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Home My WebLink About2933 ROYAL PALM DR - Building Permits 1, .^ ,4--U Fists 9 CITY OF COSTA MESA t BUILDING DIVISION > • ,.; .Ar DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 11015411 .t• t w��±sa i PERMIT 06-01452 ifiseaePonorm d'* (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SLJLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2933 ROYAL PALM DR Status: ISSUED Suite: Applied: 09/01/2006 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 09/01/2006 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 13929204 Zoning: R1 Applicant: MARTIN ARROSAGARAYS Address: 2508 BOWDOIN PL _ Phone: 714-556-8867 ISSUED BY: COSTA MESA,CA Zip: 92626 Ar/ Owner: KLATTER, DEBORAH M Address 2933 ROYAL PALM DR Phone: COSTA MESA,CA Zip: 92626-3812 Contractor: MARTIN ARROSAGARAYS ALL SEASONS ROOFING • Address: 2508 BOWDOIN PL Phone: 714-556-8867 COSTA-MESA,CA Zip: 92626 License: 622480 Arch : " ' • Eng: Address: Address: Phone: Phone: Zip: License: - License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING COMP ROOF,REPAIR/REPLACE SHTG AS NEEDED,2 LAYERS 15#FELT, APPLY 30-YEAR ELK COMP SHINGLES.PITCH 3.5:12 2500 SQ FT " - FEE SUMMARY Plan Check: $0.00 • Calc Valuation: $5,570.00 Permit:, , $125.25 Claim Valuation: $5,570.00 • SMIP Res: ' $0.56 • ' SMIP Com:, , • $0.00 T ' •- Other: ' $0.00 • • Inspection: $0.00 • ';, Total:.-, .�4125.81 ' PLANNING & ZONING SETBACKS MAIN STRUCTURE Front, 0-0'�z' Rear "0-0 Left 0-0 - Right ��0 0 ACCESSORY : Front 0-,0 ,Rear, 0-0- . Left 0-0 . Right- ' 0-0 PARKING • Existing:• 0 . Required: ' 0- Proposed: 0 • , 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 -' 2446-46(6/00) DECLARATIONS f of- toki WORKERS'COMPENSATION DECLARATION: . I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and willririeintalri 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 Awork for which this permit is issued. 7' 'I have and will maintain workers'corn nation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. / \My workers'corn ensati ro sI isurae carrier and policy number are: ) zz aq Tri S(v'r\ 4 Policy-Numben—I-'7 ?J`�- oU/ (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) r ❑ 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. ?—.1 -- , �n AapNeaolLeig pue: EDaaTe / —. —0 Y' WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLIARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license u der pro 'sjaes of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect.1.1920 Cla re C-3( Contracts.Siprt¢Wre: �% / t 4 a 92�i/'1 4----- [ ag'—a — 2 /- °0 CONSTRUCTION LENDING AGENCY: V' D ❑ 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).): ❑ 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: I 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 ❑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 Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which et 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 apermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? D Yes Ull 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? 0 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 Duality 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? 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 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. en L 4azure Of Legal Owner(s) 2—/—° Date A�OTr ed.Appll�—� /— 49 C�atO CODE A INSPECTION 7YPE / PAR , INTRIAL$ CODFA INSPECTION TYPE PATE unmake 1616 Fixed System Final Fire Prevention L 206 Final Mechanical 1266 Pool Spa Final / ./ 208 Final Plumbing 200 Final Re-Roof Sb - %l 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 OWNER HOMES VALLEY, INC. DATE 6-16-59 JOB ADDRESS 2933 Royal Palm Dr. BUILDING PERMIT NO. 9602 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 151.571.00 AP. No. LOT 265 TRACT 282 FIRE ZONE DESCRIPTION OF WORK Rep. att. gar. INSPECTIONS 4,--7.404,--7.40 -4, '' DATE I w GROUP I & 'J TYPE V ZONE R1 Underground Soil 44'$ U.G. Water,711 I G -3p- PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating ALS p/9_ _i 71l %l'�/I • ,2-S-- 7-_ZQ,�y R Y Rough embing /YTTSD C ��yLs� l97/' Miscellaneouso �/ , Prop. Swr. Line— Houk Con. St. Swr. �G./5"`f ,N�'�-�-(r_`�'�-t� //`+`f I S y / 3-1-5-1 --' �• A Sprinkling System UJ/ Heating, Final 4115 /6-?o ST% 11 JI Plumbing Fixtures / -510 _ fN Final Gas Test /{'-- /�'h`5 /D j_tl .il Construction Pole Underground Power Rough Wiring 7 Ars') 16.74 r/y- ?4,P.P K !✓/A/FiGtp Y, -//)-W-9 <l p 97) ./ Trenches-} Forms Ir Steel &J 7t&/&//,q'r2' Floor System ✓ Steel Reinforce Chimney Re-Rod Bond Beam Sheathing — )9 J S--"(Y-9 Frame and Flashing j e.e - ,5°-a6-3- _ Lathing, In A Out /' S' A--t-✓i' Plaster, brown coat di1/2'j& /c'- T-57 Plumbing Fixtures, Final /flj-S /a-20-g17 Electric Fixtures, Final17" if_ p,."" Building, Final I ?' ' 1 - OCCUPANCY Form 210-3M-4-59 * r, [ 9802 T=EE RECEIVED JUU 1 C 1959 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA, CALIFORNIA I i I`\fi, CM 0 COSTA MESA FOR APPLICANT TO F/LL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 2933 Royal Palm Dr. FOR COSTA MESA, CALIFORNIA FOR OFF/Cp E USE ONLY RECEIPT NO. PERMIT NO. "OWNER Homes Vallev, Inc. I /e/27� MAIL �'1 RECEIVED BY OATS RECEIVE% I EATE ADDRESS 419 E. 17th Std 'D/ny-s 6� --/-.. t /!/ CITY Costa Mesa TELL.1181159 ADDRESS • ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. Middlebrook . ADDRESSnGarden Grove - FIRE - CONTRACTOR Colegrove, Inc. STATE, 167293 APPROVED BY DATE ` ADDRESS• 419 .E. 17th St., Costa Mesa ZONING LEGAL LOT �[ 2822 ZONE NO.OF USE OF NEW 19 ,, DESCRIPTION NO. 265 I BLOCK I TRACT ` / PLANS BUILDING triter /r /� • APPROVED />J�� / /�4/1 BY I/I• ///��lll::: DATE Ls//� 1 -' SIZE [� NO.OF BLOBS. YARDS EVES . OF LOT 60 x 105 I NOW ON LOT none. REQUIRED ALLOWED USE OF (CENTER LINE ST.) /T • EXISTING BLDG. _ FRONT 'j^`� FT. IN. SETBACLINE:FROM CENTER K OF STREET 5oREAR YARD 361R.SIDE FT. IN. SIDE YARD (LEFT 5t I RIGHT 5* L.SIDE i FT. IN. DESCRIPTION OF WORK - i. REAR j�L.f FT. IN. NEW I X II ALTERATION I II ADDITION REPAIR I II MOVING I I DEMOLISH I BUILDING NO.OF SIZE 1560 ROOMS 7 STORIES 1 ' EXTERIOR..• WAL4ucco HOVERING COVERING 9Ti rock USE OF BUILDING AND WORK TO BE PERFORMED • Single family residence with ' attached garage. • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. • BUILDING CONSTRUCTION./� VALUATION '3�.. • -I SIGNATURE OF /�/ �^�J PERMIT FEE -+-.+d'ay� ' PERMITTEE e, '""T�"�i--� PLAN CHECK $ a n ^^ $ 15,571 % „JS d AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $ *SO