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Home My WebLink About2272 COLUMBIA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2272 COLUMBIA DR Suite: Vicinity: ROOF Parcel Number: 41908506 Applicant: WHITNEY, ROBERT Address: PO BOX 15396 NEWPORT.BEACH,CA" Ownec WOIKIN, HENRY Address 2052 NEWpORT BLVD #191 . - COSTA MESA, CA Contracror. ��WHITNEYROOFING Address: P015396 Arch : Address: Zip: NEN/PORT BEACH , CA Zip: 92659 Phone: License: Zoning: Phone: (949)548-0769 Zip: 92659 � . Phone: Zip: 92627 . . Phone: (949)548-0769 License: 406022 Eng: Address: Status: ISSUED Applied: 05/28/2002 Issued: 05/28/2002 ISSUED BY: ` / — SCOPE OF PERMIT RE-ROOF WITH 30 YR SHINGLES, 15# FELT, AND TEAR OFF BAR. 2200 S.F. WITH ATTACHED GARAGE. Plan Check: $0.00 Permit $125.25 SMIP Res: $0.52 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existing: o NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 Phone: License: S5,2oa.00 $5,2oa.00 NOTICE: The work authorized hy 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: 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 penod 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 inspecNons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . !416ifi (N00) WORKERS' COMPEI:SATION DEGLARA710N: I hereby eAirm untler penalry of perjury ona of the followinq declarations: � ❑' I have and will meintain e certificate ol consent lo sell-Insure for workers' work tor which Ihis pertnit is issuetl. . �I have and will maintain workers' co ensation insurance, as required by s �' My workers' compens tlon Insur c ca 'er and policy numbar are: Camer:� (This sectlon need nof be mp/eted i! fhe permi is valued ef one ed dolL ❑ I cehify Ihat in t�e pedortnance of Ihe work for whic is pe ' s' u compensatian laws of Californie, antl egrea t�a � shoul s �e� comD�Y'�+ith Ihese provisions. . WMNINO: FAIW RE TO SECURE WORKERS' � THOUSAND DOLLARE (E100,000), IN ADDITION as provided lor by section 3700 oi the Labor Code, for the peAormance of the 3700 ot the Labor Code, for Ihe pedortnance ot the work tor which this permit is issuetl. Policy�Number. � �C% � I shall not employ any person in '. to the workers' wmpansatlon F AWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL DAMAGES AS PROVIDEO FOR M SECTION 3'!O6 OF THE LAE ome subject lo tha workers' i�ihe Labor Code, I shall fotlhwith L 3 AND CIVIL FINES UP TOONE HUNDREO �NTEREST, AND ATTORNEY'S FEES. UCENSED CONTRACTORS DECLARATION/ ' I hereby aHirm Ihat I am licensetl ntlecprovisw s apter commencing wi�h Section 7000) of Division.3,ot.the,Business antl P�.[o,fes ions Code, end my licensa is in full torceend�efle�clrCl—c=M� 0�o'LV �Class'a' �-9J`� �tra�q�netura �Date� � CONSTRUCTION LENDING AGENCY: � ❑ I hereby aHi�m that there is a consiruction lentling agency For Ihe pedormance ot the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lender's Atltlress: Signature: Date: OWNER•BUI�DER DECLARATIONS: I hereby ettirtn thet under penelry ot peryury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or county which requires e permit to constmct, alter, improve, demolish, or repair any stmcNre, prior to its issuance, also requires Ihe applicaN tor such permit to flle a slgned stetement that he or she is Iicensetl pursuant to ihe provisions of the Coniractors License Law (Chapter 9(commencing with Sectlon 7000) ol Division 3 of tha Business end Professions Cotle) or Ihet he or she is exempt therefrom end Ihe basis for the ellegetl ezemption. Any violation of Section 7031.5 by any epplicant for e partnit subjects Ihe applicant to e civil penalry of noi more �han five hundretl tlollars ($500).): ❑ I, as owner ot Ihe properry, or my employees with wages es Iheir sole compensation, WILL DO 7HE WORK, and ihe structure is not intentletl or offerad for sala (Sec. 7044, Businass and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work himself or herselt or ihrough his or her own employees, provided that such improvements ere not intended or oHered for sale. If, however, ihe building or improvement is sold within one year oi complation, the owner-builder will have the burtlen of proving that he or she did not build or improve for Ourpose of sale.). ❑ I, as owner of the propeny, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: The contrectors License Law tloes not eppy to an owner oi property w�o builtls or Improves ihereon, end who contracts tor such pmject wiih a contrector(s) license pursuant to the Coniractors License Lews.). ❑ I am exempt untler sec. Business and Professions Code for Ihis reason: Signeture: Date: Owner ID verified by tlriver's license. ❑ Ves ❑ No Orivers License No. Expires: Verification of Ownership by (type oi daument, i.e. - pmperry ta�c bill or deed): - DIVISION OF INDUS7HIAL SAFEN PERMIT CERTIFICATION: ❑ I here6y cetlity ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthonzed by this pertnit, and that no building sWCWre, scattolding, talsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Califomia Adminisiretive Code). ❑ As owner-builder. I will not employ anyone to do work which would require a permit from Ihe Division of Indusirial Safery, es noted a6ove, unless such person hes e parmit to do such work from the division. Signature: Date: �ivision oi IndusMal Satery Parmit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7 Will the applicant or present or tuNre building ocapant need to file and certity a Business Plan for emergency response to releasa or ihreatenetl releasa of a hezardous materlel? ❑ Yes ❑ No (Section 25505 of ihe Califomia Health entl Safery Cotle requires, with some exceptions, Ihat a Business Plan be tiletl with the Costa Mesa Fire Department by every business which has at any one �ime tlunng a reponetl year a quanti�y ot hazartlous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or tuWre builtling occupant need to file e regisiration form tor acutely hazardous matenals? ❑ Ves ❑ No (Section 25533 of Ihe Califomia Health and Safery Cotle, with some exceptlons, requires registratlon with ihe Costa Mese Fire Depanmern Cy each Dusiness which at any one time has on hand a quentiry of acutely hazerdous matenels equal to or greeter Ihan a waight of 500 pounds, or e volume ot 55 gallons, or 200 cubic feet of comoressad qas at standard temperature and pressure). 