HomeMy WebLinkAbout2536 FORDHAM DR - Building PermitsJobAddress: 2536 FORDHAM DR
Suite:
Vicinity: ROOF
Primary Occ: R
Parcel Number: 14138501
npplicant: RICK BRENNAN
Address: PO BOX 304
Owner:
Address
Contractor
Address
Zip:
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Arch : ° '
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Status: ISSUED
Applied: 11/17/2005
Issued: 11/17/2005
of C n r n: V� �
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Phone: 714-799-7300 ISSUED BY:
HUNTINGTON BEACH, CA Zip: 92648
LOPEZ, ANDREW J ..,:� r�` " �'y ., c' '�a-. ":;' ,� ,,..
2536 FORDHAM DR . - >?�� �� '
F., '• Phone
COSTA MESA CA � �� � ��'� i�.Zip 92628 = ���--� :�"
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A-1,FACTORY DIRECT ROOFING INC �t z- �� ' �y� �
PO BOX 304 '' � ��a � ��:_�' °k� -
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'`�.�;,x; Phone 714-799-7300 ��• � _ �=;�. '
`HUNTINGTON BEACH,��CA�� a - � �: �� � ,�.;•
92648 ,.� �,•" 1 Licen§e:"`797789�"_. __. _ � ;� ,�;', ,..
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Plan Check �'�'; $C
� P„ermit $12
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SMIP''Res ,� ,$f
SMIP.Com �'- �$C
� � Other $C
Inspection'" '$,�C
�.`Total � $1
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SETBACKS 3�;'
MAIN STRUCTURE Front
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ACCESSORY �',�,�.Front
PARKING Existi
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Phone: i
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icense: � � � � ,,�
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2 OF 30# FELT, 30 YEAR COMPOSITION £
FOR DETACHED GARAGE;' WORK TO BE
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statules and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is riot 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 end final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
zaasrel�oo�
WORKERS'COMPENSAnON DECLARAnON: � - . �
I hereby aHirtn under penalry of perjury one oi Ihe following declarations: �� . � �
❑ I heve end will meintaln e certificate of wnsent to setl-Insure tor workers' compensation, es provitletl for by section 3700 of the Lebor Code, far the peAormance of Ihe
work for which Ihis permit is issue0. .
�1`�d will maintain workers' compensfltion insurance, as required by section 3700 of ihe LaDor Cotle, lor the pertortnance of the work tor which this pertnit is issuetl.
My workers' compen/satlon Insurance carri entl policy n ber ere: �7 q
. �ST��F �J%� �'(l7�� �POGtyNu`�mber: t�''v-�/. �� ��./�—ZOb�
(This secfion nae�nof be completed I! fhe permit is velued et one hundred dollars ($100) or less.) -
❑ I certity �hat in the pertortnence ot the work for which Ihis permit is issued, I shall not employ eny person in eny manner so es to become subject to the workers'
compensation laws o1 Celtloml�nC agfep that it I�ultl Dewme subject to ihe workers' compensation provisions of Sedlon 3700 oi Ihe LeDor Coda, I shall forthwith
WAAfZN�: FAILURE TO SECURE WORKERS' COMPEI
THOUSANO Dq1ARE (5100,000), IN ADDfTION TO THE
LICENSED CONTRACTORS DECLARATION:
9(commencing with Section 7000) of
JALTIES AND GVIL FlNES UP TO ONE NUNDRED
CODE, INTEREST, AND ATTORNEY'S FEES.
and my license Is in full
CONSTRUCTION LENDING AGENCY: '
❑ I hereby aNirtn ihat there is a consiruc6on lending agency for the performance of the work tor which t�is pertnit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: _ _ ._ __ _ Lenders Address: _ . _
SignaNre:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby atfirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a pertnit to construct, alter, impmve, tlemolish. or repair any structura, pnor to its issuance, elso requires Ihe eppliwnt for such pertnit
to flle e signed stetement that he or she is IlcenseC pureuen� to t�e provisions ot iha Contrectors License Lew (Chapter 9(commendng wit� Section 7000) of DiNsion 3 af the
Business and Protessions Code) or that he or she is exempt Iherefrom and the besis tor t�e alleged evemption. Any violetion oi Section 7031.5 by flny applicant for e permit
subjects the epplicant to a civil penalry of not more than tive hundred dollers ($500).):
❑ I, es owner of the property, or my employees with weges as their sole compensatlon, WILL DO THE WORK, and the siructure Is not intendetl or oMeretl for sele (Sec.
