HomeMy WebLinkAbout3217 WASHINGTON AVE - Building Permits�
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PBOJEC7 AOOflE55: 3 2 S 7 WASH Z NGTODI AC' uxir:
OWNEF'SNAME:CASH, THEODOAE R JR FLOOD: X 37
aooeess:2321 N EUCLID AVE
UPLAND,CA 91786
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PflCM/ENGINEEfl:
AUDflESS:
flEG.NO.:
UNIT:
PENMITTEE: $AIN ROOFING ( 714 ) 586-6890
aooness: � 415 ALABAMA C
H.B, CA 92648
LICENSE� CONTPACTOfl OECLAflATION: I hereEy aflirm Ihal 1 am ' ense0 untler D�ovisions oi Chapter 9(commencing with Section
7000) ol �rvision 3 0l IAe Business anE Pmlessions CoOe. an 1¢e se is in �ull i rce n0 el�ect.
cirruc.:059711 srnreuc.:62683' e ss:r - � vn. 07/95
Daie�. _� SignaWre: _ —
WOPNENS' COMP NSRTIO�: I AereOy allir I have a certi�i[ate ot 5en1 ta sel4insure or a certiticate o� Workers'
Compensalion. nsnranc . rm ndi covY �hereof I�ction 3800, lab. CL
POLICYNO.:�<o1P�iJo�—�v E%P.ORTE:IL/OI/9�
coMraxr:STATE FUND
.� Cerii�ietl copy is AereUy fumis�ed. � Cerii�ietl copy i iletl 0 Buil rvision.
oa�e: (2��'1' �� ApPlicanC
E%EMPTION FBOM WOXKEP$'fAMPENSPiION OELIAflRTION: QNsseclion nee0 nolDe[om0 te0it�he permti5�aane hunOfeO(Si00�or1e55�.
I cehity �hal in t�e perlormance o� t�e work �or which Ihis permii is issued. I s�ali no� employ any person in any manner so as to become
sublact lo ihe Workers' COmpensation Laws ol Calitomia.
�ate: SignaWre:
NOTICE: II. atter making t�is 4eclaraiion, you ShoWC Cecome subject Io Ihe Workers' Compensa�ion pmvisions o� �he Lahor
Coae. you musl Iotlhwilh comDly wit� suc� pmvisians or I�iS permii shall be deemed revakea.
CONSTHIICTION LENOING AGENCV: I �ereUy allirm thal ��ere is a conSlmciion lenaing agency br I�e Oetlormance ol [�e work �or
which ��is permit is issue� (Seciion 3097, Civ. C�.
IENDEN:
aooness:
OWNEP BUILOEB OEClAPA710N: I hereDy aHirm �hat I am eKempt Iwm t�e Camracmrs' State License Law for Ihe tollowinq reason
(Seclion 7037,5 Business ana Pmlessional Cotle: Any city of tounry wllic� reQuires a permit to consimct, alter, improve, demolis�, or
repair any S�mcWre. prior lo its issuan[e. al5o reQuires I�e applicant �or such permil lo lile a sipned Sfalemenl Ihat he/she is li[ensetl
pursuam io tne D�ovisions oi ihe Convacbrs' S�ate License Law �C�ap�er 91�ommencinq vn�h Section 7000� of Oivision 3 of IAe Business
ane Pmlessions Cotle) or that �els�e is exempi t�eretrom and t�e Gasis lor t�e alleAeO eeempiion. Any violation ol Section 7031.5 hy
any applicanl for a permil suCiecis Ine aDolicant lo a civil penalty ol nat mort rtWn IWe huntlretl tlollars (3�`�1.
I. as owner oi tAe OmDerty or my employees wit� waAes az their mle compensation, will Eo ihe work, and ihe
❑ slmclure is nol intentletl or o�leretl lor sale (Section 70ad, Busine55 anC Pmfessional CoOe: The Contractors' State License Law
tloes no� ap01y lo an owner o� a pmpeny w�o huilds or improves Ihereon, and w�o tloes suc� vrork �imsell/�ersel� or ihmugh
nis or ner own emoloYees. provieee inat sucA imDmvemenls are noi intenaea or olfere0 lor sale. II, howevei Ihe builtling or
' imOmvemeni is soltl wilhin one year o� comDlelion. i�e awner will tWve Ihe hur0en ol pmvinA hUshe Aitl not bui10 or impwve
loi Ihe ourpose of salel.
