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Home My WebLink About2997 CROFTDON ST - Building Permits, (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2997 CROFTDON ST Suite: Vicinity: Parcel Number: 14123220 Applicant: COFFEY, BRIAN Address: Owner: EVANS, PHILLIP Address 2997 CROFTDON AVE COSTA MESA, CA Contractor: THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVD UNIT 5 COSTA MESA,CA Zip: 92672 Arch : Address: Phone: Zoning: Phone: Zip: Phone: Zip: 92626-4325 Phone: (949)722-8846 License: 734068 Eng: Address: Status: ISSUED Applied: 04/17/2003 Issued: 04/17/2003 ISSUED BY: F—iS� Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, COVER WITH 30 YEAR COMP. INCLUDES AT-TACHED GARAGE. FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 597.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: $s,aa5.00 Claim Valuation: S3,aas.00 Right 0- 0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regula�ions. (Ord. No. 92-28, § 1, 12-21-92) 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 180 days. . INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 zaa6�ae (6roo) i � WORKERS' COMPENSA710N DECLARA710N: - I hereby affirm under penaliy of perjury one of iha following declarations: ❑ I have end will maimain a certificate of consent b selt-Insure for workers' compensation, es provided for by section 3700 of the Labor Code, for the peAormance of the wark tol which this permit is issued. � I have antl will maintain workers' fAmpensation insurance, as required by section 3700 of the La6or Code, tor Ne pedortnance of Ne work tor which ihis partnit is issuetl. My wo/rKe/rs�' 1co/�7p ensatior�n /Insure ,gI �cartier and policy number are: //'�� Carner. "L/� ( � (`� L/ Policy Number. � v7 (This sectl�need not be crompleteO il fh permi( is valued et one hundred tlollars ($100) or /essJ ❑ I certify that in the performanca of t�e work for which this pertnit Is issuetl, I shall not employ any pereon in any manner so as to bacome subject to the workers' compensation laws of C Ilppmia,� gr that if I should become sub�ect to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forthwith comply with these provi Is. - /�/ Applicent SigneNre: Date: �( l� O� WARNING: FAILURE TO SECURE WORKERS' COMP SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLL%�RE ($100,000), IN ADDITION TO E COST OF COMPENSATION, DAhU1GE5 AS PROVIDED FOq IN SECTIqJ 3]W OF THE LABOq CAOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CD�ACTORS DECLARATION: I hereby affirm that I am licen nd r r vi � ns of Chaptar 9(commencinq with Section 7000) of Divislon 3 of the Business antl p.tolession5 Code, antl my license is in full force and eflect. Lic. q Class #_ �� Comractor's 5lgnature: Date: ��— CONS7RUCY�ON LENDING AGENCY: ❑ I hereby affirm that thera is a consiruction lending agency for the pedormance of [he work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Address: SignaNre: Date: OWNER-BUILDEH DECLAiiATIONS: I hereby eHirm that under penalty of pefjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Proteuions Cotle: Any ciry or counry which requires e permtl to constmct, alter, improve, tlemolish, or repair any strucWre, prior to iLs issuance, alse requires the applicant tw such permit to file e signed stetement Ihet he or she Is licensed pursuant ro the provisions of the Comrectors License Lew (Chapter 9(commencing with Section 7000) ol Divislon 3 of ihe Business end Professions Code) or that he or she is exempt therefrom and the basis tor the alleged ezemption. Any violation of Section 7031.5 by any epplicant for a permit subjects the epp�icant to e civil penelty ot not more than five hundred dollars ($500).): ❑ I, as owner of Ihe propeny, or my employees with wages es thel� sole compensation, WILL DO THE WORK, anOlhe structure Is not in�ended or oNered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, antl who does such work himself 0� hereelf or