The URL can be used to link to this page

Home My WebLink About1018 DAMASCUS CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 1018 DAMASCUSCI Suite: Vicinity: ParcelNunmber: 41237128 Applicant: HEINSOHN, BRIAN Address: Owner: SHANE, JUDITH S Address 1018 DAMASCUS CIR COSTA MESA,CA Contractor: BRYMEL ROOFING Address: 23025 EL CABALLO Arch / Eng : Address: LAKE FOREST CA BUILDING PERMIT Zoning: R1 R1 Phone: Zip: Phone: Zip: 92626 Phone: Zip: 92630 License: 725371 Phone: Zip: License: PERMIT NUMBER B98-02151 v� 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED hl/l' Applied: 12/01/1998 Issued: 12/01/1998 SCOPE OF PERMIT REMOVE SHAKE AND INSTALL 7/16 OSB i LAYER OF 30 LB FELT WITH 40 YR. PRESEDTIAL COMP. ROOF CERT ATTACHED TO PERMIT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,500.00 Permit: $124.75 Claim Valuation: '$6,500.00 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.40 SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0- 0 Rear 0-0 PARKING Existino: 0 Required: o NOTES: PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 Proposed: 0 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 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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' comppeensaW insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compen;atioq Insurang6deniend policy number are: Carrier. /`3 •�-�- j/N Policy Number. J (This section need not be completed it the permit is valued atone hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for w this perm is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calif I , and agree th ould beco subject to the workers' compensation provisions of Section 3700 aythe - bor Code, I shall forthwith comply with these Applicant Sigratun CDaG WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S A& CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($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 Iicens u eyprV,.Sign§ of Chapter 9Ica ^�P�encing with Section 7000) of Division 3 of the Business and rofessions Code, and my license is in full force and effect. Lic. a 57 J / / _ /l Class a P Contractors Sign to ure: x L(��✓ � ��Zz CONSTRUCTION LENDING AGENCY: ❑ 1 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: Lenders 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 (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 contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner 10 verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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, THIS 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: Date: 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 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 torte 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). .........................................................................................................................................................................................................................I.............................. 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? E] Yes ❑ No .................................................................................................................................................................................................................................................................... ............... . 5 Does or will the applicant orpresent or future building occupant require for the work which is the subject ofc this Nplicatlon epermit 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 Wi11 any pert 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 a a perms from the South Coast Air Quality Management District or other air pollution control district or agency i5 m oUetl for the work which is the subject of this applicatlont_have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Ves ❑ No ........................................................................................................................................................................................................................... 