I, as owner o11Ae pro0etly, am exclusively conVatliny wiN Iicense0 comraclors lo cons�mct ��e pmjeci �SeCiion 70a4, Business
❑ anJ Pmtessions Coae'. ihe Comracmrs' S�aie Litense Law OOes noi apply Io an ownef ol DropeM who �UilUs Or improves �hereon
and w�o con�raGis lor sucA DrojeQs wilh a coniraclor�s) license pursuani lo iM1e Conlraclor5' Slale License Law�. I am aware
inal pmol ol ineir Worker's Campensalion insurance snoula Ge provia¢E to me.
� I am eKempl under Section'. B. 8 P. C.
bt this reason:
Oe�e'. Owner
I tlo �ere�y cenify Ihat I am aware of and un4erslanA I�e requiremems af Cahbmia Health and Safely Cotle Sections 25505, 25533, and
2553a antl ihat I or any fu�ure building occupanl will/will nol �circle one) nee0lo comply wilA SaiG state cotles an0 tAe reduiremenis br a
permii lor tDn5lmtlion Or mo0ilitalion irom t�e Air Oualiry ManaAemen� OiSlrici. FevAen�ial wnsiruction ap0liCa�ion5 are eeempl Imm
I�ese pmvisions.
�ale'. ApplicanL
I Itereby rer�ity Ihal I Aave rea4lAis applica�ion ana 51aie I�at Ihe int {�pCaJs6erW agree to tomply wi�h all ciiy and county
ortlinance5ana5�a�elawsrela�inglobwltlingcons�mciiona �r6resemativesof�m iry�oenterupon��eabove�meniionetl
P�aPetly brinspeclion purpqases.
�are:����f � Signaiu '
oriver's �icense or Sociai Securiry a:
i6aLa6 Wh�te—Buildmg: Green—Code Enlorcemen�; Canary—AOO��cant; Pink—flevenue; GOldenro0—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 070317
PEP,MIT NO: B 070317 PLAN CHECK NO; N GOVT; P] SUPF: N
CONSTRUCTIOA7 TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOb DESCRIPTION ; T/OFF SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 9,500
CLAIM C'ALUE; 4,500.00 CALC—C'ALUE: 4,500,00 GROUP OCC: R-3 /M-1
COMMENTS: REROOF 2400SF RESIDENCE, SMOKE DETECTORS REQUI D PE4 91UBC
****�*����*���>��:�****�4«����*�***���»*�*��**.�**���*� »;����,F��"i��T�C�T�R
Z O N Z N G R E Q U T A E M E N
SETBA�KS R�QUIRE�,, .
------------ MP.IP1 HUILDING ---------- — AC�E5SORY BUILDING '�"�"�
___'_'__ � � __'_'____
FRNT: FT IDJ P,EAR: FT IP7 FP.NT; FT IN �EAR; FT IN
LEFT; FT IN RG?iT: FT IN LEFT: FT IN RGHT: FT IP7
PP.RKING P.E • PROV; PARCEL: 13909604 ZNE: REF NO:
PLANNING N TES>
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U E V E L O F M E N T S E R CT I C E S P, E Q U I R E M E N T S
20NZNG APF�P.UVED BY Dr1TE;
BUILDZNG APFROCTED BY : DATE:
APPLICATION ISSUED BY: �}�p DATE: �2 �( �—(�
'IF'kiEiEM'IFM"li�'IEY'iflf'✓"�1f!f'IFjii("l1F+R]I�K'1liL'IEatY'Y."XY'Y'K'VifM'+tj('YYK'V1E1F ��F'hiEYM'iE'Y'1f�V'�F1Eifif�K-ifM�iL4bbY"IFiF�'YY-%'M'1E1f'IF1kT`Af
f af�lE it if k if if�Y it�lt ti�x ii-i tEit iF +F�k r i1�F+t N�1t�1/��f i! ifif i� iF ifif k�ih {f iE ✓ if 1E�.' if-if #`r-�E rt�1f if-i4 i�Y-+E�Y iF +f�lf ifih�ih it il�lf�la u iF �r if :e }fi� te if��V 11�?f iE
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES Gp�nrrar,
PEP,MIT 72,00
P L AA7
ISSUE F�E
BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECN.