through hls or har own employees, providetl �hat such improvements ere not Intendetl or oNered for sale. If, however, ihe 6uilding or improvement is sold witPin one year oi completion, tha owner-builder will heva the burden of proving ihat he or she did not build or improve for purpose ot sala.). � ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: TPe coniractors License Lew tloes not apply to an owner ot pmperty who builds or improves thereon, and who conirects lor such prqect wiih a contractor(s) license pursuent to the Contrectors License Laws J. ❑ I em exempt under sec. Business end Professions Code for this reason: SignaWre: Data: Owner ID varitied by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Venfication ot Ownership by (type ot tlocument, i.e. - propehy taz bill or deed): DIVISION OF INDUS7RIAL SAFE7Y PERMIT CER7IFICA710N: ❑ 1 here6y certify Ihat no exwvflGon five (5) or more feet in depth into which a pereon is required to tlescand, will he made in connectbn with work authorized by this permit, and ihat no builtling sirucWre, scattolding, falsework, or demolition or dismantling �hereol, will Oe more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TitlP 8. Califamia Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit irom the Division ot IndusMal Safety, es noted ebove, unless such person hes a permit to do such wark from ihe di�ision. Signature: Division of Ind�stnal Safery Permit Number: Date: ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: Will the applicant or preseN future builtling occupant need to tile antl certiry a Business Plan tor emergency response to release or threatenetl release ot e hazerdous metenal? ❑ Yes o (Section 25505 of ih alifornia Healih antl Safery Code requires, with some eaceptions, that a Business Plan be filed with t�e Costa Mesa Fire Department by every business which ha at any one time dunng a reportetl year e quantiry of hazardous materials equal to or greater than a weight of 500 pounds, or a volume oi 55 gallons, or 200 cubic feet of compresse0 gas at_standard. temperature.antl, Pressure) .:...................................................................................................................................................... . ............................................................................ ............................................... Does or will the applicant or present or future building occupant need to file a registration form for acutely hazerdous materials7 ❑ Ves o (Sectlon 25533 of ihe Celifornla Healih end Safery Cotle, with some ezceptions, requires reglsiretion wlth ihe Costa Mese Fire Depanment y each business which et any one time has on �end e quantity of ecutely hazardous meleriels equel to or greeter then e weight ot 500 pounds, or e volume of 55 gallons, or 200 cubic feet of compressBd gas et standerd tempere�ure end pressure). occupant need to prepare an (Sectior(25534 of Ihe Calitomia Health and Safery Code pro�ides Ihat ihe Casta Mesa Fire Depatlment may require the preparetion, certification and Filing with the Fira bepartmeP� of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire �epartmeN. ....................._..................................................................................................................................................................._.._......................................................_.......................... ............._............. ................._.............................._...._...... 4 It an RMPP is presently required, has Section 25534 0l tha Californie Healih and Safety Code been fully complied wit�9 ❑ Ves � ........................................................................................................................................................................................................................................................................................................ ........................................................................... 