HomeMy WebLinkAbout2477 MONTRE WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DflNE, GO51 A MtSA, GA y2tiZti
BUILDING PERMIT
.lobAddress: 2477 MONTRE WY
Suite:
Vicinity:
Parcel Number: 43914138 Zoning:
Applicant: HANSEN, DUKE
Address: 260 E ALTON AVE
' Phone: (714)557-7440
SANTA ANA, CA Zip: 92707
Owner: MC CARTHY, ROBERT HENRY
Address TR
COSTA MESA, CA Phone:
2477 MONTRE WAY Zip: 92627
Convactor: ROSS 8 BARROWS INC.
Address: 260 E ALTON AVE
SANTA ANA, CA
Zip: 92707
Arch :
Address:
Phone: (714) 557-7440
License: 327802
Eng:
Address:
ISSUED BY:
Sfatus: ISSUED
Applied: 06/21/2004
Issued: O6/21/2004
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF BUILT UP ROOF AT REAR FLAT ROOF ONLY. RE-ROOF WITYH 4 PLY BUILT UP ROOFING.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Fronl 0- 0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
Rear 0-0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$3,100.00
$3,100.00
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 9248, § 1, 7241-92)
EXPIRATION: This permit shall automatically expire and become void it 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 permil to be considered legal, such work must comply with all applicable codes, and all
required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-06(&00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aHirm untler penalry tl� perjury one ol tha following declarations:
❑ I heve and will meintain a certlficete of consent to self-Insure br workers' compensetion, es provided for by section 3700 of the Labor Code, tor �he pertortnence of the
� /work lor which this permit is issued.
�1 have entl wlll meintain workers' compensetlon Insurence, es requlred by section 3700 of the Lebor Code, tor Ihe pedormance of the work for which this permit is issued.
My workers' compensation Insurance ca�der end policy num6er are:
Carrier: Policy Number.
(This secflon need nof be comp�ered il the permif is velued et ane huntlred dollars (5100) br IessJ 4
❑ I certly thei in the ance ot the work lar which this pertnit is issued, I shell not employ any person in eny manner so es o become subject to t�e workers'
compensetlon la of C ifomia, and eqree Ihat It I shaultl becrome sub�ect to tha workers' wmpensation pro�islons ot ctl� 37W of �e Labo Ca e, 1 shall tort�with
comply wit� th e provis� �s.
Applipnt Siqneture. ���� � /l�� Dete: O
WFRNINOt FAILIIRE TO SECURE WORKERS' CAMPENS TION COVERNGE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOVEF TO CRIMINAL P NALTIES A D CNIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADOITION TO iHE COST OF CAMPENSATION, DAMNGES AS PROVIDED FOR IN SECTION 370fi OF TME LABOR CADE, INTEREST, AND AiTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn t�et I am licensed under provislons ot Chapter 9(commencing with Section 7000) ot Division 3 ot the Business and Professions Code, anA my license Is in full
force and eHect. Lic. q — Class a
coniractor'ssiqneNre: _ —�/_,__��_ T_ � oe�e: `Z� �
� , �
CONSTRUCTION LENDING AGENCY:
❑ I here6y aHirtn that there is a wnsiruction lending agency tor the peAormance of Ihe work tor which this pertnit is issuetl. (Sec. 3097, Civil CoOe).
Lentle/s Neme: Lentler's Address:
SignaNre:
Date:
OWNER-BUILDER DECLARP710NS:
I hereby eNirm t�et under pen0lry ol perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counry whicn requires a permit b constmct, alter, improve, tlamolish, or repeir any sirucNre, prior to its issuance, also requires ihe applicant for such permit
to fila e signed statement ihat he or she Is Iicensed pursuent Io the provisions of �he Contractors License Law (Cnepter 9(wmmencing with Sectlon 7000) ol Divlsion 3 ot Ne
Business end Profewions Code) or thei he or she is exempt therefrom end ihe basis lor t�e alleged exemption. Any Waletion of Section 7031.5 by any epplicant tor a Dertnit
subjec�s Ihe applicant to a civil penelry of not more ihan five hundretl dollars ($500).):
❑ I, es owner ol the properry. ar my employees wilh weges as their sole wmpensetlon, WILL DO THE WORK, and �he structure is not intended or oXeretl for sale (Sec.
7044, Business and Professions Code: The Con�ractors Ucensa Law does noi apPN �o en owner of properry who bullds or improves ihereon, antl who does such work
himsell or herself or through his or her own employees, provided that such improvements ere not intended or oHered for sale. It, however, the building or improvement Is
soltl within one year ot completion, the owner-builtler will have iha burden ol proving that he or she tlitl not build or improve lor purposa ot sale.).
