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HomeMy WebLinkAbout1988 BALEARIC DR - Building PermitsCITY OF COSTA MESA BYILDING DIYIS/ON r` � 77 FAIR �RIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us : � FOR INSPECTIONS CALL: (714) 754-5626 �`Osao�m `A PERMIT NUMBER B07-00747 PERMIT TYPE B ROOF STATUS: ISSUED � DATE ISSUED: 06/01/2007 ISSUED BY: BJK JOB ADDRESS: 1988 BALEARIC DR CM '. Suite/Unit: Vicinity: RESIDENCE AND ATTACHED GARAGE. -: ' Const Type: '' 7? SQ. FT: 2100 � � , , �� � � "� � � - Valuation: � �. $6,500.00 SCOPE OF WORK: REROOF��RESIDENCE AND ATTACHED GARAGE: T/O WOOD SHAKE ROOF, INSTALL 7/16" OSB SHTG, 1 LAYER 30# FELT, APPLY "40-YEAR COMP.SHINGLES." PITCH 4:72 2700 - SQ FT OWNER: BURT, WARNER C TR, � PHONE: City/State2ip: � ; Address.' 1988 BALEARIC DR Unit � COSTA MESA, CA APPLICANT: BOLTON, CqRL � � Address: 10657 STANFORD AV Unit: PHONE: 714-636-567g ' . .. � City/State/zZip:_ GARDEN GROVE, CA CONTRACTOR: MR ROOFWG SERVICES License No. . 765080 Address: 10657 STANFORD AVUnit: . � PHONE: 714-636-5679 City/State: GARDEN GROVE, CA - ZipCode: 92840 � CELL: _ ARCHITECT: . � - ' License No. ' � ' . PHONE: ENGINEER: , . , License No. ... , , � � P,HONE: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTAL FEES $a.ao . . . $13925.. ,- . . " . $0.00 5139.25 - - � - � - NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COOEt. INSVECl10NTYPE DRTE IN 71A COOEt INSPECTIONTYPE �ATE INTITIALS 1616 Fi:ed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final � 208 Final Plumbing 200 Final Re-Roof G-?-o7 � 210 Final Electrical � 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 4._, WORKERS' COMPENSATION DECLARATION: . I hereby aKrm under penalty of perjury one of the touowing dedaretions: - ❑ I have and will maintain a certifcate of consent to self-Insure for workers' compensa[ion, as pmvided for by seclion 3700 of lhe Labor Code, (or the peAormance of ihe work for which this permit is issued. �I have and will maintain workers' compensation insurance, as required by section 3700 ot the Labor Code, for the pedortnance of Ihe work for which �his permit is issued. My vrorkers' compensation Insurance carrier and policy numberare: � ��/ - �Cartie� ihis sMion neetl not be mmpletetl Athe Oeimd is valued at are hundreC �llars (8f 00) a less ) Pollcy_Number:e � 00 2 3 f 9 ZO o`� ❑ I cerlify tha[ in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that it I should become sub�ect to [he workers' compensation provisions of Seclion 3700 of [he Labor , al rthwith comply with lhese provisions. ✓' �1�C� 'AOP�i nCs Signalure/ Oate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAITIES AND CIVII FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am licensed untler provisions of Chap[er 9(commencing wi[h Section 7000) of Division 3 0( Ihe Business and Professions Cotle, and my license is /in full /orce and eHec[. Li��o tCla` ss #,l � 39 6 /�l ws5i aW�e� Date �� CONSTRUCTION LENDING AGENCY: ❑ I hereby affrtn lha[ there i5 a consWcl'an lending agency for [he peRortnance of Ihe wvrk for wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signature Da�e OWNER•BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury lhat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to conswct, alter, impiove, demolish, or repair any siructure, prior to its issuance, also requires the applicant (or such permit to fle a signed slatemenl that he or she is licensed pursuant to the provisions of Ihe Con�rectors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the Business antl Professions Cotle) or lhal he or she is exempt lherefrom and the basis for the alleged exemption. Any violation o( Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of no1 more than five hundred tlollars ($500).): ❑ I, as owner of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves ihereon, and who does