HomeMy WebLinkAbout2738 ALBATROSS DR - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us
BUILDING PERMIT
,lob Address: 2736 ALBATROSS DR
Suite:
Vicinity:
Parcel Number: 13947617
Applicant: ROBB MINKE
Address:
Owner: HO, YUNG CHI
Address 2736 ALBATROSS
Zoning: R1 R1
Phone: 949-291-7561
Zip:
Phone:
COSTA MESA, CA � Zip: 92626
Contractor: CALiFORNIA ROOFING & WEATHER PROOFING
Address: 21746 HERENCIA
Arch :
Address:
Phone: 949-951-9091
MISSION VIEJO, CA
Zip: 92692 License: 371530
Phone:
Eng:
Address:
77 FAIH UHNE, GOS I A MtSA, GA 9Z626
Status: ISSUED
Applied: 03/29/2004
Issued: 03/29/2004
ISSUED BY: �
Phone:
Zip: License: License:
SCOPE OF PERMIT
T/OFF SHAKE, INSTALL OSB SHEATHING AND REROOF 2600SF RESIDENCE W/LT Wf TILE (MONIER CEDARLITE ICBO#2656, 5.5PSF MAX
NlfO
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$o.00
$209.25
$1.20
$0.00
$0.00
$0.00
$210.45
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0-0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
siz,000.00
$iz,000.oa
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § t, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or it work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
, required inspecHons and final approval must be obtained. Failure to obtain inspections and final approval will resWt in the ezpiretion of this permit.
��, FOR INSPECTIONS CALL: (714) 7545626
taas-as lr�oo�
WORKERS' COMPENSATION DECLARATION:
I hereby aftirm untler penalty ot periury one of the following declerations:
❑ I have and will meintain e cenificate ol consent to self-Insure tor workero' compensation, es provitled for by section 3700 oi the labor Code, tor tha pertormance of the
worlc to� which this permit is issuetl.
❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the pedortnance of ihe work for which Ihis pertnit is issued.
My wo s' ompens on Ins nce carrier and policy number ere: �/�' _!' /
Carrier: , w l.Q �� / Policy Number p�aS Q7O �I ✓ V`'�
not be completetl i! fhe permifls valued et one hundred dollers ($100) ar less.)
❑ I cenity that in the pertortnance oi ihe work for which this pertnit is issued, 1 shall not employ any person in any manner so as to become su6ject to the workers'
compensation laws oi California, and agree that if I should become subject to Ihe workers' compensation provisions ot Section 3700 of Ihe Labor Code, I shall torthwith
comply with thp5¢q�vigions. � „ /'� '( / 3. � �,_ 04
� ApplicantSignaNre`y Ga �V ��-•i'L Date:
WARNING: FAILURE TO SECURE WORKERS' WMPENSATI ERAGE IS UNIAWFUL ANO SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENPLilES AND dVIL FINES UP TOONE HUNDRED
THWSAND �OIJ.ARE ($100,000�, M ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN $ECTIQY 3]C60F THE L400R CqDE, IPIrEREST, AND AiTORNEYS FEES.
LICENSED CONTRACTORS DECLAFiATION:
I hereby aHirtn that I am licensed under provisic
I force end effect. Lic. #,
� Coniracbr's Signa[ure:
�
of Chapter 9(commencing with Secti� 00) of Division 3 ot the Business and Professions Code, anA my license Is in full
Class # _� ��
/ Date: _...5� " —C�I
CONSTRUCTION LENDING AGENCV:
❑ I herehy aHirm that ihere is a consimction lending agency for ihe pedormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Address:
Signature: Date:
OWNER-BUILDER DECLARA710NS:
I hereDy aflirtn t�et untler penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sac. 7031.5, Business and Protessions
Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires ihe applicant tor such permit
to file a signed statemant t�at he or she is licensed pursuant to the provisions of the Contracmro License Lew (Chepter 9(commencing with Section 7000) of Division 3 oi the
Business antl Professions Code) or that he or sha is exempt iherelrom end ihe besis tor the elleged a:emption. Any violation oi Section 7031.5 by eny epplicant lor a permN
subjects the epplicant to a civil penalry of not more than five hundretl dollars ($500).):
❑ I, as owner of ihe property, or my employees with weges es their sole compensatlon, WILL DO THE WORK, and ihe sWcture is not intended or oHeretl for sale (Sec.