❑ I, es owner ot Ne pmpedY, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo con5truct the pmject (Sec. 7044, Business end Profes5ions
Cotle: The contracmrs Licanse Lew tloes nol epply to en owner ot propetly who bullds or lmpmves Ihereon, and who comrac�s tor such project with e contractor(s)
liten5e pur5uent to ihe Contractors License Laws.).
❑ I em exemp� under sec.
SigneNro:
Owner ID venfied by dnvers IiGense. ❑ Ves ❑ No
Business and Professions Code tor this reeson:
Vedficatlon o� Ownership by (rype of document, i.e. - pmpeny tax bill or tleetl):
Drivers License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICA710N:
❑ I hereby certify thal no excavation five (5) or more faet in tlepth into which e person is requlred to descentl, will be mede in connection with work euthotlzetl by this
permit, antl thai no builtling sWCWre, scaflolding, falsework, or tlemolition or dismantling thereof, will be more than thirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celitomia Administretive Cotle).
❑ As owner-builtler, I will na� employ enyone to tlo work whic� would require e permit from the Division of Industrial Salery, es noted above, unless such parson hes e
permit to do such work from �he tlivision.
Signature: Date:
DiviSion of Indus�nel Safe�y PeRNI Number:
CERTIFlCATE OF COMPIJANCE AND AUTHORIZATION OF ENTAV: I certity untler penalry of perjury ihat I have read this epplication antl state thaf ihe Informatlon given is
correct. I egree to comply with all steta lews and ciry ordinances rela�ing Io builtling consiruction, an0 euthonze reDresentatives ot ihe Ciry of Coste Mesa to enter upon ihe
ebove-descnbed property for inspection purposes. I agree not m occupy or ellow occupancy of any building authanzad by this permit until tinal inspection.
COOE A. INSPECTIONTYGE
1616 Flaetl Sys�em Final Fife PrevenUon
1266 Pool Spe Final
200 Final Ra-Roat
201 Flnel BIocWRetaining Well
202 Finel Factory Fire PIaCe
203 Final Sign
204 Final Damalition
Owner(s)
�—
Applicam
Pdif. NIIDALfi
yODEt INSPECiIONTYPE
206 Final Mechanical
20B Final Plumh(ng
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Buildin9/Occupancy
Q6g It�ALS
OWNER MC CpRT�Y. Robert H. DATE 6_2_
106 ADDRESS 2477
-04-b38 LOT TR
ns
ROUGH PLUMBING
PROP. $WR. LINE HOUSE CON.
SPRINKLING SVSTEM
ISCELLANEOUS
tiOUGH HEATING ANq AIR CONOITIONING
UNDERGROUNO Lf POWER
ROUGH wIRING
iRENCNES � FORMS Q
FLOOP SVSTEM
BOND BEAM STEEL RE
SNEATHING
FRAME AND FLASNING
BUI
SUBCONTRACTOR
.
�I� g 40073
i��t7 —2-75Pa.u�� 040 �� ,tt: t :^,:�S.l�
cetsr
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
PP ICATION FOR BUILDING PERMIT
For Applicant to Fi!! in Completely
/ � /� R I - BV DATE RECEIVED DATE ISS
BUILDING �'17 /% /�1��P� / . l.Y�iG G/.' �sa_�i �
ADDRESS .� ( -/
OWNEF Y".7D " �� I!!!�. t lC � A.P.NO. �
MAIL y / �/� Aoo'Ess a.y�>
Z ADDRESS �/-)7 � a G,'/ A /S
d U CITV /J ' L� U NO G��'fJ .L% TRACT �.
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Q CONSTRUCTION W ADD A P
O N LEN�EF
am
J � BRANCH
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OR ENGINEER N .
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w CL ADDRE55 ZaNE /TYP
a w APPqOV /
W Z CONTRACTOR - / gV L�
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J � ADDRESS '
� w TEL. �ONE � NO�.O�F
Z � GITY NO.
w O STATE CITY VARDS APPflOVED
y� IIC. NO. LIC. NO. MAIN BUILDING
7� SIZE NO.OF BLDGS. (FROM C/LST EET)
OF LOT NOW ON LOT FRONT L
USE OF
EXISTING BLDG. S FT.
� S2E OF � % . OF ��.
z NEWBLOG. ' ROOMS STORIES L.SIDE / FT. '
U EXTERIOR ALL ROOF '�
COVERING COVERING REAR FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
d MAIN BLDCaS.
a
Q � � AR.�
� A_{t G� dj .U.P.# I
F APPROV ED ' � /1 Q, � .
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UI hereby acknowledge that I have read this application antl state
= that the above intormation is correct antl agree to complY `/„�ih
� all laws regulating building construction, antl I shell not amploy
� any person in violation of the workman's compensafion laws of
N the Stata of California. �
? I hereby certify that 1 am properly licensed as a conttactor untler SQ. FT.
the Stafe of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN l
Chapter 9, antl that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABI
am exempt from ffie Orovisions ot'ffie State of Califomia eusinezs VALUATION
antl Professions Code, Division 3, Ctiapter 9.
