The URL can be used to link to this page

Home My WebLink About2267 CANYON DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.cB�. ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2267 CANYON DR Suite: Vicinity: DWELLINGONLY-6UNITS Parcel Number: 42205108 Applicant: GOODGAME, JACK Address: Owner: HUSKINS, JOE Address 20902 BROKHURST ST SUITE 210 HUNTINGTON BEACH, CA Contractor: SIERRA ROOFING CO Address: 16631 KETTLER LN Arch : Address: Zip: HUNINGTON BEACH, CA Zip: 92fi47 Phone: License: Zoning: Phone: 714-847-1773 Zip: Phone: Zip: 92646 Phone:, (714)847-1773 '-License: � 511172 � . Eng:. Address: ISSUED BY: Status: ISSUED Applied: O6I05/2001 Issued: 06/05/2001 Phone: License: , � ' .' �` SCOPE OF PERMIT • REMOVE OLD ROOF. COVER WITH 30 YR COMP� '� �' �-- �� - . FEE SUMMARY ! Plan Check: $0.00 - _ __ _ _ ' _ _ � Calc Valuation: �$5,510.00 Permit: $125.25 �� • Claim Valuation: $5,eio.00 SMIP Res: $0.55 i � SMIP Com: $0.00 � - O h ' —' i . _ . t ec $0.00 Inspection: , $0.00 Total: $125:80 � ti!_�,. _ , . :,� .;�.::- � i � ��.� � � t � PI SETBACKS � .� � ��, i; \ ��` �C ;'- //" �'�� MAIN STRUCTURE �Front 0. 0 -_ Rear -0. 0 � ACCESSORY Front_�0-0 A;';,' Rear �0-0 PARKING Existina: �-0��_ -�Reauired: 0_ NOTES: ' _. � - �, 0 �, � VING & ZONING / ' - � �: � � ' F j/ �� / �/ � a � . � /� �� - :�/ �. ,� Left 0.-0 - '_ Right : - 0-'Oj ' - - \��- " - . �� Left 0- 0 - ; : �-�� Right� �� 0- 0 . : � � . ': . _ , � �/ , - Pr000sed:�. 0 --� j j� �� . � , _, : /-i� _ �,�c NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. . MSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all � required Inspections and tinal approvel must be obtained. Failure to obtain inspections and tinal approval will result in tha expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 saaaae �eroo� I • I WORKERS' COMPENSATION DECLARATION: . I hereby ettirtn under penelty ol perjury one oi Ihe following declaratlons: � ❑ I heve antl wlll maintain e certificate of consent to self-Insura tor workers' compensation, as provided for Dy sedion 3700 0l tha Labor Code, for the pertortnence of the wark tor which this pertnit Is Issuetl. I ❑ I have antl wlll melntaln workers' compensatlon Insurence, requiretl by section 3700 of the Labor Code, for Ihe pedortnance of Ihe work for which this pertnit is Issuetl. M workers' w s tion Iyr�5ur�anceae� � a.nd� woli n ber are: � . . /Jo - i __ �/ Cartler.Y�ti!\J(J '-'l V�`� � PolicyiJumber: GO � � i�v%7 (This sectlon need nof be cromplefed i! the permitls ve/uetl at one hundred dollere ($f00) or IessJ I ❑ I cenify that in the pertormance ol the work for whlch this permit is issued, I shall not employ eny pereon In eny manner so es to become sublect to the workers' compensetion lews of Celifomia, entl agree t�at N I s ulA become suD�ect to the workers' compensation provisions ot Sectlon 3700 of the Lebor CoOe, I shall torthwlih ApPlicamSg elwre:e��''�}�ZQ_ Date: �P /�� WARNINO: FAILURE T CURE WORKERS' COMPENSATIOry[:OVERAGE IS UNLAW R1L AND SHALL SUBIECr AN EMPLOVER TO CRIMINAL PE TIES D GVIL FlNES UP TO ONE MUNURED T}1WSAND DOLLARE (5100,000�, IN FDOfiION TO THE C06T OF COMPENSATION, DAMAGES AS PROVIDED FOH IN SECTION �OB OF THE IABOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: � I hereby eflirtn that I em Ilcensed under proNsi ns �f C apt 9(wmmencing with Seccion 7000) of Dlvlsion 3 oi the Business end Pryiqsslons , antl my license is in tull force end eNect. LJc. M Class e �� Contrectors Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby ettirtn Ihet thera is e constructian Iending egency far the peAortnance ol Ihe work tor which t�is pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Neme: Lender's Adtlress: � Signature: Date: OWNER-BUILDER DECLARATONS: � I hereby eflirm thel under penelry ot perjury thet I em EXEMPT FROM THE CONTFiAC70R5 LICENSE LAW tor Ihe tollowing reasan (Sec. 7031.5, Business entl Professlons Code: Any ciry or counry which repuires e permit to consiruct, elter, Improve, tlemolish, or repair any struIXure, pdor to its issuance, also reqWres ��e applicant for such pertnit to flle e signetl statement �het he or she Is Iicensed pursuent to Ihe O�aWsions ot the Contraclors IJcense Lew (Chepter 9(cammendng with Section 7000) oi DlWslon 3 of the eusiness entl Profeulons CoGe) or ihat he or she Is exempt iherefrom entl ihe basis