HomeMy WebLinkAbout3175 GIBRALTAR AVE - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 3175 GIBRALTAR AV
Suite:
Vicinily:
Parcel Number: 13913519
Applicant: WATSON, KRIS
Address: 2219 W OLIVE AV
SUITE 282
BURBANK,CA �
Owner: LAUDENBACK, DAVID PAUL
Address 3175 GIBRALTAR AVE
COSTA MESA, CA
Contractor: MODERN ROOFING
Address: 2219 W OLIVE AV
SUITE 282
BURBANK,CA
Zip: 91506
Arch :
Address:
Zoning: R1 R1
Phone: 88&311-7663
Zip: 91506
Phone:
Zip: 9262G2350
Phone: 888-311-7663
License: 807881
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 11/08/2004
Issued: 11/OS/2004
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: T/O EXISTING COMP. SHINGLE ROOF, INSTALL 30# ASTM FELT AND 24 SQR'S OF 30 YR. COMP. SHINGLE.
FEE SUMMARY
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
inspection: $0.00
Total: $83.75
SETBACKS
ACCESSORY
PARKING
NOTES:
Front 0- 0
Front 0- 0
Existin : 0
Rear 0- 0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0- 0
LeR 0- 0
Proposed: 0
Calc Valuation: Sz,9oo.00
Claim Valuation: S2,9oo.00
Right 0- 0
Right 0- 0
INOTICE: The work authorizad by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
''. regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced wlthin 1 BO days, or ii work is suspended or abandoned
tor a penod of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5fi26
?asae �aroo�
WORKERS'COMPENSAnONDECLARAnON: � � � '
I hereby aflirm untlar penelry af perjury one of the lollowing declaretions: �� �
❑ I heve end will mainteln e certificate ot consent to self-Insure for workers' compensatian, as proNded for by section 3700 0l the Labor Code, for the peAartnflnce ot the
1,.. work lor which this pertnit is issuetl.
ly . I have end witl maintain workers' mmpensation insurenca, az requiretl Dy section 3700 of Ne Labor Cotle, for ihe perfortnance of the work tor which Nis permit is issuetl.
}� My w ers' ompense�nsurance cartier antl Dolicy number are: n �J
�Certier. � 1� ,P V�� oliryNumber._��%rJ-IQ�`7-7���
(This section neeG not be camplered i! (he permif is velued ef one hundred dollers ($ f00) or /essJ .,
❑ I cenity t�at in �he pertortnence ot the work for which this pertnit is issued, I shell not employ eny person in eny manner so as to become subject to Ihe workers'
compensatlon lews ol Celifomla, and agree thel If I should become subject Io Ihe workers' compenselion provisions ot Sectlon 3700 ot Ihe Labor Catle, I bhall torthwlth
ply with thesa provisions.
icantSigneture: � Det��l-QJ'U�
WARNING: FAILURE TO SE E WORKERS' COMPENSATION COVEfiAGE IS UNLAWFUL AND SHALL SlIB1ECi PN EMPLOYER TO CRIMINAL PENALTIES AN� GVIL FINES UP TOONE HUNDRED
TFqUSAND DOIJ,AFE (SiN,ODO�, IN ADDITION TO THE COST OF COMPENSATION, DMMGES AS PROVIDE� fOR IN SECTION 3]O60F iHE LABOR CADE, INiEREST, AND ATiORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I h by aMirm thet 1 em licensetl untler roNsions ol Chapter 9(commencing with Section 7000) af Division 3 of Ihe Business entl P ofeuions Code, and my license is in full
rce and enect. uc. a��b 7�� � a C-3 �
Contractors Slgnature: Date:
� CONSTRUCTION LENDING AGENCY:
❑ I hereby eMirtn Ihat there is e cons�ructlon lending agency for the pedormance ol iha work lor which this pertnit is Issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lendafs Address:
Signature: Date:
OWNER•BUILDER DECLARATtONS:
1 hereby eNirm ihat under penalty of perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires e permit to consimct, elter, improve, tlemolis�, or repair any siructure, pnor to its issuanca, also requires the eD0licant lor such pertnil
