HomeMy WebLinkAbout3481 VENETIAN DR - Building PermitsJob Address:
Suite:
Viciniry:
Primary Occ
Parcel Number:
3481 VENETIAN DR
ROOF
R-3 Dwellings/ Cong Res <10
41237105
Type of Construction: V-N
Zoning: R1
Applicant: KIM MCCLAIN
Address: 72812 VALLEY VIEW ST
STE 33 � -��� `. ' ,' �Phone��_ (714) 897-1780 ISSUED BY:
GARDEN GROVE CA ---" '. � - Zip: ,92845 �- . " _
Status: ISSUED
Applied: 11/07Y2005
Issued: 11/07/2005
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Owner. FISCHER,'PAMELA�-' �, � �`- � - "
Address 3481 VENE�TIAN.DR � -' � � ; �t � . ` : . . !
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- � x _ � �� Phone: 310-428-215 ' � �
�COSTA MESA, CA � - � - _ " �� �.
� ,�, -�. � _�.�Zip: 926 ��
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Contractor. MCCLAIN ROOFING,INCy `�_ � /�� ���
Address: 72812 VALLEY VIEW ST ��;A �� �����A
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STE 33 � - • " = �� o ' (71 ) 897-1780 . ` � ��
- -- GARDEN�GROVE CA ` - � � � ,
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.� Zip:; .92845: ;� , • L ense: 625013 , � �,`� �c
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SCOPE OF PERMIT .� '
�TEAR OFF EXISTING ROOF. INSTALL 2 LAl'ERS OF ASTM SHAKE LINER, 40 YEAR PROTEX SHAKE ROOF
.INCLUDES ATTACHED GARAGE. _ . . _ ._ _ , . _ _, _ . - . �
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Plan Check: $0.00
`Permit: $181.25
SMIP Res.' $1.00
SM(P Com: ` . $0.00
� .-OtFec �', '. $0.00
�'Inspection: _�;' $0.00
, Total: $182.25
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License: ��, - �'•. ; �
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i2j5.3t LBS%S:F. 2,600S.F:
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_-., FEESUMMARY, -. .-._ "`
- Calc Valuation: S�o,000.00,
_ _' Claim Valuation: ,sio,000.00
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PLANNING &•ZONING •--� ' � '
SETBACKS < ' � =�. � �� '�' ;�- �'
MAIN STRUCTURE Front � 0 0 �� '- Rear � '0 0 � � � Lefl -. 0 0� " �`- � �Right -0 0 � `" � '. '
ACCESSORY � Front .0=0 \\ ���Rear � 0 0 � y�' �left^ 0 0- c, � Righl�������) /�j �
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=� ���i�..: � � - a � ° . 7 !/- � � � .C/�/ i
PARKING Ezishn :' ';0 -,Reauired o'' ' Pr000sed.: - 0 , :� ' i
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NOTICE: The work authorized by this permit shall compy with all applicable handicap access requirements under Califomla statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become vold 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 ihis permit to be considerad legal, such work must comply with all applicable codes, and all
requlred Inapettiona end flnal aDP�oval must be obtained. Failure to obtain inspections and final approvel wlll result In the explration of lhis pertnit.
FOR INSPECTIONS CALL: (714) 7545628
zaasde �aroo�
WORKERS' COMPENSATION DECLARATION: ' � ' '
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I hereby ettirm under penelry of perjury one of �he lollowing declaratlo�s: �� � .'.
❑ I heve and will maintain e certificate ot consent to self-Insure for workers' compensetion, es proWtled tor by section 3700 ot the Lebor Code, tor the pertormance oi Ihe
�work tor whfch t�is perrnj� is issuetl. ' �
I maintain workers' compensatbn insuranm, as raquiretl by sectlon 3700 0l ihe Lebor Cod9, tor [he peAortnance ot t�a work fw whkh Nis pertnli is iswed.
:ompensa� ln Insurence carner end policy number are: % �-f
n! f VIU.� Policy.Number. �! I�7�v Zuu�
nof be cory�p/ete0 i7 Ne permlr is ve/ued et one bundre0 Uollars ($100) or IessJ C �-
❑ I certity that in Ihe peAormance ol t�a work tor which c�is permit is iuueQ I shall not employ eny person in eny manner so as to become subl�� to t�e workere'
wmpensatlon laws of Calitomia, anC aB�ee thal U I sAould becwne subject tn the wwkers' canpensetlon provisions ot Section 3700 o11he Lebw Code, I sAa11 twthwlth
comply with these pro�; onse —� /
Apptkanl'SiBnature: l�O�V �Dato:_ �l /7 [ D �
WMMN(3^fAiLURE TO SEWii� WpRKE0.5' COMPENSrITION COVEMGE IS UMAW FUL AND SHALL SUBJECT Ml EMPLOVER TO CRIMINAL PENALTIES PND GVIL FlNES UP TO ONE HUNDRED
T110USAND DOLLARE (E100.000), IN ADDfiION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIOEO FOR IN SECi10N 9]OB OF THE LABOR CADE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTOR$ DECLARATION:
Hirm lheLl.em.license0 ntler proNsl ns ol Cheptor 9(wmmendng with Sectlan 7000) of DIWsIon 3 of iho
enec�. uc. n ' l'02 i�l � �c�ass
r's Slgnewre: %��/VI _ Deie:
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Code, and my license Is in full
CONSTRUCTION LENDING pGENCY: ,
❑ I hereby altirm ihat there is e construction lending egenty tor the pertortnance o( the work lor whfch Ihls pertnii is issued. (Sec. 3097, Civil Cotle).
