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HomeMy WebLinkAbout2320 CORNELL DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING pIVIS10N DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job Address: 2320 CORNELL DR Suite: Vicinity: Parcel Nunmber: 14147317 Applicant: HERMAN, RICHARD Address: owner. MATTSON �KENNETH D SR TR Address 2320 COF2NELL DR� �iri, . -' COSTA MESA,CA � Contractor:- HERMAN ROOFING Address: 4050 1/2 BROTHERTON i. . . �► ��1�,- bl io�8 PERM�T NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/21/1998 Issued: 09/21/1998 Zoning: Phone: Zip: Phone: � , " . � " , � - Zip: 92626 ' � � . � � �' � ��. �_. - '. ������� . '� ' � Phone: 714 736-5677 , , , � CORONA, CA Zip: 91719 . � . � � � License: 348265 Arch / Eng : � ' � � Address: � Rlan Check: ' Permit: SMIP Res: SMIP Com: ' Other: Inspection: Total: . � . Phone: � � . � - � � . .. , Zip: , . License: � � ' SCOPE OF PERMIT ' :T/O EXISTING ROCK AND REROOF W/ 25 YEAR COMP., 3 8 5 PITCH. CERT. ATTCHED TO PERMIT. $0.00 $87.25 $0.50 $0.00 $0.00 $0.00 $87.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front �0-0 PARKING Existinq: o NOTES: FEE SUMMARY ;, ' ' , . Calc Valuation: _ � � ` �' Claim Valuation: � PLANNING & ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 Left 0- 0 Required: 0 Proposed: 0 Right 0= 0 Right 0- 0 �; `, ; $3,340.00 $3,340.00 , ' � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO;days, or if work is suspended or abandoned for a period of 1 BO 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 requlred inepeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permiL FOR INSPECTIONS CALL: (714) 7545626 W6RKEFiS'�OMPENSATON DECLARA710N: �� + ✓ I hereby aKrtn untler penalry of perjury one of the followinq declaretions: � ❑ I have and will meintain a certiticele of consent to self-Insure For workers' tompensation, as provitletl for by sactlon 3700 of the Lebor Cotle, tor the pedormenca of the work for which this permit is issued. ❑ I have antl will maintain workers' compensation insurance, as required by sec1ion 3700 of Ihe Labor Gotle, for the pertortnance of the woAc tor which this permit is issued. My workers' compensation Insurance wrtier en0 policy number ere: Cartier. Policy Number. (71ris section need nof be compleled il Ihe permit is valued at one hundred dollars ($100) or Iess.J ❑ I certiy that in the performance of ihe work tor which this pertnit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers' compensetion laws of Celitomla, and egree thet If I should become subject to the workers' compensetion provisions ot Sectlon 3700 of the Lebor Cotle, I s�ell fotlhwith comply wiih ihese provisians. �J Applicant Signature: �Gh �— Date: `j — 2 I— 4 A WARNING FAILURE TO SECURE WORKERS' COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE HUNDRED TlIOUSAND WLLARE (5100,000), IN ADDITION TO THE WST OF COMPENSATIIXJ, DAhL1GE5 AS PROVIDED FOR IN SECTION 310G OF TME LABOH CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED COHTRACTORS DECLARATION: I hereby ettirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Coda, and my license is in full force and eflect. Lic. # Glass N C—�j rj CoNraaorsSignamre: Date: S-2�'F� � CONSTRUCTION LENDING AGENCV: ❑ I hereby eNirtn �hat there is a construction lending agency for the pertortnance of ihe work for which this permit is issued. (Sac. 3097, Civil