b flle e signed statement thet he or she Is Ilcensetl pursuant to ihe provislons o� t�e Contractors License law (Chapter 9(commencing wit� Secllon 7000) ot Didsion 3 oi the
eusiness antl Professions Code) or Ihet he a she is exempt therefrom and ihe basis lor the elleged ezemption. Any violatian af Sectian 7037.5 by eny epplicent lor e pertnit
subjects tha epplicant to e civil penelty of not more ihan five hundretl tlollars ($500).):
❑ I, as owner oi �he property, or my employees wi�h weges es iheir sole compensa�ion, WILL 00 THE WORK, and the structure Is not intended or oftered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law tloes not apD�Y �o an owner of propeny who builds or improves thereon, an0 who dces such work
himself or herself or through his or her own employees, provided thet such improvements are not Intended or ottered for sale. If, however, the builtling or improvement is
sold within one year of completion, ihe owneo-builtler will have the burtlen ot proving ihat he or she did not build or improve tor purpose of sale.). '
❑ I, as owner of the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct t�e project (Sec. 7044, Business and Professions
Code: The contrectors Licensa Lew tloes not eppty to en owner of property who builtls or Improves thereon, and who contracts for such pmjea wl�h e comraaor(s)
license pursuant to ihe Comrectors Licensa Lews.).
❑ I em exempi under sac. Business antl Protessions Coda for this reason:
SignaWre: Date:
Owner ID verified by drivefs license. ❑ Ves ❑ No Drlver's License No.
Verification of Ownership 6y (type of documem, i.e. - property taa bill or deetl):
Ezpires:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation five (5) or more feat in tlepth into which e person is requiretl to tlescend, wlll be mede In connection with work euthorized by Nis
permi6 entl thai no builaing stmcture, scattoltling, falsework, or tlemolition or dismamling ihereoi, will be more �han ihlrry-slx (36) leet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Titla B, Calllomla Atlminisirative Code).
� As owner-builder, I will not employ anyone to do work which would require e permit Irom the Division of Intlustrial Safery, es noted above, unless such pereon has e
permit to do such work fmm ihe division.
Signature: Date:
Division of Indusirlal Sefery Pertnit Number:
CERTFlCATE OF COMPLIANCE AND AUTFIORIZA710N OF ENTAY: I cenify under penalry of perjury that I heve read this epD�ication en0 state that ihe infortnation given is
correct. I egree to wmply with all state laws and ciry ordinences relating to building construaion, and aNhonze representatives of the Ciry of Coste Mesa to enter upon the
ebove-described property for inspection purposes. I egree not to occupy ar allow occupancy of eny building aulhorized by this permit un�il tinal insDection.
OI Legel Owner(s) ate
� -, �l- > �y
ilFoitzed'AppRcant' i'�OaCe' �'
cooe r. ixsvecnoNnve
7616 Fiaed System Finel Fire Prevention
1266 Pool Spe Final
200 Final Re-Roaf
201 Finel Block/Reteining W all
202 Finel Factory Fira Place �
+3�k'.
204
Finel Sign
Final Demolitlon
Pd7F . I[�4S
�/ /G—B�{ �
CODE 1 INSVELTION TYPE
206 Finel Mechenical
20B Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approvel
222 Pinal Sile
250 Final Bulltling�0aupancy
PdIE 1t�Lfl �
OWNER $jJ�j�j,Aj`� j,l� ��. DATE 3-26-57
JOBADDRESS 3175 Gibralter Ave BUILDINGPERMITNO. #i�%5�1
GENERAL CONTRACTOR Ot4ri0T BZCIT. VALUE $ ZZ.I12I1.00
LOT ]_'�'7 _ BLOCK TRACT 2353 R,gS W�8'tt �,3T'
G._.UP j pv ,j TYPE V 20NE Rji FIREDISTRICT L1�8']
+ PEHMITS ISSUED
INSPECTION$ DATE SUBCONTRACTOR I
Foundation Forms and 4rade to
Rouuh Framina �
. J J -
Plumbing, Rough Com
Final
�wer House (��(� Sewer, St.
