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
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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 '? .
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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
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BLOCK
FIRE
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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 /
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CONTRACTOR (,(/
BV DATE
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SQ. FT. x.
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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:
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TEL.
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NO. OF
USE OF N W
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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.
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OF LOT /O3 "_ G NOW ON LOT
FROM
FT.
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USE OF
EXISTING BLDG. =$/,/i C`i(`C'P.
U FT.
FT.
y
I
FSeparate
permits are required for
L. SIDE FT/Q
FT.
electric, plumbing and heating work.
0
REAR FT.
FT.
F
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
0
MAIN SLOGS.
ACCESS. BLOCS.
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CP.+
APPROVED
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APPROVE
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1 hereby acknowledge that I have read this appllcation and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I. shall. not _employ.
any person In violation of the workman's `compensation laws of
1.
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m
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w
+_ x�
/ ;.
ti
SQ. FT. x.
3
the State of California. '-'_ 1
1 hereby certify that I em properly licensed as a contractor under.:
the State of California Business and Professions Code, Dlvisian 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the provisions of the State of California Business
antl Professions Coda, Division 3, Chapter 9.
Signature of //'//may /.G..
Permittee e&gf Ie a
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THE AMOUNT SHOWN UNDER' V1-11 ALUATION IS FOR'
THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY:
VALUATION
'$cul
PERM IT FEE
$ � �
xPLAN.CHECK�'$'x•
TAX $ O
I
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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