HomeMy WebLinkAbout2116 RALEIGH AVE - Building PermitsCITY OF COSTA MESA
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT PERMIT NUMBER
B99-00433 �
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2116 RALEIGH AV
Suite:
Vicinity:
PaicelNunmber: 42246307
npplicant: MC CLAI � M
Address:
Owner: JONES, JAMES L
Address 2117 7TH�AVE W
SEATTLE, WA �
Contractor: MCCLAIN ROOFING
Address: 12812 VALLEY VIEW ST
r
Arch :
Address:
0
GARDEN GROVE CA
Zip: 92845 '
� .i
� Phone:
BUILDING PERMIT
Phone:
Zip:
Phone:, , „
Zip: 98119
Phone: (714)897-1780
License:! 625013
��,-^"+T, �� i� Eng:
� , � Address:
Statu� S�
Applied: 03/31/7999
Issued: 03/31 /1999
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Phone:
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Zip � � � ,License: Zip: � License: �
SCOPE OF PERMIT �
REROOF - T/O, NEW 20 YR THREE TA8 COMPOSITION SHINGLE ROOF OVER 2 PLY 15# FELT 8 NEW 28# BASE SHEET '
TORCH DOWN MODIFIED FIAT ROOF. TOTAL 2400SF. '�� � � ' ,
FEE SUMMARY : ;
Plan Check: $0.00 - , Calc Valuation: S3,000.00
Permit: $7475 - � � Claim Valuation: $3,000.00
SMIP Res: $0.50 %
SMIP Com: $0.00 -
Other: $0.00 —
Inspection: $0.00 � �
Total: . $75.25
' PLANNING& ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
Left 0- 0
Lefi 0- 0
Proposed: 0
Right 0- 0
Right 0-0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a pe�iod of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOH INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: ` �
I hereDy atfirm under penelty of perjury one of the following declaretions: `� �"
� I heve entl wlll maimain e ceniticete of consent to self-Insure tor workers' compensation, es provided tor by section 3700 of iha Lebor Cotle, for the pertormence of the
work lor which this permit is luued.
❑ I heve entl wlll maintein workere' compensation insurance, as required 6y section 3700 ot the Lehor Code, for Ne pertortnance W Ne work for which this pertnit is is5ue0.
My warkers' compensatlon Insurence carrier end policy numbar ere:
Cartier. Policy Number:
(!h!s sec7on need not be comple(etl il the peimit /s ve/ued et one huntlretl dollais ($ f00) or less.)
❑ I certity that in the peAortnance oi t�e work for whic� Ihis pertnit is issued, I shall not employ any person in eny manner so as to become subjact to the workers'
compensetian laws of Celitomla, end agree that If I shoultl become subjact to the warkers' compensation provisions ot Sectlon 3700 of Ihe Labar Code, I shell forthwlth
comply with Ihesa �r isions.
Applicent Signeture: Yl (/7n iY1 �'(,Qllnti oe�e: _ 3�3! ��9
WMNINO: FAILUflE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW FUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO IXJE HUNDRED
hKKASPND WIJ.ARE (5100,000). IN ADDfiIIXJ TO THE COST OF OOMPENSATIqJ, DAANGES PS PROVIDED FOR IN SECIIIXJ 3/0fi OF THE IABOR WOE, IMERE5T, AND AROfiNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereDy eNirm t�et I am Ilcensed under.Qrovisions ol Chapter 9(commencing wlih Section 7000) of Division 3 of iha 8usiness end Professions Cotla, and my license is in full
IorceantleNect.LJc.»_(L%��i.J ClassN C3�!
ContrectofsSignature:���/Yr� Data: 3 � �4
CONSTRUCTION LENDINO AGENCV:
❑ I hereby affirm thet there i5 a con5lruCtion lending agenry for Ihe pertortnance of Ihe work tor whic� thi5 pertnit i5 issued. (Sec. 3097, Civil Cotle).
Lenders Neme: Lenders Address:
Signatura: Date:
OWNER-BUILDER DECLARATIONS:
I here6y eHirtn thet untler penelry at pehury Ihat 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW far the tollowing reeson (Sec. 7031.5, Business enC Professions
Code: Any ciry or counry whlch requires e pertnit lo construct, alter, impmve, demolish, or repair any strucNre, prior to its issuance, elso requires t�e flpplicent tor such partnll
to file a signetl stetement the� he or she Is Ilcensed pursuant to Ihe provisions ol the Contractars Licensa Lew (C�epter 9(commencing with Sedlan 7000) oi Division 3 of ihe
Business ana Professions Cotle) or Ihet ha or she is exempt theretrom and the basis for the alleged exemption. Any violation of Saqion 7031.5 by eny epplicaN for e partnit
sub�ects Ihe epplicant ro e civil penalry ot not more then flve hundretl tlollers (5500).):
❑ I, es owner of the pmperry, or my employees with wages as ihelr sola compense[ion, WILI DO THE WORK, antl the siructure is not intended or oflered tor sale (Sec.
7044, Bu5ine55 entl ProFession5 Gode: Tha GOnireclors LJcense Lew tloes not appty to an owner of properry who builtls or improves thereon. end who doe5 such work
himsell or herself or Ihrough his or her own employees, provlded Ihe� such improvements are not intentletl or oXaretl for sale. If, however, Ihe building or Improvement Is
soltl withln one year of completlon, Ihe ownar-6uilder will have the burtlen ol proving that he or she did not build or improve lor purpose of sale.).