Seotic Tank or Cesspool
Lathing, 1
P' terin�
1 �bino
Fin.al GasTest /.C'e YYrt K-/2 S7 11 .. _., .// �
Wiring, Final
Occupancy i
FOPM 210 3M f0�'JS
0
. ;,
"r: � � � '> �$�/ �7 i
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
6U�LDING
ADDRE55
OWNER
MAIL
ADORE55
ARCHITECT
OR ENGINEER
ADDRESS � �
LEGRL
OESCRIPTION
A.P. NO.
5 Gibralter 1lvenue
COSTA MESA. CALIFORNIA
fELe1'eg
NO. �
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NO.
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✓O♦ pJP�VEY'1}* TEL
�SIZE /� /� NO.OF B�DGS.
OF LOT ��/O�/ ��Ow ON Loi n(
USE OF
EXISTING BI�G.
SETBI�CK IINE FROM
cerviEr+ oF SiFlEEi rjQ � REAR YARD ��
NEW
REPAIR
BUILDING
SIZE
E%TERIOR W�
COVERING
USE OF NEW
6UILDING
RIGHT yj,1 LEFT rj I
DESCRIPTION OF WORK
A ALTERATION AOOITION
MOVING DEMOLISH
NO.OF
�lEj ROOMS 6 STORIES
LL� ROOF Compo�it}<
ItUCCO COVERING .�}l'1Ttr t
FEE RECEIVED
`'`M c.r. '1- 6, � q 1'�,_ ,� �i
fINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
BUILDING
COSTA MESA. CALIFORNIA
J� i% IPLSNS I� �� 1J
Y-� V
APPROVEO
BV pATE
CORRECTIONS
ST4TE THAT TXE ABOVE IS COPRECT ANO I�GREE TO COMPIV W!TH ALL
CITY OROINPNCES FNO $TATE L>W$ REGULFTING BUILDING ONSTFUC�
norv. /J VALUATION (1
//'iJ.., �A PERMIT FEE S �V�OO
SIGNATURE OF J,1+yuflG-G�'+" CO
PERMITTEE 1 (
n $ �// � / �1 � PLAN GHECK S lI ♦ OO
tLL ''/ `�_O` /
AUTHORIZED AGENT �� TOTAL FEE $ �-��OO
� • "r
�ors
OWNER EZSENBARGER� I. J.
JOBADDRESS 3175 Gibralte
GENERAL CON7RAC70R pwner
AP No. 1�9-� �5-� 9 l0T
INSPECTIONS
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ROUCH PLl1MBING
PROP; $WR. IINE n HOl15E CON. �
SPNINKLING SVSTEM
MISCELLANEOUS
ROUGN NE�TING �ND AIR CONOITIONING'
. jUND[RGROUNO � POWER �
` ROUCH WIRING
TRENCHES FORMS STEEL REI
�FIObH SvSTEM
(� BONb BEAM �� �STEEL REINFOFCE [
`SME�TNING
FAAME AND FLASNING
LATMING - IN ❑ OUT n
PLASTER. BROM'N CO�T
ME�TING, VENT., REFRIG. ANO �.C.. FINAL
BING, FIN4L RND GAS TEST �
E�_�TRIC, FINAL
DATE b-22-'('(
BUILDING PERMIT N
ESCRIPTION of WORK interior Al
IRE ZONE VALUE S
TVPE V GROUP �I
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only /
BUIIDING -; ��y/� �/�R� � J µ/
ADDRESS ��/ ) /� /�/V/
OWNER � I SP� � A- R ll L1 I�. 1� �/'
`"A" S�N�m�,, e
ADDRESS
CITV l�-�l`��T //i/e S'1' N�L/J�'7��
CONSTIiVCTION
BRANCH
A�DRESS
ARCHITECT TEL.
