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Home My WebLink About442 CAMBRIDGE CIR - Building PermitsSee 435 Ogle Cir. for permit for Retaining Wall . � � � • � ' ' 6:395 � COSTA MESA BUILDING DEPARTMENT P.O. BO% 31�, COSTA MESA, CAIIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. GALIFORNIA OWNER Crown Homes.�Inc. ADDftE55 J �eca� LOT OESCRIPTION NO. A.P. NO. SIZE OF LOT A� _� ,'�� Ii.LI�!_z��LE� � I �� l-�8 �. „` Fi�tir1,�CE �EPT. cr�r 0� COS""' ^�=s.q APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PEfl�T NO. � IECEIVED BY OATE RECEIVEO TE �SS9 �..• �_,�_.,- F�� ]. C� gaG TEL. /L�, BUILDING NO. OR �OWO AODRE55 �N�p: �p// (/� COSTA MESA. CALIFORNIA FIRE Costa Mesa �o�E 20NE CITY LIC. p/a _ NO. pSJ TEL. /�PPF NO. BV. TRACT NO.OF 0LOG5. NOW ON LOT N/lT1O SETBiCH LINE FROM 1� c[rvrew or srrxEel 9� REAR YARD Zy SIDE VARD RIGHT � n LEFT � � DESCRIPTION OF WORK NEW � ALTERATION ApDITION REPAIR MOVING DEMOLISH BUILDI NO.OF SIZE X O. ROOMS STORIES E%TERIORy(ALL ROOF COVFR�NGN�f��mn R R+iin VERING Rock USE OF NEW BUILDING PLANS D DATE CORRECTIONS v //oC�^' — �/ I HEREBY RCKNOWLEDGE TMPT I HqVE NEAD THI$ APPLICf�TION PNp � r � STATE TNAT TME A90VE IS CORRECT wrvO PGflEE TO COMPLY WITM 4LL CITY OROINANCES FNO STATE LF�NS PEGl1LNTING 9UIL�ING CONSTRUC� iiorv. � . VALUATION SIGNATURE OF � PERMiT FEE $ , 3 �� PERMITTEE . ' � � �PLAN CHECK $ /6 � � // AUTHORIZED AGENT � �` � O TOTAL FEE S �/" (P �M� ,;� ��ia� �sa-sz�s • Fax (714) 754-4056 • www.ci.costa-mesa.c��ILDING PERMIT dob nddress: 442 CAMBRIDGE CI Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: . 42514332 � Zoning: Applicant: VILLA, CHUCK Address: 1923 CHURCH ST COSTA MESA, CA Owner: COX, KATHLEEN J Address 442 CAMBRIDGE CIR � � . "COSTA MESA, CA Contraaor. R C f ROOFING COMPANY Address: 7923 CHURCH ST � COSTA MESA, CA Zip: 92627 Arch : Address: Zip: Phone: License: Phone: (949) 650-1079 Zip: 92627 Phone: Zip: 92627 Phone: (949)650-1079 License: 704392 Eng: Address: 77 FAIR UHNt, GO51 A MtSA, GH yZti2ti ISSUED BV: Slatus: ISSUED Applied: 03/15I2001 Issued: 03/15I2001 Phone: License: � SCOPE OF PERMIT - ,- -. '� REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE�(25 SQ). TEAR OFF EXISTING & REPLACE � � SHEATHING AS NEEDED. INSTALL 2 LAYERS OF 15# FECT UNDERLAYMENT & REROOF WITH 30 YEAR COMPOSITION � ' ' SHINGLES. > - Plan Check: $0.00 Permit $97.25 SMIP Res:• $0.50 SMIP Com: $0.00 Other:. $0.00 Inspection: $0.00 Total: $9775 � SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: - FEE SUMMARY Rear 0- 0 Rear 0-0 Required: 0 � � - Calc Valuation: %= � 5s,aoo.00 Claim Valuation: ' ' $s,aoo:oo �:' ." `'':' i : . � \ �- PLANNINGSZONING � �'%. _� � ;�=% _ , Lek 0- 0 Right �-0- 0, Lek 0-0 Right -0- 0 ' Proposetl: 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements undei 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 780 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 required inspeetlona and (inal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d4646(H00) r� � 1 . . WORKERS' COMPENSATION DECLARATION: ' I hereby aHirm under penalty of perjury one oF the following declarations: � ❑ I have and will maintein a certificate ot consent to seN-Insure for workers' compensation, as pmvided for by section 3700 of the Lebor CoAe, for the pertormance oi the work tor which lhis pertnit is issuetl. /� I have and will main ' workers' compensation insurance, as required by section 3700 of the Labor Cotle, for the perfortnance of the work for which this pertnil is iuuetl. � My w�orkers' c_oQipensa ' ca ier and policy number are: �`'� ��j / �/� Cartier.-`= \ ��Q.�'P u.