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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 � ` Phone: � 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 0 9 � Z D r PLOT PLAN Show location and distances irom property Iine and between 6uildings . - � � -< _ _ .t >- ., ....��FT: ._ �_ .� I 7 0 � 0