ADDRESS
CONTRACTOR JA /',� A/` /� �(J /,L n P 2
�a -�- /�K --.
ADDRESS /
TEL.
CITV NO.
STATE CITY
LIG NO. LIC. NO.
S I Z E I NO. OF BIOGS.
OF LOT NOW ON �OT
USE OF / � � ___ �
EXISTING BLDG. i�-fi Y�"l�r_.
Separate permi[s are required for
electric, plumbing and heating work.
USE OF BUILOING AND WOIiK TO BE PERFORMED
�i
I hereby acknowledBe that I hava read thts application antl state
that the above information is correct antl agree to comply wit�
all laws regulating builtling conrtrucNon, entl I shall not employ
any person in vlolation of the workman's compensation laws of
the State ot California.
I hereby cartify thet I am properly Iicensetl as a conttector under
the State of California Business and Professions Cotle, Division 3,
Chapter 9, entl that such licenses are In full forca antl eftect, or 1
am exempt from the provislons of the Stete of Callfornia Business
and P�oTesslons Cotle, D islon 3 hapter 9. ,
Sipnature o
Pe�mittee
Autho�izetl ABent
, �-
ipr322-77P'I"0035fi1# ***x�C.S�
LHSs
FORSTRUCTURALPERM[T
A.P. NO. /� / / J � • � r�'/ �/1
AD1DRE Sj�/S G�/�/\��(�
TRACT �C.�S� LOY� / BLOCK
i ` � S�/U 0�7 /� C� �.— (�
�l//. /T �/ VAWS (�A,i},�1
� O'� Il
FIRE
ZONE
APPROVED
DATE
ZON / NO.OF USE OF NEW
�^ PLAf�1S BUILOING `� � A/,
'F
VARDSAPPROVED VAROSAPPROVED
MAIN BUILDING ACCESSOfiV BUILDING
VAR..iE
C.U.P. #
DATE
APPROVED
� —
N
n
m
'm
SQ. FT. N
THE AMOUNTSHOWN UNDER VALUATION IS FOP m
THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV:
e
VALUATION PERMIT FEE S � a
m
D� PLAN CHECK $ �� o
� /�OO � TAX $ ' Q U
TOTALPAID $ ��O
OWNER GRO$�NOR. EDWARD
JOB ADDRESS
GENERAL CON7RAC OR Owne�
AP No. 1�9-1 5-19 LOT 137
INcpECTI0N5
G.
WqTER
ROUGH PLUMBING
PROP. SWR. �INE NOUSE CON.
SPFINKLING SYSTEM
MISCELLANEOUS
ROUGH NEATING ANO AIR CONOITIONING
TEMPOFARY SERVICE OR POLE
IINDERGR0UN0 � POWER �
ROUGH WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE rJ
SMEATHING
FRAME ANO FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINFL
HEATING, VENT., REFRIG. ANO r1.C., FINAL
IBING. FINAL ANO GAS TEST I-I
DATE
FIRE ZONE
)UP J TYPE
SUBCONTRAC70R
12-18-67
PERMIT NO
`�: � � �930
COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 1Z00 � GOSTA MESA, CALIFOHNIA YT6Y6
Por Appllcanf fo Flll In Compleroly
TYPE OR PRINT
ooaE�so .j/ /`s� d i a RA�. %/%%Z. J71�4�-
COSTA ME3A, CALIFORNIA
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USE OF
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Y6T0ACK LIX[ 1110X
atRen oP aTR¢R RUR YARD
BIDBYARDI L[FI' I RIQFR
DESCRIPTION OF WORK
BUILDINO
61ZE
EXTERIOR
GOVERING
uas op eu
OEC 18-67��00 674 �*****3.00
APPLICATION FOR PERMR
BUILDIN(i
for Office Use Only
�
zon wo. o� uaa or Hcw� �
/ �un� y eultolNo
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o���R�o„ �-� 3 -f � 3
A.P.NO. - -/
NOTC: HO UVQ OV[RHANO SHALL E6 LE88 THAN
i 90' TO 8ID6 S RiAR P. L
6AVE9
ALLOWBD (U.B.C.RHOUIRBMENT'
YAROBAPPROVHD YARDSAPPROVfiD
MAIN BUILDIN6 ACCESBORY BUILDINO
!/?f %'� AP.E
O _�06'Sr
1 X8R68Y ACKHOWL6pO6 TNAT 1 XAV6 RCAD TMIB APPLIGTION
•ND BT�T6 TNAT TM6 AGW6 10 CORP6R�ANC AORB[ M COM.
