HomeMy WebLinkAbout2950 CEYLON DR - Building Permits��
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(714) 754-5273 • Fdx(714) 754-4856
CITY OF COSTA MESA
BIIILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 2950 CEYLON DR
Suite;
Vicinity:
Parcel Nunmber: 13927104
Applicant: WHITNEY, ROBERT
Address: W/ WHITNEY ROOFING
Owner. CAMPEAU,'LAWRENCE M TR
Address 1955 BALEARIC DR
, COSTA MESA,CA
Contractor: WHITNEY ROOFING
Address: 00000 PO 15396
Arch :
Address:
Zip:
' NEWPORT BEACH CA
Zip: 92659 ��
Phone:
License:
Zoning: R1 R1
Phone: 714-548-0769
Zip:
Phone:
Zip: 92626
Phone: 714-546-0769
License: 406022
" Eng:
Address:
PERMIT N/�r UMBER
698-02315 �
77 FAIR DRIYE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 12/29/1998
Issued: 12/29/1998
Phone:
License:
SCOPE OF PERMIT
T/O EXIST REPLACE W/ 30-YR COMP SHINGLE, O/15# FELT. �'" ��Q �� oN PArro �2- y,��
FEESUMMARY '
Plan Check; $0.00 - , ; Calc Valuation: $�,aii.00
Permit; $13725 Claim Valuation: $�,aii.00
SMIP Res; $074
SMIP Com; $0.00 �
Other; $0.00
Inspection; $0.00 �
Total; $737.99
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Ezistin : o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Right 0- 0
Right 0- 0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions and final approval must be obtained. Failure to obtain inspec�ions and final approval will result in ihe expiration of this permit.
FOR INSPECTION$ CALL: (714) 7545626 � �
WORKERS' COMPENSATION DECLARATION: ,
I hereby aflirm untler penalry of perjury one ot the tollowing declarations: ,
❑ I heve end will meintain e certificete oi consent to self-Insure for workers' campansation, as provided tor by section 3700 ot the Lebar Catle, for the peAartnance oi the
work for which lhis permit is issued.
❑ I have and will maintein workers' compensation insurence, as required by section 3700 of ihe Labor Code, tor ihe peAortnance of the work tor which ihis pertnit is issued.
Mv workers c3noensetion Insurance cerrler end policv number are:
Carrier:
(This secfion n ed n t be cample(ed il thi
❑ 1 certiy that in Ihe performance of
compensation lews oi Celifornie, ar
comply with these provision5. /
Applicant Signetura: _�
WARNING FAILURE TO SECURE WORKERS' 1
TqUSAND DOLLARE ($100,000), IN ADDITION
LICENSED CONTRACTORS
I hereby ettirtn thet I em licen:
foma and eflecL Lic. # _
Coniractors Signeture: _
Policy Number: � ��� ���8 �3
� hundred dollers ($ f 00) or /ess.) �
s permiS is issued, 1 shall not employ any person in eny manner so p5 to beco. r�e sublect to ihe workers'
became subject to the workers' compensetlon provislons oi Section �700 of ihe Je9bor Cada, I shall tonhwith
Date: / / U
iHGE IS UNLAWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AN CIVIL FlNES UP TO ONE HUNDRED
PENSATION, DFMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE UBO� CADE, IN7�RE5T, AND ATTORNEY'S FEES.
9(commencing with Section 7000) of Division 3 ot the Business and Protessior�s ¢o�la, end my license is in full
Cfass N � �
Date: 7 /
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn that there is a construction lending eqency tor t�e peAortnance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm iha� under penelry af perjury ihet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professians
Code: Any ciry or counry which requires a pertnit to consimct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires ihe applicant for such permit
to file a signetl statement Ihet he or sha is licensed purSuent to the provisions of the Contractors Licanse Law (C�apter 9(commencing with Section 7000) oi Division 3 of the
Business and Protessions Code) or Ihet he or she is exempt theretrom and Ihe basis for the alleged ezemption. Any violation of Section 7031.5 by any applicant for a pertnit
subjeds ihe applicent to e ciml penalry of not more Ihan fve hundred dollars ($500).):
❑ I, as owner ot the properry, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, entl the structure is not Intended or otferetl tor sale (Sec.
