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
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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