HomeMy WebLinkAbout3086 GIBRALTAR AVE - Building Permits� . �
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CITY OF COSTA MESA �• �
�pMf BYILDING DIV/SION
Ft�� 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us
° � FOR INSPECTIONS CALL: (714) 754•5626
�fi PERMIT NUMBER; B09-00129
PERMIT TYPE B_ROOF2
APN: 13918501
JOB ADDRESS: 3086 GIBRALTAR AV CM
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 2600 � - �
STATUS:
DATE ISSUED:
ISSUED BY:
SuitelUnit,
Valuation:
ISSUED
07/20/2009
BJK
$8,150.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: T/O 3 LAYERS OF ROCK ROOF, REPAIR/REPLACE SHTG AS
NEEDED, NAIL DOWN LAYERS 15# FELT, INSTALL NEW PIPE FLASHINGS & 2-WAY METAL ALONG EDGE OF
ROOF, COVER WITH 20-YEAR 3-7A6 SHINGLES AND INSTALL NEW DIMENSIONAL ON RIDGE. PITCH 3:12 26
SQUARES . - �- . � .
OWNER: CRAWFORD, R WAYNE-TR ' Address: 3086 GIBRALTAR AVE �
PHONE: , CitylState/Zip: COSTA MESA, CA �
APPLICANT: MIRANDA, ROBERT Address: 515 REDONDO AV
PHONE: 562-439-7669 � City/State/Zip: LONG BEACH, CA �
CONTRACTOR: GOTCHA CQVERED ROOFING COMPANY License No. 591611
Address: 515 REDONDO AVUnit , UNIT C2 PHONE: 562-039-7669
Ciry/State/Zip: LONG BEACH, CA g0814 CELL:
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$0.00
$16725
$0.00
$1.00
$168.25
License No.
License No.
PHONE:
PHONE:
Unit:
Unit: :UNIT C2
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 lo obtain inspections and fnal approval vrill result in the expiration of this permit.
CODEt. INSPEC710NTYPE DRiE INTITIRLS CODE� INSPECTIONME DATE INTOIpLS
1616 Fixed System Final Fire Prevention ����� 206 Final Mechanical
1266 PoolSpa Final �� 208 Final Plumbing
200 Final Re-Roo( /.7/ / 210 Final Electncai
—rT—
201 Pinal Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Appmval
203 FinalSign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
, _ ,
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalty of perjury one of the following tleclarations:
❑ I have antl will maintain a certifcale of consent to sel(-Insure (or vrorkers'
compensation, as provided for by section 3700 of the habor Code, for the
performance o( Ihe v+ork br whiCh thi5 permit is i5sued.
L'
� I have and will maintain workers' wmpensation insurance, as requiretl by
section 3700 of the Labor Code, tor the peAormance of the work fw which this
permit is issued. My workers' compensation Insurance wrrier and policy
number are:
. Carrier: S�� ��c/
•� (ThrSsectbnnee0nol0emmpletetl0l�eperm4rsvaluetlafonenurMieOdotlars(SlpJlabss)
Policy.Number: GGG SSSa,�Z — (J $�
❑ I certify lhat in Ihe pertormance ol the work for which this permit is
issued. I shall not employ any person in any manner so as to become subject
lo the workers' compensation laws of Cali(ornia, and agree that if I should
become subject to Ihe vrorkers' compensation provisions o( Section 3700 0�
the ,��shal fi hwith com ly with these provision .
� �
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AOOliwnl'sS�gnaWre, D e�
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
(5700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed untler provisions of Chapter 9(commencing
wiih Sec�ion 7000) of Division 3 0! the Business and Prolessions Cotle, antl
my license is in full torce and ef(ecl.
�ic. p' �� c�ass tt� c- 3 y
c�•�� ` �� a � �
L� Convactar's SignaWre Date . '
CONSTRUCTION LENDING AGENCY:
❑ I hereby affvm tliat there is a conslructbn lending agency for the
peAortnance o! the v.ork for v.fiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
lender's Address:
Signalure Date
OWNER-BUILDER OECUIRATIONS:
I hereby aKrm tha� under penally of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe (ollowing reason (Sec. 7031.5,
Business and Professions Code: Any ciry or counry which requires a permit to
consWct, alter, improve, demolish, or repair any slrucNre, pnor to its
issuance, also requires lhe applicant for such permit to fle a 5igned Statement
that he or she is licensed pursuant to the provisions of Ihe Contractors
License Law (Chapter 9(commencing wilh Seclion 7000) of Division 3 of the
Business and Pro(essions Code) or Ihat he or she is exemp� therefrom antl
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry o( not more than
fve huntlred dollars ($500).):
❑ I, as owner of the property, or my employees with vrages as their sole
compensalion, WILL DO THE WORK, and Ihe strucWre is not intendetl or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of propeAy who Duilds or improves
thereon, antl who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or oflered for
sale. If, however, the buildinq or improvemenl is sold within one year of
completioq the owner-builder will have the burden of proving that he or she
did nol build or improve for purpose o( sale.).
❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and
Professions Code: The contractws License Law dces not apply to an ovmer of
property who builds or improves thereon, and who cont2cts for such project with
a contractor(s) license pursuant to ihe Contractws License Laws.),
❑ I am exempt under sec.
