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Home My WebLink About870 PROSPECT PL - Building PermitsPERMIT TYPE � CITY OF f;O�TA MESA � BU/LD1611G DIVIS/ON 77 fAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 • / Y JOB ADDRESS: Vicinity: ROOF Squares: 0 B_ROOF2 . , ' � D� 870 PROSPECT,PL CM' �'£ � �i + , .i � ,� �'V t:r; " . 5ql i.. __ ��'f� �' =f: . � .. -, _ _ .. PERMIT NUMBER. B07-01000 �'+ �S ATUS:' �ISSUED UED: 10/26/2007 ��D BYi SOK ■ �( � :' �. SCOPE OF WORK: TEAR OFF;EXISTINGROOF:^INSTAL�LAYERS OF 15# FELT If < 4:12��.PITCH'OR �1 LAYER OF 30# FELT IF >= 4:12 PITCH, 7/16" OSB, 30.YEAR COMPOSITION SHINGLES FOR 2,300 S.F. S.F.D. - ' z �:. r. � � : `; C. OWNER: HOM, ROBERT G k` Address: + 870 PROSPECT PL; "� �� `�� PHONE: 5 ' -�'� City/State/Zipi COSTAMESA,CA: � �s �.,.- . ... � ; ''. - •. 4 =t i. , � � ., t ':: z - i, .. , ' �.-.' ..,,�... � "., :-. � APPLICANT: NICKMARTINEZ �:'-x ,' ' . -� Address: �9781�EASTWOOD�:QI .3 � ' .: } :,:'� PHONE: 7�4�00-7433 � r� - -� City/State/Zip: VILLA PARK; CA �` �, , �..;> ' . # � : �s�t , _. . � .,: -' -._ �: LIG � � � CONTRACTOR: THE ROOF GUY t ense No �� 6385. Address: 9781 EASTWOOD CIUmt =;; _� ; � .PHONE � 714-921 1500 - - City/State2ip: VILLA PARK; CA -� 92861�' i �c - "' . ' ` ' _ � CELL �q , 1,_�, i�` 'r, ' ,,., � ARCHITECT: : License No � ; ,� i PHONE s,; ? . � r _ _::• ,,;� ENGINEER: � � • License No. PHONE ;{�! � , <, _.. --,. ,. : .., ._ � . ._ .. - _ �-: . - ... .,i;: _ �r� �. FEE SUMMARY ' ' t Reroof Plan Check: ' -;�:, $0 00, . `� ^ '" Reraof Permit Fee: $125 25i � ?� ._ Reinspedion Fee: `$� 00 ; > '�'', " _ � � ` �- ' . , n _�_.� TOTAL FEES $125.25 ..;:� � �. ��; ,: - � .+� �� ,- . w Unit Unit: : �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 authonzed 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. � LOOE I. INSGECTON TYPE 1816 Fixed System Final Fire Prevention 7266 Pool Spa Final Z00 FinalRe-Roo! 201 Final BlockJRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition onre ixnna�s / � Q [,D lilt � LODEtl INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventi0n 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DATE INPT14L5 WORKERS' COMPENSATION DECLARATION:� I hereby aKrtn under penalty of perjury one o( ihe (ollowing declarations: s /� �Ovmer ID verified by dnv e. � Yes ❑ No "'� D ' ❑ I have and will maintain a certi(cale of consent to sel(-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for Ihe pedormance ot ihe work for which this pertnit is issued. � � I have and will maintain v.orkers' compensation insurance, as required by sectbn 3700 of the Labor Cotle, for the peAormance of the wvrk for which this pertnit is issued. My workers' compensation Insurance carrier and policy Carrierr are:�� . (ThiSsectionneetl�rofbemmpetetlAthepermrtuva7lued�atonehunOretl�llars(5100)wless.) Policy Number �_� �3 ��.� ��(J 0�O ❑ I certify that in the pedormance of the work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, and agree that if I should bewme subject to the workers' compensation provisions of Section 3700 of the C¢tle,f�shall forthvn[h com y th these provisions. �.C1C �'ll- �� Iu 1�-l0 l Ol MO��'s SignaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licenseI i-s in full forcer Lantl effect. Lic.