such vrork himself or herself or through his or her ovm employees, �provitled that such improvements are not intended or oflered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden o( proving that he or she did not build or improve foi purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The conlractors License Law dces not apply to an owner of pmperty who builds or improves lhereon, and who contracls for such project vnth a contractor(s) license pursuaN to the Contractas License Laws.). ❑ I am exempi under sec. Business and Professions Code for this reason: Signalore Dale 305]-A6(3I0]) L1 Owner ID venfied by drivE ise. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by pype of document, i.e. - property [ax bill or deea): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: - � ❑ I hereby certify ihal no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authonzed by this pertnit, and that no building stmcNre, scaffdding, falsew�rk, or demolition or dismanlling Ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title 8, Califomia Adminisl2tive Code). ❑ As ovmer-builder, I vnll not employ anyone to tlo work which vrould require a permit trom the Division o� Industrial Safety, as noted above, unless such person has a permi[ to do such work from the division. ApPliwnfs Signalure Dale Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtlinq occupant need ro fle antl certify a Business Plan for emergency response [o release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Heallh antl Sa(ery Code requires, with some ezceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one lime tluring a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future 6uilding occupant need to fle a registration fortn for acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Safety Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity o( acu[ely hazardous materials equal [o or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Preven�ion Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 0( the California Health and Sa(ety Code provides [hat the Costa Mesa Fire Departmen[ may require ihe preparatioq certification antl filing with the Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials wi[h the Fire Deparimenl. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safery Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or wi11 the applicant or present or tuture building occupant require for lhe work which is the subject of lhis application a permit for such constmction or motlification from the South Coast Air Quality Management District or fmm any other air pollution control tlistricl or agency? ❑ Yes ❑ No (Seclbn 658502 of Ihe Califomia Govemment Cotle requires Ihat Ihe reques[ed infortnation be (umished on applications for nornresidenlial building pertnits). 6. Will any part o( the (acility to be constructetl under �his permit be within 1000 feet trom the outer boundaries of a school? ❑ Yes ❑ No (If "yes", ihe faciliry must meet the requiremen[ of Sections 25534 antl 42303 of t�e Calitomia Heallh and Safery Code). 7. If a permi[ from the Soulh Coast Air Quality Management DisMcl or other air pollulion control district or agency is required for Ihe work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safely Code Section 42303 been made? ❑ Ves ❑ No. 8. pt "yes", attach certificate of compliance from the appmpnate air pollution control offcer). � CERTIfICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials antl Emissions. - Srgnawre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty oi perjury that I have read Ihis application antl state that the iNormation given is correct. I aqree to comply with all state laws antl city ordinances relating to building construclion, and authonze representatives of the City of Costa Mesa to enter upon the above-described property for inspeciion purposes. I agree not [o occupy or allow occupancy of any building authorized by this permit until final inspection. re e wner(s� Da�tey An r Aul�6nzetl Applirant.,J �'Date, ) �- Q COSTA MESA BUILDING-SAFE'fY DEPARTMEMT P.O. BOX 817 GOHTA MEgp� CALIFORNIA For Applicant fo Fill In Completely TYPE OR PRINT �j BUILDIN6 � 98 p %� a/ e a r! c T4d ADDRE53 COSTA MESA, CALIFORNIA NO. OF BLO09. EXISTIN6 BL06. 