HomeMy WebLinkAbout2525 ALDER LN - Building Permits».
�� COSTA MESA BUILDI G-S FETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
7916 .10/30/78 P.15.00 T
7916 I0/30/78 21'S.00CKT�
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APPLICATION FOR'STRUCTUR:4L PERMIT ""
For Applicant to Fill in Completely — Use Ink Only
RECEIVED BV DATE RECEIVED DATE ISSUED
BUIIDING
ADDFESS
PERMIT NO.
�
OWNER A.P. NO.
MA I L BUI LDING
ADDRESS ��+�OPE55
TEL. TFACT �O BLOCK
CITV NO.
CON5TRVCiION EW AOD AL R P
IENDER
BRANCH
�� OWNE
ADDRESS E
ARCHITEC� TEL. US � $
OR ENGINEER NO.
FIfiE
ADDRESS ZONE TV E GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITY NO. P�� BUILDING
STATE CITV �'ARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BIDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FqONT FT. FT.
USE OF
EXISTING BLDG. S FT.
Separate permits are required for L SIDE FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORME� OISfANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.� DATE
QU.P.� APPROVED
APPROVED
I hereby acknowletlge that I have reatl this application antl stata '^
n
that ihe above information is correct and agree to comply wiM �
ell laws regulating building construction, and I shall not amploy �
eny pe�son in vialation of the wotkman's compensation lawz of m
ffie Scate of Calitornia. '
m
I hereby cettity that I am properly Iicensatl as a contractor untler Q. FT. a
the Stete of Celifornia Business antl Protessions Code, Dlvision 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOfl m
Chapter 9, and that such licenses era in full force and effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am enempt from Ne provisions of the State ot California B�slness y
and Professions Cotle, �ivision 3, Chaptar 9. VALUATION PERMIT FEE $ m
Slgnature of 7V�N CHECK $ ^�
0
Pe�mittee $ TAX $ LL
�
U
Authorizetl ABent TOTAL PA�D 3 �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 2525 ALDER LN
Suite: 11
Vicinity: BLDG it
Parcel Number: 43917210
Applicant: MCPHILLIPS,EARL
Address: 23261 DEL LAGO
STE 5
LAGUNA HILLS, CA
owner: LAUREL POINT HOA
Address
Zoning:
Phone: (949) 583-1858
Zip: 92653-1330
Phone: 714-665-2900
Zip:
Contractor: PRO-TECH WEATHERPROOFING
Address: 23261 DEL LAGO
STE 5 Phone: (949) 583-1858
LAGUNA HILLS, CA
Zip: 92653-1330 License: 620476
Arch :
Address:
Eng:
Address:
ISSUED BY:
StaWs: ISSUED
Applied: 06/08/2001
Issued: O6/08/2001
Phone: Phone:
Zip: License: license:
SCOPE OF PERMIT
TEAR OFF SHAKE INSTALL 1 LAYER 15 LBS FELT AND 30 YEAR COMP. SHINGLES . FOR BUILDING 1 i. 2525-2527
ALDER.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinn: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING & ZONING
Lefl 0- 0
Left 0- 0
Pr000sed: 0
P
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$3,400.00
$3,400.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2dd6d6(N00)
WORKEflS' COMPENSA710N DECLARATION: � -
I hereby affirm under penalry ot perjury one of the following tleclaretions: .
❑ I have end will maintein a ceniticate of consent to self-Insure tor workers' compensetion, as provided tor by section 3700 ot the Labor Code, for the pertdmence ot ihe
work tor which ihi5 permi� is issued.
.�, I have and will mainlain workers' compensation insurance, as required by section 3700 oi Ne Labor Code, for the peAortnance oi Ne work for which Ihis pertnit is Issued.
G" My worke}r ' compensation Insurence carrier and policy number ere:
Carner: L'lOLG"�C/--1 �lol r Po�icyivumber. W�+�vDO'i�{Q3
(This section need not be compleretl il the permit is va/ued et one hundred dollers ($100) ar less.)
❑. I cenity ihet in the pertormance of the work for which this pertnit is issued, I shall not employ eny person in any manner so as to bewme subject to ihe workere'
compensation laws oi Celifor�ia, entl e rae t ould become subject to Ihe workers' compensatlon provislons of Section 3700 ot the Lebor Code, I shall fonhwith
� ply wit � hese provis�.> /
�Applicent Signeture: � � .- . – -=Date - � I F�FS�fl (
WARNINO: FAILURE TO SECURE WORKERS' COMP ON CAVERAGE IS UNL4WFUL ANO SHALL SU8IECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
T/%)USAND OOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATiORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ttirm ihat I am Ilcensed und r pravisions of
force and �eflect.�Lic. # � � U
,/i
Contrecrofs Signature:
CONSTRUCTION LENDING AGENCY:
9(commencing with Section 7000) of Division 3 oi the Busi
Class A
and my license is in full
❑ I hereby aHirtn �hat ihere is a construction lending agency for the pedormance of tha work for which ihis permit is issuetl. (Sec. 3097, Civil Code).