7044, Business end Professions Code: The Contrectors License Lew tloes not apply to an owner of property who builds or improves ihereon, and who does such work
himself or herselt or ihrough his or her own employees, provitled that such improvemenis are not intendetl or otteretl for sala. If, however, the building or Improvement is
soltl within one year oi completion, iha ownervbuiltler will have ihe burden of proving ihat he or she tlitl not builtl or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRAC70RS to consiruct ihe project (Sec. 7044, Business and Professions
Cotle: The contrectors License Law tloes not apply to an owner ot property who builds or improves ihereon, antl who contrects for such project with a contractor(s)
license pursuant to Ihe Conirectors License Laws.).
❑ 1 am exempt under sec. Business and Protessions Code tor ihis reason:
Signature: Date:
Owner ID verified by driver'S liCense. ❑ Yes ❑ NO Drivers LicenSe No. Ezpires:
Venfication of Ownership by (type ot dwument, I.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ 1 hereby certiy ihat no ezcavation five (5) or more teet in tlapth imo which a person is required to tlescend, will be mada in connection with work authorized by ihis
pertnit, end Ihet no bullaing swcture, scettolding, falsework, or demolition or dismantling Ihereof, will be more then thirry-siz (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, CelNomla AdminlsVetive Cade).
❑ As owner-builder, I will not employ anyone to do work which would require a pe�mit trom �he Division of Intlustriel Safery, as notetl above, unless such pereon has a
permi� to do such work tmm the Givision. �
Signeture: Date:
Division of Indusirial Satery Permil Number:
1 W ill the applicant or present or future building wcupaN neetl to tile and certity a Business Plan tor emergency response to release or ihreatened release ot a hazardous
materiall ❑ Yes ❑ No
(Section 25505 of the Calitornia Health antl Sefety Code requires, with some exceptions, that e Business Plan ba filed with the Coste Mesa Fire Department by every
business which has at eny one time dunng a reported year a quantiry of hazardous materials equal to or grea�er ihan a weight of 500 pountls, or a volume ot 55 gallons,
or 200 cubic feet of compressed gas at standard temperaNre and pressure).
................................ .... .... . ...... . . ............................................... .............................................................. .........................................................
2 Does or will ihe epplicant or present or tuture building occupant neetl ro fle a registration torm for acutely hazartlous metenels9 ❑ Ves ❑ No
(Section 25533 of iha Celifomia Healih and Safery Cotle, with some exceptions, requires registration with ihe Coste Mesa Fire Depertment by each business which at any
one time has on hand e quantity of ecutely hazardous metenals equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot
compressed gas a� stantlara tampereWre and pressure).
................................................................................................................................................................................................................................................................................. .
3 Does or will �he applicant or present or tuture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
— ves ❑ No
iction 25534 of the Californie Healtl
oertment of an RMPP bv businesse:
an
that the Costa Mesa Fire Departmem mey require the preparetion, certification and filing with the Pire
le� acutely hazardous metenels with ihe Fire Depariment.
................... .............................................. .....................................................................
ia Health and Safery Code been fully complietl with7 ❑ Yes ❑ No
5 Does or will ihe epplicent or p�asent o� tuture 6uiltling occupant �equi�e tor �he work which is ihe sub�ect of iNs application e permit for such constmc�ion or motlification
�rom Ne South Coast Alr Oualiiy Menegement Disirict or from any other air polWtion conirol tlistrict or agency? ❑ Ves ❑ No
(Section 658502 ot the Celitomia Governmant Code requires that ihe requested information be furnished on epplicetions for non-residential building parmits).
