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Home My WebLink About1089 GLEN CIR - Building PermitsA CITY OF COSTA MESA to BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 www.ci.costa-mesa.ca. FOR INSPECTIONS CALL: (714) 754.5626 PERMIT NUMBER. B08-00004 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42203147 DATE ISSUED: 01/08/2008 1266 ISSUED BY: RMD 200 Final Re -Roof JOB ADDRESS: 1089 GLEN C1 CM Suite/Unit: _- _ Vicinity: HOUSE AND GARAGE ROOF Final Factory Fire Place Squares: 1800 Valuation . ` ` $6,000.00 250 Final Building/Occupancy SCOPE OF WORK: TEAROFF,( ROOF MATERIALS, INSTALL 1 LAYER OF 15# FELT ON A 5:12 PITCHED ROOF AND REROOF WITH 30 YEAR COMP SHINGLES ON ATTACHED HOUSE AND GARAGE, APPROX 18 SQUARES. REPAIR AND; REPLACE SHEATHING AS NEEDED: p- t, - �> OWNER: RITTER, WILLIAM RSR{ .- Address:- 410 ALSO -_ - Unit: PHONE: ,,' .-' City/State/Zip:, NEWPORT BEACH CA - - e:' APPLICANT: SKIRZYN§KI JOHN '+ 0 Address: 10782 S MEADS AV I,!"-Unit: PHONE: 714-771-0118,%" City/State/Zip: ORANGE, CA- ! CONTRACTOR: SHARP ROOFING License No. 571575 Address: 10782 S MEADS AVUnit:' _ -- - PHONE: - - - ...-. 714.771-0118- - City/State/Zip: ORANGE, CA '. 92869 CELL: - ARCHITECT: I ' License No. PHONE il' ENGINEER: e„ _ License No. ,PHONE 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE /. INSPECTION TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Roof 201 Final BlocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INTITIALS =Y- CODEI INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DATE INTMALS WORKERS' COMPENSATION DECLARATION: 40 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 workers' compens lion Insurance carrier and policy number are: �. arri� F� Cer:. i (This section need rpt o�pa7camdatetl i/the pemrR avalued of one7fhuntlred tlollars (E100) or less) Po_Ilcy_Number. Z O S 60 7-37-0 0 fF ❑ 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 orkers' compensation provisions of Section 3700 of the Lab Cod at hvrith comply with these pro vi 'ons Q lApptirant's Signature' ! Date--- 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 DOLLARS ($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 licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force an ffect. Lic. #-- Clans' C — 3 $t —5t1d,500 q Wtrael0!'s Signature Dale CONSTRUCTION LENDING AGENCY: ❑ 1 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). Lender's Name: Lender's Address: Signature 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 property who builds or improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature Date 3057-46 (3107) Owner ID verified by driver ❑ Yes ❑ No A 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 feel in depth into which a penton is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, a 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. Applicant's Signature Division of Industrial Safety Permit Number: Date 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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 an 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 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? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ 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 cohstnLeted under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If 'yes", the facility must meet the requirement bf 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? ❑ Yes ❑ 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. f\Signyu Owners) Da k Arninoorr Authonze0'Applicant rDate _ r OF COSTA MESA REQUEST FOR O( ANCY TRACT NO. LOT NO._ 14 ADDRESS Zagg DATE Z'z The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The u�nde/reigned, by executing this agreement, acknowledges that (he -she -they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was .approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIVED CITY OF COSTA MESA cFD AM PM 7 i S 19110 11111211121314 A 6 i BY h j % Developer and/or -author representativ �- r v,e-- OWNER R & W Development DATE 12<7-76 JOB