TOTALS----> 72,50 0.00 0,00
P.EVENUE DIVISION TOTALS--> COLLECTED;
� BLDG PMT PLUMBIDJG ELECTRIC D9ECHANIC
%2,0�
.50
SMIP;NON—RES
TOTAL PAID DUE
72.50 72.50 ,00
72.50 OC�ER/SHORT: 00
FIRE Sl1IP/TOT GP.ADING PLAN—CHECK
.50
iF 1E if fi�k it # it ia ifi! i4 if�Y #)f 4i' fi ff# if i: ikiF M if #+f is 1f if 14 iF jE if�lf if ii 4 1(�# MiC #af if iE it �f ifM if if iF1f if iEiE it�ir�K iF iE iF V+f ih V aR if �f ##�fM # af #
I N D I C' I D U A L F E E b R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT CO5T TOTAL COST
SFR 4500 REROOF BY C�ALUE RESIDECITIAL NOZONE 1.00 4,SQ0,00
END OF FEES
a+ oaa�axse—aot�32t7 T O T 72.5C1
DAiE+ 1�/04/96 TIfiE: 20:33
-�
� •
COP�fRUCT10N AND PLANNING POOL ,PA
APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector
t. Temporary Electriwl Service or Po�e _ 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgmd. ` 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms -
4. Electricat Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumhing & Pressure Test i
6. Electrlcal UFER Grnd. 57. APPflOVAL TO COVER�GUNITE i i
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Tesc ' i
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, C Undrgmd.
10. St�uctural Floor System • ' 61. APPROVAL TO DECK �-
17. Properiy Sewer line & House Connection 62. Backwash & Receptor�Pinal
12. Sewer Cap ' - 63. Heater & Vent�Final
73. Roof Drains 64. Plumbing System � Final
74. Rough Plumbing 65. Electrical�Final
75. Rough Electricai�Condwt 66. Solar SVstem•Final
16. Rough Electrit Wiring 67. Fencine� & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electriwl-T Bar Ce�.ling 69. POOl/SPA SYSTEA75 FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIRENIENT
20. Rou9h Factory Fireplace APPRQVALS Permit �F
21. Oucts, in Siructure )0. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oii
23. Gas Pipe�Rough & Test 72. Under9round Flush
24. Roof Framing 73. Undergmd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing !�_rz-q!,/ 6(�� 74. Overhead Hydro
�
26. T-Bar Cedmg (Structuraq & AAonocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINA�
30. Dryevali Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electncal Po�ver Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air CondiUoning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbin9 �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42, Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations �
47. FINAL STRUCTURE & BUILDING /Z �/�-9y ���
[ �
46. FINAL PLANNING �
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
� 1281£�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX :317 COBTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRE88 3217 Eaashington Avenue
COSTA MESA. CAUFORNIA
Baker Street
1533 Baker Street
Costa Mesa, Ca1if.
$IZE LO X loo I NO. OP B
OF LOT V NOW ON
use or+ None
EXI6TING BLDG
6ETBACK LINB FROM
IiHSET SO� REAR YARI
ILEFf S� I RIGHT 7C
DESCRIPTION OF WORK
I A II ALTERATION I II AODITIO
BUILDING
ZONB
R-
LEGAL
F�E ��,��VEd
,
`� FINAPICE DEPT.
CIiY OF COSTA MESA
APPLICATION FOR PERMIT
euauiN�
For Office Use Only
HBGEIPT NO. PlRMIT�NO.
GOSTA MESA, CALIFORNIA
ZONING
NO.OP U6E OF NEW •
PtANB 2 BUILDINfi �/ aJ.J.. Q .
�, �,
YARDS
APPROVED
, IC6tfT6H LIN6 BT.)
EXTERIOR WA1�L ROOF
COVERING Lll�CO COVERING WOOCL St1 l.E
USE OP BUILDINO AND WORK TO BE PERFORMED
Single Parnily residence with
attached ara . Plan 2]B
I HHRBBY ACKNOWLP�OE THAT I NAVe R6�D TH16 APPLIWTION
AND,BTATE TMAT THE ABOVE 18 LOPRBGT AND AGPE¢ TO COM-
PLY WITM �LL CITY GROINANCEB AND BTATB LA FEGULATINO
BUILOINO CONBTR�. �j ��
SIGNATURE OF �/
' AUTHORIZED AGENT Dike 8C �E6legrove, Znc.
THE AMOUNT BHOWN UNOBp VpLUAT10N IB pOp THH
PUi1P098 OP 69TABL18HIN0 A PERMIT P¢8 ONLY.
VALUATION
PERMIT FEE $ 36•
S 16�01. 18.
PLAN CHECK $