..................................................................................................................................................................................................................................................................................
6 Will any pert of the taciliry to be constructad undar ihis permi� be within 1000 feet from ihe outer boundaries ot e school7 ❑ Yes ❑ No
(Ii yes", the faciliry must meet the requirement of Sections 25534 antl 42303 ot the Calitomia Health antl Safery Cotle).
..............................................................................................._............................................_...........................................................................................
7 H a permil from Ihe South Coest Air �uality Management Distnct or other air polWtion control tlisirict or egency Is raqulrad tor the work which is the sub�ect oi this
application, heve all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been metle4 ❑ Ves ❑ No
..................................................................................................................................................................................................................................................................................
8 pf'yes", ettech certiticate of compliance trom the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certiy Ihet ypder penalry of perjury the information given ahove is correcL I agrea to comply with all state laws antl ciry ortlinances
regaMing HBzerCous Meterials end Emi55ionr
Signeture: _, ,/ Dete:
CERTIFlCATE OF COMPLIANC D A OR TION OF EMRY: I certify under penalry of perjury that I have read this application and state that the information given is
wrrect. I egree to wmply wi all stat aws and c ordinances relating to building consiruction, antl authorize reprasentatives of the City ot Costa Mesa to enter upon ihe
ehove-dascnbed property inspecti purposes. agree not to occupy or allow occupancy ot any building authorized by ihis permit ur�til tinal inspection.
40DE t.
1616
1266
200
201
202
203
INSPECTION TYPE
Fixed System Finel Fire Prevention
Pool Spa Final
Fin01 Re-Rooi
Flnal BIocWRetaining Wall
Final Fectory Fire Plece
Final Si9n
204 Final Demolition
2646 46
�:I Tfi�I`iiiir:l�
-Y 2q (su-
�ppg� iwsvecnourvve
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Finel Fire Prevention
220 Final Plenning Approvel
222 FinalSite
250 FinaiBuilding/Occupancy
GAff It1�9lS
,
OWNER CF„JI{A, GFARGE
JOB ADDRE55 2950 Ceylon
GENERAL CONTRACTOR T
AP No.139-271-04 LOT 1F:
iINSPECTIONS
SOIL
�GAS
WAiEA
0.0UGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
❑NOEftGR0UN0 ❑- -pOWEft �
ROUGH WIPING
TRENCHES FORMS � STEEL REINF.
FLOOR SYSTEM
BONO BEAM � STEEL REINFORCE [�
SHEATHING
FRAME AN� FLASNING
LATHING - IN �� OUT �
PLASTER.BROWN COAT
HEATING, VENT., REFRIG. AND A.C., F
PLUMBING, FINAL qN0 GAS 7EST r]
ELECTRIC. FINAL
B1/1L�ING, FINAL
GPLfIAI RFOIIIBFMFNTS
DATE
BUILDING PERMIT N0.
SUBCONTRACTOR
;. � ;..:� 3a i 44
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� . COSTA MESA BUILDINGSAFETV DEPARTMENT
�� P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fi!l in Completely
. BUILDING „ _ .,_, �b _ . _ . _ ._
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OWNER �j
MAIL
TEL.
arr ee STiS �ESA �o�
CANSTRUCTION
BRANCH
ADDRESS
ARCHITECT TEL.
AD�FESS
CONTRACTOR'r�(/�, g(�ATHBNS
ADDRESS�'760 �A/iENP�`f+A �R�
TEL.
cirv �„ Src /�'iESA NO6"�/G-f.R
STATE CITV
LIC. NO. �r'S �7y LIC. NO��
SIZE i � �NO.OFBLDGS.
