The URL can be used to link to this page

Home My WebLink About1161 PRINCESS CT - Building PermitsC-9 �'� M S CITY OF COSTA MESA ` ;` _ BUILDING DIVISION PERMIT NUMB! DEVELOPMENT SERVICES DEPARTMENT dam PERMIT /B99-01542 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1161 PRINCESS CT Suite: Vicinity: HOUSE & GARAGE Parcel Number: 41207331 Zoning: R1 F Applicant: SELL ROOFING COMPANY $167.25 Claim Valuation: $8,900.00 SMIP Res: Address: 17072 ROSEBUD $0.00 Other: $0.00 Inspection: Phone: 714-993-3328 YORBA LINDA CA Zip: 92686 Owner: BONAZZA, BLAZE O Address BONAZZA, MARION R COSTA MESA, CA Phone: 1161 PRINCESS CT Zip: 92626 Contractor: SELL ROOFING COMPANY Address: 17072 ROSEBUD Phone: 714-993-3328 YORBA LINDA CA Zip: 92686 License: 323842 Arch : Address: Phone: Zip: License: L Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/27/1999 Issued: 09/27/1999 Phone: License: SCOPE OF PERMIT REROOF - T/0, INSTALL 7/16" OSB BOARD, 2 LAYERS OF 30# FELT AND ICBO #4660 EAGLELITE ROOF. Rear 0-0 FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,900.00 Permit: $167.25 Claim Valuation: $8,900.00 SMIP Res: $0.89 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.14 SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existing: 0 Required: 0 NOTES: PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 Proposed: 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 180 days, or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714) 754-5626 ERS' COMPENSATION DECLARATION: ,eby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will intain workers' compensation insure ce, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' �nsat' n lnsuranccg''°°aTher and po" number are: � _ / Carder:�A Policy Number: lTU (This section need not be completed if the permit Is va/u d atone hundred dollars ($100) or less.) I ❑ 1 certify that in the performance of the work for w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Californ' , n agree that shou b come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provision . Applicant Signature: Date: WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: hereby affirm that I am licensed untler r 0j -Ch tpr-9 (commencing with Section 7000) of Division 3 of the Business and Profess'II ns Qode, and my license Is in full force and effect. Lic. a ji Class» 9 `j Contractor's Signzture: Date: — 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). Lenders Name: Lenders Address: Signature: Date: 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 contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt untler sec. Business and Professions Code for this reason: Signature: Date: Cwner ID verified by drivers 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 certify that n0 excavation five (5) or more feet in depth Into which a person is required t0 descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thlrty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California 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. Signature: Date: Division of Industrial Safety Permit Number: 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 on 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'RaWs-prosently required, hes 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 8 plication a.germit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pert of the facility to be constructed under This permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes', the facility must meet the requirement of 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 cenity under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply II state law nd 'ly dmances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described props r In action pu ase ea not to occupy or allow occupancy of any building authorized by thispermit until final ins action. ¢_z� -�2 Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE 4, INSPECTION TYPE QAIE INTITIALS CODE I INSPECTION TYPE DATENTIJ TIALe 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof .&,o(,-'- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2649-4e 04'7:;sib COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 3604 2/21/79 263.94 TL 3804 2/2:1'(79 ' :283a94CKT0 -'3804 0000447505 IA APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely - Use Ink Only R E E DATE RECEIVED /_�?- DATE ISSUED BUILDING ADDRESS Tract 0277 Lot 29 PERMIT NO. OWNER McLain Development Co. A.P. NO. MAIL BUILDING �� ADDRESS 1470 Jamboree Road ADDRESS jy�-Cp,O,p TEL. CITY Newport Beach No. 640-6800 TRACT 10277 LOT 29 BLOCK CONSTRUCTION NEW ADD A R EPMW LENDER A OWNER l BRANCH ADDRESS VALUE S f%" $ FIRE ARCHITECTTEL. OR ENGINEER Corbin/yamafuii N0. 752-556 ADDRESS 3661 Spruce St. Newport Beach ZONE TYPE GROUP APPROVED CONTRACTOR McLain Development Co. BY DATE ADDRESS 1470 Jamboree Road TEL. ZONE NO.OF USE OF NEW CITY Newport Beach NO. 640-6800 DDR_rA0 PLANS BUILDING FES STATE CITV YARDS APPROVED YARDS APPROVED LIC. NO. 273875 LIC. NO. MAIN BUILDING ACCESSORY BUILDING NOSIZE SL. (FROM C/L STREET) OF LOT SO X 110 OW WOOF N LO FRONT FT. o FT. USE OF EXISTING BLDG. t R. SIDE FT, O FT Separate permits are required for L. SIDE /9D FT. FT. /O electric, plumbing and heating work. REAR /6 FT. O FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. SLOGS. Single family residence, C URp + /] Zf ,gl/ APPROVED New House APPROVED Q RY HOLD FOR SP CIAL REQUIREMENT I hereby acknowledge that I have read this application and state ' that the above Information is correct and agree to comply with 1561 all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of House the State of California. SQ. FT. Garage 434 , ; I hereby certify that I am properly licensed as a contractor under THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, i Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provislons of the State of California Business VALUATION PERMIT FEE $ and Professions C de, Division 3• Chapter 9. Signature of ` ^ / c /f e r PLAN CHECK E O Permittee Q . ��`- ` o l "`^� $ /.j.]) TAX $ Authorizetl ABe TOTAL PAID E