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