�� Policl yNumber: I� / E V� �(This section n� be comp/eted il fhe pe�mit is valuetl at one hundred dollars ($100) or less.) ❑ I certify t�at' the peAortna ce oi e w for which ihis permit is iuued, I shall not employ any person in any manner so as to become suDject to ihe workers' compen on laws oi Califo ia, e d a e[hat if I should become suDject to the workers' compensation pravisions of Section 3700 of the Lebor Cotle, I shall fotlhwith comply w h ihese provision �" Applican �Date:—� � `I.J ' Q� l �� — WARNING FAILU E TO SECURE WORK ATION COVERAGE IS UNLAWPUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO qJE HUNDRED TFKK/SANDDOLU �5100.000),I ITIONTOTH FCOMPENSATION,OAMAGESASPROVIDEDFORINSECTION3]OGOFTHELABORWDE,IMEREST,ANDATTORNEV'SFEES. IICENSEU CONTRACTOR LARATION: I hereby aflirm that m licens d nd r pr ' f apter 9(commencing with Section 7000) of Division 3 of Ihe Business� Cd Pr sions Code, antl my license is in tull force entl ettec ic. a.7 cless x, ') `- �� Date� � 2 `—��—iZ / I CONSTRUCTON LENDING AGENCV: ❑ I hereby aNirm ihat Ihere is a consiruction lentling aqency for the peAormance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Neme: Lentler's Adtlress: SiqnaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihet under penalty ot perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professions Code: Any ciry or counry which requires a permit to wnstmct, alter, improve, tlamolish, or repair any structure, pnor lo its issuanca, also requires the applicant for such pertnit to file e signed statemen� thet he or she Is Ilcensed pursuant b the provisions ot Ihe Contrectors License Ww (Chapter 9(commencing with Section 7000) of Divlsion 3 of the Business and Professions Code) or thal he or she is exempt therefrom antl Ihe basis tor the allegad exemption. Any violation of Saction 7031.5 by any applicant for a partnit subjects ihe epplicant lo e civil penal�y ot not more than tive hundred dollars (5500).): ❑ I, as owner ot Ihe properry, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and the strucWre is not inienCeO or oflered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who tloes such work himseN or herself or Ihrough his or her own employees, pmvided Ihet such improvemems are not intentletl or ottered for sale. If, however, the building or improvement is sold within one year ot completion, ihe owneo-builder will heve ihe burden of proving that he or she did not huild or improve for purpose of sale.). ❑ I, as owner of ihe properry, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construci the project (Sec. 7044, Business antl Professions Code: The wntrectors License Law does not apply to an owner ot property who builtls or improves thereon, ana who contracts for such project with a comracmr(s) license pursuant to ihe Con�ractors License Laws.). ❑ I em exempf under sec. Business and Professions Cotle for ihis reason: Signature: Date: Owner ID veritietl by dnver'Slicens8. ❑ Ves ❑ No Dnvers License No. Expires: Venfication ot Ownership by (rype of dowmenL i.e. - propeny ta�c bill or deed): DIVISION OF INDUSTRIAL SAFE7Y VERMIT CERTIFICATION: ❑ I hereby certity ihat no eacavation five (5) or more taet in depth into which a person is requiretl to descentl, will be made in connection with work authonzed by Ihis permit, and ihat no building sirucWre, scaflolding, talsework, or demolition or dismantling ihereof, will be more ihan Ihirry-six (36) feet high (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle 8, Calitomia Adminisirative Code). ❑ As ownerv6uiltler, I will not amploy enyone �o tlo work which would require a permi� from the Division of Indusinal Safety, as notetl a6ove, unless such person has e permit to do such work from the division. Signature: Date: Divi5i0n of Intlustnal Safety Pertnit Number: 1 Will the epplicant or present or future builtling occupant naetl m file antl ceniy a Business Plan for emergency