for the elleged ezemptlon. Any violation of Sectlon 7031.5 6y eny flpplicant tor e pertnit subJects the epplicent to e civll penalry o1 not more than live hundred dollars ($500)J: ❑ I, es owner ol the property, or my amployees with wages as Iheir sole compensation, WILL DO THE WORK, antl the strucwra Is not Intended or ofleretl for sale (Sec. 7044, Business end Professlons Cotle: The Contrectors License Law does not apply Io an owner of property who builds or Improves ihereon! and who tloes such work himseN or herself or through his or her own employees, providea that such impmvemenis are not Intended or oNered for sele. H, however, ihe buildinq or improvement is soltl within one year ot completion, the owner-bullder wiil heve ihe burtlen of proving that he or she did not build or improve lor purpose of sele.). ❑ I, es owner of tha property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (SecJ044, eueiness entl Pmfessions Code: The contreaors Llcense Law does not epply to an owner of propeny who bullds or improves thereon, and who conirecis br such projei t wlih e coNrector(s) license pursuant to Ihe Con�retlors Litense Laws.). ❑ 1 em exemp� undar sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by dnvers license. ❑ Yes ❑ No Dnvers License No. E:pires: Veritication of Ownership 6y (type ol dwument, i.e. - property tex bill or deed): � DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �ereDy certily t�et no excevation five (5) or more feet in tlepth iNo which a person is required to descenq wlll be made in connection wlth work euthonze0 by Ihis permii, and that no building structure, scettolding, lalsawork, or demolition or dismantling �hereof, will be more than ihirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sac. 341, Tiile 8, Calltomla Adminlstrative Code). i ❑ As owner-builder, I will not employ enyone to do work which would require a permii from �he Division ol Indusirial Sefery, as noted ebove; unless such person hes a pertnit to do such work Irom the tlivislon. I Signature: Date: _ _ _ _ Divislon o1 Intlusidal Sefery Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: � 1 Will the applicem or presem or future building occupant need b tile end certity a Business Plan tor emergency response to release or t�reatenetl release ot e hazarCous matenal7 ❑ Yes ❑ No (Section 25505 of Ihe Celitornle Healt� entl Salery Code requires, wi�h some exceptions, that a Business Plan he tiled with ihe Costa Mese Fire Department by every business which has at any one Iime tlunng a reponed year a quantiry of hazartlous matenals equal to or greater than a weight oi 500 pounds; or e volume oi 55 gallons, or 200 cubic leet ot compressed ges at standard temperature and pressure). ..............._.......................__.............__..........................................................'—_......................__..................._.._.................—..............................___"'............._................................_. �.............—.................._............... 2 Daes or will Ihe applicent ar presem or luture building occupent need to fila e registration tortn tor ecutely hazarCous metedels7 ❑ Yes � No (Section 25533 of Ihe Cellfomia Heelt� and Sefery Cotle, with some axceptlons, requires registratlon with t�e Costa Mesa Flre Depenment by each business w�ic� at eny one time hes on hentl e quentiry of acutely �ezartlous meterlals aqual to or greeter than e welght of 500 pounds, or e volume of 55 gellons, or 200 cuhic feet oi compressed ges et standard temperature and pressure). � ........................................................._.............................................................__..........................__.....................__._.................__........................_........................................................................_.:......................_......................._....... 3 Does or will the applicant or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for awtely hazartlous matenals)? ❑ Yes ❑ No (Saction 25534 ot ihe Cellfomia Healih antl Safery Code provitles iha� �he Costa Mesa Fire Depanment may require ihe preparation, certification and filing with the Fire Department of an RMPP by 6usinesses which are requiretl to register acutely �azartlous matedals with the Fire Depariment. � ....................................................................................................................................................................................................................................................................................................................................................................._