Lentlers Name: Lendefs Adtlress:
SignaNre:
Date:
OWNER-BUILDER DECLARA710NS:
I hereby atfirtn ihet under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7037.5, Business and Professions
Code: Any ciry or counry which requires e pertnit to consiruct, elter, improve, demolish, or repair any siructure, pnor to its issuance, also requires the applicant tor such permit
b file a signetl statement Ihet he or she is Ilcensed pursuant to ihe provisions of the Contrectors �icense Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business and Professions Code) or that he or she is exempt therefrom end ihe basis for tha alleged eaemption. Any violetion oi Section 7031.5 by eny applicant tor a permit
subjects the eppliwnt to a civil penatly of no� more than Nve hundred dollars ($500)J:
❑ I, as owner of the property, or my employees with weges as their sole compensation, WILL 00 TME WORK, and Ihe siructure Is not intentle0 or ottered tor sale (Sec.
7044, Business antl Professions Cotle: The Contractors License Law dces not apply to an owner of property who builds or impmvas thereon, and who does such work
himsetl or heroelf or ihrough his or her own employees, provided �hat such improvements ara not intended or oflered for sale. If, howaver, the building or improvement is
sold within one year of completion, ihe owner-builtler will have the burden of proving ihat he or she tlid not build or improve for puryose of sale.).
❑ I, es owner oi ihe D�operty, em E%CLUSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS to wnstmct the project (SecJ044, Business and Professions
Code: The contrectors License Law tloes not apply to an owner oi pmperty who bullds or improves thereon, and who contracts br such project with a contractoqs)
license pursuant b the Contraclore License Laws.).
❑ I am exempt untler sec.
Siqnawre:
Owner ID vetitietl hy driver'S liCense. ❑ Yes ❑ No
Business antl Pmfessions Code lor ihis reason:
Verification af Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Driver's License No.
Date:
Ezpires:
❑ I hereby certify Ihat no excavation five (5) or more teet in dep�h into which a person is requirad to tlescend, will ba made in connection with work authorized by Ihis
permi�, end lhat no builCing siruc�ure, scaflolding, falsework, or demolition or tlismantling Ihereot, will be more Ihan ihirty-six (3fi) fee� high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title e, Calitomia AtlminisVetive Cotle). '
❑ As ownerbuilder, I will not employ anyone to do work which woutd require a permit from the Division of Industnal Safety, as noted above, unless such parson has a
permit to do such work from the tlivision.
Signature: Date:
Division of Intlustnal Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTRV: I cenity under penalry of perjury Ihat I have read ihis application and state ihet ihe intormation given is
correct. I agree to comply with all state laws and ciry ortlinances relating to huilding construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the
above-described propeAy tor inspection puryoses. I agree not to occupy or ailow acupency of any building authorized by this permit until final ins0ection.
OE N INSiELTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Root
201 Final BIocWRetaining Wall
202 final Factory Fire Place
203 Final Sign
204 Final Demolition
pdIE �a�
G u-a f �i
Date
L� bSlb�
��Date>-
CODEN INSPECTIONTYGE
206 Final Mechanical
208 Final Plumbing
2�0 Finai eiectricai
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
Q�$[ N RI
n. . 3 w
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2525 ALDER LN
Suite:
Vicinity: 2525, 2527, 2529, 2531 ALDER LN
Parcel Number. 43917237
Applicant: ODDO, FRANK
Address:
owner: LAUREL POINT HOA
Address PROPERTY MGR; CMC
Contracror: ORANGE COUNTY FENCE
Address: 534 S ATCHISON ST
ANAHEIM,CA
Zip: 92801
Arch :
Address:
Zoning:
Phone: 714-991-7773
Zip:
Phone: 714-665-2900
Zip:
Phone: (714)991-7773
License: 506245
Eng:
Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: OS/14/2001
Issued: OS/14/2001
Phone:
Zip: License�. License:
SCOPE OF PERMIT
CONSTRUCT 177 LF, 5.5' HIGH BLOCK WALL FOR 2525, 2527, 2529, AND 2531 ALDER LN TO REPLACE EXISTING
WOOD FENCE IN THE INTERIOR OF A RESIDENTIAL PROJECT PER CITY STANDARDS FOR "LAUREL POINT HOA."
