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Home My WebLink About1056 PRESIDIO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cos1a-mesa9ULDING PERMIT FEE SUMMARY Job Address: 1056 PRESIDIO DR $0.00 Suite: Permit: $111.25 Vicinity: RESIDENCE & ATTACHED GARAGE $0.50 Parcel Number: 14168114 - . Zoning: R1 R1 Applicant: WARNER, RICK Other: $0.00 Address: 23532 EL TORO RD #21 Inspection: $0.00 Phone: (800)499-1340 LAKE FOREST, CA Zip: 92630 Owner: GRANDIA, PETER W SETBACKS Address 1056 PRESIDIO, DR MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Phone: Rear 0-0 Left 0-0 Right 0-,0 " COSTA MESA, CA Zip: 92626 Contractor: BIENEK ROOFING Address: 23532 EL TORO RD #21 Phone: (800)499-1340 LAKE FOREST, CA Zip: 92630 License: 651509 Arch Address: Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/18/2000 Issued: 09/18/2000 ISSUED BY: , X-4 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O SHAKE, 1/2" OSB, 1 LAYER 30# FELT, APPLY "CERTAINTEED" 30 -YEAR COMP SHINGLES. . 21 SQUARES. , 01 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 44646 (6/00) FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,200.00 Permit: $111.25 Claim Valuation: $4,200.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-,0 " PARKING Existing: 0 Required: 0 Proposed: 0 ' NOTES: 01 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 44646 (6/00) _ l DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the /Nork for which this permit is issued. DAR[`,` have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of me work for which this penult is issued. My workers' compensation Insurainccee carrier and policy number are: Carder: — �� C. �� Policy Number: GG -2-04,5: (This section need not be completed if the permit i$ valued at one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thes ns. Applicant Signatu 0i Date: WARNING: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOULARE ($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 Tic sad 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 and effect. Lic. 4 Class p - C 7 Contractors Slgnatu i r Date: 0^ a fit, i 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 contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to 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 Thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, 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 naiad 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). - ..............................._.........._.............__.......................................................................................................file...................................'m''........................"h.a..........................to'n.als'....................._.......................................................................... 2 Does or will the applicant or present or future building occupant need to file a registration forth 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 theappplicant or present or future building Occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes 13 WT (Section 25534 of the California Health and Safety Cade 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,a,ppplication aPPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ? LJ 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). ...................................................................................................................................................__.......................................................................................................................................................................... ..................................__............. .. fi Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑ No (if "yes*, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ...................................................................................................................................................._..................................................................................................................................................................................................................................... SoulCoast 7 It a permit from the South Coast Air Quality Management District or other et pollution control district or agency is required for the work which is the subject of this Hal application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes [INo B (It'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 slate 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. Si re IOwner(s) Date And/Or Authorized Applicant Date CODE t. INSPECTION TYPE PATE 1NTITA CODE# INSPEC71ONTYPE FATE INTITLA� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /�..L_. 208 Final Plumbing 200 Final Re -Roof - -2l nib c:)tt210 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 eCOSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT ^^LeDin6 7(156 PTP4i Ain nr COSTA MESA, CALIFORNIA OWNER Macco Realty Co. ,no RESS 3800 E. Coast Highway CITY Corona del Mar, Calif TEL OR 34220 +v;TENEER MaCCO Realty Co. No UR 34220 ADDRESS Same a ab CONTRACTOR MaccoRealt' Co ADDRESS Same as above CITY LIC. No. 207343-A-SB1 TEL � OR 34220 OF LOT 75 x 93 NoSIZE . or BLDGB. NOW ON LOT none USE OF FxISTINr BI nG none SETBACK LINE FROM 5 CENTER OF STREET 50' REAR YARD 23' SIDEYARDI LEFT 101 RIGHT 51 DESCRIPTION OF WORK N X ALTERATION ADDITION REPAIR MOVING DEBUILDING MOLISH SIZE - 501 X 6011 ROOMS 5ySTORIES 1 EXTERIOR WALL ROOF Y1A�-0�S�T" ^ COVERING StUCCO COVERING4, shingle USEOFSUILDI GANDWORKTO EPERFORMED Single ram, res, watt, gar. Plan No 300 -AR 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WIT- ALL CIT" ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. .�� //—/J SIGNATURE OF // / / J L.AUTHORIZED MAY 2 2 1963 EIN," .ICE DEPT. CITY OF COSTA (MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PERMIT NO. Ar I RECzIjfED B. Y D&XX pq[C[—IVHD •alEA6D lEDB/ BUILDING ADDRESS FIRE ZONE TYPE GROU III APPROVED BY DATE ZONING ZON NO. OF USE OF NHW tYE �, PLANS I BWLDI LEGAL DESCRIPTION Lot 48 Tract 4784 A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 30" TO SIDE @ REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) FRONT - -✓ FT. FT. ` R. SIDE''J^^ Fr. FT. �V L. SIDE FT. FT. REAR FT. FT. DISTANCE BET. BET. MAIN Q MAIN SLOGS. ACCESS. BLOBS. VAR. # DATE C. U. P. # APPROVED APPROV BY ( DATE )1585n S.F. Gar. 440 S.F. Dwe li sQ. Fr. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION -7' PERMIT FEE $ 5-7-- PLAN CHECK $ 17, 060.00 $17,060.00 TOTAL FEE $ (J �/ /✓ " 25788 CITY OF C'STA MESA COSTA MESA BUILDING -SAFETY DEPARTMENT JON 13 1966 P.O. BOX 1200 COSTA MESA, CALIFORNIA 02520 JOB ADDRESS A.n'V. Ve T IIT T ACM BUILDING PERMIT )ESCRIPTION OF WORK P tlO COVer PTRP 7AM1 VAT.TTV t7nn.no ; .'%'"�ZCTIONS _ Signature Date GROUP) TYPE V ZONE Rl Son SUBCONTRACTOR PERMITS ISSUED Gas I Date Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line O House Con. ,p Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power O Rough Wiring Heating and Vent. Trenches p Forms Q Steel Reinf. ❑ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Brown Coat Iral, Final Electric I_ .ag, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test Q Electric, Final Building, Final