response to release or threatened release of e hazardous meterial? ❑ Yes ❑ No (Section 25505 of Ihe Califomia HBali� and Satery Code require5, with 5ome exCeption5, lhat a Business Plan be filed with Ihe Costa Mesa Fire Depertment by every business which has at any one time tluring a reportetl year a quantiry of hazardous ma�enals equal to or greater ihan a weight of 500 pounds, or a volume oi 55 gallons, or 200 cubic feet ot compressed gas ai standard temperature and pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the epplicant or present or future building occupant need to file a ragistration torm far acutely hazardous materiels? ❑ Ves ❑ No (Section 25533 ot iha Calibmia Healih entl Safety Code, with some exceptions, requires registration with Ihe Costa Mesa Fire Department by each business which at any one time has on hentl a quantiry of acutely hazaraous materials equal to or greater than a weight of 500 pounds, or e volume of 55 gallons, or 200 cubic feet of compressetl gas a� standard tempereture and pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will Ihe applicant or preseni or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program tor acutaly hazartlous matenals)? ❑ ves ❑ No (Saction 25534 of ihe Califomia Health and Satery Code provitles ihat ihe Costa Mesa Fire Depariment may require the preparetion, ceriification and tiling with tha Fire Deoatlment of an RMPP 6y 6usinesse5 which are requiretl to repistei acutely hazardous materials with ihe Fire Deoartment. 4 tl an HMYY IS pfeSBnily rBqWreQ bes 58CIi0n 25530 OI IM1B G2lilomia H021t11 2ntl Saieiy GOtle beCn tUlly Complletl WII117 �J V85 �J NO ............................................................................................................................................................................................................................................................................................................................ 5 Does or will ihe applicent or present or tu�ure building occupant require for tha work which is tha subject of ihis �plication agertnit for suc� Imm Ihe Sou�h Coast Air �ualiry Manegement Distnct or Irom eny other eir pollution conVol distnct or agency? LJ Yes LJ No (Section 658502 of t�e Califomia Government Code requires �hat ihe reques�ed information be fumished on applications lor nomresidemial bi .................................................... ................................................................................................................................................................................................... ....................... ..... 6 W ill any part ot ihe facility to be constmcted under ihis permit be within 1000 feet irom ihe outer boundaries of a school7 ❑ Yes ❑ No (If "yes", the facility must meet the requirement oi Sections 25534 antl 42303 of the Calitornia Health antl Safery Cotle). e have or agency m made? [L permits). CERTIFICATE OF COMPLIANCE: I certiy that under penalry of perjury the information given above is correct. I agree to compty with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. Signatura: Date: OF CO PLl AND AUiHOR17J1710N OF ENTRV: I certify under penalry of perjury that I have reatl this apDlication and state that the information given is � to co ly with II state laws entl ciry ordinances rela�ing to builtling cons(ruction, and authorize representatives of the Ciry ot Costa Mesa to enter upon ihe id propert for in ection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspec�ion. 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ��7N�1:11111.14'� T � CO�E 1 INSVECTION TYVE 206 Final Mechanical 20B Final Plumbing 210 Final Eleancai 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupency Q� 1[�{,