FEE SUMMARY
Plan Check: $63.21
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $O.OD
Other: $0.00
Inspection: $0.00
Total: $160.96
PLANNING & ZONING
SETBACKS
MAINSTRUCTURE Front 0-0 Rear 0-0
ACCESSORY Front 0- 0 Rear 0- 0
PARKING Existin : 0 Reauired: �0
NOTES:
Calc Valuation: gs,aao.00
Claim Valuation: go.00
Left 0- 0 Right 0- 0
Left 0- 0 . Right 0- 0
ProDosed: 0
NOTICE: The work authorized bY Ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
, regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeotlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
��. FOR INSPECTIONS CALL: (714) 7545626
tsnaas �aroo�
WORKERS' COMPENSATION DECLARA710N: — �
I hereby aHirtn under penalry oi perjury one of ihe following declarations:
❑ I have end will maintain a certiticate of consent to self-Insure for workers' compensation, as pmvided to� by section 3700 of Ihe Labor Cotle, for ihe pertormance of the
work for which Ihis permit Is issued.
� 1 have and will main�ain workers' compensetion insurence, es required by section 3700 of the Labor Code, for the peAortnance oi the work tor which Ihis pertnit is issued.
My workars' compensation Insurance carrler and policy number ere:
Cartier. Policy ivumber:
(lhis section need not be complered i/ the permit is valueU et ane hundretl dollers ($ f00) ar less.)
❑ I ce�ity t�at in Ihe pertormance ot the work for which this pertnit is issued, I shall not employ any person in any manner so es to 6ecome subjact to the workers'
compensation la oi Califomia, nd agree Ihat I s ould become subject to Ihe workers' compensation provisions of Sec lon 3700 ot the Labor Cotla, I shall forthwith
comply with th e p � ions. ttt��l iii111III
Applicent Signature:����� ' i �� Date: ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS IINLAWFUL AND SHALL SUBIECT AN EMP�OVER TO CRIMINAL ENALTI S AND CIVIL FMES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADOITION TO THE COST OP COMPENSATION, DAMAGES AS PROVIDED WR IN SECTIpJ 3106 OF THE UBOR CAOE, IMEREST, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm ihat I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of ihe eusiness and Protessions Code, and my license is in full
force antl eHecL Lic. # qass q
Contractofs Signeture: -� Da�e: � U �l %
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm thal ihere is a construction lending agency tor the pertormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lentler's Atltlress:
SlgnaWra: Date:
OWNER-BUILDER DECLARATONS:
I hereby aflirtn thet under penalry ot perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Profeuions
Cotle: Any city or county which requires a permit to consWct, alter, improve, demolish, or repair any stmaure, prior to its issuance, also requires ihe applicant tor such permit
to file a signetl statement that he or she is licensed pursuant to ihe provlsions of ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 oi ihe
Business end Profeuions Code) or Ihet he or she is exempt therefrom and the basis for ihe elleged ezemptlon. Any violation ot Section 7031.5 by any applicent for a permit
subjects the applicant to e civil penalty of not more Ihan five hundretl dollars ($500)J:
❑ I, as owner of the property, or my employees with wages es ihelr sole compensa�lon, WILL DO THE WORK, and Ihe siructura Is not intandetl or oNered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not appty to an owner of property who builds or improves Ihereon, and who does such work
himself or herself or Ihrough his or her own employees, provided ihat such improvemenis ere not intended or offered lor sale. Ii, however, ihe building or improvement is
sold within one year ot completion, ihe owner-builder will have ihe 6urden of proving ihal he or she did not build or improve tor purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construc� the project (Sec. 7044, Business antl Professions
. Code: The cnniracbrs License Law does not apply to en owner of pmperty who builds or Improves iheraon, antl who contracis for such project with a contractor(s)
license pursuant to Ihe COniraCtorS Litense Laws.).
❑ I am exempt under sec.
SignaNre:
Owner ID venfied by driver's license. ❑ Ves ❑ No
Business antl Professions Code lor ihis reason:
Verification of Ownership by (type of tlocument, i.e. - propeny tex biil or deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
Driver's License No.
Date:
Expires:
❑ I here6y certify that no excavetion five (5) or more feet in depih into which e person is required to descend, will be matle in connection wit� work authorized by this
permit, and ihat no building siructure, scaflolding, talsework, or demolition or dismantling thereof, will be more than ihirty-sia (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Title e, Califomia Administretive Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit irom �he Division of Industnal Safety, as noted above, unless such person has a
permit to do such work from Ihe division.
SignaWre: Date:
Divisian of IndusMel Safe�y Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENiRY: I certity under penalty of perjury iha� 1 have read this application antl state tha� the iniormation given is
wrrect. I agrea to comply wiih all state laws antl city ordinances relating to building cons�ruc�ion, antl authorize represematives of ihe City of Costa Mesa to enter upon the
ebove-descnbed property for inspection puryoses. I egree not to occupy or allow occupancy of any builtling authorized by this permit until final inspection.
ign u Leg@IOwner(s)
1
And/Or Aut�ori ez d Applicani
LOpE L INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Root
201 Finel Block/Retaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
j1AL AL
J ���
��� � Dale
Date
CODE I INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
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