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HomeMy WebLinkAbout1014 DAMASCUS CIR - Building Permits• Clj—v` OF COSTA MESA 41 A F BUILDING DIVISION > 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 , '� 714) 754-4856 • www.ci.costa-mesa.ca.us "•���� FOR INSPECTI S CALL: (7 -5626 �� PERMIT NUMBERY B07-00930 PERMIT TYPE B_ROOF2' STATUS: ISSUED _ DATE ISSUED: 09/12/2007 ISSUED BY: SOK JOB ADDRESS: 1014 DAMASCUS CI CM ' Suite/Unit: - Vicinity: ROOF _ Squares: 2800 - - Valuation: $9,500.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 30# FELT, 7/16" OSB, 4:12 PITCH, EALGELITE TILE, MALIBU, ICBO #ER -4660, 5.5 PSF. 2,800 S.F. INCLUDES ATTACHED GARAGE FOR S.F.D. OWNER: PASQUINI, FLORENCE TR .. Address: 2690 GLENDOWER AVE - Unit: PHONE: - City/State/Zip: LOS ANGELES APPLICANT: RON SELL PHONE: 714-528-1758:. CONTRACTOR: SELL ROOFING COMPANY Address: 18032 LEMONUnit: City/State/Zip: YORBA LINDA, CA _ 92686 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check Reroof Permit Fee: Reinspection Fee: TOTAL FEES KOO '$181.25' $0.00 $181.25 Address: 18032 LEMON City/State/Zip: YORBA LINDA , CA. PHONE: License No. 323842 714-528-1758 CELL: PHONE.' PHONE: Unit: 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODER. INSPECTION TYPE DATE INnrALS CODE/ INSPECTION TYPE DATE INTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re -Roof -Z 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 WORKERS' COMPENSATION DECLARATION:, .. I hereby affirm under penalty of perjury one of the following declarabons> ❑ 1 have and will maintain a certifca(e 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 (his permit is issued. rshave and will maintain workers' compensation insurance, as required by' 'eclid'n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance_ caller and policy number are: � me@S- r: 6.l�r (�f dWxsecta'n nee not be mmplefeddthepeni is .1aada h.ndi($1001 ortess) .3o1c lNumber .7- Z06 6 5-S `7 L -J- I certify that in the performance of the work for which this permit is i3sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor 20d91 shall forthwith omply with these provisions i o8 _ ! 1 Applicant's Signature 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 DOLLARS ($100,000), IN ADDITION 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 licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Elass 4 i ;.q -Conl7aclois Si nature Dale,,;;r 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 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 8pplicant 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 sate. 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: 3057-46 (N07) o. Owne'JD verified by drivL Driver's License No. Ise. ❑ Yes ❑ 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) a 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, a 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. Applicant's 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? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled 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 forth for acutely hazardous materials? ❑ Yes ❑ 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 fling 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 ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ 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 ❑ 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 is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ 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 Dale 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 purpose agree not to occupy or allow occupancy of any building authorized by th" � nit unti al inspe tion. 1 �7 Signatd of gyalr Owner ) D . Andlor Aut-Wlzed-AppFmnf^-"�""— bae i 4.tQ32 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS /Q/¢ (/((r{y/f (/ l,bs LIQ/`• OWNER FOLEY FAMILY TRUST MAIL ADDRESS 2101 E. Fourth St., #100 CITY Santa Ana, CA 92705 No. 543-9471 CONSTRUCTION LENDER U.C.B. BRANCH 1010 N. Main St. ADDRESS Santa Amar CA 92704 ARCHITECT OR ENGINEER Hales-IaWSton NoL'S47-0862 ADDRESS 777 S. Main, #105. Orange 92668 CONTRACTOR FOleV Construction Co., Inc. ADDRESS Same as above TEL CITY NO. STATE CITY LIC. NO. LIC. NO. SIZE NO. OF BLDGS OF LOT NOW ON LOT 0 USE OF N/A EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED OCT 21-77PIID001096n ***373.02 CfiSA APPkICATION FOR STRUCTURAL PERMIT FIRE �( L� ZONE / /TVFE t-I/�_ GROUP/ APPROVED A/ IA. -%/ r71 1 20NE , NO.OF USE OF NEW PLANS BUILDING YARDS APPROVED I YARDS APPROVED MAIN BUILDING I ACCESSORY BUILDING New oonstrtiction, single family VAR. 11 DATE C.U.P. 46 APPROVED detached, Plan 5, 5 Bedrooms. rFIOVEC70R DATE /0 -dO-79 OLD FOR SPECIAL REQUIREMENT I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Coda, Division 3, Chapter 9, and that such licenses are In full force and affect, or I am exempt from the provisions of the State of California Business antl Professions Code, v �3C::,� Signature of Permittee Authorized 04aW t`/ n Ca i m 2920 SO. FT. Gar. 658 sq. ft. ON THE AMOUNT SHOWN UNDER VALUATION IS FOR D THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE E 00a�' n 7 PLAN CHECK E $ 7L TAX E a / U TOTALPAID EJ%i'rQ DATE RECEIVED 0- ? DATE ISSUED /0- 07/- +057-36 /- �� PERMIT NO. 014 Damascus Circle LOT EN BLOCKP-C./{� %M O4 FIRE �( L� ZONE / /TVFE t-I/�_ GROUP/ APPROVED A/ IA. -%/ r71 1 20NE , NO.OF USE OF NEW PLANS BUILDING YARDS APPROVED I YARDS APPROVED MAIN BUILDING I ACCESSORY BUILDING New oonstrtiction, single family VAR. 11 DATE C.U.P. 46 APPROVED detached, Plan 5, 5 Bedrooms. rFIOVEC70R DATE /0 -dO-79 OLD FOR SPECIAL REQUIREMENT I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Coda, Division 3, Chapter 9, and that such licenses are In full force and affect, or I am exempt from the provisions of the State of California Business antl Professions Code, v �3C::,� Signature of Permittee Authorized 04aW t`/ n Ca i m 2920 SO. FT. Gar. 658 sq. ft. ON THE AMOUNT SHOWN UNDER VALUATION IS FOR D THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE E 00a�' n 7 PLAN CHECK E $ 7L TAX E a / U TOTALPAID EJ%i'rQ