................. 4 It en RMPP is presently requireq has Section 25534 of the California Healih and Safery Code been lully complied with7 ❑ Yes ❑ No i ............................................................................................................................................................................................................................................................................................................................ �.......................................................... 5 Does or will Ihe applicant or presen� or future hullding occupent require for the work which is �he subieci of Ihis e�plicatlon apermit for such conslmction or modificatlon trom ihe South Coest Air Quelity Menagament Dlsttict or irom eny other air polWtion control tlistdct or egenry7 LJ Yes LJ No (Sectlon 650502 oi ihe Callfornie Govemment Code requires that the requested informetion be furnished on epplications for non-resitlemiel bulltling permits). ..............................................................................................................................................................................................................................................................................................................................:......................................................... 6 W ill eny part ot ihe fadliry to be construcied untler this pertnii be within 1000 taet irom the outer boundanes of e school7 ❑ Yes ❑ No (If yes", t�e feciliry must maet Ihe requlremen� of Sections 25534 and 42303 ot the Califomia Health antl Safety Code). I ........................................................................................................................................................................................................................................................................................................................................................................................ 7 If e permlt fmm ihe South Coasi Air Qualiry Menagemen� Disinct or olher air pollution conirol disirict or agency is requiretl �or Ne work whlch i9 �he sublec� of Ihis epplication, heve ell of t�e dlsclosures prescribed by California Health and Safery Code Section 42303 been matlel ❑ Ves ❑ No i ............_ ..........................................................................................................................._............................................................................................................................................................................................................................................. B (II'Yes', attach certificate of compliance irom ihe appropriate alr pollution conirol oHicer). I CERTIFICATE OF COMPLIANCE: I certify ihat un0er penalry ot perjury the infortnation given above is correct. I egree to comply with all state laws end ciry ordinances ragerding Hezardous Materials antl Emissions. Slgnature: Date: CERTIFlCATE OF COMPIJANCE AND AUTHORIZATION OF ENTRY: I cenity under penalty of perjury thet I have read this epplication antl sta�e Iliat ihe information given is cortect. I egree to comply wlt� ell state laws end ciry ordinances relating to bullding construdion, end authorize representatives of the Clty of Coste Mesa ro enter upon the ebove-descnbetl property for inspection purpases. I agree not to occupy or ellow occupancy ot any building authodzetl by this permit until tinal inspection. I neNre LegalOwner�s) / � I //' � //�-t-v7 � - 1�[�/ AnN A��it orizadAoolicent "� a�e � GOOEI, INSPECTIONTYPE 1618 Fixea System Final Fire Preven�ion 126fi Pool Spa Final 200 Final Re-Rool 201 Flnal Block/Retaininp Well 202 Final Factory Fire Place 203 204 Finel Sign Final Damolition QdjE jl�$ COOE� 206 �j� 208 �� L6H'�' 210 212 220 INSPECTIONTYPE Final MBChenical Finel Plumbing Final Elecidcal Final Fire Prevantlon Final Planning Approval 222 Final Site 250 Final Building/Occupency