HomeMy WebLinkAbout778 WESLEYAN BAY - Building Permits�-.
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Jobnddress: 778 WESLEYAN BAY
Suite:
Vicinity: THROUGH OUT HOUSE
Primary Occ: R3 Type ot Construction: V-N
Parcel Number: 93768020 Zoning:
Applicant: MARTINEZ, NICK
Address: 12774 E FLORENCE AVE
SANTA FE SPRINGS, CA
Owner: FARMEN, HARTNEY L
Address 1806 PITCAIRN� �
COSTA MESA, CA
Phone: 562-981-1600
Zip: 90670
Phone:
Zip: 92626
Contractoc THE HOME DEPOT AT HOME SERVICES
Address: 12774 E FLORENCE"AVE
Arch :
Address:
2ip:
SANTA FE SPRINGS, CA
2ip: 90670 -
Phone:
License:
Phone: 562-981-1600
License: 836021
Eng:
Address:
Status: ISSUED
Applied: OS/23/2007
Issued: OS/23/2007
Phone:
License:
SCOPE OF PERMIT
CHANGE OUT 4 WINDOWS LIKE FOR LIKE, NO CHANGE IN HEADER FOR A SFD. WINDOWS SHALL COMPLY WITH 1997 UBC EGRESS
REQUIREMENTS.
FEE SUMMARY -
Plan Check: $0.00
Permit: $57.05
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Calc Valuation: si,sso.00
Claim Valuation: si,sso.00
- Total: $57.55
PLANNING 8 ZONING
SETBACKS -
MAIN STRUCTURE Front 0- 0 Rear, 0- 0� Left 0- 0-�� , Right 0- 0
ACCESSORY Front 0- 0 - Rear 0- 0 Lefi 0- 0 Right 0. 0
PARKING Existina: o f2eauired: 0 Pr000sed: 0
I NOTICE: The work authonzed by this permit shafl comply with all applicabfe handicap access requirements under Calitomia statules and relaled
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abantloned
for a period of 18Q 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 inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit.
FOR INSPECTIONS CALL: (714) 7545626
zancrc It✓oo)
WORKERS'COMPENSATON DECLARATON: "
I hereby eflirtn untler penalry of perjury one of the tollowing declaretions:
❑ I have and will maintein a certificate of wnsent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, tor the performance of iha
work for which this permit is issuea.
❑— �I have and will maimaln workers' compensa6on insurance, as reQuired by section 3700 of the Lebor Code, for the peAortnance of the work for which ihis permit is issued.
' _,Mvwnrknr.c'r�moensationlnsurancesernerantloolicvnum6erare:
sectlon
iPW�Number:! ��.��oZ.(��1
oN855.f
❑ I cenify that in Ihe pertormance of ihe work for which this pertnit is issued, I shall not employ eny person in any manner so es to become subjed to Ihe workers'
compensation laws of California, end egree Ihat if I shoul become sublect to ihe workers' compensation provislons of Section 3700 oi Ihe Lebor Code, I shall forthwlth
comply with these pmvisio r��,, � �
AppliclSignaWre: �� �V1 .�{�(�, T_ Dete: ��� ����a�
WAFiNING: FAILURE TO SECURE WORKE ' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALiIES AND GVIL FINES l/P TOONE MUNORED
TFIOUSANO OOLLARE ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAhL4GE5 AS PFOVIOED FOR IN SECTIIXJ 3�O60F THE IABOR COUE, IMEREST, ANO ATTORNEI^S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby eHirm ihat I em
force and eHect. Lic N_
of Chepter 9(commancing with Section 7000) of Division 3 ot Ih ._e Business a Professions Code, antl my Iicanse Is in futl
�Class q __ _.. _ � (8 3�'1
. '1✓1(i.� oai :���j-� / 7.3/(L7
CONSTRUCTION LENDING AGENCV:
❑ I hereby eHirtn that ihere is a consWction lentling egency lor ihe peAormance ot Ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that untler penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Cotle: Any city or counry which requires a parmit to constmct, elter, Improve, demolish, or repair eny sWcture, prior to its Issuance, also requires the epplicant for such permit
ro Nle a signed statement thet he or she is Ilcensed pursuent to the pmvislons of the Contractors License Law (Chepter 9(commencing with Section 7000) of Division 3 of lhe