8 (II 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: CERTWICATE 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. Sign r Legal er(s) / D e A LYa� I � .AncVOr.Authodzed Applicant CODE 1. INSPECTION TYPE DATE INMALS CODE INSPECTION TYPE DATE 1111IDAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 Buiiding/Cccupancy 240646 OWNER Damascus Circle DATE 11-22-78 rs AP No. 412-370-28 LOT TRACT FIRE ZONE VALUES 800 -OU INSPECTIONS Si natR re Date TYPE GROUP ZONE R–t SOIL SUBCONTRACTOR P Er MITS ISS GAS_ - Dote Number Si nature WATER umbiu—'— ROUGH PLUMBING PROP. SWR. LINE F.--) HOUSE CON. t'% I yE '({I1 ?, SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING I _ : '�T Z TEMPORARY SERVICE OR POLE UNDERGROUND POWER F] ROUGH WIRING I I HeeTN - n�Ven . TRENCHES IJ FORMS Lj STEEL REINF. -koF BUILDING FLOOR SYSTEM BOND BEAM 7 STEEL REINFORCE SHEATHING FRAME AND FLASHING DATEA' LATHING — IN r-1 OUT PLASTER, BROWN COAT STRUCTURAL. FINAL HEATING. VENT„ REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST ELECTRIC, FINAL BUILDING. FINAL Z . a Z _Z Q ON am J7 J N m J J m Q U N z< W cr W Z _to La Z J W W W O = Z_0 O �O COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 941'771�'/�2�21�f�8560KT�L 9417 00004470 93 A -- t APPLICATION FOR BUILDING PERMIT For Applicant to Fill-in Completely RECEIVED BV DATE RECEIVED D IS UED r}, ADLLDINGDRESS 10(b GiP�t-�- `� v OWNER fs rti NCS E X A.P, NO. �%Z -B 70 -A PERMIT NO. MAIL tt-�� ADDRESS BUILDING /�., ADDRESS/0/3^t..(h.C/ CITU NO. �/ TRACT 9fO1 LOT BLOCK CONSTRUCTION W A LENDER BRANCH OWNER ADDRESS VALVE BO S r $ Al HITE R )To NEL5'/(/_/,) 7 OR ENGINE m FIRE ZONE ZONE TYPE GROUP ADDRESS (.( K Sul CONTRACTOR / T� APPROVED BY DATE /� (�% ADDRESS790 r..J ST cG • TEL ZONE NO. OF pl p,t� USE OF NEW %t D �0 CITY � NO. C16y7� — BUILDING STATE(� CITY O LIC. NO. 4t 11��G SS LIC. NO. �J. YMAIIN BUILDING D ��/I *CCESSORY BUILDARDS ING .SIZE NO. OF BLDGS. (FROM C/L STRE T) OF LOT NOW ON LOT ROM USE OF EXISTING BLDG, p t FT O SIZE OF NO.OF Wv -e ,,z NEW BLDG. ROOMS STORIES L. SIDE o20 FT. EXTERIOR WALL ROOF (O;1—FT. COVERING COVERING REAR O FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET, BET. MAIN & MAIN SLOGS. ACCESS, SLOGS. 2VAR. # DATE C.U.P. APPROVED APPROVEDCW RI ,ZZ 7N U 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 I 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 SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and affect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business Professions Code, Division 3, Chapter 9. VALUATION o O and Q O v PERMIT FEE $ / Signature of �, ,: 0 Permittee VV $ �DD jECj{ ','5 $ rye �O X Authorized Agent TOTAL FEE $ V 7 5 3 4e 1 4 4 Sao COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only OWNER FUT,FY FAMII,Y MAIL ADDRESS 2101 E. Forst CITY Santa Ana, CA CONSTRUCTION LENDER U.C.B. BRANCH 1010 N. Maul ADDRESS Santa Ana ('A ARCHITECT OR ENGINEER Hal ac -Tana ADDRESS 777 S. Main, CONTRACTOR Foley Coni ADDRESS Sante as above TEL. CITY NO. STATE CITY LIC. NO. LIC. NO. SIZE NO .OF BLDGS. OF LOT NOW ON LOT O USE OF N/A EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED New 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 I shall not employ any person In violation of the workman's compensation laws of the State of California. 1 hereby certify that 1 am properly licensed as contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code, f}ivipion 3, Chaptl9. _ Signature of Permittee C PAID OCT 21-77cFisA001095* ***373.02 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY GATE RECEIVED D TE ISSU D A. P. NO. U 051-36 PERMIT NO. BUILDING ADDRESS 1018 Damscus Circle TRACT LOT BLOCK W DD ALTER REPAIR �! OWNER T(JI•- ACM. 11W R A� ALUE y S G� (� a FIRE ZONE YPE GROUP APPROVED BY DATE 'S '� " ZONE R I NO.OF PLAN$ 2 USE OF NEW BUILDING 4 ; —3c, YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING (FROM C/LS T) F ONT T. FT. R. SIDE SET. FT L SIDEFT. FT. REAR 40FT. FT. DISTANCE BET. MAIN BLDGS. BET. MAIN & ACCESS. SLOGS. VAR.+ C.U.P. 46 DATE APPROVED yyy��t APPROVE W,V �DATE ? HOLD FOR SPECIAL REQUIREMENT 9990 SQ.FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ON VALUATION $ / V, 9� PERMIT FEE E PLAN CHECK E TAX E - "si- TOTAL PAID E 3 ,Q' 7