� PEF
Signature of . �A` /� � �
Permlitee //�- $_.�yp) ✓� PLL
� ��4iV
Authorized ABent
TO�
G �
�,�/1V/alU$ '�
I..CL_
GROUP �
DATE�—Z' f�
USE OF NEW %j /�
BUILDING C�J�c
VARDS APPROVED
BET.i
ACCE
DATE
� 2-�
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VALUATION IS FOF !
A PERMIT FEE ONLV: �
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m
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0
LL
$ �
OWNER
JOB ADDRESS
INSPECTIONS
: Co.,Inc. DATE 6-3-63
BUILDING PERMIT NO. �
�v.Co.,Inc. VALUE $ � •
j FIRE ZONE nESCRIPTION OF �VORK es.w
DATE GROUP I&.T TYPE V ZONE -
PERMITS ISSI
. SUBCONTRACTOR nnmc rrrr
,� �- I 9b� i
COSTA MESA BUILDING•SqFETY DEPARTMENT
P.O. BO%91] COBTA MEBAr CA�-�FORNIA
For Appl3canf fo Fill In Completely
TYPE �OR PRWT
eu��o�rvc 1yr'��"�
nooaess f7�
COSTA MESA, CqLIFORNIA
OWNER DD � � tIJ//7 ,��(1
MAIL / S�]. /YIQHGhe1�j� (/
ADDRE53
1 j
c�rv /1ct_ e�� %T• NO. .�L��-9
ARCHITECT. TEL.P.f./_ �'
OR ENGINEER Q/ G l� N O
��.E RECEIVED
�C JUN 3 1963
I FINANCE DEPT.
APPLICA(Jj�YJ �$I+j',8�11�ESA
BUILDING
for Offite USB Only
rtec¢ipr Ho. 4 ��� 1
Y S�^T��%6e.3 �UNrJisa19s3
�// 0 o Gvt,�'"]� L ZONING
ADDRE59 /y,MJn�++� 'T
6 NO. OP I U8[ OF NE
S�� Q ' PLAXB BIlILO1N0
CONTRACTOR �`
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ADDRH88 �Q.� e� DiBCRIRION O� 3 O ��""ff 3
CI7Y �AM A. P. NO. TJ
�/ /p P� NOTE: NO EAV E OV ERHAN6 SHALL BE LESS THAN
LIC.NO. J�^ I�'�I N�L ��gb2o 90'TQSIDEBREARP.L.
EAVES
SIZE �fJ � y No.oleLCae. ALLOWED (U.B.C.RE�UIREMENT)
OFLOT✓J �J��V nOWOrvLOi �_
YARDSAPPROVED YARDSAPPROVED
USE OF �- MAIN BUILDIN6 AGCESSORY BUILDIN6
EXISTING BLD(d.
fFROM C/LSTREfiT)
HETBACK LIN6 FI�OM ,•� � - FRpI'iT �� FT. F�•
CENTER OP STREGT �• REAR Y/�RD
SI E YARD I LEFT I� RI6NT �/ R. SID � FR. � �.
DESCRIPTION Op WORK . s�oe Fr. F'r_
NEW X ALT6RATION ADDITION REAR FT. FT• '
pISTANCE BET. BET. MAIN Q
MAIN BLDGS. AGGE55. BLD 9.
REPAIR MOVIN DEMOLISM
S ZE�,NGp� �S� �p NO.OR VAR.SC DATE
� ROOMB SI' Rlfi � C.U.P.JC APPROVED
EXTERIOR WAL�1�'� ROO� APPRO .l� � 7 .�
COVERING � �/�eq COVpRIN6 /s� BY DATE�/ w
U F BUIL�I G AND WORK TO @ p�j �RFQ RMB
evif ^ H �/ Q � G
�-'ar �%lo.� e 3�—
/SJ-� � ' m
sa. Fr.
1 HEREBY NLKNOWLHDaB THAT 1 HAVg qpJ�D TH19 APPLICATION THE AMOUNT BMO UNOER VALUAT�ON IS FOR TH6 �'
ANO 6TATE TXAT iX8 ABOV6 �8 CORkfiCT ANO AOqE6 TO COM- PIlRPOSE OF G6 LI6HIN6 A PEfiM�T FEE ONLY. p
PLY WITH ALL CITY OPDINANCH6 AND BiAiL LAWB RHOULATING �IALUATION � q
BUILO�N� CONBTPYCTION. J p
SIGNATUREO A.n/!.� �. `P /� ^^a 07) 1'ERMIiFEE $ j
PERMITTE /wCCLW � ! 7 �. � s
$ PLAN CHECK $ � ¢
O '
AUTHORI2ED A6ENT .�.�� �, n , ,�-� �'
TOTAL FEE $ bY� � -