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Home My WebLink About2984 ROYAL PALM DR - Building Permits I yY_Ai PA 1`;I v ; I I • i 1 ,!.i . VIMOD'-1 k 'i ;1! Ln • a.l II X984 248B —AI'=w.514t1_O5U_=_ISEE rknK). l _ -- -LtN 1-z14CtTO5E.RFMQVE1j �A He LNE >IGN TO 13c.P L.� AT=D JALLEIf • APPROVED CITY OF COSTA MESA PLANNING DIVISION SUBJECT* TO BLDG. DEPT. REG. N011 A UDITIONS. DELETIONS, iR f KItECTIONS SHALL BE 194-1-11441-7� 7 . APIsF(W1.1) EYTHE PLANNING DIV. BY:. _DATE: 1V3t)fr ? SMO CN(4Lt5U :E • . CITY OF COSTA MESA BUILDING DIVISION 4-a _ , DEVELOPMENT SERVICES DEPARTMENT PERMIT BER F I w _ I 1 PERMIT J+ 02-01330 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2984 ROYAL PALM DR Status: ISSUED Suite: Applied: 08/21/2002 Vicinity: Issued: 08/21/2002 Parcel Number: 13920307 • Zoning: R3 R3 Applicant: ROGER COON ISSUED BY: Address: Phone: 714-534-6205 Zip: Owner: OZDERE,ANI Address 3358 MARIGOLD CIR Phone: COSTA MESA,CA Zip: 92626 Contractor: R C ROOFING COMPANY Address: 11782 REVA DR Phone: (714)534-6205 GARDEN GROVE,CA Zip: 92640 License: 456490 Arch : Eng: Address: - Address: • Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF AND REROOF 3200SF RESIDENCE, FLAT AREA WITH BUILT-UP AND SLOPED AREA WITH COMP SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 Permit: $111.25 - Claim Valuation: • $5,000.00; SMIP Res: • $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 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 NOTES: 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 •1 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. 14 I 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. /� My workers'comperisafign Insurige carrier a policy number are: Carrier: [J �' J Policy Number: ,S-062 u nit 16 (This section need not be completed if the permit is valued at 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 Califomia • 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. „ v . C oa Y� _ 0 2— Applicant Signature: Date: o'er CJ WARNING:FAILURE TO SECURE WORKERS'COM'NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(S/00,000),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 licensed under rovisio f C,papter 9(commencing with SectioJ'7000)of Division 3 of the Busines and ProfessionsionCode,�^ and my license is in full force and effect.Lic.N (/ �/ Class# L—39 L/ )l Contractors Signature: -err Date: 2_7 ) —(l Z 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 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 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 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 Califomia 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. a 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Califomia 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 (It"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 Califomia 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 ell state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the aab--ove��-dde�esccribed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. tura Of Legal Owner(s) / 1 �o ate And/Or Authorized Applicant ( Date CODE t INSPECTION TYPE DATE MIITIALS CODE t INSPECTION TYPE PAIS =AU 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing q-11-e2-200 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 Building/Occupancy • OWNER DIKE & COLEOROVE, INC. DATE 10-27-59 JOB ADDRESS 2984 Royal Palm Drive, (A), B,C,D BUILDING PERMIT NO. 10626 GENERAL CONTRACTOR Dike & Colegrove, Inc. VALUE $ 30,973.00 Al'. No. LOT 31 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK 4 Units w/att gar INSPECTIONS /p ja-9 DATE I GROUP H&J TYPE V ZONE 142 Underground SoilikArc U.G. Water/t}/-5 //--.3.