Business antl Professions Code) or ihat he or she is ezempt theretrom and Ihe basls tor the elleged exemption. Any violetion of Sectlon 7031.5 by eny applicant for a pertnit
subJects the epplicant to e civil penalry ot not more than five hundre0 tlollars ($500).):
❑ I, es owner of the property, or my employees with wages es their sole compensetion, WILL DO THE WORK, end the slrucWre is not intended or oMeretl tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, end who does such work
himself or herselt or through his or her own employees, provided that such Improvements are not intendetl or oNered for sale. If, however, ihe building or improvement is
sold within one year oF completion, the owner-builder will have ihe burtlan oi proving that he or she tlitl not builtl or improve for puryosa of sale.). '
❑ I, as owner oi the properry, em E7(CWSIVELV CONTRACTING WITH UCENSED CONTRACTORS ro conslruct ihe prolect (SecJ044, Business antl Pmfession5
Coda: The contractors License Lew tloes not epply ro an owner of propeny who builds or Improves Ihereon, and who contracts for such project with e comractor(s)
license pursuam to ihe Contractors License Laws.).
❑ I am exempt under sec. Business and Profassions Code tor this reason:
SignaWre: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No.
Verification ot Ownership 6y (rype of document, i.e. - property tax bill or tleetl):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify that no excavation fiva (5) or more feet in depth into which e person is required to descend, wiil be mada in connection with work authonzed by t�is
permit, and that no building simcNre, scalloltling, felsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Calitomla AOministrativa Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom lhe Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the diNsion.
Signature: Date:
Division oi Indusinal Setery Pertni� Number:
ICERTIFICATE OF COMPLIANCE ANU Al7iHORIZATION OF ENTFiY: I certity untler penalty ot perjury that I have read this application and state that the information given is I
correct. I egree to comply with all stete laws end city orainances relating �o building consiruction, and authoriza representatives oi ihe City of Costa Mesa to enter upon Ihe
above-descnbed property for inspection Ou�poses. I egree not to occupy or allow occupancy ol eny building authonzed by this permit un�il finel inspection.
CODE �, �INSPECTIONTYPE BAIE INTRIALS
1616 Fiaed System Finel Fire Prevention
1286
200
201
202
203
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Final Fectory Fire Place
Finel Sign
204 Final Demolition
COUEA INSPECTIONflPE
206 Final Mechanical
20B Final Plumbing
210 Final Electncal
272 Final Flre Prevention
220 Final Plenning Approval
222 Final Si�e
250 FinalBuilding/Occupancy
4AiE I[�ALfi
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GJSTA MESA B�' �ING- AFETY DEPART�ENT APPI `TtON FOR�i'RI�L'�'�I�LPERMIT�2�•97 7i
o n anv »nn n e,tcce rni irnonnn oecoc
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For Applicant to Fill in Completely - Use Ink Only R ev e�mi�� *'o A� c�
1S i v �r��ve
a���o�N� /1 6 �z A..�o. �-I-oql-oq o <<�y-�z-1z.,—
ADDRESS
BUILDING le �LM�PA �
OWNER OR ADDRE55 l)
TENANT M.D. Janes Co. Inc. �
MA�LING UNIT OR
ppDRE55 2950 Airwa Ave. D-9 SPACENO.
TR.ryO� 1 � / LOT BLK.
TE L. � (0 [-b
��TY Coeta Mesa No. 979-3376
CONSTRUC.TON NEW ADD LTER RE7AIR MOVING DEMOLISH
LENDER Ot 52.1 cted
BR�+NCH N A
OWNER
ADDRESS VaLUE
APCHITECT TEL. USE S
OP ENGINEER N —
���� 2 /
ApDRESS B ZONE > TYPE V GROUP (� �
APPROVED
CONTFACTOR BV DATE
ApORESS e
TEL. �
CITV e NO.
r STP.TE CITV HPFROVEDSETBACKS
LIC. NO. 8 LIC. NO. e
{cl SIZE NO.OF BLDGS. (FROM C/L STREET)
�. OF LOT Q� x 334 � MOW ON LOT e qOM
a U5E OF
� EXISTING BLDG. —
y
FSeparate permits are required for • � so r.
electric, plumbing and heating work.
