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Home My WebLink About2489 FAIRWAY DR - Building PermitsCITY OF COSTA MESA - � � - "% � � BYILDING DIVISION , 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714y 754-5273 • Faz (714) 754-4856 • www.ci.cosha-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 , PERMIT TYPE B_ROOF2 APN: 11910235 PERMIT NUMBER: 608-00192 STATUS: ISSUED DATE ISSUED: 06/30I2008 ISSUED BY: RMD JOB ADDRESS: 2489 FAIRWAY DR CM Suite/Unit:' Vicinity; HOUSE AND GARAGE ROOF Squares: 2000 Valuation:' $3,000.00 SCOP� OF WORK: REROOF OVER (E) ASPHALT SHINGLES WITH 7 LAYER OF FELT AND 20 YEAR ASPHALT SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 2,000 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. , OWNER. FERNALD, DAVID E PHONE; 949-013•9012 APPLICANT: FERNALD, DAVID E PHONE; 949-413-9012 � � CONTftACTOR: OWNER-BUILDER Addresg: Unit: Ciry/StafelZip: _ ARCHITECT: - ENGiNHER: FEE $UMMARY Reroof plan Check: Reroof � Permit Fee: Reinspection Fee: TOTALFEES $0.00 $83.25 $0.00 $83.25 Address: 2489 FAIRWAY DR Ciry/State/Zip: COSTA MESA,.CA Address: 2489 FAIRWAY DR City/State/Zip: COSTA MESA, CA . License No. License No. PHONE: License No. 000000 CELL: PHONE: PHONE: Unit: Unit: : �� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) ' EXPIRqT10N: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � � . - INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requirbd inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of this permit. CODE/• INSPECTIONTYPE � N RL 00 � INSPEL710NTYFE �7�F IN L 1616 Fized System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing Z00 Final Re-Roof 270 Final Electrical 201 Final Block/Retaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place � 220 Final Planning Approval 203 Final Sign 222 Final Site tI � 204 Final Demolilion 250 Pinal Building/OcCupancy 1I�� Q�J,1 J WORKER$' COMP�N$ATON DECU1iNTION: I hereby aRir� under penalry ot perjury one of Ne following declarations: ❑ I have and will maintain a certifcate of consent to self-Insure tor workers' compensation, as provltleC for by section 3700 of the Labor Code, for the performance of the v.orK for which Ihis permit is issued. ❑ I have antl will mafntain v.orkers' compensation insurance, as required by section 3700 0l the Labo� Cotle, for the performance of Ihe v.ork fa wfiich Ihis pennit is issued. My workers' wmpensation Insu2nce carrier and policy number are: Carner (Tlus sadm nee0 rql pe mmplefe0 dNe pemN is va/uotl az one hurqie0W0ars (S100i a kss ) Policy Number: �� I certify that in the peAormance o( the work for which this pertnil is issuetl, I shall not employ any person in any manner so as to bewme subjecl to Ihe workers' compensation laws of Califomia, and agree lhat i( I should become subject lo the workers' compensation provisions of Section 3700 0! the Labor Cotle I shall lorthwit� comp vrith these provisions. �0--��-.��,.,«O� � - S o - 05 (,�Appli I'sS�g�aWre I �Date� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND &FU1LL 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 that I am licensed under provisions o( Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Prolessions Code, antl my license is in full forca antl effect. Lic. # Class # Gonuacior'S SipiuWre Date CONSTRUCTION LEND�NG AGENCY: ❑ I hereby af(um tlial there is a canswction lendin9 age�y (or Ihe perfwrtiance of the work for which Ws permit is ssuetl. (Sec. 3097. Civil Cotle). Lender's Name: Lender's AOtlress: Signawre Da�e OWNER-BUILDER DECLARATIONS: I hereby affirm lhal und¢r penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or Ne following reason (Sec. 7031.5, Business antl Professions Cotle: My city or county which requires a permit to con5trutl. al�er, improve. tlemolish, or