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Home My WebLink About1108 RIDGECREST CIR - Building Permits ' " . CITY OF COSTA MESA 4 ' BUILDING DIVISION Y%l .,�I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F1 � 1PERMIT p 4. e BO5-00851 s (714)754=5273'• Fax(714)754-4856 • www.ci.costa-mesa:caING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDJob Address: 1108 RIDGECREST CI Status: ISSUED Suite: Applied: 05/27/2005 Vicinity: ROOF Issued: 05/27/2005 Primary Occ: R , Type of Construction: V-N Parcel Number: 42203125 Zoning: Applicant: WILLIAM PRIEBE �.•,a �.,'7"-,r-7';7.;-..- ISSUED BY: Address: 955 DEEP VALLEY DR 1 - ..- , - STE 2963 - ,-/ --- t Phone /800-569-90a7 -. PALOS VERDES CA ; - `, Zip: '90274 ' �` . i---, 1 l ' d , Owner: GOODMAN;MARGOT VTR-'� Address , 1108 RIDGECREST CIR-%" :-% - - _<-=,-=-_ - - �N. c. C \j = .J y• /-...-V/17 �...'''' • /�%5 � Phone -,-,, ,'-'-',.--.•-:,' �{\ r S „A . COSTA MESA;CA %/• Zip: 92627-3977 .�`� ,'"4.,.y / VAZv� f, .,i ( i;"r�'-''`�./ \�: .`�\.2\� > :�\. . Contractor: B P CUSTOM-ROOFING �. Address:'. 955 DEEP VALLEY DR \, ..i ,`STE 2963 Phone: 800-569-9037 _ PALOS VERDES,CA t -' Zip: 90274 _ license:' 652641 Arch' .�„ _✓, , r Eng: . -..Address: t , ' `' Phoney, - - _ U Zip: ._ - . License: - License:. - . .y ,7 +,t, ,,�, r ''"' SCOPE OFPERMIT,.`' - -r�. ' TEAR OFF EXISTING ROOF. INSTALL 1`I:AYER OF30#FELT,PRESIDENTIAL,50 YEAR COMPOSITION SHINGLES,AND R.EPAIR/REPLACE • SHEATHING AS NEEDED.24 SQUARES INCLUDES ATTACHED GARAGE. -- - t„., ” - "+ , , '- ./✓- - 'FEE'SUMc MARY :/ - a,,,: °,Plan'Check:•',`,- $0.00 - ' _ 7 __ '="CalcValuation: . -$1-0,300.00 Permit . `" $195.25 ,y' Claim Valuation: 51,) ._ •$10;300.00' $MIP Res: `,` , $1.03 SMIP-Com: $0.00 • Other: v$0.00 //2 N ) , Inspection:" $0.00 total: J`F''$19628 , .., , „o .i 'm' / //% i C_:,: . 72/ 7 : p - ', `i l' moi; -PLANNING &ZONING -F ) //) �'1' SETBACKS . / iG,- .'/ /v MAIN STRUCTURE'Front-,, 0`0;./. ;)" Rear 0 0.- : -Left t 0c 0 Right- 0, 0'r.' .. ' r .-"\ ti i (,' . ,,r- ACCESSORY Frone" 0:0- --? ;Rear 01,6; -i', .__ • Left-j�0-'OL_ \\ j Right ,0-�0 , •PARKING Existing 0 \ '''Required: /0 • ' I\.,' Proposed:'0✓,,--2----.,;12/---� NOTICE: The work authorizedby 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 isnot commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In orderfor the work authorized underthis''permittmbe consideredlegal, such-work must comply with-all applicable codes, and all required inspections'and finalapproval must be obtained.Failureto obtain inspections'and,final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754.5626 .. 2446-48(6'00) DECLARATIONS l n WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declaiitions:, . ; I . ❑ 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 ark for which this permit is issued. have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. OW: My workers'compen�saYt.ionnIInnsurance er ar policy number are: (�_ [� �7 •arner: J/9 /t- ✓ / Policy;Number: - Z[/S -- 15'/ "oo s Is`s coon need not be completed if the permit is valued at one hundred ($100)or less.) ❑ I certify that in the performance of the workforwhich this permit is'_ u.:,(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 beco .,u'e t to the workers'compensation provisions of Section 3700 o the La r Code,I shall forthwith comply with these provisions.nt // ApprpaGarai.. a ure: _ - S 270 5— AR . IREARE( SECURE WORKERS'DITIOCOMPENSATION ENCOST O PENS IS UNDWFUL AMAGES AND SHALL PROVIDED SUBJECT AIN 706 OF THE AL CODE,I AND CIVIL FINES UP TO ONE HUNDRED, • SAND OOl1ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTON SIDS OF THE LABOR CODE,(MEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereb affirm,hat'bamticersed,gnder provisions of Chapter 9(commencin ction 7000)of Division 3Glass:N us'ness and Professions Code and my license is In full ,. ance`ctliiir a°— 6 5 26 (fl C' • ectofa Signal s •aze• ®% 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). Lenders 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 end 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 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 drivers license. 0 Yes 0 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: ❑ 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 ❑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, ora volume of'55 gallons, or 200 cubic feet of compressed gas at standard temperature end 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 Califomia 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 __..nt.. futur..... ._.__._.._.......anf_-- __ 5 Does or will the applicant or present or emen buildingsoccupant at y other for the work which is the or of this application a peNmit 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). 8 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 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: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY/ c= ify 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 re; in 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 cc p or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) 7 Dale 5- 27 r iSypirAuthoriiaid Applicant _ Fa.–,.. r(Datatt CODE I' INSPECTION TYPE . - - ' . 'QQTE IN1171AL4 'CODE* INSPECTION TYf '• - . - gag , .. ?MALS 1616 Fixed System Final Fire Prevention= ' - '' --a •- 206 Final Mechanical 1266 Pool Spa Final AI 208 Final Plumbing ,,/ 200 Final Re-Roof i, 210 - Final Electdcal 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place - ' 220 Final Planning Approval - 203 Final Sign 222 Final Site I' 204 . . Final Demolition, 250 , Final Building/Occupancy CITY OF COSTA MESA REQUEST FOR OCCUPANCY' TRACT NO. 8 91.5" DATE 3 , /6 -77 LOT NO. ADDRESS //08 £//QC T C7/2CGC 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) (% (was or were) ifJ 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. in BY L.Cfe+- tnd �� ,. Purchaser RECEIVED // /f CITY OF COSTA MESA BY ,7AW2 c2 I �!.('X/�� Developer d/or authorized MM 16 197? represe ve 71819i10f11i12112131416 BY 5 Lender C.--1LtFORNL4 FEDERAL ^l'.'d?rez "� Loc.N .i Sv"CIATION ub?O \ddL S! :RC EUt.LE1APD Los ANGELES, CAL,FCiu .'. .°,011:4 ir _ , , r 472Q TR 16-76 ;, `.00 868* :•:*^$7.57 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 _ IVE• B DATE RECEIV D: •ATE ISSUED BUILDING 1I off ./sl�' ,:zr,ne5T dig ,1 .t.. . ,.; a'.�~. 11 . _ ADDRES,S(//��//9/p�/ .K` w�''(�' .. - • OWNEfl APt D2 e0,{ 4l,a. ,r :PERUI�ff �. - AMAIL DDRESS,I1aE/,.7/ ' Sr BUILDING [] kIo l,,y d y�T !J� ADDRESS 1 IO R c roti .G a CITY filler— 4 /_! 