PLY WITN ALL CITY OR�Jf1AXC�f M1D /TATI LAWY R[OYLATINO
BUILOINO CONBTqYGf1O �.
BIGNATUREOP � ,�u._
PERMITf6
AUTHORIZiDAO[NT
�
N
VAR.�i DATE
C.U.P. / // APPR�
APPROV[D I�A //
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07
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TX6 AMOUIR lNOWH YNOep VALII�TION IB POft TN6 �
�UqPOB6 OP [BT�GLIBHINO A P6RMIT P88 ONLY.
VALUATIOq
� PERMIT FEE $ � �
s �'��Q � w
TOTAL FEE $ -��-
GENERAL CONTRACTOR S,
nr, xo.113-373-19 LOT
INSPECTIONS
OCCUPANCY
T1tACT
� DATE
SEP 1 4 1960
VALUE S 1,tl"Li3.(
FIRE ZONE DESCRIPTION OF WORBCOIIV,
GROUP I TYPE V ZONE
SUBCONTRACTOR
4
Form 210-5M-71-59 5-B P • ZZOi)Z
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 977 COBTA MEBA. CALIFORNIA
For Appl7eanf to Fill In Complefely
'fYPE OR PRINT
BUILDING'� ' ,M/ /� /��/
ADDRE88 V l/ � � h
COSTA MESA CALIFORNIA
TEL.
NO.
TEL.
STATE � TEL.
LIC. NO. NO.
SIZE / Q�/ no. ov etoos.
OF LOT fI O X I NOW oN �oT
APPROVED
teau_
.�EE RECpEiVE�
. .�`di .�-1�-�co
, �I�lA�4G�+En DEPT.
APPLICATI�N�FOR PERMIT��E�
BUILDING
For Office Use Only
HECE�PT NO. PCRMIT NO.
.ao� �
'DY DATH REC VED OATE 18S�1ED
�'_/-� -G � .5 =ia -6 0
COSTA MESA. CALIFORNIA I ��
NO. OF
PL�N9
U6E OF S�,p�k� E YARDS
EXIBTING BLDG APPROVED
84TBACK llN6 PPOM � a <C6NT6R LInB 8T4
CeMlea on eiqeet D REAR YARO FRONT
/ /
SIDE YARD ILEFT RIGHT R.SIDE
DESCRIPTION OF WORK
�IO Xa"�/ ROOMS
q ROOF
S�LCU COVERII
_DING AND WORK TO BE
� /�_ O N JP P.T
APPROVED
� BY�� 0
ZSyNING �
IU6E OP Nfi�
BUILD�NG
3) ?, � �
� � � � —
EVES
r�
1 X6PEBY ACNNOWLE008 THAT I HAVH RHhD T1118 APPLJGTIOH TMg �MOUNT BHOWN UNOEH VALUATION IB FOq THC
AND BT�TE THAT rxe ABOVB IB CORRCCT A AGAHC TO COM� pypp08E OP ¢BTABLI8HIN0 A e¢RMIT vEE ONIv.
GLY WITN /�LL CITY INI1N M!D BTAT W RH6ULATNO
BultniNa CONsrnu . VALUATION �} /
BIGNATURB OF ' ` /� �� � PERMIT FEE $ ! � r
PERMITTE �� �
$ � PLAN CHECK $ �/
AUTHORIZED A68NT ^
TOTAL FEE �S �