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Home My WebLink About3061 CEYLON RD - Building Permits� CITY OF COSTA MESA BDILDING DIVISION 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE B_ROOF2 APN: 13917311 JOB ADDRESS: 3061 CEYLON .... ...., Vicinity: HOUSE AND GARAGE ROOF - .� � Squares: 21 . � : , www.ci. cos W-mesa.ca.us � PERMIT NUMBER: B08-00209 STATUS: )ATEISSUED: 1SSUED BY: Suite/Unit: Valuation: ISSUED 07/14/2008 RMD . $6,000.00 SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL A MINIMUM OF 2 LAYERS OF 15# FELT ON A 2:12 TO LESS THAN 4:12 PITCHED ROOF OR A MINIMUM OF 1 LAYER OF 15 # FELT ON A 4:12 OR GREATER PITCHED ROOF AND REROOF WI7H 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 2100 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. . " - OWNER: CURTIS, MARIANNE PHONE: APPLICANT: CURTIS, MARIANNE PHONE: 714-501-6523 CONTRAC70R: OW NER-BUILDER Address: Unit: � - CitylState/Zip: ARCHITECT: . ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFE�S $o.00 $125.25 $0.00 $125.25 Address: 3061 CEYLON RD City/State/Zip: COSTA MESA, CA Address: 3061 CEYLON RD City/State/Zip: COSTA MESA, CA PHONE: License No. � License No. License No. D00000 CELL• PHONE: PHONE: Unit Unit: . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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. � INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply 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. GODEt. INSVECTIOXTYGE 0� IN7ITIALS fiU�E�1 INSPECTIONTYPE OpiF, IN71TIqL 1616 Fixetl System Final Fire PreveMion 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 1[��_Q�� 210 Final Electncal � 207 Final Block/Retaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Appmval 203 Final Sign , 222 Final Site 204 Final Demolition ..._ _ 250 Final Building/OccuOancy WORKERSi COMPEMSATION DECLARATION: � I hereby aHirm under penalty o( perjury one o( ihe following declarations: ❑ I have and will maintain a certificate of wnsen[ to sel(-lnsure for workers' compensation, as provided for by section 3700 ot the Labor Code, for the pertormance of the vrork lor which this pertnit is issued. ❑ I have and will maintain workers' compensation insurence, as required by seciqn 3700 ot the Labor Cotle, for lhe peAormance of the work fa which this pertnil is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier: (T�is SeGqn neeC rpt be oompleleE ✓fhe pe�m4 a value0 af are �untl2C �llars (5100) w less7 Pol' y Number: ��I certify that in Ihe peAormance of the work for which this permit is issuetl, 1 shall not employ any person in any ner so as to become subject to the workers' c p salion laws o� C o ia, and agree that if I should become subjecl e vrorkers' comp on provisions o( Section 3700 0( Ihe Labor Cod I all fo(ihwith compl w� [�.provisions, � WARNING: FAIL�RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm thal I am licensed under provisions of Chapter 9(wmmencing with Section 7000) o( Division 3 of Ne Business antl Professions Code, antl my license is in full force and eflect. Lic. # Class # CONracmr's SiB�aW re Date CONSTRUCTION LENDING AGENCY: ❑ I herehy aKrm that ihere is a consWctbn lending agency for the peAormance of Ihe work fa which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER•BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury thal I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permil to conswct, alter, improve, tlemolis�, or repair any structure, prior to its issuance, also requires the applican[ for such permit to file a signed slatement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the Business antl Professions Code) or that he or she is exempt there(rom and the basis for the allegetl exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalry o( not more than fiv� hundred dollars ($500�.�: jI, as owner of the property, or my employees wtth wages as Iheir sole compensation, WILL DO THE WORK, and the structure is not intended or otfered tor sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply [o an owner of property who builds or impmves thereon, and who does such work himself or herself or Ihrough his or her own employees, provided Ihat such improvements are not intended or oflered for sale. If, hovrever, �he building or improvement is sold within one year of completion, the owner-builder will have the burden of proving lhat he or she did not build or improve for purpo;e ot sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS [o cons[rucl the project (Sec. 7044, Business and Professions Code: The wnt2cips License Law dces nol apply to an rnmer of pmperty who builds or improves thereon, and wtio contracts for such project wilh a cont2cla(s) license pursuant to the Contractars License Laws.). ❑ I am exempt untler sec. _ eusiness andg,�o�ssions Code for �(15]J6 , , Owner ID verifietl ❑ No /j Dnver's License No. Expir6d. Q�� . Verifcation of Ownership by (type of document, i.e. - property tax bill or tleeC): OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certify that no excavatbn Me (5) or more teet in tlepth into vfiich a person is required lo tlescend. will be made in conneclion wilh v.ork authorizetl 6y this