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Home My WebLink About1582 CORSICA PL - Building Permits *4 CITY OFCVSTA MESA 4 BUILDING DIVISION oq- i .r, F I .rim, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT 00555--02262 d•' Jr� (714)754-5273 • Fax(714)754-4856 • www.ci.co-a rT�..BW1 'DING PE IT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1582 CORSICA PL Status: ISSUED Suite: Applied: 12/122005 Vicinity: ROOF Issued: 12/122005 Primary 0cc: R Type of Construction: V-N Parcel Number: 13919115 Zoning: R1 Applicant: GARCIA, DAVID Address: 21681 IMPALA LN Phone: 714-968-8754 ISSUED BY: HUNTINGTON BEACH,CA Zip: 92646 Owner: WILSON, WILLIAM H Address 1582 CORSICA PL Phone: COSTA MESA,CA Zip: 92626 Contractor: COAST ROOFING ._ Address: 21681 IMPALA LN - Phone: 714-968-8754 • HUNTINGTON BEACH,CA Zip: 92646 License: 450393 Arch : - Eng: - Address: Address: • Phone: Phone: Zip: License: License: • SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 2 LAYERS OF 15#FELT,30 YEAR COMPOSITION SHINGLES,TIMBERLINE AND REPAIR/REPLACE SHEETING AS NEEDED.20 SQUARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,890.00 Permit: $97.25 Claim Valuation: $3,690.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 • PLANNING & ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 ,. Right 0-0 ACCESSORY Front 0-0 - Rear 0-0 Left 0-0 - Right 0-0 PARKING Existing: 0 Required: 0 Proposed: - 0 • • NOTICE: The work authorized by this permit shall comply with all applicable 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 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 Inspections 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)754-5626 2446.46(600) DECLARATIONS I WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent t0 self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the f�t.�.worrk for which this permit is issued. five and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. l: My workers' nsa n Insurancecarder and policy number are: SI, aCGamer. V At G ^ �.,PollcyNumber:, I ) 4 a—2-00 ' ( his section need not be plated 7f the permit Is valued at one hundred dollars(5106)or less.) Il!',,.v11 ._ ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws o lif(-2r),---7 d a r hat if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with,these Ions. / • _ Applicant Si nature:_ - - r',D�ale X 2 /2•—6 S INC:FAILURE T CURE WOc<ER.S'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMRCOYEfRTOrRIMINAL,PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOUARE I00,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR WOE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am li ense•uQQer provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full forcg�a.., aetlect'—Lic.4 -U - . , ''Class N �7i y -Gontrectora,Slgna ur(a�0 _ _ An ` Date: C _ CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Cade)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder 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 WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Dale: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan bo filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greeter than a weight of 500 pounds,or a volume of 55 gallons. or 200 cubic feet of compressed gas at standard temperature and_ pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No _ ..._._..p _._ _ ._ __ _..._ ._... 5 Does or will the applicantsor Quality Ma a emen butling o from at require aur ll work which districtIs the subject of this a ls AirDistrictorcontrolagency? ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? CI Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air DualityManagement District or other air pollution control district or agency is required for the wor17 which s the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,end authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig)ganisalnatur /f,.. l Owner(s) Date a rAOt/OAiaicant pl . ., 14.,,,,— Date �' _- - ^ CODE I INSPECTION TYPEPAIS INTmALE CODE( INSPECTION TYPE RAIL"' g�L$ 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical \ 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root `z I r l( 210 Final Electrical 201 Final Block/Retaining Wall W212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition .. 250 Final Building/Occupancy OWNER COMESA, INC. DATE 5'11149 JOB ADDRESS 1582 Corsica Place BUILDING PERMIT NO. 9284 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 13,715.00 AP. No. LOT Ltll TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. w/att.Garage INSPECTIONS S_./0-319 DATE GROUP TYPE ZONE A 1 Underground Soil r}/}fs U.G. Water/091 5-/9-6-f SUBCONTRACTOR PERMITS ISSUED 91 Underground Gas DATE NUMBER j Overhead Water and Gas Rough Heating Mt§ x'9-2-'-S'! , //. • 7 / Go-9-57 /5b-9 '/oma. i Rough Plumbing /WS 1.-/.2.-..4-411.-/.2.-..4-41it) .. -c-c / 6--/g-S, SWAM= _ Miscellaneous _ I /� Prop. Swr/Linc Housit n. St. Swr. _ . .,,.....� . ?1/4,-art i s- 4-( '72 ✓ �i 1 U Sprinkling System N _ c�i (4_ \I 1 Heating, Final !`4$ _1-29--'�� J r ,\ Plumbing Fixtures F/iZ-z7, I Final Gas Test/5' 1` Construction Pole Underground Power Rough Wiring --- km. y'./1•Yy .�. -7-4/2,272;:c,..44- /a-/1-c Y,3 AS-- / Trenches Forms Steel 2 b -ZU -) Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing f� � - Frame and Flashing V ;/- Lathing, In Out / _6/71 I Plaster, brown coat !� SS^\^SN Plumbing Fixtures, Final /{1.-t 47-/,...-3"7 Electric Fixtures, Final "O.) �+ 0i Building, Final 07a�/�j, OCCUPANCY I Form 210-3M-4-59 928).1 9284 - ti RECEIVED • COSTA MESA BUILDING-SAFETY DEPARTMENT 1. MAY 18 1959 P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT. CITY OF COSTA MESA FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1582 Corsica Place FOR MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER Comesa, Inc. RECEIPT NO. I PJtg1.1ATJlpy MAIL �'1 REC EO 8�' DATE REGEIVHD DATE ISSUED ADDRESS 419 E. 17th St. �(v/(/ LS/3-SY 4r7/4241./7 CITY Costa Mesa, Calif. TNo:LI81159 ADDRESS ARCHITECT whin & LIC. COSTA MESA, CALIFORNIA i {. OR ENGINEER 1 ebrook NO. Garden GroveFIRE ADDRB$$e & colegrove,Inc. ZONE 2 . a CONTRACTORtLCT NO. 167293 APPROVED/� DATE-5/ / S -- ADDRESS 419 E. 17th St., Costa Mesa ZONING / ' LEGALI LOT I 12822 ZONE NO.OF USE OF NEW DESCRIPTION NO. BLOCK TRACT / 1 PLANS 1 BUILDING / '�� APPROVED/`/ ✓1, , v BY / �[ _ (�iT/'" DATE —ASIZE 6o X 100 I NO.OF BLOCS. none YARDS EVES` OF LOT NOW ON LOT REQUIRED ALLOWED USE OF None (CENTER LINE ST.) EXISTING BLDG. FRONT SFT. IN. SETBACK LINE FROM 55' REAR YARD 251 CENTER OF STREET R.SIDEG.�. IN. SIDE YARD 1 LEFT 51 1 RIGHT 5' L.SIDE FT. IN. DESCRIPTION OF WORK REAR FT. IN. NEW 1 X I1 ALTERATION I II ADDITION I - REPAIR I 1I MOVING I II DEMOLISH I SZIE DING 1365 ROOMS 6 STORIES 1 z' EXTERIOR WALLStUCCO !ROOF Rook,Comp. COVERING COVERING . USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached double garage Plan 110CR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION SIGNATURE OF /f?�� PERMIT FEE $ 3216.00 00 PERMITTEE ✓� �vY $ 19)715.00 PLAN CHECK $ 16.00 AUTHORIZED AGENT Dike & olegrove, Inc. TOTAL FEE $ 48.00