HomeMy WebLinkAbout2838 TABAGO PL - Building Permits 1
CITY OF COSTA MESA
/4 BUILDING DIVISION
F4 i) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:(714)754-5626
eb
PERMIT NUMBER: B09-00066
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 13933208 DATE ISSUED: 05/04/2009
ISSUED BY: KJB
JOB ADDRESS: 2838 TABAGO PL CM Suite/Unit:
Vicinity:
Squares: 2500 Valuation: $10,000.00
SCOPE OF WORK: TEAR OFF EXISTING.ROOF. INSTALL SHEATHING.COVER WITH CLASS A PRESIDENTIAL SHINGLES. INCLUDES
ATTACHED GARAGE.2500 SO FT.
OWNER: GREELEY,DANA G Address: 2838 TABAGO PL Unit:
PHONE: 949-683-5913 City/State/Zip: COSTA MESA,CA
APPLICANT: PANDELL,KEVIN Address: Unit: :
PHONE: 7146327663 City/State/Zip: t!‘41-00066
CONTRACTOR: DEPINHO ROOFING License No. 683894
Address: 2832 N OLIVE AVEUnit: PHONE: 714-632-7663
City/State/Zip: ORANGE,CA 92665 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE: .
•
FEE SUMMARY
Reroof Plan Check: $0.00
"-
r. INCLUDES
Reroof Permit Fee: $181.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
Unit
TOTAL FEES $182.25
LtiC
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DATE IMTITIAL$ CODE* INSPECTION TYPE DATE °, _INPnALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
S-11- 0q 200 Final Re-Roof O-11- 0q G 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
dl I ;
WORKERS'COMPEyySATION DECLARATIO Owner ID verified by driver's license. 0 Yes 0 No
I hereby affirm under{Senalty tit perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
ryerformance of the work for which this permit is issued.
3 Phave and will maintain workers'compensation insurance,as required by
-•1•n 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
10I hereby certify that no excavation five(5)or more feet in depth into which a
perm?is issued. My workers' compensation Insurance carrier and policy
number are: person is required to descend,will be made in connection with work authorized
fctii>s S—s..a❑L..t(J.tJ 4 by this pemtit,and that no building structure,scaffdding,falsework,or demolition
(This sen need not be completed ifthe permit is valued at one hundred dollars or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
dio
2,Art 2,Sec.341.Title 8,California Administrative Code).
®P-olioy'4Jimiber4Jono ? 3'y - 2o09
0 As owner-builder, I will not employ anyone to do work which would
O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
bec• : subjyy'•• o the workers' compensation provisions of Section 3700 of
di- La,or C s I •g�W'th comply with these provisions. Applicant's Signature Date
�' is Division of Industrial Safety Permit Number:
aAmt ^ttSSlgnarure d
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
mommy tic e is infull force and effect. G(" a registration form for acutely hazardous materials? 10 Yes 0 No
�027,r, I E1#tl (Section 25533 of the California Health and Safel Code, with some
Cl-•C • exceptions. requires registration with the Costa Mesa Fire Department by
J' each business which at any one time has on hand a quantity of acutely
&q,„....".649..3,,,, E-t _ , 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code).- prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 10No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contracta(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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
authori a by this permit til final inspection.
Signature Own D�
Signature Date ,
3057-4613/07) 9a_)2to=-nrroror Autnonzey�pp ant 1^, e,y
OWNER RIGGS) K. DATE i`_3
JOB ADDRESS . 036 BUILL__,G PERMIT NO. 19245
GENERAL CONTRACTOR Continental_C.onstnlcton VALUE $ 517._00
AP No. 139-332-08 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.B1k.Wafl
INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. ❑ St.Swr. 0 _
Sprinkling System
ConstructimiPole
Underground 0 Power 0
/Rough Wiring
Trenches le Forms f!'I Steel Remf. 17] £M'y-
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final _ t
Building, Final 1 14_11
OCCUPANCY
FORM BU4•5M - 7-61 c
19245 C. �
� - ',
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE D =P4
PMT
•
ESA
P. O. BOX 917 COSTA MESA. r. IFORNIA CITY I COSTA I'19
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING _ BUILDING
ADDRESS 7 SCA.% %gf9apQ.o Lis C6
COSTA MESA. CALIFORNIA For Office Use Only
OWNER \c . \�� . (. I RECEIPT NO. I/ PERMIT cO-5
MAIL I�'�° r D TE R CBIVEo DATE ISSUED
ADDRESS '24.3%� ‘A>>�Pa o o PI,. _Cm / �Q `{(,�Q _ i,�3I (' -1i�//
o-c a.�,'6 Sr... rEL.�4 'l` d/ �V C! // �CC.�(t-ci.d6) 'X�
CITY �a NO. -cv ADDRESS QR/
ARCHITECT TES COSTA MESA.
