Loading...
HomeMy WebLinkAbout1775 MONROVIA AVE - Building Permits • .010 F 9 CITY OF COSTA MESA r BUILDING DIVISION . •V e_ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER y�,� PERMIT 44R .e. /B02-00532 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1775 MONROVIA AV Status: ISSUED Suite: Applied: 04/22/2002 Vicinity: ROOF Issued: 04/22/2002 Parcel Number: 42436121 Zoning: - - // Applicant: BURR, STEVE - ISSUED BY: Y` Address: 711 WEELO DR Phone: (949)548-2965 COSTA MESA,CA - • Zip: 92626 Owner: HIDDEN,JEAN•E Address -1777,5 MONROVIA. - " - �. \� - Phone: 'COSTA MESA;CA"- Zip: 926274430 - Contractor: BURR ROOFING Address:, 711 WEELO DR V` ' Phone:. (949)548-2965 -y COSTA MESA, CA Zip: 92626; License: 635586 • , _ . , - Eng:• Address: - Address: . Phone: ; i,, - Phone: Zip: License: • N 'License: ' ' - SCOPE OF PERMIT._/ r, r TEAR OFF ROOF FOR S.F.R.ONLY. RE-ROOF ONE LAYER WITH 30#FELT A_N_D 20. YR FIBERGLASS SHINGLES.FLAT ONE LAYER OF 25#,BASE TWO LAYERS OF 11#,AND ONE LAYER OF 72#CAPSHEET. • , FEE SUMMARY - Plan Check: $0.00 - - - - - - = -,/ =" -= Calc Valuation: A ' -, `$3,70000' Permit: $97.25 y� - Claim Valuation: .r , $3,700.00 y SMIP Res: $0.50 SMIP Corn: $0.00 . , , Other: . $0.00 Inspection:- $0:00 Total: $97.75y . i• . ,r: PLANNING&ZONING , - . . SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left b-0 Right 0-0 ' ACCESSORY Front 0-ft, '- • Rear 0-0 Left 0-0 - - Right 0-0 PARKING Existing: 0 Required: 0 Proposed:. -0 NOTES: - - • 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. 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. FOR INSPECTIONS CALL: (714)754-5626 2446-46(60O) DECLARATJONC, C j fl WORKERS'COMPENSATION DECLARATION: r , I hereby affirm under penalty of perjury one of the following dedarations: ❑ 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 work for which this permit is issued. 10 '1 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' mpehsation Insur nce carrri and policy number are: /f'J Cat er•� T W'^ PollcyNumber.�v 7 6 SSW C? (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I 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 Califo•ia,and at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these pr. ._r LApplicam'SI 7 'o�ta:� V-12 20Z 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 DOLARE($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 license undeerryu4'onyof Chapter 9(commencing with Section 7000)of Division 3 of the Business an of sions Code,and my license is in full ecL.l 4orce:ani effir..Nr+ S 5 (o Clex T C Contractorssignature: VrD Y 27 –ot 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). Lenders 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).): ❑ 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 properly 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 driver's license. ❑Yes 0 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 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 0 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? 