OF LOT g p X J UO I NOW ON LOT (
USE OF
EXISTING BLDG. 2 L S
SIZE OF NO. OF
NEW BLDG. S•C ROOMS STORIES
EXTERIOR WALL ROOF
COVERING Sr4C�i0 COVERING S//II�CLE�
USE OF BUILDING AND WOftK TO BE PERFOFMED
I hereby acknowletlge [hai I have reatl this application antl state
ihat ffie abave information is correct antl agree m comply with
all laws iegulating builtling c0�struction, antl I shall no2 employ
any person in violatton of the workman's compensation laws ot
the Stace of Califomia. .
I hereby certity that I am proPerly licensetl as a<ontractor under
the State ot California Busineis antl Professions Cotle, Oivisicn 3,
Chapter 9, antl ffiat such licenses are in full torce and effect, or I
am exempt from the provisions ot the State ot Califomia Business
antl Professions Cotle, Division 3, Chapter,
Signamre o� ,� ���//�"
Permittee � /�/ /���
Authorized ABent
an�c
aFr, z�-� ��,;,400 i i �a� �=-� * Z2.50
APPLICATION FOR BUILDING PERMIT
:EIYED BV DAT,E flECEIVED �pTa iggiii
BUILDING
ADDRESS
FIRE
ZONE
NO. OF
/( PLANS �
VAFDS APPROVED
V AR. #
C.U.P.�
e>
S DD+
TE L 7 �
J
USE OF NE � �A./
BVILDING C,iP•r
VARDSAPPROVED
ACCESSORV BUILDING
BET. MAIN &
0
�
� � e
Q. FT. O
THE AMOUNTSHOWN UNDER VALUATION IS FOR �
THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
¢
VALVATION �SC'd /�[ y�/}-�j �
PEHMIT FEE 5 t!/' V(J �
�— �� `�" 5�� E
S PLAN CHECK $
/� �.�Iv ,�. C� 'tin c_, LL
s'" �i:��`o
�: �..,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/Ll./N COMPIETELY
• TYPE OR PRINT
noo�a°ess 295o Ceylon Drive
COSTA MESA. CALIFORNIA ��
MAIL- 1555 Placentia
ADDRE55
�,r., Newport Beach
Kol
41
IEncZEnr SDiC1�0
NO.OF BlDG3.
2
SETBACK LINE FPOM [O � REAR YARD � 7 t
GENTER OF STftEET J
SIDE VARD I LEFT �O t I RIGHT J�
DESCRIPTION OF WORK -
NEW I� IIALTERATION I IIADDITION I
FIRE
� EE REC�i�atQ
p1� 211960 3 u
fINF�'t�Ct DEPI..
r.ITY OF COSTA PJIESA
APPLICATION FOR PERMIT
BUILDING
foR ofACE usE aN[Y
6Y
COSTA MESA, CALIFORNIA
TYPE ✓ GROUP Mf'
ZONING
ZONE NO. OF ^ U6E OF NEW
�/ IPLAN6 / I9UILOINGA
t/.,� «
APPROVED�II . L.J AJ . .-..�� �•
(CENTER LINE ST.)
r�
�
�SZIEDING 1HOO Sl ROOMS `+ STORIES y
EXTERIOR WAL IROOF Wood Shingles �
�COVERING �tUCCO COVERING�
USE OF BUILOING AND WORK TO BE PERFORMED ,
Si
and Attached Garage
1 HERE6Y qCKNOWLEDGE TH T 1 HAVE REAO THIS APPLICATION TNE AMOUNT SHOWN UNUER VALUATION 19 FOR THE
AND STATE T TNE P90V IS CORRECT ND qGREE TO COM-
PLY WITH AL Y OPDIN i ES AND STA E LAWS REGULATING PURPOSE OF ESTABLISHING R PERMIT FEE ONLY.
euaomc C 5 uCTOH. VALUATION �
SIGNATURE ��.� - �'ERMIT FEE S 3�,�
PERMITTEE /� �/�S'
$ � � PLAN CHECK $ _'� y �
AUTHORIZEO AGENT �
, TOTAL FEE S �^7 