 210 Final Electrical 201 Final Bloek/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 e • 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 ��pe(rformance of the work for which this permit is issued. ,- AL ° 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 workers' compensation Insurance carrier and policy number are: Cartier:' /til.4[X:)57-14-'3 (This secrxin needrpt he mmCdeteaeiheperr is waluM atonehurdn d m(5100)aless.) Policy Number: ;m f�l SIP 010a -79- 0 9 ❑ 1 certify that in the performance 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 su 'ect to the workers' compensation provisions of Section 3700 of the La or de, I sha fin th comply with these provisions. Applicant's Slgnat-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 DOLLARS ($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 affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fullforceand effect. Lic. #---+ (X / ��� Class # 3 ` B Contracmr's Sig ure Date 1 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: Lender's 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).): ❑ 1, 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: Date 305746 (3/07) Owner ID verified by driver s license. E] Yes ❑ No Driver's 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 feel 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, California 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. Applicant's Signature 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? ❑ 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 Califomia 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 California 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ 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 any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ 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. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION 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 city ordinances 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. gnaty� of egal ownege) Date Andlor Authonz d pplicant ate J 5TR4u$ RrilDEtice UP9:m, DATE 39-331-01 LOT 31 TRACT nnR FIRE ZONE VALUEb 6 000 00 I CTIONS Slnir�qdwe Date ITYPE GROUP ZONE gi SUBCONTRACTOR PERMITS ISS ED Gas Dote Number Si nature WATER Plumbing ,ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM 'MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE ' UNDERGROUND POWER LL ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS STEEL REINF. Q % FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT ST -TURAL, FINAL H G, VENT., REFRIG. AND A.C., FINAL PLu-GING, FINAL AND GAS TEST ELECTRIC, FINAL LC/ z�LS-z BUILDING, FINAL i 4n9C3 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 FADDRESS Applicant to Fill in Completely — Use/.Ink Only LDING �erJs•1 •�R : BTEL. i&/�sid No .S '? . W PAIa 25-75crosL00T004<+ ****5 .50 APPLICATION FOR STRUCTURAL PERMIT REC DATE RECEIVED TE 1 �LED A.P. NO.I�J/"' �3I ^r JI P I�U BRANCH' OWNE ADDRESS ARCHITECT ..r ..� .. _ .... TEL. . _•_� S 0 BLOCK FIRE --AV —�/J ADDRESS ?(S,2 t"'-•/ N1 //✓ 5 i ZONE WE, of GROUP 1 hereby acknowledge that I have read this appllcation and state that the above Information is correct and agree to comply with all laws regulating building construction, and I. shall. not _employ. any person In violation of the workman's `compensation laws of APPROVED / 1. h m CONTRACTOR (,(/ BV DATE / ;. ti SQ. FT. x. 3 the State of California. '-'_ 1 1 hereby certify that I em properly licensed as a contractor under.: the State of California Business and Professions Code, Dlvisian 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business antl Professions Coda, Division 3, Chapter 9. Signature of //'//may /.G.. Permittee e&gf Ie a ADDRESS - THE AMOUNT SHOWN UNDER' V1-11 ALUATION IS FOR' THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY: TE TEL. ZO NO. OF USE OF N W Yf Authorized Agent TOTAL PAID $ . CITY PLANS BUILDIN STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDI W 512E NO. OF BLDGS. (FROM C/L REET) 6. / OF LOT /O3 "_ G NOW ON LOT FROM FT. Q .�. USE OF EXISTING BLDG. =$/,/i C`i(`C'P. U FT. FT. y I FSeparate permits are required for L. SIDE FT/Q FT. electric, plumbing and heating work. 0 REAR FT. FT. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & 0 MAIN SLOGS. ACCESS. BLOCS. G�C•f'�V O Sc UR CP.+ APPROVED 7 APPROVE --AV —�/J J Q �. p. Z 1 hereby acknowledge that I have read this appllcation and state that the above Information is correct and agree to comply with all laws regulating building construction, and I. shall. not _employ. any person In violation of the workman's `compensation laws of 1. h m .• w +_ x� / ;. ti SQ. FT. x. 3 the State of California. '-'_ 1 1 hereby certify that I em properly licensed as a contractor under.: the State of California Business and Professions Code, Dlvisian 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business antl Professions Coda, Division 3, Chapter 9. Signature of //'//may /.G.. Permittee e&gf Ie a �; m. N m w a n a' f U - THE AMOUNT SHOWN UNDER' V1-11 ALUATION IS FOR' THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY: VALUATION '$cul PERM IT FEE $ � � xPLAN.CHECK�'$'x• TAX $ O I Yf Authorized Agent TOTAL PAID $ . Lots COSTA MESA BUILDING -SAFETY DEPARTMENT 11 P. O. BOX 917 COSTA MESA. CALIFORNIA I� For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA FEE RECEIVED n 6 1998 FINANCE DEPT. APPLICATIONYFOR eEMITMESA BUILDING For Office Use Only Investors Marine Inc • RECEIPT NO. 21 QItl:ST AY OWNER .lV7l JJ MAIL 1600 W. Coast Hlp�]Wa ADDRESS 'y RECIU BY DATE RE��CEqqIVED// DATE ISSUED //�/ d 'W F 1961 Newport Beach Calif. EL BUILDING CITY -1655 ADDRESS ARCHITECT same TEL. COSTA MESA. ALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP Mesa Verde Builders, Inc. APPROVED CONTRACTOR BY DATE 1653 Minorca Drive ZONING. ADDRESS . Costa Mesa,Calif. CITY ZONE / OpC` NO.OF I USE OF NEW PLANE ��-BU ILDIND ucTND.181269 No. Ki 9-0395 �( LEGALDESCRIPTION �• SIZE/1 i X loo 1 NO. OF BUD S. 0 OF LOT .5o NOW ON LOT A. P. NO. USE OF EXISTING BLDG. YARDS EVES APPROVED ALLOWED SETBACK FRONSTREETLI 401 271 use ST.)UFT. CENTERR OFIE REAR YARD FRONT IN. 71 61 SIDE YARD LEFT RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NEW IX II ALTERATION I IIADDITION - REAR FT. IN. REPAIR- I II MOVING 1 DEMOLISH APPROVED DATE �. SIRE 1WDING7A0_0L Sq.Ft.ROOOF NO.7 STORIES COVERING a ISyOg I COVERR IF ING S e USE OF BUILDING AND WORK TO BE PERFORMED single familyresidence and garag Model No. 750-C Attached garage - 462 Sq.Ft. 1 HEREBY ACKNOW DGE HAT 1 HAVE REAllulli PLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THATIT E wB VE 1a CO SCT ATO COM- PURPOSE OF. ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ONEANCES AN ATEGULATING BUILDING CONSTRU O 1' VALUATION PERMIT FEE $ SIGNATURE OF/ � PERMITTE PLAN CHECK $ 010,50 ` SO AUTHORIZED AGE T TOTAL FEE i