HomeMy WebLinkAbout3102 GIBRALTAR AVE - Building Permits0
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(714) 754-5273 • Fa�c (714) 754-4856
CITY OF COSTA MESA
BUILDIN6 DIVIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 3102 GI6RALTARAV
Suite:
Vicinity:
Parcel Nunmber: 13915609
npplicant: MOLONEY, NANCY
Address: 3102 GIBRAL7ER AVE �
COSTA MESA�, CA
Owner MOLONEY, THOR M ,
Address � 3102 GIBRAL7ER AVE
' �"' " COSTA MESA, CA -
Contractor: � - - � �
. Address: . �
Zip:
i-
Arch :
Address: � � �
BUILDING PERMIT
Zoning: R1 R1
Phone: 714-444-9880
Zip: 92626
Phone:
Zip: 92626
Phone:
License:
Eng:
Address:
,
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 07/13/1999
Issued: 07/13/1999
ISSUED BY: ( /Yn�
' � Phone: , � Phone: -
� ' Zip � License: Zip: License:
, SCOPE OF PERMIT
, TEAR OFF ROCK ROOF INSTALL 20 YEAR COMP. SHIGLES. VERIFY SLOPE TO BE 2:72 OR GREATER. �
, FEE SUMMARY ,
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$59.50
$0.50
$0.00
$0.00
$0.00
$60.00 �
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : b
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
$i,soo.ao
$�,soo.00
0
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: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned
tor a period of 180 days. �
INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona end final epproVal must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 750.5626
WORKERS' COMPENSATION DECLARATION: . '
I hereby affirtn under penalry of perjury one of the following declarations: � '
❑ I have end will maintain e certitiwte ot consant to seli-Insure tor workers' compensation, as pwvitled for by secNon 3700 of the Labor Cotle, tor the pertormance of Ihe
work for which this partnit is i55ued.
❑ I have and will maintain Workers' compensation insurance, as requiretl by section 3700 of ihe Labor Cotla, tor the pertortnance of the work for which Ihis permit is issued.
My workers' compensatiPn Insurance cartier end policy number ere:
Carner: Policy Number:
(This section need not be comp�e(ed i! fhe pemrit is velued af one hundred Uollars ($100) ar less.)
❑ I certiy thet In the peRonnence of ihe work br which this permit is issued, I shall not employ any person in any manner so es to become subject to ihe workers'
compensation laws of Cali(ornia, and egrae that if I shoultl become subject ro the workers' compensetion provisions of Section 3700 of lhe Labor Cotle, I shall forthwith
comply with these provisions.
Applican� Signature: Date:
WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WPUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FINES UP TO ONE HUNDFED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF WMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3706 OF THE L4BOR CADE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensatl under provisions of Chaptar 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my licanse is in full
force and ettect. Lic. N qass k
Contractors SignaWre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn that there is a consWction lentling agency for ihe performance of Ihe work tor which this permit is issuad. (Sec. 3097, Civil Code).
Lender's Name'. Lenders Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm t�a� under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any stmcNre, pnor to its issuance, also requires ihe applicant for such permit
to file a signed stetement ihet ne or she is Iicense0 pursuant to ihe provisions ot ihe Coniractors License Law (Chepter 9(commencing wlth Section 7000) of Divlslon 3 ot the
Business and Protessions Code) or that he or she is eaempt iherefrom and the basis for the allegetl exemption. Any violetion oi Section 7031.5 by any epplicant for a permit
subjects Ihe applicant m a civil penalty ot not more than five hundred tlollars ($500).):
❑ I, as owner of the propedy. or my employees with wages as their sole compensation, WILL DO THE WORK, and the sWcture is not intended or oHered tor sale (Sec.
7044, Business and Professions Cotle: The Coniractors License Law tloes not apply to en owner of property who builds or improves thereon, and who does such work
himself or herself or throU9h his or her own employees, provided ihat such impmvements are not imendetl or ottered for sale. If, however, the building or improvemem is
sold within one year of completion, Ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of saleJ.
❑ I, as owner oi Ihe pwpehy, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sac. 7044, Business antl Professlons
Code: 7Ta contracmrs License Law does not appiy to en owner of properry who builds or improves thereon, and who conVacts tor such pmject with a contractor(s)
/ license pursuant to the CPntractors License Lews.).
I am axem�t under
by dr(�er's license.
_ Business and Professions Cotle for Ihis reason:
❑ No Drive icense �' � Expires: ��
Verification of Ownership by (type ot document, i.a. - properry tax bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMIT CER7IFICATION:
❑ I hereby certiy that no eXcavetion tive (5) or more fee� in Gepth iNo which a person is requiretl to descend, will be matle in connection with work authorized by Ihis
permit, and that no buildin9 stmcture, scaHolding, talsework, or demolition or dismantling thereoi, wilt be more ihan t�irty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Titla e, Califomia Administrative Code).