# I/U��(��7�( �J / Class#� ' 0 \ 1(]C l� \- �'�uY� �� .Z-In ( (1� Co�iractor's Signawre \ Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that [here is a wnstructbn lending agency tor the peRormance o� ihe work ta which this pertnit is i5sued. (Sec. 3097, Civil Code). Lentler's Name: LenOer's Atltlress: SB�aWre Dale OW NER-BUILDER DECLARATIONS: 1 hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sec. 7037.5. eusiness ana Professions Code: My city or counry which requires a permit to tonstruct, alter, improve, demolish, or repair any s[rucWre, pnor to ils issuanGe. also require5 the applitan[ (or 5uch permit to fle a signed s[atemenl that he or she is licensed pursuant [o [he provisi0ns of the Contrectors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of Ihe Business antl Professions Code) or that he or she is exempt lheretrom and the basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permil subjecls the appliwn[ ro a civil penalty of not more than (ve hundred dollars ($500).): ❑ I, as owner of lhe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the slrucWre is not intended or oftered 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 vrork himself or herself or Ihrough his or her ovm employees, provitled that such improvements are not intended or o%ered �for sale. If, hovrever, the building or improvemen[ is sold wilhin one year of wmpletion, the owner-builder will have ihe 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 CONTRAC70RS lo wnstruct the project (Sec. 7044, 8usiness and Professions Code: The contractors License Law dces not appty to an rnvner of property who builds or impmves thereon, and who cont2cts for such project with a contractor(s) license pursuant to the CAnt2ctor5 License LavS.). ❑ I am exempt under sec. Business antl Professions Cotle for this reason: �ver s License No. Expires. Venfication of Ownership by (type of documen[,. i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certMy that no exwvation frve (5) or more feet in depth into vfiich a person is required to descend, will be made in conneclion with woAc authorized by this pertnit, and that no building sWcture, scaffdding, falsev.ork, or demolition or dismantlinq thereof, will be more than thirty-six (36) feel high. (Chap. 32. Gry 2, M 2, Sec. 341, Title 8, Califomia Adminislrative Code). ❑ As owneo-builtler, I will not employ anyone to do work which vrould require a permit from the Division of Industrial Safe[y, as noted above, unless such person has a permit to tlo such work trom the tlivision. Ap0licanl's SignaWre Division of IndusMal Satery Pertnit 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 thieatened release ot a hazardous matenal? ❑ Ves ❑ No (Section 25505 of the Califomia Heal[h and Safery Code requires, with some exceptions, that a Business Plan be fled with the Cosla Mesa Fire Department by every business which has at any one time tlunng a reported year a quantity ot hazardous malerials 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 antl pressure). 2. Does or will the appliwnt or presem or future builtlinq occupant need to file a registration fortn for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equalto or greater than a weight o! 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 3. Does or will the applicant or present or Wture building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutey hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provitles that the Costa Mesa Fire Department may require the preparation, certification and fling wi[h the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials wi[h the Fire Department. 4. If an RMPP is presently required, has Section 25534 of ihe Cali(omia Health and Safery Code been (ully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or Nture building occupant require for the work which is Ihe subject o( Ihis application a pertnit for such consWction or modifcation from the South Coast Air Quali[y Management DiStrict or from any olher air pollu[ion control distncl or agency? ❑ Ves ❑ No (Section 65850.2 of the Califomia Govemment Code requires that the requested infortna[ion be fumishetl on applications fa non-residential building pertnits). 