HomeMy WebLinkAbout3093 CEYLON RD - Building Permitst • �
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.�.IdLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
,lob Address: 3093 CEYLON RD
Suite:
Vicinity: RESIDENCE AND DETACHED GARAGE
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Conslruction: V-N
Parcel Number: 13916401 Zoning: R1
npp�icant: MARTIN ARROSAGARAYS
Address: 2508 BOWDOIN PL
COSTA MESA, CA
ownec COFFER, JESSE W TR, .�.:
Address 3093 CEYLON RD
Phone: 714-556-8867 ISSUED BY:
Zip: 92626
Phone:
COSTA MESA, CA �- -,- '� Zip: 92626
Contractor: MARTIN ARROSAGARAYS ALL:SEASONS�ROOFING '
Address: -2508 BOWDOIN PL � � � � _� _
-- - Phone: 714-556-8867
, , ., COSTA MESA, CA ', �
Zip: 92626 - - - License: 622480
Arch :
Address:
Zip:
" Phone:
4: <:3�. --. .
� � - �.�License: �
Eng:
Address:
Status: ISSUED
Applied: 08/OS/2005
Issued: 08/05/2005
� . ' �-.
- -- Phone: '
License:
�'" ' � SCOPE OF PERMIT �
REROOF RESIDENCEAND DETACHED GARAGE: T/0 EXISTING WOOD SHAKE ROOF, 7/16" OSB SHTG, .1�.LAYER 30#�.FELT; APPLY."30-YEAR
GAF BIRCHWOOD SHINGLES.": _ � , �� � :,,s_�
a',
Plan Check:
Permit:
$MIP Res:
SMIP Com:
� Other
Inspection�
Total:
s
� � � FEE��SUMMARY - � � � '� ` � "
$0.00,� - - Calc Valuation ; ss,3oo.00
� $181.25 � � ' " � �. �Claim Val'u�ation: ,"`--° � �,Ss,soo:oo
$0.93 � � '�
i$O.00 . ��:`,' . �� ��P '��
-> . . ... _ _ .-:
���$0:00 , �� � � � <�'� ` ,
'$0.00
a _.<, �
t $'182.18" � ' � � ��
� ,:± � ��
PLANNING& ZONING �� °
SETBACKS ��``����
`„ r., ' ��� � �,,, _
MAINSTRUCTURE Front 0-0. =- �� Rear 0-0 ' ,.Lek 0 �0� �;'-„`Right. �0-0
,: . . . .. _ ��.. . ., � ' , .
ACCESSORY Front� 0-0 �,Rezr = 0-0 �� -���Le(t � 0•0..,•'�� Righh 0-0� . -
'_ '�,- - � -:�' ° aS'; - . . .
PARKING � Existina 0 Reaui'red:. 0 � z��Pr000sed; .0'�� ��
�� � s;.' ..., �� , � .
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NOTICE: The work authorized by this permit shall comply with all applicabla handicap access requirements 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 ot 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectfons and itnal approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit.
POR INSPECTIONS CALL: (714) 7545626
2446d6 (H00)
WORKERS'COMPENSAnON DECLARAnON: .
I hereby eflirm under penelry of perjury one ot the following declarations:
❑ I have entl will melntain e certificete of consent to self-Insura tor workers' compensation, es provided far by sedion 3700 of the Lebo� Code, for Ihe peAormanca of ihe
,.�/ work for which this permit is issuetl.
l� I have antl will malntain workers'q�n pensation insurance, es required by section 3700 of ihe Lebor Code, Por �he pedortnance of the work for which ��Is pertnit is issued.
