HomeMy WebLinkAbout2550 FORDHAM DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Jobnddress: 2550 FORDHAM DR
Suile:
Vicinity: ROOF
PrimaryOcc: R3/U1 ��
Parcel Number: 14138406
Applicanr. VILLA, CHARLES
Address: 1923 CHURCH ST
COSTA MESA, CA
Owner: EDLER, KURT AND IRENE
Address 2550 FORDHAM DR
COSTA MESA, CA
Contractor: R C I ROOFING COMPANY
Address: 1923 CHURCH ST
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Phone:
Zip:
License:
Type of Construction: V-N �
Zoning:
949-650-1079
ip: 92627
Phone: 949-275-4458
Zip: 92626
Phone: 949-650-1079
License: 704392
Eng:
Address:
Status: ISSUED
Applied: 12/29/2005
Issued: 12/29/2005
�
ISSUED BY: ��
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 30 YEAR COMPOSITION SHINGLES, AND REPAIR REPLACE SHEETING AS
NEEDED. 15 SQUARES FOR S.F.D. AND 3 SQUARES FOR DETACHED GARAGE. WORK TO BE DONE CONCURRENTLY.
FEE SUMMARY
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
PLANNING 8 ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY FrOn� 0-0
PARKING Ex,stina: o
Calc Valuation: Sa,000.00
Claim Valuation: $a,000.00
Rear 0- 0 leR 0- 0 Right 0- 0
Rear 0- 0 Left 0- 0 Right 0- 0
Reauired: 0 Pr000sed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 780 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetiona end final approvel must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (71q) 7545826
eaneae lvwl
WOAKERS'COMPENSA710N DECLARATON: � + . �
I hereby eHirm under penalry oi perjury one of the tollowinq declarations: • ` '
❑ I heve end will maintain e certificate of consent to self-Insure for workers' compensatlon, as provided tor by section 3700 ot ihe Lebor Code, for the peAortnence of Ihe
work far which t�is pertnit is issuetl.
�i have antl,will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for Ihe pertormance of Ihe work for which Ihis permit Is Issued.
My w'ork�ers' coT pen aT nce card`g,r antl policy number are: �1 �(
Carner: "'1Td� �iw,/`Y policy Numbe�"'�_ ` V��� U� ��=�
(T}us.sectlon�n nat complefed��rmrNsva/uedafonehundreOtlollars($f00)oNess.) �^---- —�
❑ I ceniy that in ance ot ihe
comDens ' lews of Ca i a, and
THOUSAND
LICENSED CONTRACTORS DECLARATION:
tor which this permit is issueQ I shall not employ any person in eny manner so es to becoma suhject to the workers'
� that if I should become subject to the workers' compensation pmvisions of Seclion 3700 of ihe Labor Code, I shall forthwith
la�e:.� �/Z�� C d�
ISATI E I$ UNLAWFUL AND SHALL SUBIEC� AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FINES UP TO IXJE HUNDR@D
GOSTOF 1�N N,OAMAGESASPROVIDEDFORINSECTION3]OBOFTHELABORCODE,IfJrEREST,ANDATTORNEV'SFEES.
I hereby attirm.that.l ,� r r v'sio Chapter 9(wmmenci� with Section 7000) ot Division 3-ot the-Business an rofessions z
7orce end.ett i,a—�=%%'�"` �Gess�a----_ �F" ' Z
Oo un �ors S naNre: ' �Date: �-
CONSTRUCTION LENDI CV:
❑ I hereby aflirm Ihat ihere is a consiruciion lending agency fo Aormance of ihe work for which t�is De�mit is issuetl. (Sec. 3W7, Civil Cotle).
Lendefs Name:
Signature: _
Lender's Adtlress:
oate:
license is in full
OWNER•BUILDER DECLARATIONS:
I hefeby aHirm Ihat un0er penalty of perjury Ihet I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe following reesan (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair any stmcmre, pnor to its issua�ce, also requires the applicant tor such permil
to file a signed statement that he Or she is licensed pursuant to the provisions oi lhe Contractors License Law (Chepter 9(commencing with Section 7000) ot Divislon 3 of ihe
Busineu and Professions Code) or that he or she is exempt theretrom and Ihe Desis for the allegetl e:emption. Any violation of Section 7031.5 by eny applicant for a partnit
su6jects Ihe applicant to e civil penalry o( not more than five hundred tlollars ($SOO�.j:
❑ I, es owner of Ihe property, or my amployees with weges a5 iheir sole compensation, WILL DO TME WORK, and Ihe sWcture is not intended or oftered tor sale (Sec.
7044, Business antl Pmfessions Cotle: 7he Coniractors Licensa Ww tloes not apply to an owner of properry who builds o� impmves t�ereon, antl who does such work
himsetl or herseli or through his or her own employees, provitled ihat such improvements are not intended or oNered tor sele. If, however, the builtlinq or improvement is
sold within one year of completioq the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). �
❑ I, as owner ot the properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (SecJ044, Business end Pmfassions
Cotle: 7he wm�actors Licanse Law does not appty lo an owner of pmpeny who builtls or impmves thereon, antl who conllacis tor such pmject wiih a coMrecto�(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID venfied by drivels license. ❑ Yes � No
Business antl Professions Code for this reason:
Ven(ealion ot Ownarship by (rype ol document, i.e. - pwperty tan bill or deed):
DIVISION OF INDUSTRIAL SAFEN PEPMIT CERTIFICATION:
Drivers License No.