0 Yes 0 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 then 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? 0 Yes 0 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? Yes LJ No (Section 65850.2 of the California Govemment 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? 0 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? 0 Yes 0 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: Date: 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. ..t.Signatir Legal Owner(s) Date AndfOr'Authohzed'Applicant" �Date� PQDEr I$SPECTION TYPE PATE EMU CODEI INSPECTIONTYPE QAIE 11 10106./ • 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final u 7 q 208 Final Plumbing 200 Final Re-Roof / ' l 192 210 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 LIC;ATI R BUILDING .PERMIT COUNTY OF APPLICANT TO FI REA WITHIN 1 AVY,.LINES ONLY. NE �'j=-- ORANGE ADDREISS /7 / r MO-a y CL of N DESCRIPTION OF WORK TOWN OR SCHOOL �y y NEW ❑ ADD ALTER❑ REPAIR ❑ DEMOLISH❑ DISTRICT C/�i( /i(- ter.` IZE SQ. T. P$�9J�t NO.OF STORIES FAMILIES OWNER \ ! L Ar //�`�/^ � fc -F . L//. I. a.� i, MAILING r ' e4 `y! y+, 2 (� /gyp ADDRESS 777S- h'1n•itvim,PHONE i0 G VAC* ""C// rimy, .! - lgAr l`{. �}INnrE [ /(/,/�)/}L/�, //�� LEGAL LOTH /4 GWE As_ 4• CITY tt... l,�C✓L?,aT • DESCRIPTION //do jT /760 TRAC` V ARCHITECT OR /J' (PLEASE ATTACH METES AND BOUND et T4'��� ENGINEER @-i )"-.._t e I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CATION AND STATE THAT THE INFORMATION I' HAVE PRO- . ADDRESS f 7 , S-- h/avvvw- -k.. , VIDEO IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE'LAWS REGULATING BUILDING CON- ) /y STRUCTION. CONTRACTOR r._ MAY SIGNATURE ADDRESS /7 '7 $'i72OY2sGC �/.-_ PERMITTEE +/ ., -d /I 44 4611 0,7 s p e y3�, ZONING REGULATIONS C 5%_�__ �LAD DRESS� OL`L 4. ( . I CHECKED BY EJ// DATE/0 O''/4 -O 6 DATE CLEAREn - I FEE rirCrr- et PLOT PLAN FULLY DIMENSIONED? YES ♦r NO p. Qr ALL BUILDINGS SHOWN ON PLAN (PER APPLICANT)i ?S VALUATION $ /' • FEE MAIN USE .....1 ACC. USE ZONE//'jI DIST.. MM76-4 _IV OCCUPANCYPE GROUP TYPE REQUIRED BUILDING SITE FRONTAGE?`, YES- NO BUILDING HEIGHT? STORIES 0611. AND FEET INSPECTION RECORD REQUIRED LAND AREA? t YES� ^ NO APPROVALS DATE (INSPECTOR SIGNATURE FOUN ATION: LOCATION VARIANCE REQUIRED?ra� �jA a APPROVED NO FORMS AND MATERIALS. /O_14e.: X a!/V .4j /4. A , STREET WIDTHG'630 CORNER LOT INT. LOT'S REINFORCED /y J -.-4,,k21:-_,:r;--1.-'1,.�"i` Jj' } X MASONRY OR CONCRETE BUILDING SETBACK C/Af. 0 , • PROPERTPaE 3C1 J IR` �, SIDE YARD. RIGHT $ilk, NJ/Ai EAVE PROJECTION /.S." N BOND BEAM / w C 't/4' / SIDE YARD, LEFT /t 1 EAVE PROJECTION /.Sy v / 4 UNDERPINNING .LI i REAR YARD (TO P/L) 13 1 t WIDTH OF•ALLEY"��pA0/41‘0/41‘...7t • IDrb raw SEPARATION BETWEEN BUILDINGS a 2- 1 0 K 4.. , ROOF SHEATHING ,,f.,- , S' I Qrh A CHIMNEY IN REQUIRED SIDE YARD PROJECTS "'''• • "��� ROOFING Lyy- ,1ya PORCH fN REQUIRED YARD PROJECTS Y STAIRS IN REQUIRED YARD PROJECTS FRAMING / -4-� I�o JL� PARKING AREA REQUIRED CAPACITY. CARS ' LATH OR DRYWALL l ` /Y� /.