/� My w� ro' �pen�n Insu�fice carrier and policy number e�e:
Cartler.>�7'�'� ✓�� ('�- �� f�3��/d7 -o.�
t(This section need nat be comp/etetl i/!he permit is velued at one hundred dollars ($100J or Iess.J Polic .Number:
❑ I certily that in the pertormance of tha workJ�r which this permit is issued, I shall not employ any person in eny manner so as to become subjed to the workers'
compensetion lews of Calitornie, nd agra'6 ihat if I should become sublect to ihe workers' compensation provlslons ot Sectlon 3700 of �he Lebor Cotle, I shall fort�with
comply with thes � ons. /J t—
Appli�'raM'�igneture: ���� [p�,'�' �') �" �.5 � �J
WARNINO: FAILLIRE TO SECU E WORKERS' C�MPENSATION COVERA IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINFL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOILARE (5100,000), IN ADDITION TO THE COST OF COMP SATION, OAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, INfEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLAHATION:
I hereby ettirtn thet I em
torca end eXecL LIC�
Ca traclOts:Signature:
(commencing with Sectlon 7000) of Division 3 of the Business and P{9fessians Cotle, and my license is in full
�CtessM � -3 %
� Da` t fe;.,_ — —
CONS7RUCTION LENDING AGENCY:
❑ I hereby attirm thal lhere is a construction lending agency for the pedormance of the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature:
Date:
OWNEH-BUILDER DECLARATIONS:
I hereby efllrtn thet under penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions
Code: Any city or county which requires a permit to consimct, elter, improve, tlemolish, or repair any structure, prior to its issuence, also requlres ihe epplicant for such permit
to file e signed stetement ihet he ar she is licensed pursuent to the provislons of �he Contrectors �icense Lew (Chaptar 9(commencing with Sectlon 7000) ot Divisian 3 of the
Business end Professions Code) or thet he or she is e:empt therelrom end the besis tor ihe elleged exemption. Any violetion of Sectlon 7031.5 by eny applicant for a permit
subjects the epplicant to a civil penalry of not more than five hundred dollars (5500).):
❑ I, es owner of ihe properry, or my employees with wages as Ihelr sole compensation, WILL DO THE WORK, and ihe structure Is not intentletl or oflereC for sale (Sec.
7044, Business end Professions Code: The Coniractors License Lew does not epDly to an owner of properry who builds or improves Ihereon, and who Coes such work
himself or herself or thraugh his or her own employees, pravided thet such improvements ere not intended or oHared for sele. If, hawever, Ihe building or improvement is
sold wit�in one year of completion, the owner-builder will have the burtlen of pwving ihat he or she did not 6uild or improve tor purpose ot sele.). �
❑ I, es owner of ihe property, am E7(CLUSIVELV CON7RACTING WITH LICENSED CON7RAC70RS to construct Ihe project (Sac. 704a, Business end Professions
Cotle: The contracbrs License Law tloes not apply ro an owner oi pmpeny who builds or improves ihereon, end who contracts lor such prolect with e coNractor(s)
license pursuant to ihe Contractors License Lews.�.
❑ I em exempt unaer sec. Business and Protessions Code for this reason:
SignaWre: Date: .
Owner ID venfied by dnver's license. �J Ves ❑ No Driver's License Na. Expires:
Verification oi Ownewhip by (rype of tlocJment, i.e. - pmperty tas hill or Geetl): _
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby cetllty �ha� no excavation tive (5) or more teet in depth into which e person is raquired to tlescend, will be mede In connedlon with work euthorized by Ihis
permi�, and ihat no building stmcture, scaflolding, talsework, or demolition or dlsmantling thereot, will 6e more Ihan ihirry-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calitornla Adminisirative Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit from �he Division of Industriel Sefe�y, es noted above, unless such person has e
permit to tlo such work from ihe division.
SignaNre: Date:
Division of Indusirial Satery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTMOHIZATION OF ENTRY: I certiy under penalry of perjury that I have read this epplication and state that the infortnation given is
correct. I egree to comply with all state laws and ciry ordinances releting to building construction, and authotlze representatives of the City ot Costa Mesa to entar upon ihe
ebove-descnbed property for inspection purposes. I agree not to occuDY or allow occupency of any building authorized by Ihis permil until finel inspection.
COOE �. INSGECTIONTYFE
1616 Fi:ed System Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
201 Flnal Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
INTRIRLS
/
�2 7 �
CO�E� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Sita �
250 Final Building/Occupancy
�411�GIItill�i
, � 9���
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
���
fOR APPL/CANT TO F/LL /N COMPLETELY
TYPE OR PRINT
BUILDING �..�r. ..�.. . _ ./ '%� .