---6t,1 PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas— /Z/3-059 Rough Heating Rough Plumbing 1.2 �' c2,±_• _ICT 2 7 1959 e?a..? ,-d / Miscellaneous I , Prop. Swr. kine—HoilgICon. St. Swr. /Wy{e/ti-y &j--Cw. t- t, " _ /~14 w/1-4 2119-/ / CJD ' to Sprinkling System _ . Heating, Final �[9 ./�'-GC _ V ,/ Plumbing Fixtures / _�1j9-41-4/ Final Gas Test /447.411. ./1• �_de, �' Construction Pole Underground Power //-!/ Rough Wiring r p...-/6,-ye; ,C •i .-7,- ///,./SQ 0, 0 Trenches,' Forms/ Steel //-?--'.it Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing ' ,% L12-1b7-Yp Frame and Flashing _ PO rli _ 2-a1-cY Lathing, In Out p•,kn 1¢-Tjeli`4 Plaster, brown coat lie '4 I- 19.---6n Plumbing Fixtures, Final J_. �j Electric Fixtures, Final ✓r'✓' � jilt Building, Final OCCUANCY ,Pet 5V7-1-CH 71-Ct Form 210-3M-4-59 - 10626 10626 COSTA MESA BUILDING-SAFETY DEPARTMENT I + ' P.O.BOX 317 COSTA MESA. CALIFORNIA allir -Gc9 /0 -e-.3-sf EOR APPLICANT TO fill /N COMPLETELY r�i APPLICATIONnFOR PERMIT / TYPE OR PRINT / " I +IUNLLL ULE I. /V C!BUILDINGS�-cy BUILDING 2984 Royal Palm Drive ONLY COSTA MESA, CALIFORNIA FOIA Off/CE USE OWNER - Dike & Cole rove Inc. RECEIPT NO. 1 I tT.NOoatri. ADDRESS 419 E. 17th St. RECEIVED�Y I DATE RECEIVED DATE ISSUED M7 11 io-ow-S .00T 9 7IOcn Iw iw CITY Costa Mesa TrEo1.I8-115G 9 ADDRESS • ARCHITECT Carlson & LIC. . COSTA MESA, CALIFORNIA OR ENGINEER Mid rjl Phrnnk NO. c ADDRESS Garden Grove FIRE [/,��. -�- 167293 Dike & Colegrove, inc. STATEZONE TYPE�J% GROUP / / G/Q CONTRACTOR LIC.NO. APPROVED DATE • ADDRESS 419 E. 17th St., Costa Mesa ZONING i LEGAL LOT 2822 ZONE NO OF USE OF NEW DESCRIPTION I NO. 31 I BLOCK I TRACT ill 7� I BUILDING t f—kVTti LG APPROVED / ) /� j0 •}� C 7 A.P.NO. BV A! (/ /J DATE I SIZE 70 X 105 I NO.OF BLDGS.none YARDS Ike(LOT NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT .17-71 FT. IN. SETBACK LINE FROM 50 2 192 CENTER OF STREET REAR YARD R.SIDE I a- FT. IN. SIDE YARD LEFT 101 I RIGHT 12� L.SIDE 1 0 FT. IN. DESCRIPTION OF WORK REAR -q FT.t./ 411N. NEW I X II ALTERATION I II ADDITION I - REPAIR I I MOVING I II DEMOLISH I G SIZENO.OF 2 BUILDING 3516 ` ROOMS 1STORIES . EXTERIOR WALL ROOF rVl:� g ii COVERING .gtme.nn I COVERING USE OF BUILDING AND WORK TO BE PERFORMED 73o a Multiple family dwelling with attached garage. •(Four living unitsr Pln. 4 D. 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. eviLDING CONSTRUCTION. � VALUATION • SIGNATURE OFA a PERMIT FEE $ 50.00 PERMITTEE `�../'/✓ y 00 $ 30,973.0" PLAN CHECK $ 25.00 AUTHORIZED AGENT Dik & Colegrove, Inc. TOTAL FEES 75.00 • OWNER DIKE & COLEGROVE, INC. DATE 10-27-59 JOB ADDRESS 29814t Royal Palm Drive, Unit. B BUILDING PERMIT NO. 10626 GENERAL CONTRACTOR Dike & Cole grove, Inc. VALUE $ 30,973.00 AP. No. LOT 31 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK INSPECTIONS /e 3p_y DATE I GROUP TYPE ZONE Underground Soil 4.9 U.G. Water/g{ //-.j=6'bPERMITS ISSUED SUBCONTRACTOR Underground Gas _ DATE NUMBER Overhead Water and Gas _ _ Rough Heating Rough Plumbing _ • _tit_c_t/ ®VI ? 