Cotle). Lentlels Name: Lenders Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn �hat untler penalry ot perjury that I em EXEMPT FROM THE CONTRAC70R5 LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires a pertnit to consWct, elter, Improve, demolish, or repair any structure, pnor ro its issuance, also requires the applicant for such permit to file e signed stetement that he or she is licensed pursuant b the provisions of tha Coniractors License Law (Chepter 9(commencing wiih Sectlon 7000) ot Division 3 oi ihe Busineu and Professions Coda) or ihat he or she is exempt therefrom and �he basis for the alleged exemption. Any violation of Section 7037.5 by any applicant tor a permit sub�ecLs fha epplicant ro e civil penalry of not more than five huntlretl tlollars �$500).): ❑ I, es owner�of'the pmperry, or my employees with wages as their sole compensetion, WILL DO TNE WORK, and the siructure is not intanded or oHeretl for sale (Sec. 7044, Business�antl•Professions Cotle: The Contractors Licensa Law tloes not apply to en owner of property who builds or improves thereon, end who does such work himsalf oi fiers`elf;ogthiough his or her own employees, provided that such Improvements are not intendetl or otteretl (or sale. tl, however, the bulltlinq or improvament Is sold within one year of comp`t��� theqowner-bwltler will have the burtlen oi proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner of tha property, am EXCWSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS to construd the project (Sec. 7044, Business antl Protessions Code: The contractors License Law Coes not apply to en owner of property who builds or Improves ihereon, and w�o coniracis for such project with e conirector(s) license pursuant to Ihe Con�ractors�License LawsJ. -'�"l ❑ I am exempt under sec. Business and Protessions Code for Ihis reason: Signature: Date: � Owner ID venfied by dnvers license. ❑ Yes ❑ No Drivefs License No. � ' Eapires: Verification of Ownerohip by (rype at dacument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ 1 herehy ce�ify that no excavation five (5) or more teet in depth Inro which e pereon Is required to descend, will be mede in connection with work euthonzetl by this permit, antl thet no builtling structure, scaffoltling, talsework, or tlemolition or tlismentlinq ihereof, will be more ihan ihirry-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Administrative Code). ' ❑ As owner-builtler, I will not employ enyone to do work which would require a pertnit from the Division of Inaustnal Safery, as noted above, unless suc� person has e pertnit to do such work tmm Ihe division. Signature: Division of Indusinal Safery Permit Number: Date: CERTIFlCATE OF COMPLIANCE AND AUTMORQATON OF ENTRV: I certify under penalry of perjury that I have reetl this epplicetion and stete that the infortnetion given is correct. I egree to comply with all sWte laws and ciry ordinences relating to building construction, and euihonze representatives of the City of Costa Mesa to enter upon ihe ebove-descnbed properry tor inspecGon purposes. I agree not to occupy or ellow ocapancy of any building authonzed by this permit until final inspeclion. SignaNre Ot Legal Oaner(s) Dete , � --ic 9-2.