5 Does or will ihe applicent or present or fuWre building occupant require tor the work which is ihe su0ject of this a plication e gerry it for such construclion or motlificalion trom t�e South Coast Ait OuaOty Manegement DisMct or Irom eny other air polWtion con�rol tllsidct or agenc�? � Yes U'No (Section 658502 of ihe Californie Govemment Code requires ihai Ihe reQuested intormation be furnished on applications for non-residential builtling permits). ..........................._........................................................................................................................................................................................................................................................... _....................._. .._............................................................ 6 Will any p�h of ihe taciiiry to he cons�mctetl untler �his pertnit be within 1000 feei from �he outer 6oundaries of a school9 ❑ Yes �Jo (If "yes", ine facility must meet the requirement of Sections 25534 and 42303 of ihe California Healih end Safety Code). ....................................................................................._.............................................................. ................................................................................................................ . ...................................... 7 II a pertni� irom the South Goest Air Oualiry Management Disirict or other air polWtion control disirict or agency is required for Ihe Work which is the subject of this ,epplication..have all of the tlisclosures prescnbetl by Calitomla Health an0 Safery Code Section 42303 been made? ❑ Ves o 8 (If'yes", anach certificate of comDliance from the aPProOnate eir pollution�control�officerj ........................................................................................�........................................................................... CERTIFICATE OF COMPLIANCE: I certify that under penairy of perjury the information given ebove is correci. I agre¢¢¢ to comply with all state laws and ciry ordinances regartling HeJaffd/��-�us Materials n� issions. �/�� Signatura: ��// Dete: CERTFICA7E OF COMPLIANCE7INC AIfT}IORIZA710N OF ENTRY: I cenity under penal�y oi perjury Ihet I have read �his application antl s�ate Ihat Ihe infortna�ion given is wrrect. I egree to comply with ell s(ate lews antl city ordinances releting to building constmqion, end authonze representatives of ihe City of Costa Mesa to enter upon iha ebove-descnbed propeAy for inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspeclion. COOE t. INSVECTIONiYPE � , 1616 Fixed System Final Fire Prevention 1266 Pool SPe Final 200 Final Pa-Roof 201 Final 61ocWRetalning Wall 202 FinalFacioryFlrePlace 203 Final 5ign 204 Final Demolition Qelf. IMRIALS u'�/ Qle Date CODE� INSPEGTIONTYPE ' 20fi Final MeChanital 208 Flnal Plumbing 210 Flnal Elecincal 212 220 222 250 Final Fire Preve�tlon Finel Planning Approval Final Site Final Building/Occupancy � � F �ROUGH PLUMBING PROP. SWR. LINE � NOUSE CON. I SPRINK�ING SYSTEM MISCELLnNE0U5 ROUGH HEATING PND AIR CONOITIC TEMPORnRV SERVICE OR POLE UN�EPGROUND � POWEA � ROUGM WIRING TRENCMES FORMS STEI FLOOR SYSTEM BONO BEAM ❑ STEEL REINF01 SNEATHING FRAME ANO FLASNING LATMING - IN n OUT n PLRSTER. BA�M'N COAT STRUCTURAL.FINAL HEATING, VENT., REFRIG. AN� A.0 PIUMBING, FINAL r1N0 GAS TEST � ELECTRIC, F�NAL BUILOING, iINAL SPECIAL REOIIIREMENTS � ._ . 