7 195Q °Pa ss-g Miscellaneousp _ Prop. Swr. Line House Con. St. Swr. \ �7�G1 Sprinkling System \ y Heating, Final (� �71,a \ q �� Plumbing Fixtures J s{/ (/` r� Final Gas Test /!) L..-G!/ Vge / Construction Pole / Underground Power ��n • Rough Wiring 14 .e'gJ f(I C. ne e, /i - s% / a J'�7 Trenches7j Forms teel // Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing 1 12,-1'7 Frame and Flashing 07-') 1 Lathing, In Out t7-1 U Plaster, brown coat 1t ' 1-'2 i ' Plumbing Fixtures, Final 171 Electric Fixtures, Final A`9"'� /O? Building,CFinal ,(� u' /2J2 a4 OCCUPANCY � i-b CL Form 210-3M-4-59 UNIT B 10626 OWNER DIKE & COLEGR INC . DATE 10-27-59 JOB ADDRESS 2984 Royal Palm Drive Unit c BUILDING PERMIT NO. 10626 GENERAL CONTRACTOR VALUE $ AP. No. LOT 31 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK INSPECTIONS /a,-3,_,s GROUP TYPE ZONE /f.� Underground Soil i U.G. Water/.T//:f=6 D SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE _ NUMBER Overhead Water and Gas *MC 12-.16' __ Rough Heating 3 t$ /Z,,,,,n i Rough Plumbing _ — ' _ _e{wJT 2 7 19b9 - .3.5" Miscellaneous -_. Prop. Swr. Line House Con. St. Swr. r D Sprinkling System 1•�_1 .0 Heatibxt L_.f! / Plumbing Fixtures � W -WC) �. /N✓y Final Gas Test �!;/./r LJ /1-71771(1 • Construction Pole Underground Power /� Rough Wiring `7h& 0 Gly ti&A/ /1,6/37 /odr-2/_?/ Trenches "' Forms/{ Steel/01f-- 11-2-.71( Floor Syst m Steel Reinforce Chimney Re-Rod Bond Beam _ Sheathing a' 11"- _ Frame and Flashing tn, I2._.1 i Lathing, In Out r'� ly-'.0c Plaster, brown coat I-(2.- Plumbing Fixtures, Final 4.44.' -/, r Electric Fixtures, Final 31~ ")-- Oilding, Final OCCUPANCY A/W 2:-/7-Cal/2-7t-��/".J Form 210-3M-4-59 UNIT C 10626 OWNER DIKE & COLEGROVE, INC. DATE 10-27-59 JOB ADDRESS 204 Royal Palm OH v-e., Unit li BUILDING PERMIT NO. 10626 GENERAL CONTRACTOR VALUE $ AP. No. LOT 31 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK INSPECTIONS 4..--4,0_4,-p DATE GROUP TYPE ZONE Underground Soil NJ-/S U.G. Waters //-S—S PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas,_________MIS 1s15t9 Rough Heating- 4,75 i4 r �v Rough Plumbing '"�" ' c..--) ,- J 01T 2 1 1959 ra7,2,3,5-, Miscellaneous Prop. Swr. Line House Con. St. Swr. ! Sprinkling System tt.�. hili° D Heating, Final W da, -rpa — h ,Ii Plumbing ixtures � .2.: 2 9- fill Final Gas Test � �. z Construction Pole Underground Power /- Rough Wiring 104ter? i I`fJ!C('/%5--e- 9-- ,i i//G/S9 / ofd ' Trenches ft Forms Steel fijj if�2. -,qt ' Floor System Steel Reinforce Chimney Re-Rod _ Bond Beam Sheathing l'' /5-/7 Frame and Flashing /' /n-4 1 Lathing, In Out 11--1C Plaster, brown coat ft' I-/4-- I Plumbing Fixtures, Final Jai -(7-6 Electric Fixtures, Final 1216-F0� Bu OC1CUPANCYI )L . J AIN4 Form 210-3M-4.59 UNIT 1) 10626 APPROVED CITY OF COSTA MESA . PLANNING DIVISION SUBJECT TO BLDG DEPT REG. DDIT/ONS. DELETIONS, iRRECTIONS SHALL RE A PPROV! 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