6. Will any part of the facility to be consiructed untler I�is permil be wilhin 7000 feet from the outer boundaries of a school? ❑ Yes ❑ No pt'yes", the faciliry must meet the requirement of Sections 25534 and 42303 o( the Califomia Healih and Safery Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution conUol district or agency is requiretl for the work which is the subject of this application, have all of the disclosures prescnbetl by California Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No -8. Qf'yes", attach certifcate of compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of peryury the information given above is correcL I agree to comply with all state laws and ciry ordinances regarding Hazardous Matenals and Emissions. 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 cortect. I agree ro comply vnth all state laws antl ciry ortlinances rela[ing to building conslruction, antl 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 authorizetl by this permit un[il Lnal inspection. Signalure oi legal O^wn^er�s) Dale SignaWre . Date . - \\� �- �ry`^, � 1Jl� ��^I 705�-06 (310]) p or Au�M1onzeE AOClican� Date F � a a .�. y F G F a Q :a a > r a a w � 4 z � 3 �n�;��. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA. CALIFORNIA 92626'� �� For Applicant to Fill in Completely — Use Ink Only BUILDING �%/% P �___ _ _-�� nI OWNER MAIL CITV c CqN5TRUCTION BRANCH ADDRESS AflCHITECT TEL. NO. TEL. ADDRESS 777 S• �� 'St'. � ��'O5; Orange CONTRACTOR �1PS/ucvc�-O�JPS ADDRESS '�� TEL. CITV 'S� . NO. STATE Sa� C�TV LIC. NO. IIC. NO. SIZE NO.OF BLDGS. Q OF LOT NOW ON LOT USE OF __ ,_ � Separate permits are required for electric, plumbing and heating work. BUILDING AND WORK TO BE PERFORh detached residence units. I hareby acknowletlpe thet I have reetl thts application and state thet the above Information Is eorract antl agree,to eomply wiM all laws reguletlnB building construeNon, and I shall not employ any verson in vtolation of Me workman's compensation laws of <he State of California. 1 he�eby certify thai 1 am pro0erly Iieensetl as a contractor untler ».e srsre of Cal)to�nta Business and P�ofeaions Code, Division 3, Chapter 9, and that such licanses are In full force end effect, ar I em exempt trom the provisions ot the Stete of California Buslness and Professions Cotle, Divislon 3, Cha er 9. SlpneturaPY//d. / / �� Permittae Y/u� � Authorized AOent 3363 2/ 3363 '"2/ APPLICATION FQ,Rj�7}RUG�'iI' IiECEIVEDBV DATERECEIVED BUILDING ADDRESS FIRE ZONE T' APPROVED BV 20NE � NO.OF - PLANS . VAROSAPPROVED MAIN BUILDING (FROM C^/L ^S �REF�T� ERONT �i/ Ff " � q. SIDE � / FT `� L. SIDE �/ FT.D FlEAfl �-}(ijr FT.O D45TANCE BET. MAIN BLDCS. VAR. # VALUE 130.1.1 .TL I'30.'I' fCKTO. _.�A,._ .__. USE OF NEW �_ 1� BUILDING w�/�` VARDS APPROVEO ACCESSORY BUILDING BET. MAIN & � ACCEffi. BLDGS. DATE —(6.— THE AMOUNTSHOWN UNDER VALUATI THE PURPOSE OF ESTABLISHING A PEfiMfi VALUATION PERMIT PEE § 8O� �OD• PLAN CHECK $ ` .,�.„n � $ TAX $ TOTALPAID $ AENTJ %� NO n m (� ` > V� �� m �y N � �� IS FOQ m v ONLY: � a � S o � '^!o/ .� � . �, 6769 8 '9 249:00 TL 1F 6769 37 � "249•DOCKTQ CO OT 8 XE 200 CIOSDT'A M SAFCALIFORN�IA 9 626 T �6759 G0004474 44 { �:Q � ^ ..