repair any slmcture, pnor to its issuance, also requires the applicant for such permit Io fle a signed statement that he or she is licensed pursuant to ihe provisions of lhe Contractors LiCense Law (Chapter 9(�mmencing wiN Section 7000) of DiviSion 3 0l the Business antl Professions Code) or thal he or she is exempt therefrom and the basis for the alleged exemption. My violation of Section 7031.5 by any applicant lor a permil sublecis the applicant to a civil penalry o( not more than five hundred tlollare ($500).): (��I� as owner ol the p�openy. or my empbyees with vrages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oflered for sale (Sec. 7044. Business antl Professions Code: 7he Contractors License Law does nol apply to an ovmer of propeny who builds or improves � Ihereon, antl who Ooes such�work himself or herself or Ihmugh his or her own � employees, provitled that suc� improvements are not intended or oflered for sale. I(, however, the building or improvement is sold within one year of completion, Ihe owner-bU��tler will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, �as owner of the property. am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to constmct the project (Sec. 7044. Business and Pro(essbns Code: The cPntractas License Law dces not appty to an ovmer of property who builtls or improves Ihereon, and who contracts (a such project with a contracla(s) license pursuaN to the Comractors License laws.). ❑ I am exempt under sec. Business antl Professions Code for ihis reason: : _��,,,,�v b-3o-�a Sr gwlora� W�eJ 3057�a6(3/07) ..� Owner ID ve�ed by driv�. _ ncense. ❑ Yes ❑ No -� � Dnver's.UcenseNo. Expires: /0-/� OPi Venfication of Ownership by (type ot document, i.e. - property taz bill or Oeed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation frve (5) a mwe feet in depth into wfiich a person is required to descen4 will be made in connection with xork auihor¢etl by Ihis permil, and thal no building sWciure, scattdding, talse�wrk, or demolition or dismantling thereof, vrill be more than thiAy-sia (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Title 8, Califomia Administra�ive Code). ❑ A5 owner-builder, I will not employ anyone to do work which would require a permit trom the Division of Intlustrial Safety, as noted a�ove, unless such person has a pertnit to tlo such vrork (rom lhe division. Apdicam's Signawre Da�e Division o! Indusirial Sa(ety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Wil{ ihe applicaM or present or iuture building occupan[ neetl to file an0 certify a Business Plan (or emergency response b release or mreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0! the Calitomia Health and Safely Cotle requires. with some exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire Deparlment by every business which has at any one time tluring a reported year a quantity of hazardous materials equal to or greater tnan a weigM of 500 pountls, or a volume o( 55 gallons, or 200 cuDic (eet of wmpressetl gas at slantlartl temperature and pressure). 2. Does or will the applicaN or present or future building occupaN need to file a regisiralion form for acutely hazarCous matenals? ❑ Yes ❑ No (Section 25533 of the California Heal�h and Safety CoAe, with some ezceptions, requires registratiOn vrith the Costa Mesa Fire Department by each business wliich at any one time has on hantl a quantity of acutety hazardous matenals equal to or greater lhan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at sUndard temperaWre and pressure). 3. Does or wi0 the appliranl or present or future building occupant need ro prepare an RMPP (Risk Management ana Prevention Prog2m for acu[ely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provides that the Costa Mesa Fire Depanment may require the preparation, certification and filing with the Fire Departmenl ot an RMPP by businesses which are required lo register aculely hazardous materials with the Fiie Department. 