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Home My WebLink About1781 MONROVIA AVE - Building Permits • 4I Cr OF COSTA MESA • 4 BUILDING DIVISION H sl DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER PERMIT B06-01600 worm - . (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BIOLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1781 MONROVIA AV , Status: ISSUED Suite: - Applied: 09/25/2006 Vicinity: ROOF,REAR HOUSE ii' , Issued: 09/25/2006 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Cor,uruct4y/, :1.7- N Parcel Number: 42436120 Sg nin.', • Applicant: BURR, STEVE Address: 711 WEELO DR -- • Phone: 949-548-2965 ISSUED BY: /� f COSTA MESA, CA • Zip: 92626 Owner: HIDDEN, JEAN E • . Address 1777.MONROVIA . _ Phone: COSTA MESA,CA Zip: . 92627 Contractor: ',BURR ROOFING ' Address:' 711 WEELO DR . . ' Phone: 949-548-2965 , COSTA MESA; CA - Zip: 92626 '2 - License: 635586 • • Eng: .. Address: , Address: - Phone: Phone: . ; Zip: . License: - , License: I• -, . . ' SCOPE OF PERMIT . TEAR OFF,REAR SIDE ONLY OF S.F.D.INSTALL 1 LAYER OF 30#FELT,4:12 PITCH,20 YEAR FIBERGLASS SHINGLES.INSTALL 1 BASE,2#11, 1 . 72#CAP SHEET,HOT MOP FOR FLAT ROOF.7 SQUARES._ w.. _ .- . FEE SUMMARY .. Plan Check: $0.00 Calc Valuation: $2,900.00 , - Permit: $83.25 Claim Valuation: , $2,900.00 • SMIP Res: $0.50 .' . ' . ' ,• SMIP Com: , $0.00 - -" - —. .- - . _.-- - ' Other: ' ` $0.00 ' .Inspection: • $0.00 Total: . ., $83.75 ` ' PLANNING R ZONING SETBACKS : - : i ' MAIN STRUCTURE Front 0-0-A f''`-Rear. >0-0 ' Left' 0-0- '-Right 0 0 ACCESSORY , Fronts 0-0 �H".Rear'- 0-0, '.Left, 0-0 Right, 0-0 �` PARKING - -Existing: 0 '• Required:- To , , Proposed: -- 0 . , r . • 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(6/00) DECLARATIONS f l WORKERS'COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: • - ❑ I have andwill maintain a certificate of consent to self-Insure Jor workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ 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 rs'c persalt suranr ardor and policy number are: / Cartier: rvw Policy Number: 0 7�/ `7 (This sec ion need not be completed it 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 California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith Comply with these ns. I 9 Z Applicant Signature: /, Date: 1 c� •� WARNING:FAILURE TO SE RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(3108000).IN ADDmON 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 lice under PJDvigions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pro(LLSsi s Code,and my license is in full force and effect.Lic.# `I' X Y Class N s 4 / Contractors Signature: �' Date: 9 a 5-0 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 properly 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 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,Op 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. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 Califomia 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 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 Flre 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 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? Yee P No (Section 65850.2 of the Califomia 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? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia 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 Califomia Health and Safely 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 end 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 properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) q Date, te. And/Or Authorized Applicant Date CODE G 'fNSPECTONTYPE ME• INTPAL$ §01)E1 )NSPECTION TYPE DAM IN1I11ALS • 1616 Fixed System Final Fire Prevention 206 Final Mechanical • 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof m� 210 Final Electrical 201 Final Block/Retaining Well 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 j. 1 JOB ADDRESS 11151 Monrovia Avenue BUILDING PERMIT NO. .4.3.(17 .... . . GENERAL CONTRACTOR owner DESCRIPTION OF WORK add bath to res remodel �AP No. _ LOT TRACT FIRE ZONE VALUE $ 00.00 he IWTECTIONS Signature Date GROUP I TYPE V ZONE Ml dr- 5PERMITS ISSUED Gas S .r yB--Fg SUBCONTRACTOR I Date I Number I Signature Water /ff-5_37'. -lay Plumbing Rough Plumbing (I4"/"S' 4 fs'-roa- 7/A-4e0, 3-/G-&c e/5-0 fa Prop. Swr. Line D House Con. O (I Sprinlding System _ Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power 0 Rough Wiring 4/r4S 5-/f-6r Heating and Vent. Trenches 0 Forms 0 Steel Reinf. Floor System Bond Beam 0 Steel Reinforce D Sheathing Frame and Flashing /V ' j/.y y Lathing— In 0 Out ❑/ PlasteD Brown Coat ,per Structural, FinalEI trio ..- pg, Vent., Rettig. and O Final iGl V./Z"/� ;j-/6-G5 011///7 fin1-.__.ibmg, Final and Gas Testst // _ �l- . Electric, Final A c 6.,,- 4.s— Building, Final / l2 40-I1-06 Special Requirements Utility Notified, Gas ,vi Elect. 74 A r OCCUPANCY 1 „Pei- _ : vru I )LY ;� . . it 23717 • --- --- MAR 12 1965 COSTA MESA BUILDING-SAFETY DEPARTMENT . • h1/4P.O.BOX 317 COSTA MESA.CALIFORNIA {&�',, For Applicant to Fill In Completely 'CATION tO• '- TYPE OR PRINT -BUILDING • . A I . For Office Use Only BUILDING /7 / M6 tea Vf/i.. . cr�L ADDRESS l 9 '! I(I RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 2 3-7 i 7 jL� ��^^ YY �/ -/ RECE(I �D BY DATE RECEIIVED/ ATEIISSUE_ OWNER )y6Tt' k e STP—Y �Y "tJ `�/?f l�+QI(IG S,(7 �f�i/ e'9 ADDRESS /777 //go'ynapi I- SCJ' BUILDING ADDRESS ((➢ /yl i/�Q[JI R. `_, FIRE CITY COT-1-4' 4/.. •CA ‘cidg../L`Y Q ZONE TYPE~ GROUP/.......... ARCHITECT ` TEL. - APPROVEDBATE// � OR ENGINEER NO. (--1414; I/NG /.�'-�� INE �, �,, ) ADDRES3 ^_ ”' ZONE NO.OF O. USE Ore } CS - - - *7 / I PLANS '! I BUILDING t•1 CONTRACTOR LJ /I{/y� P7/\ / !'/ / 000��/� - •' ADDRESS /ry/'j ' "/Q I(a 1/ A- J -I LEGAL• �l..r! • • / OOSe 7—'6.-- / / AI(,/ / / EGCRIPTION O ! CITY` QS/ !T" 1..& Yfi A.P.NO. /I & i is I— / !! T-E�1.(�/ NOTE:'NO EAVE OVERHANG SHALL BE LESS THAN SIC.STATENN 96 7636 90'TO$IQE&REAR P.L. EAVES SIZE 7s-X L34 I NO.OF BLDOS.v7 ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF. `, MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ft4&T�/,ESV'ce: (FROM C/L STREET) SETBACK LINE FROM `� j_ _ � YARD FRONT CMO FT. -PT. CENTER OF STREET "TO 0"'T REAR .[ . S SIDE YARDI LEFTC I RIGHT R.SIDE�"Fif4' *-L2-10' FT. DESCRIPTION OF WORK L.SIDE<5 LFT. P FT. • NEW W* ALTERATION A ADDITION __ REAR 1 0 FT. ^-/ FT. DISTANCE BET. BET.MAIN& RI MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS. pp_ NO.OF VAR..YC DATE - H SBUIZE DIN.J r '� i0 ROOMS STORIES / C.U.P. APPROVED' EXTERIOR Y)(ALL ` �� RQVOERIN /J�.�YY(�(J BYAPPROV ,...t.„ i - - DATE COV ERIN [. J 'YL GL -/D C� USE OF,BUILDING AND WOR OBE PERFORMED a 4T 14 /' av m .. / &m-oJ) & L /fi c/L ci ( �a 6Q.FT. C. 7. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTT OON Da PERMITTER VALUATION e� - .i, o SIGNATURE OF /if/,�—fJ� PERMIT FEE 5 PERMITTEP f/L � B S,__CC v PLAN CHECK $ X AUTHORIZED AGENT ��4 1 TOTAL FEE 5