— APPLICATION FOR STRUCTURAL PERM[T For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUIIOING ADDRE55 PERMIT NO. OWNER A.P. NO. MAIL BUILDING j� � A�DRESS ADDRESS �J TEL. TRACT LOT�� BIOCK CITV NO. CONSTRUCTION . W ADD L P LENDEF eRANCH OWNER ADDRESS - VAWE • ARCHITECT TEL. SE $ OR ENGINEER N ' FIRE ADORESS 20NE TVPE GROUP ' � APPROVEO CONTRACTOR BV DATE ADDRESS ZONE NO.OF USE OF NEW TEL. p�qµ� gUILDING CITV NO. STATE CITY �'ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING ' SIZE NO.OF BLDGS (FROM C/L STREET) OF LOT NOW ON LOT ONT FT. FT. USE OF EXISTING BLDG. FT Separate permits are required for L SIDE FT. FT. electric, plUmbing and heating work. REAR FT. FT. USE OF BUILDING AND WOfiK TO 8E PERFORMED DISTANCE BET. BET, MAIN & MAIN BLDGS. ACC65. BLOGS. VAF.ak pq7E C.U.P.�W APPROVED ' APPROVED I heraby acknowledge that I have reetl this eppl(cation and stete n that ihe above Information is correct entl aB�ee <o comply with � ell laws reBuletin8 builtlinB eonstruction, antl I shall not employ � any perwn In violation of Me workman's compensation laws of m Me State of Callfornia. 1 heraby eertify thet I am properly Iicansetl as e contractor under SQ. FT. H rna s�r. os Ca�lfo.nle Businass entl Protess(ons Code, Div(sion 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR m Chapter 9, and thet such licanses are In full force antl e/fect, or 1 THE PURGOSE OF ESTABlISMING A PERmii FEe orotv: — am exempt f�om the p�ovisions of ihe Scete of California Business a VALUATION PERMIT FEE S and Prolessiona Code, Oivislon 3, C ebtar 9. m PLAN CHECK S ^� Sipnaiure of � Pa�mlttee $ TAX 5 LL f U AuthofiiBtl AgenT TOTAL PAI D E - u[a WILLIAMS INSULATION COMPANY OF CALIFORNIA � 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 972-9632 � THERMAL INSULATION CERTIFICA7iON � � THIS IS TO CERTIFV THAT IfJSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH CUflRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 S7qTE � OF CALIFORNIA, IN THE BUILDING LOCATED AT: � Tract Name: ; Lot No. 35 Tract No. 1�513 � Street ��f �l 1L1,� ` City ' EXTERIOR WALLS: Block No. COSTA P-1PSA ,' R— : Mfg. Owena Cornine Thickness/Type 6" Value 19 Ceil i ngs: ' ' ��- Batts: R— ' Mfg. (k.+nna r.,r�n�„o Thickness/Type.� Z" Value 11 Blown In: ' R_ Mfg. Thickness/Type Value R— Sq. Ft. Covered No. of Bags Used ' Value Floors: , p_ ' Mfg. Thickness/Type Value— _ Other Mfg. � General Contractor Thickness/Type California Contractors License No. Signature Williams Insulation Co. of California California Contractors �icense No. 267522 JOB COPY-WHITE GENERALCONTRACTOp-VELLOW R— Value Date Date 8/29/79 BUILDING DEPARTMENT-PINK FI�E COPV-GOLD ; a._ ,a.�i i.7Z._�.i,3•.[�7 TRACE N0. ��.� 3 IL7P NO. ,�S' I�:VY� �e develoQer of the above entitled tract desires to sell the above set forth lot prior to the tune that the tract has been oonQleted and its streets accepted b� the City of Oosta Mesa. By exewting this agree�rent, the undersigned acJviwledges that he/she/they was/were advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having cortQlied with the oonditions of approval which �.ere iaiposed. ty the City at the ture the Final Tcact Map was apprwed. T�e City assimes no liability for the enforo�rent of the conditions nec.�essazy for approval other than tl�ose oonditions protected by surety bond. The undersigned agrees to irx3enmify and hold the City hannless fnxn any claim resulting in da�ge or personal injuty to the undersigned b� reason of the aforementioned unoonpleted condition(s). RrcEivE� ClTY OF CCST4 M'SP. p� , ,� . (dv'� n.. �9%9 AM PM '7i8i9�l0illil`l�ii�e3i4i5�6 ! C�� /�—/D' 4179 SY �. � - (Signature of Purchaset')' 8Y �.�K�� (Signature of Developer arr3 or authorized representative �— G�u�1`C