OR ENGINEER O. CALIF NIA
•
FIRE (��)
ADDRESS ZONE TYPE J..ROUP �f'
C�a-C 1v�..r�11 psi • APPROVED /U
CONTRACTORBY DATE
ADDRESS .% E\ S' ^ A -.+1 ZONING
\rte • ZONE NO.OF USE OF NEW net/4d�YJb t\+��. g 1 I Puns BUILDING (V
STATE .I� TEL. C`N�tq� LEGAL Lor 117 T/C 11 '09
LIC.NO. -�Z�t`� NO. DESCRIPTION
SIZE 7L/ ✓i OO' I NO. OP SLOGS. \ 3 •2- - Q �]
OF LOT __ll /( NOW ON LOT A.P.NO. /3 7 — •3 CJ
USE OF \ - YARDS EVES
EXISTING BLDG. -." 1/490-...•,.. ._ -
APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OP STREET REAR YARD
FRONT FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE o F• a .1 IN.
� �DESCRIPTION OF WORK L.SIDE p -
:14(../J IN.
/v)ALTERATION I V ADDITION I REAR FT. AIN.
NEWI �j
REPAIR I I MOVING I I DEMOLISH I APPROVED, /I/f��A DATE 7/3/7(-3
BUILDING NO. OF f�/D'
SIZE ROOMS STORIES
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE�TOF BUILDING AND WORK TO BE PERFORMED
i\1/4...b C`L NI-9 4. L-..-. . 4 e.'1%,\'t i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION," FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY DINANCES AND STATE LAWS REGULATING
BUILDING CONBTRU ON. - VALUATION.1�3 �.
SIGNATURE OF `� PERMIT FEE S
PERMITTEE .V..�. ••7 m_
$ ~// PLAN CHECK S ,— s
AUTHORIZED AGENT qq vcl
1 N, TOTAL FEE $ CJ D
u
OWNER PACESETTER JT. VENTUD.' DATE 6-6-62
JOB ADDRESS 2838 Tabago P1. .it #ill BUILL .G PERMIT NO. 1720h
GENERAL CONTRACTOR Walter F. Kenrich VALUE $ 120.00
AP No. 139-332-08 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Wall
INSPECTIONS Signature DATE GROUP J TYPETUI ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. ❑
Sprinkling System
Constructio�'ole
Underground 0 Power 0 _
Rough Wiring
Trenches'.. Forms U Steel Relit U Fri °r- 2-L ti
Floor System
Bond Beam 0 Steel Reinforce 144 tip '—'re
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric
ric FixtLures, Final �y
Building, Final C s.;' — �3
OCCUPANCY
FORM BU4•5M - 741 1(2011
172114 FEE RECEIVED
f COSTA MESA BUILDING-SAFETY DEPARTMENT I�'JUN
P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEIqjb�.
For Applicant to Fill In Completely APPLICATION FOR1PEIIEII?OSTA MESA
60 7 WI TYPE OR PRINT
BUILDING 9.. 8- 3 i 2 BUILDING
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERM/ NO G //
OWNER PACESETTER Sr ✓EkTuRC-
17
MAIL / ♦ > RECEIVER EY DATE RECEIVED I0.T DAT ISSUED/ /
ADDRESS ICO S-3 / L� 6-4-- CT al-6-6 r
TEL.CITY Cc S TA /UI ES4 NO. BUILDING -� n3 n
ADDRESS Ol .T O ,cza...ete'� ,-
ARCHITECT _� TEL. COSTA MESA. C 11FORNIIA i
OR ADDRESS EER NO. ,
FIRE
ZONE TYPE GROUP _
CONTRACTOR 441414‘. F /J1IMP itf APPROVED DATE
F
ADDRESS 2- 33 sER Xf p
6 / L. ZONING
CITY GOS 7-4 Ai EJ )/ =O71..1 (
I PUNSF USE OF> I BUILDING NEW
LTC.NO. /679S-1 No: —93 2 ti/ LEGAL
DESCRIPT/ONA-A�✓T 73 r l D O Y
SIZE NO. or BLOCS. ✓'�33 .�/
OF LOT 7� NC) NOW ON LOT / A.P.NO. / 3 7 3 32 —o 3
UBE os == =,== =t0,= T YARDS EVES
EXISTING BLDG. lI (' APPROVED ALLOWED
SETBACK LINA PROM _J (CENTER LINE ST.)
