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Home My WebLink About1618 CORSICA PL - Building Permits • 4` t CITY OF COSTA MESA BUILDING DIVISION ti F• 4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER k !Tw411 PERMIT aa�e`'• B01-00951 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1618 CORSICA PL Status: ISSUED Suite: Applied: 06/25/2001 Vicinity: HOUSE&ATTACHED GARAGE Issued: 06/25/2001 Parcel Number 13919106 Zoning: R1 R1 Applicant: DAVILA, ELIAS ISSUED BY: Address: 19651 EDUCATION LN. Phone: (714)968-6135 HUNTINGTON BEACH,CA Zip: 92646 Owner: PEDERSEN, GLORIA Address 1618 CORSICA Phone: COSTA MESA,CA Zip: 92626 Contractor E D ROOFING SYSTEMS CO Address: 19651 EDUCATION LN. • Phone: (714)968-6135 HUNTINGTON BEACH,CA Zip: 92646 License: 672009 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(24 SQ).TEAR OFF EXISTING ROOFING& REPLACE SHEATHING AS NEEDED. INSTALL 1 LAYER OF 30#FELT UNDERLAYMENT&REROOF WITH ELK 25 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,987.00 Permit: $97.25 Claim Valuation: $3,987.00 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 • NOTES: • 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 expirationof this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(6/00) * DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: • 0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have 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. -_—My Workers' 'ccorn nation Insurance carrier and policy numb r are: 3-Carrier / ,�e-� _ mbe - -J "-TE nn Policy Nur. /S'4 (This section need riot be completed/t the pe /t Is valued at one hundred dollars($100)or less.) ❑ 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 s to bocom0 subject to the workers' compensation laws of Califoma and agree that If I should become subjeeeefffttt000,,,��fhe workers'compensation provisions of S Ion 3700 of the Labor Code,I shall forthwith comply n with provision Sig (Applicant Signature:. \'�``- •�� (-Date( \ 4�11-e, r3-,S 0 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADD ION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license under rovisi Chapter 9(commencing with Section 7000)of Division 3 of the Business an Professions Code,and my license Is In full force and effect.tic. o 5 1+.- -pe - Gess-0-7 -� C Contractor is Signature: r �s era-r7-r7 Date: -`v /frt." G7/ 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 Code)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(Soc.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.). ❑ l 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 a,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: Date: • Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions.that a Business Plan be 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 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). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 lime 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 end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire Department of en 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? 0 yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a pllcatlon aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ 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? ❑Yes 0 No (If'yes*,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Ti the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑'Yes 0 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,and 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. Signature Of Legal Owner(s) Date • • And/OrAuthorized Applicant aetc.°, "-Date-ear- CODE Date-eCODE I INSPECTION TYPE DATE' INTBIALS CODE( INSPECTIONTY RAIL INTmAL8 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /'�� 208 Final Plumbing 200 Final Re-Roof b ( -0( "t 210 Final Electrical 201 Final Block/Retaining Wall 212 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 COMFSA, TNC. DATE 5-11t-59 JOB ADDRESS 1618 Corsica P1. BUILDING PERMIT NO. 9293 GENERAL CONTRACTOR Dike Rr Cnlegrnve VALUE $ 15,571.00 AP. No. LOT 53 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. w/att.Oarage INSPECTIONS l_y_3-y DATE I GROUP TYPE ZONE A 1 Underground Soil )t t5 U.G. water/J.//c y---rlq--c PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER /(P Overhead Water and Gas Rough Heating 1ff$ 4---2-5--c-9 _.deCeJ/4Qe2'eZ c ' &--9-3Y / -Y /, 7 Rough Plumbing /Yf>t$ YG'.J /�_ .„../U.X�nr i •-3--/ 43-7 `aSalIMOINWAID Miscellaneous - Prop. Swr(Line- Hdu"so'Con. St. Swr. 7 .-1-/Y ,P..(24...--f, -t - 7/14-/..S7t-v -d0 ✓ ♦ 1 Sprinkling System Heating, Final // 'S 3f'/-fi-,5{! n 40 rl Plumbing Fixtures /�P/J 0 47. ` , A Final Gas Test IC d !r Construction Pole Underground Power _ ) Rough Wiring /Z' / 2U “0 .�. . 7 // / : ,. _ /--/.--2 Y-- 53 9-/ / Trenches Forms Steel 6-443 '..24---37 Floor System Steel Reinforce Chimney Re-Rod Bond Beam _ J 44 / i Sheathing • ' � 3 t Frame and Flashing v. Lathing, In /...- Outer b 7-/3-sir Plaster, brown coat 8414 f-r -Sy - Plumbing Fixtures, Final / g/?S7f ElectricFixtures, Final G/{//Z // /l7°�� Building, Final /� • OCCUPANCY I Form 210-3M-4-59 _ - -- - 9293 r LGL1 LU 9293 ��' MAY1s1959 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1618 Corsica P1. p /._COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY OWNER Comesa, Inc. RECEIPT NO. P �� MAIL 419 E. 17th St. RECEIJJ��ED Y DATE REcEIVE`D TE ISSUED _, ADDRESS - -/i7 Ll yI 1 -/TED CITY Costa Mesa TIELL_LI81159 BU ING ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA OR ENGINEERMiddlc brook NO. FIRE �� ADDRESS Garden Grove ZONE Dike & Cole grove,Inc. STATE 167293 APPROVED'7/7\_. y/J� CONTRACTOR LIC.NO. BY /s DATE �y 1 �'I ADDRESS 419 E. 17th St., Costa Mesa ZONING LEGAL LOT 2822 ZONE NO.OF USE OF NEW/,/,�/ q DESCRIPTION INO. .' BLOCK I TRACT /y(/PLANS �TLBUILDING % /- U.✓/]/., A.P.NO. BYAPP,`9.D,!'f t �2//r/f E _lN�-__5J SIZE 60 x 100 NO.OF BLDGS YARDS EVES OF LOT NOW ory LOT TIOne REQUIRED ALLOWED USE OF (CENTER LINE ST.) )) EXISTING BLDG. NoneIN. ]1FRONT :� FT.BACK LINE FROM 50 REAR YARD 3 , 3 CENTER SETOF STREET R.SIDE FT. IN. SIDE YARD I LEFT 5 (RIGHT 5( L.SIDE SFT. IN. DESCRIPTION OF WORK REAR —,--oFT. IN. ( NEW I X I ALTERATION V ADDITION I REPAIR I II MOVING V DEMOLISH I BUILDING 1560 NO.OF ROOMS 7 STORIES-t 1 EXTERIOR WALL Stucco IROOF Rock COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached double garage Plan 120A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. . BUILDING CONSTRUCTION./y VALUATION SIGNATURE OF• CO PERMIT FEE $ 36.00 PERMITTEE 18.00 $ PLAN CHECK $ W Dike & Colegrove, Inc. 15,571. AUTHORIZED AGENTTOTAL FEE $ 54.00