❑ As owne�-builder, I will not employ anyone to do work which woula require a permit from the Division of Industrial Safery, as noted ebove, unless such person has a
permit to do such work FrOm �he division.
Signature: Date:
Division of Industnal Safery Permit Number:
CERTFlCA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I ceAi(y under penelry of perjury that I have read this application and state that the infortnation given is
correct. I agree to comply with all stete laws and city ordinances relating to 6uiltling consimction, antl auihorize representatives of ihe City of Costa Mesa ro enter upon the
above-tle cnbed property 1 r insPection purposes. I agree not to occupy or flllow occupancy of eny building authorized by this permit until ilnal inspection.
-�C�,..����i- �' �3'`� - �
� Signeture LegelOwner Date
V -� �O
And/Or Authorized Applicant Date
SODE �. INSPECTIONTYPE
1616 Fized System Finel Fire Prevention
1266
200
201
202
203
204
2a48-06
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Finel Factory Fira Place
Final Sign
Final Demolition ,
o� INi1fiAL5
/ �� i
�/-�
COpE� INSPECTIONTYPE
206 Final Mechanical
20B Final Ptumbing
210 Finel Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Finel Site
250 Final Builtling/Occupancy, ,
2TE
,
C� � C� �yleda �ui�'di�y �u��a�
OWNER-BUILDER
VERIFICAT[ON
A city or county, which is required to give notice pursuant to Sec[ion 19830, shall attach to such notice, and,
as a condition precedent to issuing a building pertnit, require the completion and require the re[urn of, an
owner-builder verification.
Attention Property Owner.
An `owner-builder' building pemvt has been applied for in your name and bearing your signature.
Please complete and re[urn this information in the envelope provided at your eariiest opportunity [o avoid
unnecessary delay in processing and issuing your building permit No buildine oemti[ will be issued until this
verifica[ion is received.
� I personally plan to provide the major labor and materials for cons[ruction of the proposed
propeRy improvement. � Yes ❑ No
� I�a /have not) signed an application for a building permit for
the proposed work.
3. I have contracted with the foilowing person (firm) to provide the proposed conswction:
Name
Address City _
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of [he work, but I have hired the following person [o coordinate,
supervise and provide the major work:
Name
Address
Phone (
City _
Contractor's Lic. No.
5. I will provide some of the work but I have conVacted (hired) the following persons ro
provide the work indicated:
Name Address Phone Type of Work
1002-06 (flEV. 958)
-OWNER Mesa 4erde Estates DATE »_��_�A
JOB ADDRESS 3102 Gibraltar AvannP BUdDING PERMIT NO.833( �
GENERAL CONTRACI'OR
VALUE
AP. No. LOT lol 'rxacr3115 i1RE ZONE DESCRIPTION OF WORK R,eS_ & Af{-. Gar
GROUP I&J � TYPE V ZONE Al PLAN NO.
`ECTIONS I DATE I 8UBCONTRACTOR I ___ PERMITSI
coat
P+� ' Gas Test
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COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
MAIL
ADDRE55
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ARCHITECT
CONTRACTOR
ADORE55
LEGAL
oescaiPrior+
A.P. NO.
OF LOT
USE OF
E%�STING BLDG
J1VG lT1Ul"tLL4i1S dV0•
COSTA MESA. CALIFORNIA
4erde Estates
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APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
�o: gi 5-1751 IADDRE'S5
�Ip� •ir217� COSTA MESA, CALIFORNIA
GTY LIC.
NO.
TEL.
_ NO.
NO.OF BLDGS.
NOW ON LOTT
SETBACK LINE FROM C
cErvr[w oF sra[[r JO�P],11$ REAR VAROZOt�
SIDEYARO RIGHTSIglug LEFT S�FJli:9
DESCRIPTION OF WORK
NEW � ALTERATION ADDITION
REPAIR �MOVING _ 1_ ❑EMOLISH
BUILDING o S .�• NO.OF
512E r {� ROOMS STORIES
rnv�alOR WALLCh�nnn COV�ERINGAarFsa� h .�
'STPTE TXFT THE /.
CITT OF�INwNCES
TION. l I
AUTHORIZED AGENT
FIRE
ZONI
APPROVE�
BV OATE
CORRECTIONS
PLV WITX nLL
NG GOrvSTRVP
VALUATION J'
PERMiT FEE $ W ��-0
2 .�.d,�-✓
g �� �6a � PLAN CHECK $ �� �S�
TOTAL FEE 3 tS g�.s a �°'��