CENTER OP GIBBET REAR YARD V FRONT SFT, IN.
(✓ IC/
SIDE YARD. LEFT RIGHT R.SIDE FT. IN.
DESCRIPTION OF WORK
•p� I II L.SIDE 1T. IN.
/
NEW 1 B ALTERATION I ADDITION I REAR �J FT./� / CIN.
REPAIR I II MOVING I II DEMOLISH I APPROVEDY ' y/ J9 DATE 6, —Co-/��
BUILDING NO.OF-- (�[/ rI (Y ^
SIZE ROOMS STORIES '� ",
EXTERIOR WALL ROOF ����
COVERING �--COVERTNG
USE OF BUILDING AND WORK TO BE PERFORMED
Gam CRE T6 B ,L.a cy WA-I- I—
oN iftsT pAl. do Ai
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING
TU CONSTRUCTION. t-75 ) l A VALUATION c
SIGNATURE OF4daet /w/W_�- //'/ PERMIT FEE $
PERMITTEE / 6/( 4.
N
S Y PLAN CHECK $
I
AUTHORIZED AGENT !!! /` 3 o
TOTAL FEE $ it
(ce ep. Ai to� ct✓
Lot447 1396 � J, / �' , �j�
Ci PEAR 6 1981 y
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. 0. BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
���'{ BUILDING
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
f RECEIPT NO. j PS D..
OWNER
Investors Marine Inc. �a`��Sl-JJ YYJJ
MAIL 1600 W.Coast Highway RECE VED BY DAT/ RECEIVED DATE ISSUED
ADDRESS �[ a�7g}t ' I -3 -T�^ / �.2 R 1081
CMY Newport Beach,Calif. TEL blb77 BUILDING /f�
ADDRESS U
ARCHITECT Same TEL.
OR ENGINEER NO. n
eV
COSTA MESA. CALIFO IA
ADDRESS FIRE /I'�
ZONE TYPE GROUPJ P 0`/r
CONTRACTOR Mesa Verde Builders Inc. APPROVED
1653 Minorca Drive BY DATE
ADDRESS - ZONING e.e__
Mesa,Calif. ZONE NO.OF USE OF NEW/t!O I IS—
CITY Me$a
CITY ) 1
I PLANE ,�BUILDINOal(j.,..0-4 /
SIC.NO. 'I 81269 TE TEL
Ki 9-0395 LEGAL r/ �r L100$ r I/7
DESCRIPTION J
SIZE (4.50' x 100 1 NO. OF 31.555.0
OF LOT NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE PROM 42' 30'-6" (CENTER LINE HT.) / /�
CENTER OP STREET REAR YARD r� FRONT 7 >FT. (J-'- CO IN.
5' /
SIDE YARD I LEFT RIGHT R.SIDE rT. IN.
DESCRIPTION OF WORK
L.SIDE SFT. //_ IN.
NEW I X I1 ALTERATION I H ADDITION I REAR � �/�) O FT. (?I/N.
REPAIR I MOVING I DEMOLISH BYPROVE��T �/1p DATE �_6
S Z LDING 1500 SgrFt T2DDMB 6 STORIESI `X .x-14 �111/ff5 WYO�'P n
EXTERIOR WA!ALLS1Ullig ROOF (�
COVERING Te stucco I COVERING l le Y,,... cgV11(
USE OF BUILDING AND WORK TO BE PERFORMED ivy 7
Single family residence and garag
Model No. 550-B
i Attached garage 462 Sq.Tt.
I HEREBY ACKNOWL DGS THAT I HAVE READ THI AP LIGTION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT T E ABO E IS COR AND RE ITO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY I ORDIN NCEB AND TE LA a GULATING
BUILDING CONSTRUCT] VALUATION
�j
SIGNATURE OF- / /C/L— f ilt•O PERMIT FEE $ 3"
PERM ITTEF 1 I /J 1J 7?- 0N
I $ /(0/ O PLAN CHECK $ /V f� `k
AUTHORIZED AGENT ��- Q
TOTAL FEE $ E