HomeMy WebLinkAbout3064 GIBRALTAR AVE - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.cl.COsta-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626
BUILDING PERMIT
Job Address: 3064 GIBRALTAR AV
Suite:
Vicinity: ROOF
Primary Occ: R3 Dwellings/ Cong Res <10 Type ot Construclion: V-N
Parcel Number: 13918406 Zoning: R1
Applicant: TIM MCCARL
Address: 126 COMMERCIAL WY
COSTA MESA, CA
Owner: CELTIK, MAHIR E
Address 3064 GIBRALTAR AVE
COSTA MESA, CA
Phone: 949-548-5569
Zip: 92627
Phone:
Zip: 92626
Contractor: G L R ENTERPRISES INC/DBA CRANK BROTHERS ROOFING
Address: 126 COMMERCIAL WY
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Phone:
Phone: 949-548-5569
License: 828379
Eng:
Address:
Status: ISSUED
Applied: O6/02/2005
Issued: 06/02/2005
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Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 2 WYERS OF 15if FELT, REPAIR/REPLACE SHEATHING AS NEEDED, AND 30 YEAR COMPOSITION
SHINGLES. 27 S�UARES.
Plan Check: $0.00
Permit: $125.25
SMIP Res: $0.59
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.84
SETBACKS
MAINSTRUCTURE.Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
Rear 0- 0
Rear 0- 0
Reouired: 0
FEE SUMMARY
Calc Valuation: gs.ass.00
Claim Valuation: Ss,asa.00
PLANNING & ZONING
Left 0- 0 Right
Lek 0- 0 Right
Propased: 0
,�a��
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92•2B, § 1, 12-21-92)
EXPIRATION: This pertnii shall automaticalty expire and become void if work is not commencad within 180 days, or if work is suspended or abandoned
for a period of 180 days. '
INSPECTIONS: In order for the xrork eulhorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and ell
requlred inapeetlona end finel epproval must be obtained. Fallure to obtain Inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2a46�48�9�00)
WORKERS'COMPENSAnON DECLARAnON: • �
I hereby efrirtn untler penalry of per�ury ona of ihe tdlowing deGaretions:
❑ I heve and will melntein a certlTicate of consent to self-Insura tor workers' compensetlon, es providetl to� by sectlon 3700 oi the Lebor Code, for tha peAortnence ot the
wark for whlch this permit Is issuetl.
have and wN maintain workers' compensatlm insurence, as requlretl by sectlon 3700 of Iha Labor Code, for the perfortnance af the vroM tor which this pertnit is Lswed.
My worker ' co nsation Insurance w ier end policy number are:
���'P � �U V1 Polic Num � 1 Z. 6 a 5�L - z o oS
his sectlon ne nof e completed i/ fhe permit is veluetl et are hundretl dollars (5/00) or /ess.)
❑ I cenity that in the pedartnence of the work tor whiU this pertnit I5 iuued, I shell not employ any person In eny manner so as to becrome subject to t�e workers'
compensetlon law C Itlo e, anA egree Ihet II ould become sub�ecl to the warkers' compensatlon provislons oi Section 3700 of the Lebor Coda, I shell torthwit�
complywit�Ne v io s
{qfpl nl SI ne�UfB',�-� Date: �" � TI b S
O: FNLURE TO E WORKERS' CO! PENSATION COVERAOE IS UNUWFUL AND 5lULL SUBIECT AN EMPLOYEfi TO CRIMINAL PEPIALTIES AND dVIL FlNES UP TO ONE HUNDRED
THWSPNDDOILARE(Ef , 9,INFDDITIONTOTIEODSTOFCOMPENSATION,OMMOESASPROVIOEDWRINSECTIIXJ3](IBOFTHELABORCODE,IMEREST,ANDATTORNEVSFEES.
LICENSED CONTRACTORS DECLARATION:
provlsions of Chepter B(commencing with Section 7000) of
and Prafeuions Code, end my Ilcense Is In tull
CONSTRUCTION LENDING AGENCV:
❑ I hereEy eRirtn Ihet there is e construction lending egency for the pedormance of Ihe work for whic� ihis parmit is Issued. (Sec. 3097, Civil Code).
Landers Neme: Lendefs Address:
Slgnature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aXirm that untler penalry af perjury Ihet I em EXEMPT FROM THE CONTHACTORS LICENSE LAW for the tollowing reasan (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which raquires e pertnit to construct, alter, imprwe, demolis�, or repair eny structure, prior to its Issuance, also requires Ihe applican� tor such permil
ta file e signed stetament that he ar she Is Iicensed pursuant to the provisions of the Contrectors License Lew (Chapter 9(commencing with Secllon 7000) of DMsion 3 ot ihe
Business end Protessions Code) or Ihat he or she is exempt Iherefrom end Ihe besis for Ihe elleged exemptlon. Any violetian of Section 7031.5 by any applicant tor e pertnit
subjects ihe epplicant lo a civll penalty ot not more than tive �undretl ddlers ($500).):
❑ I, es ov,ner of the property, or my employees wl�h wages as �helr sola compensation, WILL DO THE WORK, end the structure is not intended or offered for sale (Sec.