7044, Business and Protessions COCe: The Contractors License Law does not appty to an owner of properry who huilds or improves Ihereon, end who tloes such work
hlmsell or herealt or Ihrough his or her own employees, provitled that such improvements are not intended or oNered for sale. If, �owever, ihe builtling or improvement is
sold within one year ot completion, the owner-builder will have �he Durtlen oi provinq ihet he or she did not builtl or improva tor purpose of sale.�. �
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
Cotla: The contractors License Law tloes not epply to an owner ot propeny who �uiltls or Improves thereon, and who contracts tor such project with a contrecbr(s)
license pursuant to the Contractore License Lews.).
❑ I am exempt under sec. Business and Professions Code for ihis reeson:
Signawre: Date:
Owner ID venfietl by tlrivefs licen5e. ❑ Ves ❑ No Dnvefs License No. Expires:
Vedlicatlon oi Ownarship by (typa at document, i.e. - property tex bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICATON:
❑ 1 hereby certity thet no excevation five (5) or more feet in depih into which a person is required to descend, will be mede in wnnection wilh work euthorized by Ihis
permii, end that no building sirudure, scaMoltling, falsework, or demolition or dismantling t�ereof, will be more Ihen ihirty-six (36) taet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Californie Administretive Catle).
❑ As owner-6uilder, I will not employ enyone to do work whic� would require e permit irom ihe Division ol Indusinal Safery, es noted ebove, unless such person hes e
pertnit ro da such work from Ihe division.
Signaiure: Data:
DiviSion of Intlusinal Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF ENTRY: I certify under penalry ot perjury ihat 1 have read this application end state that the iniormation given is
conect. I agree to comply wlth all slate laws and ciry ordinances relating to building construction, end euthorize representatives of the Ciry ol Coste Mesa to enler upon Ihe
ebove-descnbed property for inspection purposes. I agree not to occupy or allow occupancy oi any building euthorized by this permit until final inspection.
[{7 7�1<I:F99td161:i N9?
1616 Fixed System Final Fire Prevemion
1268 Pool Spa Final
200 Final Re-Root
201 FInaI BIocWRetaining Wall
202 Final Factory Fira Place
203
20a
Final Sign
Final Demoli�ion
UATE �MRIALS
�� �
COOEt INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Finel Electrical
212 Final Fire Preveniian
220 Final Planning Approval
222 Final Site
250 ,FinalBuildinyOccupenc
Date
�� �
Date: 11-17-2005
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CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
Transaction Receipt -
ACTIVITY NUMBER: B05-02073 TYPE:
SITE ADDRESS: 2536 FORDHAM DR
Unit / Suite
APPLICANT: RICK BRENNAN
PO BOX 304
HUNTINGTON BEACH, CA
92648
714-799-7300
LOPEZ, ANDREW J
TOTAL FEES: $125.77
TRANSACT. AMOUNT: $125.77
BALANCE:(PERMITFEES) $0.00
PAYMENT METHOD: Cash
NOTATI ON:
CONTR: , A-1 FACTORY DIRECT ROOFING INC
PO BOX 304
HUNTINGTON BEACH, CA
,.__ . __�--92648 -. _
714-799-7300
STATELICENSE 797769
CITY LICENSE BL020019
02/28l2006
TRANSACTION RECEIPT DETAIL INFORMATION FOR TREASURY: SOK
2000 Building Permit Fee 0300 $125.25
2100 Building SMIP Fee 0340 $0.52
I�QIDIIIIj�iji
--; ��.,_ �,�,- ,,..----. ._ . .