Business and Professions Code for ihis reason:
Sgnawre Dale
305]-46(3IOJ)
Owner ID verifed by driver's license. ❑ Yes ❑ No
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 certHy that no excavation (rve (5) or more feet in depth into which a
person is requiretl to tlescend, will be made in connecibn vrith work authonzetl
by Ihis pertnit, and Ihat no building sWCNre, scaffdding, (alsework, a demolition
or dismantling thereof, vrill be more than �hirty-siz (36) feet high. (Chap. 32, Grp
2, M 2, Sea 341, Title 8, Califomia AdminislraMe Cotle).
❑ As owner-huilder, I will no� employ anyone to do work which would
require a permit from the Division o( Industrial Safery, as notetl above, unless
such person has a permit to tlo such work (rom the division.
Apdiwm's Signature Dyte
Division o( Industrial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need to file and
certify a Business Plan !or emergency response to release or threatenetl
release of a hazardous matenal? ❑ Yes ❑ No
(Seclion 25505 ot the Califomia Health and Safety Code requires, vnth some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
DepaAment by every business which has at any one time during a reported
year a quantily of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas
at standard lemperaWre and pressure).
2. Does or will the applicant or present or future building occupant need lo fle
a registralion form for awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code. with some
exceptions, requires registration with ihe Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry ot acutely
hazardous materials equal to or grea[er Ihan a vreight o( 500 pountls, or a
volume ol 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre and pressure).
3. Does or will �he applicanl or present or (uture building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of ihe Califomia Health and Sa(ery Code provitles that Ne
Costa Mesa Fire Department may require the preparation, certifcation antl
fling wi�� the Fire Depariment of an RMPP by businesses which are required
to register acutely hazardous materials with Ihe Fire Department.
4. If an RMPP is presently required, has Section 25534 of lhe California
Health and Safe[y Code been (ully complieC with? ❑ Yes ❑ No
5. Does or will the ap0�icant or present or fuNre building occupant require !or
the vrork which is the subject of [his application a permit for such construction
or modifcation lrom the South Coast Air Quality Management District or trom
any o�her air polWtion control district or agenq7 ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Code requiies that the requested
infortnation be fumishetl on applications ta non-residential building pertnits).
6. Will any part of the facility to De constructed under Ihis permit be within
1000 feet from the outer bountlanes of a school? ❑ Yes ❑ No
(If yes", Ihe faciliry must meet the requirement o( Sections 25534 an0 42303
of the Cali(ornia Health and Safery Code�.
7. If a permit from the Sou[h Coast Air �valiry Management District or other
air polWtion control districl or agency is required (or the vrork which is Ihe
subject of this application, have all of the disclosures prescnbed by California
Health antl Safery Code Section 42303 been made? ❑ Yes 0 No
8. (If "yes", attach certificate of compliance (rom the appropnate air polNtion
control oKicer�.
CERTIFICATE OF COMPLIANCE: I certi(y lhat untler penalry of perjury the
information given above is correcL I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
sgnawre oate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certi(y under penalty of perjury that I have reatl lhis application and state that
the information given is correct: I agree to comply with all state lavrs and city
ortlinances relating lo builtling construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described pmperty /or
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
aWre �egalOwneqs) Dale
� %C{���/ !/. �
Nntl/O�Au��0A3¢CApplifanl ` 1 ,p�
OWNER Mesa 4erde Estates �ATE " 12-31-58
JOB ADDRESS 3086 Gibraltar Avenue BUILDING PER1�llT NO. 83(10
GENERAL CONTRACi'OR L. G. Robinson VALUE $ ZS��.195.00
AP. No. LQT ZOr7 TRACT 3115 P�RL ZONE DESCI2IPTION OF WORK ReS. & Atb, G3T',
INSPECTI
coat
F ,ing Fixtu
Fina) Gas Test
DATE I SUBCONTRACTOR I
DATE NUMBER
.. ..
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.
. ' - 8L ����%
COSTA MESA BUILDING DEPARTMENT
P.O.80X 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
OMh 1:1 hru I LRP AVB.
COSTA MESA. CALIFORNIA
sa Varde Estates
ADORE55 Z�OZ
cirv Coata Mesa
ARCHITECT
OR 6" NEER J� R�
qooa��s j�O�jC $
CONTRAGTOR L� G�,
ADDRE55
�Ec"� LOT
DESCflIPT10N NO.
A.P. NO.
OFLOT �OX ZOO
USE OF
EXISTING BLDG.
� � !� h �,_ �.0 4, � '✓ I� !';
• JAN 5 1959 �,,,,.-
1 �IFn��,Ct t/Lil.
��i�p C:� ��ncrn w�_cy
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
— ii — c3� � �
TNO. �� S���S� ADDREI55
No. C—LZ']O COSTA MESA. CALIFORNIA
- Ge 9-0908 ZONE
CITY NO ��� 20NE p�sNS TVPE
NO. p �1 1 APPROVED
BY DATE
__.__..��r CORRECTIONS
NO. OF BLOGS. nOne
fIOW ON LOT
SETB4CN LINE FFOM
CENiER OF STREET �Q, �11]b REAR VARD ZOexlluS
SIDE YARD RIGHT �rju}1 LEFT �glu$
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
SIZIED'�� pO S• Fti� ROOMS p STORIES 1
COVERINGWALL StiU.CCO COV�ERINC�9�i1W1Y. 6 ROC�C
STPTE TMi1T
CITY OROINi
TION. �
OF
AUTHORIZED AGENT
✓
wiiN n�t /
CONSTPVC
VALUATION � �f_p
PERMiT FEE s ,35.
Z .�
$ ��/ �9� � PLAN CHECK S /,. S
TOTAL FEE $ Sca�. S O �aMr