7 NOTEf`y7/0 TRACTg9/45° LOT y BLOCK CONSTRUCTION _ EW ADD ALTER REPAIR MOVING DFMOLISH LENDER BRANCH y� OWNER `/ ADDRESS • ARCHITECT / e �t TEL �b J' USE • . • $ �� R ENGINEER /v'/ /Y NO:.'r7 46, lf LII ..s� FIRE ADDRESS . ZONE TV E� GROUPrt t 1 CONTRACTORavar cei9J .r .. BYPROVED DATE A0DRESS IaS �� ST ,r TEL. NN��I�EI /�/� NO.OF USE OF NEW CITY ar ieSv.,y NO a-9up I�•L"(.J}� PLANS BUILDINCy)An 4 F STATE CITY YARDS APPROVED YARDS/GAPP OVEED i LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE _ (FROM C/L ET • B OF LOT NOW ON • RANT fvfe T. FT. d USE OF ti EXISTING BLDG. B.SIDE 4 FT. FT. ch H FT Separate permits are required for L.SIDE St. FT, electric,plumbing and heating work. W ��/pT REAR •� ", FT. r,. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& • iiit �/�/'/`. //�� /�I^ MAIN BLOCS. ,�/ /J ACCESS. BLDGS. .may�J Q _ ./j ed . A97) cy,er 201 az 'ta. CURP. !S 75_,APPROVED63—V �/y/� —B_,PROVEO'�� d/V—.DATE / �/b W TOLD FOR /SPECIAL REQUIREMENTS O I hereby acknowledge that I have readthisapplication and state ' in re that the above information is correct and agree to comply with -- L all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of GU the State of California. /N/ T N I hereby certify that I am properly licensed as a contractor under f/( SQ. FT. �/ N the State of California Business and Professions Code, Division 3, HE MOUNT SHOWN UNDER VALUATION IS FOR to Chapter 9, and that such licenses are In full force and effect,or I THE URPOSE OF ESTABLISHING A PERMIT FEE ONLY; Lc exempt from the provisions of the State of California Business VALUATION e PERMIT FEE $ and Professions Code, Division 3,Chapter 9. m /n/ ,/ w PLAN CHECK $ • G Signature Ol �YaY 1, (/� � Q LL Permittee $ 4Y TAX $ Authorized Agent ,. f �y V TOTAL PAID $ 43�3J/R•�' 0J7 /�// • 0'jzo 1111. 28-76Pato003285 d*** 169.00 / PAID COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AQP{IC• TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE E p BY DATE RECEIVED " /r�aC�r' DATE ISSUED BUILDING ADDRESS I N V 11 . EC..S. L • PERMIT NO. OWNER A.P. NO. BUILDING p ///�� MAIL ADDRESS tins 1 I / EGREST CA ADDRESS SI TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW I ADD ALTER REPAIR MOVING DEMOLISH LENDER ).< BRANCH /'� OWNER ADDRESS VALUE �) ARCHITECT TEL. USE $ OR ENGINEER NO. FIRE r�//.- �{' 3 ADDRESS ZONE TVPE'y�— GROUP 1 APPROVED CONTRACTOR BY DATE ADDRESS • TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING f^ STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING {al SIZE INO.OF BLDGS. (FROM C/L STREET) O. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF V)., EXISTING BLDG. R.SIDE FT. FT. y H Separate permits are required for L.SIDE FT. FT. welectric,plumbing and heating work. REAR FT. FT. [..� USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O MAIN BLDGS. ACCESS. SLOGS. VAR.+ DATE QC. U.P. APPROVED APPROVED } BY DATE CO W O. I hereby acknowledge that I have read this application and state N CO that the above information Is correct and agree to comply with n m a• all laws regulating_building construction, and I shall not employ Z any person in violation of the workman's compensation laws of Wy" ` the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. 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 theprovisions of the State of California Business / A p VALUATION PERMIT FEE $ 11 7 a and Professions Code, Division 3,Chapter 9. �' n PLAN CHECK $ m Signature of o Permittee $ TAX $ LL • F U Authorized Agent TOTAL PAID $ /67