4 or wm tne appucam or prepare an (Section 25534 ot �ha California Health and Safery Code providas ihat ihe Costa Mesa Fire Department may require Ihe praparation, certification and tiling wi�h the Fire bepanment of an RMPP by businesses which are required to register acutely hazerdous materials with Ihe Fire Department. Ves LJ No Uoes or wm me appucant or presem or mwre ounoing occupam require ror me wore wnicn is me suo�ecc or mis a pucauon a gerznn �or sucn consiruCnon or motllncabon irom ihe South Coast Air Oualiry Menagement Dlstnct or trom eny other air p011ution control tlisMct or agencN � Yes �J No (Section 658502 of the Calilornia Government Code requires ihat the requestad information be fumished on applications for non-resitlential builtling permits). ...................................................................................................................................................................... ......................................................................................... ................................................................. Will any part oi ihe faciliry to 6e constructetl untler lhis pertnit be within 1000 feet from the outer bountlarias of a school7 ❑ Yes ❑ No (If yes", the facility must meet ihe requirement of Sections 25534 anG 42303 ot the CaliFornia Heal�h and Safety Code). ............... .... ................................................................................................... ........................................................................_.................._......................._....................... ......... .... ........ If a permit from the South Coast Air �ualiry Menagement District or other eir polWtion control disirict or agency is required tor Ihe work which is the subject of this epplication, have all of the disdqsures prescnbetl by Calitomia Health and Satery Cotle Section 42303 been made7 ❑ Ves ❑ No .............................................................................................................................................................................................................................................................................................................................................................................. Qf'yes", atlach cenificate ot compliance from ihe aDPropnate air pollution conirol ofricer). CER7IFICATE OF COMPLIANCE: I certity �ha� untler penalty of perjury the infortnation given above is correc�. I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials an0 Emissions. Signature: � Date: CERTIFlCATE OF COMPLIANCE AND correct I agrae to comply with ell staG above-described properry tor inspe� COOE 1, INSPECTONTYiE ' 7616 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Finel BIocWRetaining W ell 202 Finel Fectory Fire Place 203 204 Finel Sign Final Demolition �F EMAY: I certi nder penalry of perjury Ihat I have read this epptication and state Ihat ihe nances relating builtling constmction, and authorize representatives of the Ciry of Costa Me�, not to occup r allow occupancy ot any building authorized by this permit until final inspection. , ORTE IMITIALS Lq-m � �l� CODEt INSPEGTIONTYPE 206 Final Mechanical 200 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy Date PAIE a2lion given is enter upon the � INTIf1Al5 OWNER KENDON HO�'IES INC. ' DATE JOB ADDRESS p2�2 Columbia Dr BUILDING PERMIT NO. �00� GENERAL CONTRACTOR K, W. K011 VALUE $ 13 � I{03.00 - AP. No. LOT 5 TRACT3161 FIltE ZONE � DFSCRIPTION OP WORK Si n Fam_ ra�_att. gar , GROUP I& J TYPE 5 ZONE RL PLAN NO. ___ INSPECTIONS � DATE I SUBCONTRACTOR I DATE NUMBER coec St. r•�� _ , . . , ��0�� COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] GOSTA MESA, CALIFORNIA FOR APPLICANT TO FILL' IN COSTA MESA. CALIFORNIA OWNER MAIL GTV N � Beach V� TNO. � K W K011 COIIS4 CO N�O. ADDRE55 1 ITV LIC. CONTRACTORK LT KO�-I. COSI9L O NO. �eca� LOT oesceivrioH No. A.P. NO. S�zE 62 x OF lOT USE OF EXISTING BLDG. SETBACK LINE FROM CENTEP OF STREET SIDE YARD RIGHT � LEFT V DESCRIPTION OF WORK i ALTERATION AppITiON MOV�IN+G DEMOLISH 12� Ji NO.OF ^�.�F ^{ ,�i ROOMS fj STOPIES WALL ROOF BLOCK rvo.oF e�ocs. NOW ON LOT YARD NEW REPAIR BUILDIN SIZE EW , Att \� �.E7 RECEIU�v�� FI�+ANCE DEPT. CITY Of COSTA MESA " APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY � "_ �005. EO pnTE ISSl1E0 BUILDING ADORE55 COSTA MESA. CALIFORNIA FIRE ZONE � 20NE NO.OF � TYPE � G GLANS APPROVED' � —�% 6Y /��'JW • DATE � CORRECTIONS 0 �- G " - � I HEREBY PCHNOWIEOGE TMTT I MAVE REAO THI$ APPLICATION RNO / STATE THAT THE ABOVE IS CORRECT nND nGPEE TO COMPLV WITX wLL ��'J � .� CITV OflOINRNCES l�NO STPTE L<WS FEGULRTING BVILOING CONSTPIIC� Q norv. VAWATION SIGNATURE OF PERMiT FEE $ �� PERMITTEE 0 PLAN CHECK S / Fj -� s/.�� 0�� TOTAL FEE 8 �� — voMr C