�� REMARKS' Pea,/,�C P /ODD,?/oN Ta s'� INTERIOR //�-l. 4'M /t7-. C( f� ' LATH �. L 0 �� _� 0/,A.6 c e F.o iv/:c 0%IVC.0 EXTERIOR (•4 Y /1;x2/1- '/ h,.1(a, , FOR OFFICE USE ONLY PLASTER � BROWN''C� no /a OD/ VCi„I RECEIVED BY PLAN CHECKED BYeck / `tpFNAL PED ^�O I _ PLAN CHECK RECEIPT I. ROUTE IMMEDIATELY . 2. OFFICE 3. STATISTICS FILE 4. OWNER'S COPY NO. TO INSPECTOR WORK COPY FOR COUNTER USE OF PERMIT A?do i/6 —/SO - tt - C. W. DONOHUE - SUPERINTENDENT 2041 N. BROADWAY • SANTA ANA. CALIF. KI 3-9341 HAROLD L. GOLDY O DEPARTMENT OF BUILDING AND SAFETY VALIDATION ASSISTANT SUPERINTENDENT OF BUILDING AND SAF Y A OCT 7'581 086 37 14.00� 1 /{ 7.00 7 1.00 + TELLER DATE RERMIT NO. PERMIT FEE 61CODE PLAN CHECK TOTAL IGATIWR BUILDING PERMIT 26M9-57 - ' APPLICANT TO FILL AREA WITHIN HEAVY LINES ONLY. couAN of , ^ ORANGE BUILDING _ j� CTp�� (F��'' DESCRIPTION OF WORK ADDRESS /77. ,) /!!nA//en1✓/f$ a rit-SC I NEW ILY ADD ❑ ALTER❑ REPAIR ❑ DEMOLISH❑ TOWN OR SCHOOL/2# // DISTRICT 0Y}./!"`1 /,/�T`'i c3 i.., OrR//a SIZE NO.OF NO.OF / SO.FT. 41)7(// STORIES / FAMILIES " � USE OF /1 '�t _ OWNER' ,1•�J lTYIA�A� - STRUCTURE C/V•Cn C.A O47 TAC I•I E D MAILING ADDRESS/772 ///�0�Y/Mj/Znv//i/ z/ PHONE Li gwk000 PST C -4 C tq ) CITY A ///"C t4 re:a/ (- LEGAL LOT I' BLOCK TRACT CON% J ]ry [ DESCRIPTION #S( • Y ,poitr ARCHITECT ORy (PLEASE ATTACH METES AND BOUNDSI ENGINEER OVJIV/CI1.. t 0QQJI NCATION RAND EBY ACKNOWLEDGE WTHAT THEA INFORMATION T I HAVE DI HAVE PRO • - ADDRESS /77, ,/7) ,v/7e' y .q .s/ ia/EyTHIS APPLI- 4 VIDED IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY 1,,uNG ORDINANCES AND STATE LAWS REGULATING BUILDING CON- CONTRACTOR 0 yy NC 1C CON- STRUCTION. ///I q' p aQ�1-� SIGNATURE OF ��r //� J .T�l ADDRESS 7•77.-s ,Q204'4ov/A 51 i17'JA PERMITTEE {'�/ • / �,^J• cT- ST/ ZONING REGULATIONS ` �•n ADDRESS /7O/ 0/0/Yk o✓//V V/ j ss. CHECKED BY�DATELATE CLEARED/0 '•` .."'MP,C, $ m.0 FEE S ,.i' PLOT PLAN FULLY DIMENSIONED/ YES ` NO V v ALL BUILDINGS SHOWN ON PLAN (PER APPLICANT)? y VJ J - VALUATION$ /000 B-PT. $ FEE MAIN USE ACC. USE a ZONE IYl I DIST. Mt° v 'O OCCUPANCY TYPE ..... GROUP OF CONSTRUCTION Dr— REQUIRED BUILDING-SITE FRONTAGE? YES NO BUILOING.HEIGHTI STORIES O/VC AND.FEET INSPECTION RECORD REQUIRED LAND AREA? /VCR E$ �� ry0 APPROVALS DATE I.SPECTOR SIGNATURE VARIANCE REQUIRED, ��jj/V� APPROVED NO ' FORMS AND MATERIALS. if -/1-�d �L�'ce,/ e STREET WIDTH.Z/.3C CORNERILOT INT. LOT w REINFORCED "�l�� yu.'- V BUILDING SETBACK CIL ST. Af r ! "G PROPERTY LINE /// 1 4 "` MASONRY OR CONCRETE : SIDE YARD. RIGHT s L'E•SAVE CROJECTION 12" • BOND BEAM SIDE YARD. LEFT-' ..0 AyE PROJECTION I Z/E UNDERPINNING • REAR YARD (TO N/L) /8/F• '�(WJIDTH OF ALLEY Hn'ler I .