Date:
Ezpires:
❑ I hereby certity Nat no excavation tive (5) or more tee� in depih into which a person is required to tlescend, will be matle in connection with work euthorized by Ihis
permit, and ttiat no building struaure, scattolding, talsework, or demolition or tlisma�tling thereoi, will he more Ihan thirty-si: (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, TM1Ie 8, Galilomia Adminisirative Cotle).
❑ As owner-builder, I will not employ anyone to tlo work which would require e permil from the Division of Indusinal Safery, as notetl ebove, unless such person hes e
pertnit to da such work irom the division.
Signa�ure: Date:
Division of Industrial Safary Permit Number:
CERY�FlCATE OF GOMPLIANCE AUTHORVJ1710N OF ENTRY: I certity under penalty of perjury Iha� I have read this application and state ihat ihe information given is
correot I agree to com I with ell 5 le laws and ciTy ortllnances relating to building construc7ion, antl aNhorize raprasentatives oi ihe CiYy ot Costa Mesa to eMer upon the
above-de property or i Gti n purpases. I agree not to occupy or allow occupancy of eny building authonzed by this permit until final inspection.
COUE t
1616
1266
200
201
202
203
204
Fixetl System Final Fire Prevention
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Well
Final Factory Fire Place
Finel Sign
Final Demolition
�'»
�iG�R, i ,.v,
COOEN INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Pravention
220 Final Planning Approval
222 FinalSite
Final Building/Occupancy
,�w:
OWNER COLLECiE PARK ____ DATE 12_2']_riC
JOBADDRESS 2�i�i0 I�'ordham Drive BUILDINGPERMITNO. #1t]-37
GENERALCONTRACTOR Harbor COI1St. CO� VALUE S]I�ZOO�00
LOT (� BLOCK TRACT 2�( Res �det_ par
G,, ,P I & J
INSPECTIONS
Footing Trench
Foundation Forms and Grade to G
Rough Framing
Plumbing, Rough to Siab y�
Plumbing, Rough Complete �
Temporary Pole
Wiring, Rough
Heating, Rougb
Heating, Final
�ewer. House �� � Sewer, St
Septic Tank or Cesspool
Lathing, In Out
PI: 'ng
Pli .�g, Fin�al, Fixtures Co
Plumbing, Fin.al GasTest /S
Wiring,Final "
Occupancy �jy� � /
FORM 310 3M 10-39
DATE I SUBCONTRACTOR
DATE
PERMITSI$SUED
Costa Mesa Building Department . APPLICATION FOR PERMIT
-' P.O.Bo:3�� d�81: R1111 BING '
' COSTA MESA, CALIFORNIA � — � — —' �
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
s��m��9 �/3
Address 2 � FORDHAM �R I VE
Costa Mesa, Ci&�OPllla Received 6y Date Rec'd. / Date Issued
Nearest _rn rn ��'ta 7 �sb �2 –•�-i'.f�
CrossSt. HAR�BOR BLVD, Builtling
Address
Owner C 0 L L E G E P A R K No . 2 Costa Mesa, California
Mail
Address 2 � � E 50. �1t�q 1 N $T . Nearest . �
� Tel. Cross St.
City SANTA A A CA�IF. No.KI Zone. No.of Type '/ Group�--
A roh itect or Lic.
� I Plans I (� •1�
Engineer No. Approved
b Dafe
dress CORRECTIONS
c�cr ��0 6 �
ntractorHARBOR CONST.CO No.
Addreu SAME
Le I Lot
Descr p ion I No. 8 I Block � Traci� z6
(Attach Metesand Bounds)
No. of Bldga
Size of Lot 6 X � 0 Now on Lot
O
lJseof I No.of I No.of -� - 7v
Existing Bldg. F,amillea Rooms �
Setback Line from Rear YaM Z
Center of Street � . Sida Vard y
DESCRIPTION OF WOR r �
New I X I Alteretion I I Addition I
m
Repair I I Moving I I Demolish I
Buildin No. of N
ize � Rooms Stories �
terior Wall I Roof
overing Covering t]pPR�Vi���' I
Useof New Foundation Location Inspector � Date
Building RESI DENCE c�t DETACHED Forms,Materials,
GA A Under-Pinning a
Frame: Fire Stops, iv
Bracing, Bolts y.,
I hereby acknowledge that I have read this ApplicaUon p
and state tha2 the abwe is correM and agree to rnmply Lath. Int. �
with all CYty Ordinances and State Iaws regulating
bullding mnstruction. Lath. Ext.
� Signatureof
Permittee HARBOR �ONSTRUCTI ON C0. Plaster,lnt
Authorized Agt Plaster, Ext 0�
Valuation Permit Fee $ o?� '— Masonry Reinforced O�
Plan Check $ � gond Beam
$ � � � 20�, Total —�
Fee ^Z FINAL b
FORM PO4 10�55 D. P. 8 5.