❑ I, es owne� of t�e property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo consiruct tha pro�act (Sec. 7044, Business end Professions
Gode: 7Te conirec�ow License Law tloes not epply to en owner ot praperty who builtls or impmves ihereon, and who cantrects far such project wlt� e contrector(s)
license pursuam to the Contrectors License LewsJ.
❑ I em esempt under sec.
Signature:
Owner ID verifietl by driver's license. ❑ Yes ❑ No
Business and Protessions Code for ihis reason:
Vedfication of Ownership by (rype of documenl, i.e. - pmperty ta�c blll or tleed):
Dnver's License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I �ereDy certly t�et na excevetlan ilve (5) ar more feet in depth Into which a person is required to descend, will be matla In connection with work euthoAzed by ihis
pertnit, entl Ihe� na builtling structure, scaHolding, felsework, or demolition or di5mantlinq Ihereof, will be more Ihan thirty-six (36) leel high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title e, Celllomia Adminisirative Cotle).
❑ As ownerbuilder, I wlll not employ enyone to tlo work which woultl require a pertnit tmm ihe Division oi Intlustdal Satery, es notetl above, unless such person hes e
permil to tla such wark from the divislon.
Signature: Date:
Division of Intlustrial Safety Pertnit Numbar:
CERfIFlCATE OF COMPLIANCE AND AUiHORPA710N OF ENTAV: I certiTy untler penalry of perjury that I have read this application and state thet the intortnetion given is
canecL I agree to compy wit� all state laws and ciry oNinences relating to building cnnsWction, end authorize representatives o1 the Ciry of Costa Mesa to enter upon the
ebove-dexnbed properry tor Inspectlon purposes. I agree not to occupy or ellow occupanry ot any building authonzed Dy Nis permil until tinal inspaction.
{i)7L .�i�f�l�� O.vnerls) J /3i / ��
AnNOr AuthorizeO Applicant Date
FQQE�, INSPELTIONTYPE
1616 Fixetl System Finel Fire Preventlon
1266 Pool Spe Final
200 Flnel Ra-Rool
201 Finel BIocWRetaining Wall
202
203
204
2ea&Is
Finel Fectory Flre Plece
Finel Sign
Finel Demolltion
Gd7E It�ALS
� �
CO�E� INSPECTONTYFE
206 Finel Mec�anicel
20B Finel Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Sile
250 Final Building/Occupancy
QA7E
,wi,
GENERAL
— In
DESCRLPTION
RE ZONE VALUEI
Date GROUP I TYPE
SUBCONTRACTOR
1V J�W
PERMIT N0.
„ 262 � ' � -3-66 I10 065 ��*��`*5.00
COSTA j1AESA BUIIDINCrSAFETY DEPARTMEM
P.O. BOX 120� C08TA ME4A. CALIFORNIA 82620 �
OWNER _K(��i� �'rjj�f�'fj �•j, DATE 3-9-56
JOBADDRESB 2116 Ralei�h Ave, BUILDING PERMIT NO. 2µ5�1
GENERALCONTRACTOR OWROI' VALUE $ lO�3ZO.00
�or IL{ BLOCK TRACT 2348 Residence & Gar.
GROUP I& J TYPE V 20NE � FIREDISTRICT ZLLBO
PERMIT8ISSUED
INSPECTIONS DATE SUBCONTRACTOR
/1.wrw�<Oh/u � IM�.P.� G-A=AZ: DATE I NUMBER
FootingTrench � " �W
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Sla
Plumbing, Raugh Complete�LC
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
$ewer, House .n�Sewer„
Septic Tank or Cesspool
Lathing, In Out
Plastering
Plumbing, Final, Fixtures Comp
Plumbing, Final GasTest
Wiring, Final
Occupancy
FOpM 210 3M 10�•+5
C-cc.(/�'..✓ I if� / -� :,I �-. <
� Cvsta Mesa Building DeparLment
�' " =� t• - 111 �EAST Y" &TREET
!' COSTA MESA, LIFORNIA
FOR APPLICANT TO FII.L IN
Bullding
addresa 2116 Raleigh Avenue
Costa Mesa, California
Nearest
Cross St.
owner Kenneth �'�.
Mail
naaress 2826 Newoor
city Newport Beach
Architect or
Engineer
Addreu
Contrector q"w „�'V
Address
Legal Lot
Descrlption I No. 14
(AtWch Metesand Bounds)
s�Ze or �ot do X ioo
Use of
Existing Bldg.
Setback Line from
re..�e....s e.r._� S(1 t
No. Hr.
Lic.
No.
Yard
Addition
No. of
Rooms 6 stories 1
24.4,PPLICATION FOR PER �
�j�� � �ILDiNG
FOR O�'F'ICE USE ONLY
I Receipt No. I� e/�
L
.� � .3—�-5-6 �mHn
Buildi g
Addre55
Costa 1VYesa, California
APPROVALS
Frame: Fire Stops,
Bracing, Bolts
I hereby aclmowledge that I have read t}us ApplicaUon
and state that the above is mrrect and agree to comply �ath. InL
with all City Onlinances and State Laws regulaling
bullding constYUCUon. Lath. ExL
Signature ot
Permittee � � � i1 Plaster, Int
,i / r1n. -�../ //�—
Valuatlon Pe�mitFee$ 2(,�� MasonryRelnforced
� Pian Check $ 13.00 Bond Beam
s 10,32o To�� 39.00
Fee FINAL
AM 204 S-HP 2M 8-53
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PLOT PLAN
Show location and distances irom
property Iine and between 6uildings
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