�'y?X� SEPARATION BETWEEN BUILDINGS al • . ROOF SHEATHING „4/203,.- Sri -� CHIMNEY IN REQUIRED SIDE YARD PROJECTS •+ �/ 'f'" ROOFING 6r^ - / //. PORCH IN REQUIRED YARD PROJECTS - - STAIRS IN REQUIRED YARD PROJECTS - FRAMING ii./,7-07 ti LJ7s•/4.07n1 • PARKING AREA REQUIRED CAPACITY, CARS LATH OINTERIOR DRYWALL 7 (/ REMARKS: PF6/77/.771 E 0 eCCSS S oe,, el 5.i..- LATH R , V / •'y H1 / EXTERIOR // "1•A../ Li V-a.5. aa��a PLASTER a /y /g A i /`- FOR OFFICE U�Sa1E��OAsa BROWN COAT Jl, w, (TAfV� RECEIVED BY .�jr'AO- ` • ` � I���I FINAL � -J PLAN CHECK RECEIPT II, ROUTE IMMEDIA LY 2. OFFICE 3. STATISTICS FILE 4. OWNER'S COPY 1 NO. I TO INSPECTOR WORK COPY FOR COUNTER USE OF PERMIT /\ P iila- iSI. - iz • C:w. DONOHUE - SUPERINTENDENT 20472 N. BROADWAY. SANTA ANA. CALIF. KI 3-537 HAROLD L. GOLDY VALIDATION T SUPERINTENDENT OF DEPARTMENT OF BUILDING AND SAFETY A551 BUILDING AND)s..F ETY A OCT 9'581 086 54 6.00 1 3.00 7 9.00 ifr TELLER DATE PERMIT NO. PERMIT FEE CODE PLAN CHECK TOTAL .r&e IT/n gam. P9 ,,,,,. . 15118 FE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT AUG 9 1961 P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATION�FOR�PERMITSA TYPE OR PRINT BUILDING BUILDING ,A1 ,,� ADDRESS I / 7 5 //�n' t#° j/ /a J COSTA MESA. CALIFORNIA For Office Use CID* -a/\ R ^ e/I I Iry RECEIPT NO. PERM('' OWNER 1 ✓• / • / , MAILI ADDRESS RECEIVED BY DATE RECEIVED D TQ 189Uco / � 7��'/� "a u�cti REC ,Ati. r-y--CII 79-6l CYC(, n,-/ /,z, / � TOy �/ .AUDD { y %lb.J"OV(Ox ARCHITECT - TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ADDRESS /. ZONE TYPE GROUP CONTRACTOR (2r(r-,(ox /_ - _&0 BYPROVED "'z BY DATE IT,(/ `/ ADDRESS ZONING ZONE _I I NO.OF I USE OP NEW /OC4'wa CITY PLANS 7 BUILDING STATE TEL. LEGAL M Mc fry 47- �oo LIC.NO. NO. DESCRIPTION SIZE I NO. OF SLOGS. / . - OF LOT ) ,( ,,N/OW^ON LOT A.P.NO. /./((� — Z- —I e- USE OF DS EVES EXISTING BLDG. P T F vy, S' // Com/ IC.( APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT 1-I. IN. SIDE YARD I LEFT I RIGHT R.SIDE ,..,--_-_— FT. IN. DESCRIPTION OF WORK L.SIDE FIN. T. NEW I VII ALTERATION I °ADDITION I REAR 0 FT. - IN. MOVING ( DEMOLISH BYPROVEDet/4/(9 DATE if/f�' ( REPAIRV BUILDING NO. OF /8IO... SIZE ROOMS STORIES EXTERIOR WALL I ROOF , COVERING COVERING Ug Of BUILDING AND WORK TO gsE PERFORMED / x g )( /6 l�J 6 � Ac,—,./ I HEREBY ACKNOWLEDGE TM/Iv HAVE READ THIS APPLICATION AND STATE THAT THE ABOVA IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATIONMIISF FOR ONLY.PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINA CEB AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION Cy, SIGNATURE OF -/��7/ ��// PERMIT FEE $ 2. PERMITTEE ( I / 1= '�t"'�^ ' '��� dB .^ _n $ ' +O, PLAN CHECK $ AUTHO FVAGEII �� ��r. 2 A 60 re TOTAL FEE $ d /