Lender's Nema: Lenders Atldress:
Signeture: �'��l Date:
OWNER-BUILDER DECLAqp7lONS:
I hereby eflirm thet under penelry ot perjury that I em EXEMP7 FROM T11E CONTRACTORS LICENSE LAW lor Ihe following reason (Sec. 7031.5, Business entl Prolessians
Cotle: Any dry or wunry which requires a Oermit to construct, alter, impwve, demolis�, or repair any awcture, pdor to its issuance, also requires t�e applicant for such pertnit
to file a signed statement that he or she Is Ilcensetl pursuam to the provisions at t�e Comractore License Lew (Chepter 9(commenGng with Section 7000) at Division 3 of Ihe
Busineu and Professions Code) or t�ai he or she is e:empt therefrom antl the basis for the alleged e:emption. Any violation ot Section 7031.5 by eny appllcant tor e permit
sub�ects the appliwnt to e ciNl penelty oi not more Ihan five hundred dollars ($500).):
❑ I, as owner ot the pmpgny, or my employees with wages as their sola compensation, WILL DO THE WORK, entl the strucWre Is not imended or oflered for sale (Sec.
7044, Business and Professions Coda: The Coniractors Ucense Lew does no� apply to en owner of properry who builds or im0�oves Ihereon, and who tloes such work
himselt or herselt or through his ar her own employees, pmvitled Ihat sucfitmprov_ements ere not Intendetl or oHered lor sele. II, however, ihe 6uilaing or ImprovemeN is
5Wd within one yea� of �pmpletion, the ownerbuiltler will have the burden o� proving that Ire o� she ditl not buitd or improve io� purpose of sale.). �
❑ I, as owner oF the pro{rghy, em E%CLUSIVELY CONTRAC7ING WIT}1 LICENSED CONTRACTORS �p construct tha project (Sec. 7M74, Business and Professions
Code: The contractors ��cense Law does not apply to an owner of property who bullds or improves Ihereon, and who contracts tor such pm�eM wit� a wntractor(s)
license pursuant lo ihe Contractors LicenSa Laws.).
❑ I am exempt under sec, Business and Professions Cade br Ihis reeson:
Signawre: Date:
Owner ID veritied by tlnver's licen5e. ❑ Yes ❑ No Orivefs LiCenSe No.
Verilication ot Ownership by (rype of document, i.e. - properry tex bili or tleetl):
E:pires:
DIVISION OF INDUSTRIAL SAFETY VERMR CER7IFICATION:
❑ I hereby certify Ihai no excavetlon five (5) ar more feel in deD�h into w�ich e person is required to descentl, will be mede In connecUon with work euihorized by Ihls
permit, end ihat no builCing strucwre, scallolUing, falsework, or demolition or tlismentlinp thereal, will be more then thirry-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Celitomia qdministraWe Cade).
❑ As owner-buildar, I will not employ anyone to do work which would require e permit Irom the Dlvision of Industnal Sefary, es noted ebova, unless such person has e
pertnit to tlo such work from the tliWsion.
Signature: Date:
Division of Intlustnal Salery Pertnit Number.
CER7IFlCATE OF COMPLIANCE AND AllTHORPA710N OF ENfAY: I certity under penalry ot perjury that I have read this application antl state Ihat the infortnation given is
correcL I agree Io compty Wiih ell state laws anC dry ordinances relating to building construction, antl authodze represemetives ot �he Ciry of Costa Mesa Io entar upon ihe
ebove-descnbed prope�y for inspection purposes. I agree not to occupy or allow occupancy ot any building aul�orized by this permit until final inspection.
CODE �. INSPECTIONTYPE '
1616 Fixetl System Fina� Fire Prevomlon
1286 Pool Spa Final
200 Final RaRool -
201 Final BIxWRetaining Well
202 Final Factory Fire Piace � �
203 Finel Sign
204 Final Demolition
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'COOE!" INSPECTIONTYPE
206 • Finel Machanical
208 Final Plumbing
210 � Finel Electrical
212 Finel Flre Prevenllon
220 Final Plenning Approval
222 Finel Slle �
250 Final Builtling/Occupen�y
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Post Office Box 'I2UG
77 Fair Drive
Costa A4esa, California 92626
p14) 556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. / �V � Date _ �D - �/— %;Q�
Lot No. �
. �
Add ross
Tho cJwnlo��cr of thu ;�bovc c:ntitluii tract dusirus to scll thq :�bovu
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 werel 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 thar� those conditions protected by surety bond.