6ETBACK LINE FROM / / GENTER OP BTPEE! � � REAR YARD 3S L SIDEYARDI LEFT `� R16NT ��G �� DESCRIPTION Of WORK � .� / � RooMs (o aroR�ea � WS'F'uCGo COVERIN6.s{�o.� a�5/fi i1LDING AND WORKTO BE pERFORMED 1 HEREBY RCKNOWLBO�6 TH�T 1 HAVE pgpD TXIB APPLICATION AND 6TAT8 THAT iH¢ A OV¢ IB COpRBCT AND A6qE8 TO COM� PLY WITH ALL CITY O 1! NC86 AND 8}A} uW8 R80ULATINO BUILOINO CONBTRU � ON. ) SIGNATUREOF / � , J��� PERMITTE AUTHORIZED AGENT FEE RECEI�l�D MAfl z 2 9n� YFINANCE DEPT. APPLICATIOhLIFORCAER�$TA MESA BUILDING For Office Use Only ZONING < � zone� � pur+eR em�oi�� � DEBCPIPTION � � �{ • 11�• � ` A P. NO. � NOTE: NO EAVE OVERHAN6 SHALL BE LE88 THAN 90' TO SIDE @ REAR P. L � EAVES ALLOWED (U.B.C.REQUIREMENT YAROSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDIN6 R.SIDB �SxFT.� // L.61D6 1!/ �. 2 r( REAR J SFf'. �O OIS7ANCE BET. MAIN BLDGS. VAR. # DATE APPROVED �.r� 3 -r/ -G � /�l a�8a. �. � 5o yD' TXe NMOUNT BXOWN UNOER VALUATION 19 FOP THE PURP08E OF EBTABLIeHINO A PEpMIi FEe ONLY. VALUATION / q PERMITFEE $ /+ �5 '� s���%�— � .315 OWNER PACESE'1°L'ER WEST JOINT VEI9TURE DATE 3-z2-63 SOB ADDRESS 1 BalearlC Dr1Ve BUILDING PERMIT N0. INSPECTIONS Signature _DATE GROUP I&J TYPE Soil SU33CON1'RACTOR F � W a a � H S F G W F a c J Q 7 � �i OW. �i L z � '�1'. 3 42817 COSTA MESA BUILDING-SAFETY DEPARTMENT P.p. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUI�DING % Q f% � , w � _ . _ . OWNEF MAIL CITV BRANCH ADDFESS ADDFESS TEL. NO. TEL. CONTAACTOF{J,Lvf,e L:4RP � (.OA ADOR6SSII0/� AN�IP�L � N OL�3 7' cirv ,�9hd7�iV _ �iZOY�+ STATE �j GT V n LIC. NO. SO �� J LI0. NO.JQ'�; SI ZE NO. OF BLDGS. OF LOY NOW ON LOT USE OF E%ISTING BLOG. Separate permits are required for electric, plumbing and heating work. USE OF BUIIDING AND WORK TO BE PERFORMED I hareby acknowletlge that I hnve reetl this opplication end rtate that the above information is correcS and agrea to comply with ell lews regulettng builtlinp construction, end I shell not employ any perSon in violation of tha workman's compensallon laws oi the State of Califomia. I hereby certify that I am prope�lY licensed as a conirector untler the State of Californla 8usinesc and Protezsions Code, Division 3, Chapter 9, antl that e licensas are in tull ree nd etfact, or I am exemPt from th ro Isions f the Siat o Ca ornia Business and Protasslons Co ; Di sion , Chapter SipnaSura of Permittee Aut�ori2etl ABent >,cr —e-�r�;,�`-b0 2hc- ��: `,:6050 APPLICATION POR STRUCTURAL PERMIT A.P.NO. � �yy�'� i BUILOING /��./� r ADDRESS �S �< FIRE 20NE APPROVED 20NE VARDSAPPROVED VAR. �I`- C.U.P.� BLOCK �� ► p� USE OF NEW /CEf/Ctl%� BUILOING F�� g��,� VAROSAPPROVED � ACCESSORV BUILDING DATE APPROVED N m i m SQ. FT. N THE AMOUNT SHOWN UNDER VALUATION IS FOfi �N THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMITFEE S �o-.(J d N m � PLAN CHECK 5 M ///.../// �. . o 5 / a,� TAX $ LL /� i G � TOTAIPAID E OWNER BURT, Warner DATE 10 JOB ADDRESS 1988 Balearic Drive BUILDING P " GENERAL CONTRACTOR CulvE AP No. 139-444-16 LOT �INSPECTIONS ,n soa GAS �W ATER ROUGN PLUM9ING PROP. SWR. LINE � HOUSE CON. � SPRINK�ING SYSTEM MISCELLANEOUS NOUGN HERTING AN� AIR CONDITIONING� TEMPORARY SERVICE OH POLE UN�ERGROUND � POWER � ROUGH WIRING � TRENCHES FORMS STEEL RE F1.00R SYSTEM BOND BEAM [] 'STEEL REINFORCE [' SMEATHING FFqME AND FLASHING L/.THING - IN OUT n PlPSTER. BROWN COAT STRUCTUfiRL, FINRL HEATING, VENT., REFRIG. ANO A.C., Fq PLUMBING. FINAL 4ND GAS TEST n SUBCONTRACTOR