7044, Business and Professions Code: 7he Contractors License Law dces not apply to an owner of propeny who builds or improves thereon, and who dces such work
himself or hersalf or thwugh his or her own employees, provitled ihat such improvements ere not intentled or oNered tor sele. If, however, ihe building ar improvement is
sold within one year of completion, ihe owner-builder will have the burden ot proving ihat he or she did not builtl or improve tor purpose of sale.�.
❑ I, as owner ot the propeny, am EXCLUSIVELV CONTRACTWG WITH LICENSED CONTRAC70RS b constmct the project (Sec. 7044, Business antl Protessions
Cotle: The comrectors License Law does not appty to an owner ol property who builds or improves thereon, antl who conirects for such pmject with e comractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec. Business antl Protessions Code for this reeson:
Signature: Date:
Owner ID veritied by drivers license. ❑ Ves ❑ No Dnvers License No. Ezpires:
Verification of Ownership by (type of document, i.e. - property taa bill or daed):
DIVISION OF INUUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceriity �ha� no excavation five (5) or more faet in depth into which a person is required to descend, will be mede in connection with work authonzed by this
pertnit, and that no building simcture, scaflolding, talsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Ttle B, California Administrative Code).
❑ As owner-builder, I will not employ enyone to tlo work which would require a parmit from the Division of Industrial Safety, es noted above, unless such person has e
permit to tlo such work from the division.
Signature: Date:
DiviSion of Intlustrial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIfT}IORIZATION OF ENTAY: I certify under penalty oi perlury �ha� I have read ihis epplication antl state Ihat Iha infortnation given is
corred. I egree to comply with all state laws and ciry ordinances relating to building consiruction, and authorize representatives of the Ciry of Costa Mesa to enter upon ihe
above-described property for inspection puryoses. I agree not m ocwpy or allow occupancy ot any building au�horized by ihis permit until finel inspection.
COUE �. INSPECTIONTYPE
1616 Fized System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demoliiion
� L It
L�f, lI �
�� /
COpE I INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220
222
250
Final Planning Approval
Final Site
Final Building/Occupancy
PAIE It�lAl4
;/ � i sc��
COSTA•MESA BUILDING-SAFETY DEPARTMENT
, P. O. BOX 8f7 COBTA MEBA. CALIFORIVIA
For Applican► ►o Fill In Completely
TYPE OR PRINT -
BUILDIN6
ADDRE55 2 6 Albatross Drive
COSTA MESA, CALIFORNIA
■ MAIL
TEL.
LIC.TNO. �H73�H ryp �
OFLOT 7OX�OO I no'
USE OF ,
EXISTING BLDG.
6ETBACK LINi FP�(
CENTEP OP eTREEY`� �� RfiAR
SIDBYARDI LBFT H� I RIOHT
DESCRIPTION OF WORK
■ EXTERIOR
TO
0
�
�
rtt tiECEIVED
b1AA 31 1984
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOI' �ffICB U58 �n�y
REC8IPT NO.
sY DAT[R6CHIVHD OATI
_ �— �� 6`� n�n ,
ZONING
ZONt NO.OR U860PN[ S •
R-1 Puna rZ eu��orna W� 8 tt Q2.
OBBCRIPTION LOt �, Tract 5289
A. P. NO. IIOII2
NOTE: NO EAVE OVERHAN6 SHALL BE LESS THAN
90" TO SIDE 8 REAR P. L.
EAVES
ALLOWEU �U.B.C.REQUIREMENT
YARDSAPPROVED YARDSAPPROVED
MAINBUILOIN6 ACCESSORYBUILDING
VAR..}{
DATE
Garage 463 sq.ft. Plan 52 - BR «
sa. Fr. m
1 HEREBY ACKNOWLEDaE TXAT 1 HAVe RCAD THIB APPLICATION TME �MOUNT BXOWN UNGER VALUATION 18 FOR THE E
AND 6TATE TXAT THE ABOVE IB COpRECT ANO AOqEE TO COM� PUFP09E OF fiBTABLI6HIN0 A PEFMIT FEE ONLY. 0
PLY WITH ALL CITY ORDINANCfi6 AND BTATQ LAWO RHOULAT�NO ypLUATION
BUILOINOCONBTftYCT10N. �� J, H
SIGNATUREOF /� PERMITFEE $ m
PERMIttE S/ X 7/ � C EC rc
p ., F
AUTHORIZEOA6 N (/ 'v�� C a
TOTALFEE $ / Q �