The undersigned agrees to indemnify and hold :he City harmless
trom any claim resulting in damage or persona! injury to ihe undersigned by
reason of the aforementioned uncompleted condition.
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CIiY OF COSi.1 MESA
PLANNING DEPT.
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. "p COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use (nk Only
BUILDING ��r� �/`�G ' �
ADDRESS 7 (/
OWNER FOLF.Y FANIIiY TRUST
MAIL __ . ..' _ _
arv Ga»{(
CON5iflUCTION
BRANCN
AODRESS
ARCHITECT
AODRESS 7�
CONTRACTOR
ADDRESS
CITV
STATE
LIC. NO.
SI2E
OF LOT
USE OF
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TEL.
NO.
TEL.
TEL.
NO.
CITY
IIC. NO.
NO.OF BLDGS.
NOW ON l0T O
Separate permits are required for
electrie, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby ecknowlxtlge that 1 have raatl this application antl state
that the ebove in}ormation is correct antl eg�ee to comply with
all laws re8ulating builtlinB consiruction, antl I shall nat employ
any person in vio�ation of the wo�kman's compensatian laws of
the State of Califqrnle.
I hereby certify that I am properly Iicensetl as a contractor under
the State of CaIlfOrnia Businass and P�ofessions Cotle, Division 3,
Chaptar 9, antl that such Iicanses are In full force antl effect, ar I
am exampt from the provisions of tha State of Californie Business
and Professions Cqda on 3, Ch ter
Slgneture of
Pe�mittae 1
PA'o 348.46
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FORSTRUCTURALPERMIT
JATE RECEIVED DATE ISSUED
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ADORESS 3481 Venetian Di1V2
TRACT Q<iO� lOT �i
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OWN R �
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FIRE
20NE
APPROVED
BV
ZONE �/
VAP�S/
DIS7ANCE BET
THEAMOUNTSH
THE PUqPOSE OF I
VALUATION
$ �a/ �,� �-
L �A��$ • p d
� GROUP
�AT�� �f /°
USE OF NEW ti,..b
BUILDING ��
VARDS APPROVEC
ACCESSOPV BUILOI
BET. MAIN &
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VN UNDER VALUATION IS FOR m
'ABLISHING A PERMIT FEE ONLY: �
PERMIT FEE $ a
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PLAN CHECK 5 ^�
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TAX $
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TOTALPAID $
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�'�S'�fA MESA BUILDING-SAFETY DEPARTMENT
s� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Eor Applicant to Fi0 in Completely — Use Ink Only
BUILDING �y8� Ueh�.fi� ��,r.
ADOFiESS�
OWNEF Mr, Tun G
ADDRESS 3 �B/ Ue�ve-tiAN
TEL. ���/h
CITV � r1.C%A JNP.CA NO.
BRANCH
AODRESS
ARCHITECT TEL.
:ATION F0� STRU(;1'UxAL PERMIT 5. 50 .PL
D BV DATE RECEIVED DAT I S D
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/�_ -�/)/� � �j ERMIT NO.
-s i .�
TFACT
OWNER
t � '
LOT.'y BLOCK
� APPROVED
CONTRACTOR er BV DATE
ADDRESS
TEl.,3'yQ� ZONE NO.OF USEOFNEW
CITY NO.
' ' PLANS BUILDING
F STATE CITV `�ARDSAPPROVED VARDSAPP VED
� ��_. N�. 3 5�84 3 LIQ NO. MAIN BUILOING ACCESSORY BUILDINC
{x� SI2E NO.OF BLDGS. (FROM GL STREET)
4 OF LOT NOW ON LOT RONT �� FT.
Q USE OF `
� EXISfING BLDG. SI ✓�FT. FT.
Vl � /
� Separate permits are required for L. SIDE �r FT. FT.
electric, plumbing and heating work. /�
WREAR VFT. FT.
[..� USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BEf. MAIN&
Q/ D MAIN BLOCS. ACCESS. BIDGS.
VAR.# DATE
'-� C.U.P.�Y'+ ` APPROVED
} APPflOV � � /t � 7�— ',1
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0 I hereby acknowledBe thet I have �ead this application end state
� that tha above info�matlon Is cOr�ect antl agree to comply with
�+ all laws regulating building consttuction, antl I shall not employ
Z any person in violation of the workman's compensation laws of
� tha State of California.
5
3 I hareby certify that I am prope�ly licensetl as a contractor untler SQ. FT.
the State of Californla Business antl Professions Cotle, Dlvision 3, THE AMOUNTSHOWN UNDER VALUATION IS F(
Chapter 9, and that such licenses are in full forca antl affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONL
am exempt from the prOvlSions of theSYate of Califo�nla Business VALUATION PERMIT FEE $ �
antl rofessionsCode, Division 3, Chapter9.
^�1 � / � PLAN CHECK $
Slena ure of /�y� _ � �—� •
ttee / //A('• Q- � � TAX $
/ �Qa�
AuS o�ize nt _ TOTALPAID $ C
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