pertnit, antl Ihat no building struclure, scaf(dding, (alse�wrk, a demolition or tlismanUing thereof, vrill be more than thirty-six (36) teet high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Cali(omia Administrative Code). ❑ As ovmeo-builtler, I vrill not employ anyone to do vrork which would require a permi�from Ihe Division o(Intlustnal Safely, as noted above, unless such person has a permit to do such work from the division. ApoliwnCs SlgnaWre Dale Division of Industrial Safe�y Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or iWure building occupant need lo fle and certify a Business Plan !or emergency response lo release or threatenetl release o� a hazartlous matenal? ❑ Ves ❑ No (Section 25505 of the Califomia Health antl Satety Code requires, with some exceptions, Ihat a Business Plan be filed wilh Ihe Costa Mesa Fire Department by every business which has at any one time dunng 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 temperaWre and pressure). 2. Does or will the applicant or present or future building occupant neetl to file a registration tortn for acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 of lhe Calitomia Health and Safety Code, with some exceplions, requires regislration with Ihe Costa Mesa Fire Departmenl �y each business which at any one time has on hantl a quantity of acutely hazar0ous materials equal to or greater than a weighl of 500 pounds, or a volume ot 55 gallons, or 200 cubic feel of compressetl gas al standartl temperature and pressure�. 3. Does or will ihe applicant or present or fuWre builtling occupant need to prepare an RMPP (Risk Managemenl antl Prevenlion Pro9ram for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Cali(omia Health antl Safety Code provides ihat the Costa Mesa fire Department may require [he preparalion, certification and fling wilh Ihe Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Secfion 25534 0( lhe Califomia Health an0 Safety Code been fully complietl with? ❑ Yes ❑ No 5. Does or vnll the applican[ or present or future building occupam require for the vrork which is the subject of this application a permit for such construction or modifcation (rom the Swth Coast Air Quality Management Dislnct or fmm any other air polWlion conirol disMct or agency? ❑ Yes � No (Section 658502 of the Califomia Govemment Code requires that the requested informa�bn be fumishetl on appliwtions lor ron-resitlential building pertniis). 6. Will any part of the faciliry b be consWcled under Mis permit be within 1000 feet from the outer boundaries of a school? ❑ Yes � No Qf "yes", Ihe (aciliry must meet the requirement of Sections 25534 and 42303 o( the Califomia Health and Safety Code). 7. If a permit fmm the Sou[h Coasl Air �uality Management Dislnct orother air pollution control disMct or agency is required for Ihe vrork which is the subject of this application, have all ot the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropriate air pollution control oRcer�. � ' � - CERTIFICA7E OF COMPLIANCE: I certify that untler penalry o( perjury the information given above is coRect. I agree to comply with all state laws antl ciry ordinances regarding Hazardous Materials and Emissions. . SignaWre Oale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury that I h read this appliwtion and state that Ihe infortnalion i n is cortect. I a e o comply with all state laws and ciry ordinances r g to building co t tion, and authorize representatives ot the 'y� ta Mesa to e upon the above-descnbed property for insp oses. I agree o occ y pr allow occupanc of an building authoriz y� e mit un�il in i c�ion. SignaWreo(Legal eqs) - Dae An0/orAUl�onzeE , ; , 9"�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPL/CANT TO f/LL /N COMPLETEIY TYPE OR PRINT COSTA MESP., CALIFORNIA . `� le: . � . ._ . -.e-. �4�.�._. J .._ ,��lf, g 0 195� �- �II�Rf�CE DEPT. ,.��. ,.� „�c•n k9�c7� APPLICATION FOR PERMIT BUILDING foR officF usE oNcy RECEIPT NO. I PERMIT NO. MAIL �Op�J Santa Monica B1V�.• RELEIV BY I DATENECEIVEO I DATE ADDRESS �$ CITV Angeles TN�Y23287 AooRe�ss ARCHITEC7 L.C. Major ��C. COSTA MESA, CALIFORNIA OR ENGIN E NO. A�DRE55 • ' FIRE ZONE TYPE GROUP CONTRACTORMal ren COn$t LIC.N0.153335 BYPROVED DATE nooaes0835 Santa Monica Blvd.. zorvlNG . IEGAL I LOT I � 363 ZONE ' I NO. OF I U6E OF NEW �n js'zE 102.00 X 63.33 OF LOT SETOACK LINE FROM CENTER OF STREET TRACT PLANS BUILDING APPROVED ' BY / OATE No.oF e�oc5. Q ypROS EVES HOW oN LOT REQUIRED ALLOWED (CENTER LINE ST.) 1 FRONT �/ FT. EAR YARD R.SIDE FT. SIDE YARD ILEFT S IRIGHT S L.SIDE S Fr� DESCRIPTION OF WORK REAR FT. NEW I II ALTERATION I II ADDITION I REPAIR c I II MOVING I II DEMOLISH I � / BUILDINGlpg3 NO.OF 6 1 SIZE ftOOKS STORIES EXTERIOR WALL ROOF COVERING ._S'tllCCOCOVERiNGWOOC3 shinal 1 HEREBY ACNNOWLEOGE THAT I HAVE REPD THIS APPLICqTION pND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLV W�TH ALL CITY O DINPNCES RNO STATE L�WS FEGULNTING BLIILDING CONSTRU 10 . SIGNATURE OF ..,� /� C PERMITTEE ��YiS+.scC � � � AUTHORIZED � THE AMOIINT 6HOWN UNDER VALUATION IB FOR THE PUFP09E OF ESTABLISHING'A PEFMIT FEE ONLY, VALUATION PERMIT FEE $ 3� � /` �� PLAN CHECK $ /� � � TOTAL FEE 5 ,