ADDRESS 1089 Glen Circle BUILDING PERMIT NO. 42756 115-661-29 LOT `-14"r TRACT 9105 FIRE ZONE VALUE E Tv .:TIONS $I nature Date I TYPE v GROUP I & J ZONE R2 -CF SOIL rSUBCONTRACTOR M GAS Dare Num ber Signature WATER Plumbin ROUGH PLUMBING �ZZ• O•C, i' • Z70 fz1g PROP. SWR. LINE Q HOUSE CON. Z �! SPRINKLING SYSTEM r_.ccEtrmreevs NSNL TI N ROUGH HEATING AND AIR CONDITIONING _ -e' TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER I] ROUGH WIRING j Heatina and V nt. TRENCHES FORMS STEEL REINF. FLOOR SYSTEM d�tol 71 BOND BEAM STEEL REINFORCE SHEATHING 3 FRAME AND FLASHING LATHING — IN N OUT IC PL' q, BROWN COAT S' 1AL, FINAL HE. .. VENT., REFRIG. ANDA.C., F NAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL .'( BUILDING, FINAL Ib �7 7l 3 _9105 74 ..2756. '1469 COSTA MESA BUILDING -SAFETY DEPARTMENT r P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant tttoQFill in Complet��elty�`— Use Ink Only BUILDING ADDRESS iWq G`eN x+11" OWNER R & W Development 188 E. 17th St. CITY Costa Mesa, Ca. No1642-421 CONSTRUCTION Cal. Fed. Savings & Loan LENDER BRANCH 5670 Wilshire Blvd. ADDRESS Los Angeles, Ca. 90036 ARCHITECT DMA A330C. TE L731-2.16 OR ENGINEER . NEO ADDRESS 17621 Irvine B1vd,Tustin,Ca. CONTRACTOR J. Ray Construction Co. ADDRESS 188 E. 17th St. CITY Costa Mesa, Ca. TEL 642-4210 LIC.STANO. 126426 LIC. SIZE 38 X 103 NO. OF BLOCS. O OF LOT NOW ON LOT USE OF EXISTING SLOG. O P !b is7g.C7 #P� gATION FOR STRUCTURAL PERMIT RE I BY L DATE R CEIV q /O D TE ISSU 2 IIS G. PER �s=1 A.P. NO. 4, I BUILDING IAO G' ^ I"Frr ADDRESS IU L. OA L.` 1� 0 IbS TRACT - LOT1'4 BLOCK NEW A RrPA OWNER lit/ �1IL s.yP f/i ALUEE Oj 1$ia FIRE i PLA r+ I BUILDING a1ea. d ' YARDS APPROVED YARDS APPROVED MAIN BUILDING I ACCESSORY BUILDING Separate permits are required for L. S112E / FT. FT. electric, plumbing and heating work. 2f / REAR �•-1 FT. F7. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. 'SET. MAIN & MAIN BLD/�GS�. ACCESS. SLOGS. Single FamilyDwelling W/ DATE CURP ys G.0 ((� APPROVED Attached Double Garage APPROVED DATE Wnj E\ CftiD c ..."P 1P hr rr I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction„and I shall not employ any parson in violation of the workman's compensation laws of the State of California. I hereby certify that 1 am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the gra lons.Or th State California Business end Professions Cotle, is n� r Signature of Permittee -� Agent 7-07 SQ. F / ,r T. V = /U AT THE MOUNT SHOWN UNDER VALU THE PURPOSE OF ESTABLISHING A PER. VALUATION PERMIT FEE E PLAN CHECK S TAX S TOTALPAID $ r L J �i COSTA MESA BUILD&G-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to FID in C mpletely —Use Ink Only BVILDING ADORESS OWNER MAIL ADDRESS TEL. CITY NO. CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT TEL. OR ENGINEER CONTRACTOR ADDRESS CITY TEL. NO. STATE CITY LIC. NO. LIC. NO. SIZE ADD NO. OF BLDGS. OF LOT OWNER NOW ON LOT USE OF APPROVED BY DATE EXISTING BLDG. ZONE Separate permits are required for USE OF NEW BUILDING electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED -7 iv F 0010 297 ;*/r*154.x0 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY DATE A.P. NO. BUILDING ADDRESS TRACT / W ADD ALT A OWNER m FIRE ZONE TYP APPROVED BY DATE the State of California Business and Professions Code, Division 3, ZONE NO. OF PLANS USE OF NEW BUILDING YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING (FROM C/L STREET) FRONT FT. FT. T. FT. L. SIDE FT. FT. VAR. 946 C.U.P.+ APPROVED I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ i any person in violation of the workman's compensation laws of N the State of California. m I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMO Chapter 9, and that such licenses are In full force and effect, or I THE PURR am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3, Chapter 9. LL Signature of F V Permittee $ Authorized Agent BET. MAIN & - J n m i N !N UNDER VALUATION IS FOR m ABLISHING A PERMIT FEE ONLY: PERMIT FEE § v PLAN CHECK § m ^� 0 LL TAX $ F V TOTAL PAID § a