�- �1s� And/Or Authonzed Applicant Date COOE 1. INSiECTIONTYVE 1616 Fixetl System Finel Fire Prevention 1266 200 201 202 203 Pool Spe Final � Finel RaRoof Finel BIocWRelaining Wall Finel Fedory Flre Place Final Sign 204 Final Demolition 244&48 � I�� � �W LOpE� INSPECTONTYPE 206 Finel Mechanicel 20B Finel PlumDinq 210 Final ElecMcal 272 Final Fire Preventlon 220 Finel Planning Approvel 222 Final Site 250 Finel BuildingiOccupency �� �{� v�.uu unau / iJ-�/ JOB ADDRESS y 2320 Cornell Drive BUILDING PF.RMIT NO. 2� GENE&AL CONTAACTOR pwner-��idler DESCRLPTION OF WORK jriteTlOP A1'b6T8'C10R __ ar xo. i 4i _�.q3_i 7 LOT TRACT FIRE ZONE VAI.UE $ �}00.00 _ INSPF.CTIONS I Sienature I Date � GROUP T TYPE V ZONE R—1 SUBCONTRACTOR `'r' !D ' 24694 �'�'�► COSTA MESA BUILDING-SAFFfY DEPARTMEPfi V.O. BOX 1P00 � COSTA MESA, CALIFORNIA 92618 For Applicant fo Flil In Completaly TYPE OR PRINT a�����a oZ326 C��tit �� ��� � aooResa COSTA, MESA, CALIFORNIA owNert S""-2R T l': N= S MAIL n 7� .� � _ .. . _. . �.. �_i / n 1 .� . I NO.Or�Lp00. R�G.IX9W�II-i�, RlARYARD HIT `1' I RIQHT '� DESCRIPTION OF WORK I . I ,ill SIZE "� I�� � ROOMH .6T RI EXTERIORWALL ROOF 1ZUCk COVERINO I.ICCJ� COVERINO USQ OF GUILDIf�Y AND WORK TO 05 P[RFORM[D 1 HlRClY ACKNOWL6O06 TMAT 1 AND 6TAT8 TXAT TH6 ASOVt �O PLY WITX ALL CITY ORDINANCO BUILOINO CONBT SIGNATVREOP �_ � PERMITTi AUTHORIZiD AG[NT eirv �� c�� �� �Fs� SEP 14 1965 APPLICATION FOR PERMIi eu��o�no �3 Z.� C O�/%Z/ 1,�.�/-�R-' ADDREBH RIR6 •�� � ZON! TYP GROUP APPROV[D /' BY ( I DATE �I'7 7� ING � �� xoN no. o� I uos or xew � �un� qm�ciwo �a.� R a��- o�acmmon A.P.NO. �I"" T��� �I N0T6: N08AV60V6RMAN6SXALLB8LE88TMAN YARO9 MPROVED MAIN BUILDINO vw�x. # YARDS MPROVE� - ACCES80RYBUILDIN6 DATE � ATC � �� �{�S P� 07 � � e Ti6 AYOUNT 6NOWN YNOBR VALUATION le POR TX6 � ■YRP088 OP [BTApL18MIN0 A PlpMIT PB8' ONLY. VALUATION �' ba � � PERMITREE p l/L/ o s ' f � m� TOTALFEE S -OWNER PRINCETON, IriC• - DATE 1],-13-5% iOB ADDRESS �9a20 Cernell Drive � BIIILDING PERMIT NO. 6001 � GENERAL AP. No. LOT GR011P I & J INSPECTIONS Dike & TRACT Z rnr. V vAcus s 13,690. FIRE ZONE DESCRIPTION OF WORR Residence W/Stt ZONE PLAN NO. CO 2 DATE I gUBCONTRACTOR PERMITSISSUED DATE NUMBER � I r}, Y � . ' � / � �} C1�V�� , COSTA MESA BUILDING DEPARTMENT P. o. eox 31-� • COSTA MESA, CALIFORNIA c=LE ��c�ivE� ii-i3�-�'7 �lf�A(�CE DEPL � �" FOR APPLICANT TO FILL IN APPLIC�AT OfVUFORrPERMIT a���o��� BUILDING ADORE55 ' - COSTA MESA. CALIFORNIA ' FOR OFFICE USE ONLY " pECEIPT NO. PERMIT NO. OWNER . PECEIVED BY OATE FECEIVE� O 5 AOORE55 1 East 1 th Street �� Z� �� 1 7 � TEL. BUILOING � QTV NO. ADDRE55 ARCHITEGT C8I'1$ ���� ' COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE AD�RE55 ZONE CITY LIC. 20NE pOA'OS TYPE GROIIP CONTRACTOR ike and ole ove �o. �✓ x ADDR�S E Sti 17 Street � NO: ByPROVED � DATE �E�A� �or CORRECTIONS OESCRIPTIOrv NO. BLOCK TRACT A.P. NO. SIZE . MO.OF BLDGS. OF LOT �O ��OW oN toi - USE OF EXIST�NG BLDG. SETBwCK LINE FROM ceNTea ov STFEET � � REAR YARD i SIDE YARD RIGHT I LEFT � � DESCRIPTION OF WORK NEW ALTERATION AODITION REPA�R MOVING DEMOLISH • BUIL�ING NO.OF � SIZE ROOMS STORIES E%TERIOR WALL ROOF � COVERING COVERING ' USE OF NEW BLIILDING lan � HERE9Y PCKNOWLEOGE THPT I HnVE RERD TMIS APPLICnTOrv wNp $TATE THAT TME ABOVE IS RRECT FNO RGFEE TO COMPLV W!TH ALl CITY OROINTNCES ANO $T L/�WS REGUTAT NG Bl11LOING CONSTRUC- iiorv. VALUATION SIGNATURE OF PERMIT FEE $ 2 OO PERMITTEE • �• rv� $ 13,690�uV, �'�AN CHECK $ AUTHORIZEO AGENT Dike and Colegrove � Inc. TOTAL FEE $ W!