70d4, Business entl Professions Cotle: The Contractors Liwnse Law doas not appry to an owner ot Droperty who builOs or improves thereon, and who does such work
himself or herself or ihrough his or �er own employees, provitletl that such improvemenis are not Intentled or oNered for sele. If, however, the building or improvement is
soltl wit�in one year of completioq �he owneo-builder will have the burtlen of proving t�at he or she tlid not builtl or improve for Durpase of seleJ. '
❑ I, es owner of the property, am EXCLUSIVELV CONTRACTNG WfTH LICENSED CONTBACTORS to consWct Ihe pmject (Sec. 7044, eusiness antl Professions
Cotle: The contrecmrs License Lew does not apply ta an owner of property who builtls or improves thereon, end who contracis tar such projed wiih a conirector(s)
license pureuant to the Conirectors licen5e LawS.).
❑ I am exempt under sec. Business entl Professions Cotle for Ihis reeson:
SignaNre: Date: �
Ownar ID ventietl by tlnvefs licen58. ❑ Yes ❑ No Drivefs liCenSe No. F�pires:
Veniicetlon oi Ownership by (type of tlocumenL I.e. - property ten blll or Oeetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION:
❑ I here�y cenify that no excavation five (5) or more feet In depih Into which e person is required to descentl, wlll be matle in connectlon with work authotlzed by thls
pertnit, and that no building siructure, scalloltling, falsework, or tlemolition or dismantling Ihereot, will be more Ihan ihirry-sl: (36) taet high. (Chap. 32, Grp 2, A� 2, Sec.
341, 71tle 8, Celifomia Administretive Cade).
❑ As owner-Dulltler, I will not employ anyona ta do work whlch wauld requlre e pertnit trom the DlNsion of Industnel Safety, es noted ebove, unless such person has e
permit to do such work trom the divislon.
Signeture: Date:
Olvision ot Intlustnal Selery Pertnit Number.
CERTIFlCATE OP CAMPLIANCE AND AUfHOH¢JITION OF EMFiY: I wnity under penalry oi perjury that I have read t�is epplication and stete ihet the intortnatlon given is
correct. I egree �o comply wIN ell stete laws end Gry ordinences relating to bullAing constructlon, and euthorize reD�esentalives ot Ihe Ciry of Costa Mese lo enter upon Iha
ebove-descnhed properry for inspection purpaaes. I egree not to occupy or ellow accupency of eny building authonzed by t�ls Dermit un�il fnal inspedion. �
400E t. INSPECTIONTYVE
1818 Flxed System Final Fire Prevention
12fie Pool Spe Finel ,
200 Final Re-Rooi �
201 Flnal BIocWRetelning Well
202 Final Fedory Fire Place
203 Flnal Sign
204 Flnel Demolltlon
PeIE u�lLS
(c - 'f! r�
cooe� ixsaeerioNrrve
208 Final Mechanical
20B
270
212
220
Finel Plumbinp
Finel Elecirlcal
Finel Fire Prevention
Finel Planning Approvel
222 Flnel Sire
250 FInelBulltllnplOccupency
PdIE N�lI�
owNEx Mesa Verde Estates DATE 12-�1-58
]OB ADDRESS 906h Gibraltar BUILDING PERMIT NO. g3�,1
AP. No. LOT 11C) 1'RACT 3�.5 FIRE ZONE DESCRIPTION OF WORK R03. & Att.. Gaz'
TYPE
PLAN NO.
1, rECT10NS I DATE I 9UBCONTRAGTOR I _ F'ERMITS ISSUED
Bcam
nnd
•" • * .' . � Ft��1.
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA
BUILDING
AODRESS
FOR APPLICANT TO FILL IN
�
COSTA MESA. CALIFORNIA
OWNER Mesa Verde Estates
MAIL
nooRess
ARCHITECT
OR ENGINEER
AODRESS
LEGnt LOT
OESCFIPTION �.JQ,
A.P. NO.
USE OF
E%ISTING BL�G.
SETBACR L rvE iROM
CENTER OF STREET
TEL.
NO.
LIC.
NO.
�e
CITY LIC.
NO.
NO.OF
SIDE VARD RIGHT S�plllB LEFT �Tlll9
DESCRIPTION OF WORK
NEW R ALTERATION IADOITION
REPAIR MOVING DEMOLISH
SIZ'EDING1Cr�S SQ�F�• ROOMS STORIES
J(
EXTERIOR WALL ROOF
���FA�ti� Stnr.en COVERING Aanhal.t �
�,.:��.-:.� '
k �� � JAN 5 1959�
"''^Z [I�PT.
i'It,,,.�, �
i �•- -•d[Or.
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APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO.
�
'PCENlO BY OnTE HECErvE� �e� 15'tl�
�. � _ _ .,/ /� _ �, _ ,7� 1
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
APPROVE�
BY OATE
CORRECTIONS
STATE TX4i THE /BOVE IS COFFEC �'JMPIY WITH iLL
CITY OROINPNCES qSTYI��IM�R llTll�ING CONSTPUC�
TION. �N `� VI�l� E fJl.
OUTH MA�R VALUATION o
SIGNATURE OF B46 S GpL1FO�N! j PERMIT FEE $ V S= �t�
PERMITTEE SADENA•
PLAN CHECK S / � S �
J ��/'��/ /� g i ; 6�d-
AUTHORI2ED AGENT' / %O�W���� �/rLO'II..Qp��/ TOTAL FEE $ S�., O v�M