HomeMy WebLinkAbout1100 RIDGECREST CIR - Building Permits 1�301�LY� CITY OF COSTA MESA
4� � BUILDING DIVISION
=( k. , DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
4 � RRIP 606-01746
skbepongno(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.(8tiULDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1100 RIDGECREST CI Status: ISSUED
Suite: Applied: 10/16/2006 I
Vicinity: Issued: 10/16/2006
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 42203121 Zoning:
•
Applicant: RON SELL
Address: 18032 LEMON
Phone: 714-528-1758 ISSUED BY: 910
YORBA LINDA,CA Zip: - 92686
Owner IRANI, SALIM''� _ •
Address 1730 SANTA ANA AVE:#A .
Phone:
COSTA MESA,CA\ ..- _ ' .. Zip:- 92627-3167 _
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Contractor: 2,SELL`'ROOFING COMPANY. - - -
Address: =,18032 LEMON '
/ ` ` - Phone: 714-528-1758
NYORBA LINDA"-,CA
,' () ' Zip: 92686 ,N/ License: 323842 '
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•Address: Address:
' Phone: Phone:
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Zip: License: - License:
- - SCOPE OF PERMIT
TEAR OFF EXISTING ROOF:INSTALL 1 LAYER OF 30#FELT,4:12 PITCH,30 YEAR COMPOSITION SHINGLES,AND REPAIR/REPLACE'
SHEATHING AS•NEEDED. 1500 S.F.,INCLUDES ATTACHED GARAGE.
' - ;FEE SUMMARY
' Plan Check: - $0.00 „' -_ _ Calc Valuation: $4,500.00
Permit: ,$111.25 - Claim Valuation: $4,500.00
-SMTP Res:' ' $0.50 -
SMIP Com: - $0.00 . :�
�' . Other:: $0.00 = _-
-, Inspection: ';, ' $0.00 '
,
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' Total: ? ' $111.75 ,
,PLANNING & ZONING
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SETBACKS ' .0-MAIN STRUCTURE:Frontes.0-0 Rear 0-0 Left 0-0 Right 0-0 ,
ACCESSORY Front 0-0 !y Rear, 0-0 Left 0-0 Right 0-0
PARKING ��>, Ex sting 0 C A Required > 0 Proposed: 0 .," ' -
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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: 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
2448-46(8'00) ,
DECLARATIONS 0 I U _ u .�
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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'compensation jnsurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
_—My workers' ens lion Insure carrieeerllr d policy number are: - //
j -C er • /OIYl1 CPolicy Number: t /0 6, 6 S S r
-(m1isection need not be completed if the permit s valued al one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, agree th if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply wiwith htthese prroovviisions.
rpplcantl" SigneNre: _•. �� r Date: Th-. /0 ^5i ---0 CO
WARMNG7FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER tTO'CRIMINAL'PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($l00,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that.l am licensed under provi .n o)Ghaeter 9(commencing with Section 7000)of Division 3 oihe Business and Professions Code,and my license is in full
farce an .Llc.p �� 2 ''f` !Or
Ciass_ X� 6 — 77 9 /
Contractors-Slgnat rw-`? -,— 'dpi 'Ardor Eg-f�-:2ata� ,U — 3/ —O G
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: 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 fora permit
subjects the applicant to a civil penally 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 contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License 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)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,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.
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? 0 Yes 0 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 form for acutely hazardous materials? 0 Yes 0 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 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? 0 Yes 0 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 0 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 0 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 prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 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: Date:
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 :II state law and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described props • pection pu ose I see not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ASgpture Qte (s) �Oe-,4 /Q, O
r--Arid/Or Authorized Applicanttjr .,� — Da
CODE# INSPECTIONTYPE PdIE INTmAL$ _ • 500st INSPECTIONTYPE MALE INTMAL@
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final �/q �7'�/j 208 Final Plumbing
200 Final Re-Roof /0'1 / -C G"'r 210 Final Electrical
201 Final Block/Retalning 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
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 8 9/5- DATE / -1,3-77
LOT NO. a i
ADDRESS /100 ,Q/e' T/ c/,42cee
The developer of the above entitled tract desires to sell the above set ,
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) , j/f �(was or were) delete.-- advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
. any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition. --41-a--,4--4-1
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BY �'t�L a--,4--4-J
Purchaser q 1 n
BY // .�lJ H./ l� .2)j-
Developer - d/o author ed
repres �i '
BY f4 ►
Ya � /6�/�� • ./
L-nder ��j. /
CALIFORNIA FEDERAL . G LCtN ASSCCtAT[ON
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only APPLICATION FOR STRUCTURAL PERMIT
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CONTRACTOR�/t 00 Cnisr 4 /,[1G. APPROVED DATE
" ADDRESS ////� 7 5]7 '/ ZBN�E (� Na OF USE OF NEW
CITY xie at//'i NEER 242IO 1�.. - w PLANS .020 BUILDING( (001A ,a'r.
STATE CITY YARDS APPROVED YARDS APPROVED r/
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
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F electric,plumbing and heating work.
W - , REAR ScTepp FT.
I-. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
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MAIN BLDGS. ACCESS. BLDGS. �J
VAR.
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- . AO LID FOR WECIAL REQUIREMENTS
40 I hereby acknowledge that I have read this application and state
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Cd that the above information is correct and agree to comply with •
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O. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
WT. the State of California. i.
I hereby certify that I am properly licensed as a contractor under LW/ SQ. FT. jr 21/4, N
the State of California Business and Professions Code, Division 3, , THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I f THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business " I w
VALUATION PERMIT FEE $
and Professions Code,Division 3,Chapter 9. -, 'f m
PLAN CHECK $ . 75�l to
Signature of /�' /
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Permittee �'C!/ .�s1.✓ > - $�� 44 TAX $ yyy... Al6�n
Authorized Agent ! TOTAL PAID $ z.y /4 �
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PAID
40712 JUi. 2R-76rfs,003277 TI*** 151.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 '
• APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
�sV� �/(� RECEIVED BY DATE RECEIVEDr DATE ISSUED
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SS 1`IDGE�'PESj" C
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• PERMIT NO.
OWNER ` A.P. NO.BUILDING I ��y}-�� r /�
MAIL
ADDRESS i `ot CIDGec2Esrezi►Z
ADDRESS .
TEL. TRACT LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER �,/'
BRANCH �y+ .
OWNER
ADDRESS _ w
ARCHITECT TEL. USE ete> ATT
VALUE$
OR ENGINEER NO
FIRE k es
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
PLANS BUILDING
CITY NO. •
.F. STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OE SLOGS.
(FROM C/L STREET)
Ci. OF LOT NOW ON LOT FRONT FT. FT.
G USE OF
.-. EXISTING BLDG. R.SIDE ET. FT.
VI
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Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
IO REAR FT. FT.
F. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0 MAIN BLDGS. ACCESS.BLDGS.
MI VAR.# DATE
C.U.P.# APPROVED
APPROVED •
)-. BY DATE
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CL. I hereby acknowledge that I have read this application and state n
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CO that the above information is correct and agree to comply with --
O. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of o
LTAthe State of California. --;
I herebycertifythat I amSQ. FT. N
properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —am exempt from the provisions of the State of California BusinessVALUATION s-a 9
and Professions Code, Division 3,Chapterl9. PERMIT FEE $ 15, m
In
-
PLAN CHECK $ ^n 0
Signature of
Permittee $ TAX S. 2
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Authorized Agent TOTAL PAID $ /5/ eV
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