� REAF FT.
�.., USE.OF 9VIL'D�NG�AND WOFK TO BE PERFOflMED PLP,NNING ACTION
QQ �
�"' � /7 � � �Cl � APPROVED Z—�' 1
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r � �Ro P Z-/�/-
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�a � hereby acknowledge thai I have reatl this epplication antl ztate �
t�gt the aGove information is correct antl agrae to comply wit�
d all laws repuletinp builtlinp conztruction, antl 1 shall not employ
Z any person in violation of the workman'S compensation lews of °
� t�e Sxata of Celifornia. lc0
2 � m
3 I hereby cartHy thet I am properly licensetl es e conttactor untler 5�' FT• `�
Me State of California Business antl Protessions Cotle, Oivision 3, THE AMOUNT SHOWN UNDER Vn1.UaTION IS FOR m
Cnapter 9, antl tnat such licanses ere in full force ana effec�, o: 1 THE PURP�E OF ESfABLI$HING A PERMIT FEE ONLV: `
am enempt from th' provisians ot the Stete of California Business e
VALUATION PERMIT FEE E
enA Professions Co0 , Divyaipp 3, Chapter 9. N
/ � `� PLAN CFIECK b�, �.:7� m
Sig�aiura of � / �
Permittee �{ � $Cl��R ��'�� TAX E � f
or '
A�thorizetlAB .`_�le R�.rU�%�1 u
TOTALPAID E �s
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COSTA MESA �;`��INGSAfETV DEPARTME � APP..__ATION FOR STRUC7'URAL PERAIIT
��
••vVV,••_VV VVV•^•••`✓^•V^`•.v•••••^r`V`V RECEIVEDBV PERMIT
For Applicant to Fill in Completely — Use Ink Only D
BUILDINGr� i A.P. NO.
AD�RE55 6
OWNER OR ' i ADDRE55
TENANT
MAI LI N V NIT OR
ADDRE SPACE NO.
TR.NO. LOT BLK.
7EL.
GTV NO.
NEW ADD LTER REPAIR MOVING DEMOLISH
ODNST ON
�ENDE
BRANCN
ON�NER
ADORESS VALUE
ARCHI7ECT TEL. USE E
OR ENGINEER
ADDRE55 ION TYPE GROUP
CONTFACTOR BVP DATE Z �/T /
ADDRESS
TEL.
CITV NO.
STATE CITV APP0.0VEDSETBACKS '
IIC. NO. LIC. NO.
SI2E NO.OF BLDGS (FROM GL STREET)
OF LOT NOW QN LOT OPlT FT.
USE OF
E%ISTING BLDG.
Separate permits are required for L. SID Fr.
electric, plumbing and heating work.
RE�+R FT.
USE OF BUILDiNG AND WORK TO BE PERFORMED PLP.NNING ACTION
DATE
APPROVEO
APPROVED
I nereby acknowlatlpa t�at I have reetl this application antl state �'
that the abova information is correct antl eBrae io comply wit�
all laws repule[ing Guilding conrtrucNon, entl I ahall not amploY
any person in violation of Me workman'� compensation laws of °
Me State ot Calitornia.
m
SQ. FT. ^+
I hereby cerHfy tMat I am properly IlcenseC es a conbactor untler ]
tne Sta<e oi Califor ia Bviinezz entl Vrofessions Cotle, Division 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl th sueh licenses are In tull force antl affect, or I TME PURPOSE OF ESTABLISHING A PERMIT fEE ONLV: �
am exempt from a prov ons of t�a $tate of CalI10/n18 Bu5in855 VALUATION PERMIT FEE b 6.QO �
and Protezsions 'on 3, ChaPier 9. �
$ipnetura o PLAN CHECK 3 `^
0
P¢�mlttee § �`
or � TAX E f
Authorizetl nt Date L u
T�TAL PAIO S /b •