Builtling Division (714) 754-5273 • Code Entorcement(714) 754-5623 • Planning Division (714)754-5245
FAX (714) 754-4856 • TDD (714) 754-5244 • wwa.ci.costa-mesa.ca.us
oWNER �C�LLF�'.�' PARK �-- I�
JOBADDRE
BUI
GENERALCONTRACTOR Harbor COT15t. CO _ I VAWE $ 11�ZOO.00 �
L_. BLOCK TRACT 2%26 Res. w det, ar.
GROUP I& J TVpE V ZONE auy FIREDISTRICT 1�168
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
�� DATE NUMBER
Footing Trench �J,i� /� �� �>,� �,
Foundation Forms and Grade to Gara e . i �_
Plum
tough Com
Pole
Wiring,Rough M�R 1I41951 VCB��n�.�,tA.u._ :q%��,r.,r-� �_�- f7—�%� 'y0 �C ✓
S li:
So-•�e Tank or Cesspool
L ng,ln Out
Plastering
Plumbing, Finai, Fixtures Complete�/fj
Plumbing, Fin,al Gas Test /� /�( /j-S �
Wirinp.Final �'.2}�
FOpM 210 3M 10-i5 ' � _ , �� �
,Costa Mesa Bnilding De�eartment APPLICATION FOR PERMIT
P_O.Box3�� � a-eaQ a���� n�ur_ �
�+' � COSTA MESA, CAIIFORNIA � '" r � � r � + �. � �
FOR OFFICE USE ONLY
FOR APPLICANT TO 1�'II.L I1V rtece�pt No. Perm�t No.
Building ,// n1/
Addresa z 6 FOR�HAM �RIVE I�`�
Costa Mesa, California Received by Date Rec'd. Date Issued
Nearest �'���� la �d 7 –S� /� �"7
CrossSt. f�{AR80R B�VD Building
. � � Address
Owner CO L � E G E P A R K N o 2 Costa Mesa, California
Mail
Address � J Nearest '
Tel. Cross St.
City SANTA ANA CALIF, No.KI Zon No.of Type roup
Arohitector Lia l Plans I � f
Engineer No. Approved
by Da1e
nddress CORRECTIONS
c�ey uo. 6, �
tractor HARBOR CONST.CONo. �
Address $AME
Legal Lot I -
Description I No. I Block I Tract272
(Attach Metes and Bounds) '
No. of Bldgs
Size of Lot � � 0 X 0 Naw on Lot �
4seof No.of No.of 70
Existing Bldg. I Famfllea Rooms �
Setback Line from Rear Vard Z �
Center of Street � Side Vard – y
DESCRIPTION OF WORH �
New I X I Alteration I I Atldition I
Repair I I Moving I I Demolish I
Building No. of
Size � 3'j9 Rooms Stories - F
4� �or Wall I Raof . �
_`,�:.v�^9 Covering �PR,�V��S -�
J New Foundation Loeation Inspector � Date �
Buiding RESI DENCE gc DETACHE� Forms,Materials, i-'
G AR AG E Under-Pinning • �
Frame: Fire Stops, ' C
Bracing, Bolts
I hereby acknowledge that I have read Uus Applicatlon �
and state that the above is correct and agree to comply Lath. Int. - � �
with all City Ordinances and State Laws regulating ---�— q
building construction. Lath. Ext. �
Signature M �'
Permittee HARBOR CONSTRUCTIOIV C0. P�aster,�nt
AuthoNzed Agt. Plaster, Eut �
�
Valuatlan Permit Fee $ a$ '�� Masonry Reinforoed �
� Plan Check $ -- Bond Beam .
$ I I �200, Total
Fee ot �� FINAL
FOqM 204 10�!45 O. P. fl 5. , �-