1./ BUILDING PERMIT N0. SUBCONTRACTOR .. _, ' � -- � � �� : � . . COSTA MESA'BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUII.DING�� % 7 �O/�i 1i0A� . �T enncocc OWNEF �C MAIL Z ADOFiESS w w ��. U CITV � HZ Z Q CONSiRUClION O N LENDER am J � BRANCH J N a w ADDRESS d] J J m ARCHITECT a OR ENGINEER UN Q W � AD�fiESS aw w Z CONTRACT J Q m Z J � ADDFESS W w � QTV Z - � STATE {�j� Q LIC. NO.a � �� S12E OF LOT USE OF EXISTING BLDG. � "SIZE OF Z NEW BLOG. U EXTERIOP WALL COVERING J USE O BUIIDI a 6. Q � SJ� 0 � N � d Z . �� : � UI hereby acknowletl8a that I huve leatl this application antl stete � [hat [he above informatiDn is cOrrec[ ond npree to tomply wlch � ell Inws reguleting builtling co^sttu�[ion, ontl I shell no[ amploy � any person in vlolation of Me woYkmnn'a compansation lawz of y the Stata of California. zI hereby certity t�ot I am properly licensetl as a conttactor untler �� SQ. F the State of Califom(a Businass antl Prolessions Cotla, OivisiGn 3, THE P.MOUNT Chapter 9, and that s�ch licenses era In f�ll force anG etfeet, or I THE PURPOSE ( am ezempt from U�e provisions of the Stete ot Californln Businosa ontl ProfBssions Coae,• vision 3, Cha t 9. VALUATION Signatura Df . Permittae �� '� � r � 5 (j^ AuthOriz¢tl Agen�c � �O�C !/ ��i� � O �CT 2��-73Pata � CFiSOOO 978� ird..irit7.50 APPLICATION FOR BUILDING PERMIT RECE�EOpV D?/I'E RE�EIVEp � E IS'UI //J 1/ ( Ji5 /'// T �/�X7 [tJ / � A.P. NO / � �✓ BUILDING � ADDRESS'_,�,, � aTfl C� W ADD� A OWNER Gy � L TEL. S GD � NO. FIFE ZONE �7^ APPROVE . _ .� �.Q ` I/✓ L�!'.uc. � NE�� ' / ��— CITV >g� LIC.NO. f —�— iNO. OF B� NOW ON LC NO OF FOOMS STOF RpOF COVERING ) WORK T� BEBERFORMEO a s�-�.�� ,� NE NO.OF PLAf�lS ' VAROS APPPOVED DISTANCE BET. MAIN BLDGS. VAR. � USE OF NE C.lL� BUILDING YARDSAPPqOVED ACCESSORV BUILDI FT & DATE APPROVED / m m �� o JN UNOER VALUATION IS FO�i � 'ABLISHING A PERMIT FEE ONLV: m ¢ PERMIT FEE 5 � j m PL4N CNECK $ E � o LL TOTAI FEE S WELCOME HOMES o2Y9 % JOBADDRES3 -�9�roftdon.street BUILDINGPERMITNO. 3OG3 GENERALCONTRACTOR Welcome Homes VALUE $ 9�1(�0.00 LOT 55 BLOCK TRACT 2896 Single Res. s�/a}.t. gyr GROUP j & J INSPECTIONS Footing Trench � Foundation Forms and Grade to G Rough Framing Plumbing,Rough la�i --� Plumbing, Rough Comple Temporary Pole Wiring, Rough Heating, Rough Heating, Final � Sewer, House Sewer, St. Lathing, In Out /� Plasterin9 J Plumbing, Final, Fixtures Complete %'y Plumbing,FinalGasTest /�j� h� Wiring,Final � Occupancy �(,�.� FORM 210 3M 10�'J] DATE I SUBCONTRACTOR eee PERMITS ISSUED I NUMBER r- �sta Mesa Bnilding Department P. O. Box 3!7 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Building nddress Croftdon Street Costa Mesa, California Nearest gaker Cross St. owner yVeloome Homes, Ino. Mail �8 Y�estminster Ave., Address city �stminster No�.Y,Iem. 5711 Architect or Lic. contracton're lo one Ho� s, Ino. N�oY Lic.l,o•j8 I.y� nddress �28 Yrest�nster "ve. , De crption I No . 55 � sio�k I Trae�896 (Attach Metes and Bounds) Size of Lot �X102 I No. of Bidgs. NOI7B Nowon Lot l�scof I No.of I No.oi Existing Bldg. None Familles Rooms Setback Line from Rear Vard Cente� 01 St�eef �J� F' t. Side Yard • X 9 I I Demolish I No. of 1 Reoms 5 Slo�ies APPLICAI`iON FOR PERMIT BUiLDING � 1 '� FOR OFFICE USE ONLY I Receipt No. Permft No. � D !o ,� e v by Date Rec'd. Date Issued �' . �-��-.�� s-�� s, Costa Mesa, California Nearest CORREC7`IONS . , ` " � , ��1 L� . . ��r ` -�J Exterior Wall I Roof Covering $�app Covering �'�OOd APPROVALS Use of New Building Sinmle far.�ily residence an3 Foundation Location Inspector � Date totiv car ra e attache Forms, matertais, � F Under-Pinning Frame: Fire Stops, Bracing, Bolts I hemby acknowledge that I have read this Application and state that the abqve is correct �nd agree to comp]y Lath. Int. with all Cit - - -. ... . . --- buiiding con Signature of Permittee — Val to r, ' "� • Pe�mitFee $ $ �/�O � Plan Check $ ToWI Fee .f - Plaster, Int 7— i Plaster, Ext �- Masonry RetnTorced Bond Beam � FINAL PLOT PLAN 6how Iocatlon and distancea from property Iine and between 6uildinpa �. _c .^:��_. , J .o . � . �f - ' toST: ' `,�tiv � � <EPU�,=Sx �6e� �� ::.; ��.rn �f;. . _. . - �. ��. , . o...= �: - . _ � a� _. � . J .. . 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