COSTA MESA, CALIFORNIA
10835 Santa Monica Blvd..
ORCENGENEER L.C. Maior NIO.
ADDRESs�1015 S. Paramount Blvd..
Ma gieil CDti$ STATE
CONTRACTOR LIC. NO.
I �Eaa�.w.�.. I N°T SO
F'IM�
r SETB/�CN LINE FNOM
ING
NO.OF GLDOB.
NOW ON LOT
ILEFT `O IRIGHT L7
DESCRIPTION OF WORK
I`.[•]�•]y
� 4ER (Garage is
�I HENEOY ACKNOWLEUGE TXAT 1 MAVE XGO THIB APPLICATION
ANO 6TATE THAT THE ABOVE 19 CORHER /.NO /.GNEE TO COM�
PLV WITH ALL CITY OROINANCES AND STATE LAWB REGULITINO
BUILUING CON6TftUCjiON. ^
' AUTHORIZED AGENT
�
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APPLICATION FOR PERMIT
BUILDING
FOR OfFICE USE OMLY
I HECEIPT NO. I _RERMIT
COSTA MESA, CALIFORNIA
APPROVED
6Y DATE
ZONING
ZONB NO.OF OSE OP N.
�/ PLANS� IBUILOIN6
(CBNTEN LINE BT.)
THE AMOUNT 6HOWN UNDER V/�LUATION IB FOP TNE
PURP09E OF ESTABLIBNING ♦ YFNMIT PEE ONLY.
VALUATION
/� L PERMIT FEE S 3�
$ PLAN GHECK S ��
/ TOTAL FEE S �'��
�q�OWNF[i MpFII`jI�fl� JBCk DATE 5-1-6'7
��JOB ADDRESS i09� CBVlOri Rd. BUII.DING PERMIT NO. z73(7$
Date
SUBCONTRACTOR
r
.r, 27368
y COSfA MESA BUILDINCrSAFETY DEPARTMEM
P.O. BOX 1200 COLTA MESA, CALIFORNIA 9282!
For AppI7mM fo F7f/ In ComplNdy
TYPE OR PRINT
COSTA M�SA.
�
�
TRL
BTATE T[L
LIG. NO. NO.
slZe no. or eLDo�.
OF LOT NOW ON IAT
USH OR
EXISTIN6 BLDO.
BETHACK LIXB PPOM
DESCRIPTION OF WORK
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1 N6RGBY 11CKNOWLtD06 TNI1T.1 NAV6 p(AD TNI� AP�LIWTON
ANO BiATB TXAT TM[ AGOVi 10 CORR6CT ANO A0116[ YO COY.
PLY W�TH �LL-cITY OROINAN�V AND /TAi[ IAYV� p[OYL/1TIN0
GUILC�NO COHBTMIlR10N. � s
waerrr
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�!13 -1-67aur.00 03!i o: .. � :.,:
ArPLICATION FOR PERMR
BUILDIN6
Por OH7c� Uw Only
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TYP OROUP
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VARDO MPROVED
MAIN BIIILDINO
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YARDBAPPROV80
ACCE880RY 9UILDINO
DAT6
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iX6 AMOYM BHOWt� UNO6A V�LIIATION IB FOR TX8 �
�URP08[ O� f8TAp40NIN0 A PlRMIT P68 ONLY. �
VALUATION �
� �(7 PBRMIT FEH S� f� �
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COMPLAINT INVESTIGATI
�
Received by
Made by:
AgainsL _
Dire t' s.
Naturo o( C aint:
. �
Action teken:
Complete: Yes
Complainan[ Yes
COSTA MESA BUILDING SAFETY DEPARTMENT
P. o. sox izoo
COSTA MESA, CALIFORNIA
— 646-2411 A1 „ „ Date:
Addmss
Address
By
No Interviewed: No Date:
FORM 9Ud1-2M-S-89—CP