4. II an RMPP is presently required, has Seclion 25534 of the Califomia Health and Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or presem or NWre builtling occupanl require lor the v.ork which is the subjecl ol this application a pertnit (or such wnsWction of motlification (rom ihe SoWh Coast Air Oualily Management DiSlriCt of from any olher air pollution control tlistrict or agency7 ❑ Ves ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requested inlortnation De lumished on applicalions fa rron-resitlential building permits). 6. Will any part of the lacility to be constNctetl under this pertnit be wiNin 10001ee1 from the outer bountlaries of a school7 ❑ Yes ❑ No (II'yes', Ihe (acility must meet the requiremen� of Seclions 25534 anG 42303 of the Califomia Health and Salely Code). 7, It a pennit Irom the South Coast Air Qualiry Management District w other air polNtion coMrol disMcl or agency is required for the work which is the subjecl of this application, have all of the tlisclosures prescribed by Calitomia Health and Safely Code Section 42303 been matle7 ❑ Yes ❑ No 8. Qf "yes", attach certificate ol compliance from the appmpriate air pollution control officer). � ' ' CERTIFICATE OF COMPLIANCE: I certi(y that �under penalty of perjury the informaiion given above is correcl. I agree to comply with all statedaws and city ordinances regarding Hazartlous Matenals and Emissions. SgnaWre Dale ' . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury thal I have read this application and state that lhe infortnation given is cortect. I agree lo compty with all state laws and ciy ordinances relaling to building consWction, and authorize representatives of the City of Costa Mesa to enrer upon the abovedescribed_ property for inspeclion purposes. I agree not to occupy oi allow occupancy of any building authof]ztid by lhis e i� until final i tion. ��,�„�f 6- 30- 08 �g�ea.LegalOvmer(s) l-Da�e l AnOlw Au�M1onzeO Apd�mn� Dd�! TRALT LOT 39-�0 1�$8� s � FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ,J�� 131901 P.O. BOX 31] GOSTA MESA. CALIFORNIA FINANCE DEP�T�.ee fOR APPI/CANT TO F/LL /N COMPLETEIY APPLIC�I�Y� E� WLRM17IT TYPE OR PRINT BUILDING BUILDING r \ ADDRE55 1{ Q r r y COSTA MESA. CAL ORNIA FOR OFFICL USG OiILJ OWNER KOLCO CONSTR�CT ION CO. I NC. I REGEIrr NO. I P y�r }`� MAIL AEC-E1V� BY DAT6 RECEIVEU OATE I5: ADDRESS. �j�3 EAST �7TH STREET _ �;L� I�i-I�-G� %�/d' ■ARCHITECT ��C. , COSTA MESA, CALIFORNIA GORENGINEER NONE NO. FIRE nooaess � �1 {/ ZONING LEGAL I LOT +� I I J /0 ZONE�— I I NO. OF � I U6E OF NEW oesCniviiorv NO. BLOCK TRACT I P�ANS BU�LDIN A.P. NO. BVPROVED �� DATE / III /V � SIZE //,30 x 90. SD I How oH LOT O YARDS EVES OIID, 7j /Y OF LOT [O(D REQUIRED ALLOWED Y USE OF �,I,, I�ENTER LINE ST.1 E%ISTING BL6NN NONE FRONT 37 FT. C/L IN. SETBRCH LINE FROM � �1 / ,� ceNiEn oF sinEEi REAR YARD.A� � R. SIOE 7 FT. 3 IN. / � J' �/ SIDE YARD I LEFT � D I RIGH7 �J " L. SIDE / FT. IN. DESCRIPTION OF WORK REAR � � FT. IN. NEW I X II ALTERATION I II AODITION I BUILDING /� Er NO.OF SIZE ��V ROOMS STORIES � INGLE FAMILY RESIDENCE AND ATTACHED GARAGE �i.37 � PLAN r,o. a8 I HEREBY qCKNOWLEOGE THAT 1 HAVE REAO THIB APPLICATION AND BTATE THAT THE ABOVE IS CORFECT pND AGREE TO COM� PLY WITH ALL CITY OFDINpNCE6 RNO STATE LPW9 HEGULqTING BUILDING CONSTRUCTION. //A SIGNATURE OF �%J Iy.—i"O � AUTHORIZEO AGENT � /5 U� p ; .�,C37 �1. THE AMOUNT BHOWN UNDER VALUATION I8 FOR THE PURPOSE OF E9lABLISNING q PERMIT FEE ONLY. VALUATION �� P6RM1T FEE S�� g / � PLAN CHECK $ �� /J ��/ TOTAL FEE S V� N