HomeMy WebLinkAbout3477 WINDSOR CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wWw.cl.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,1ab Address: 3477 WINDSOR CT
Suite:
Vicinity: ROOF
Pnmary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 41204225 Zoning: R1
Applicanr. SCOTT JOHNSON
Address: 13672 ONKAYHA
IRVINE, CA -
Owner: SHEIDAYI, POURAN AZAR
Atldress 3477 WINDSOR CT
COSTA MESA, Cq , .
Contractor. POPA ROOFING WC.
Address: , 13672 ONKAYHA
IRVWE, CA
Zip: 92720
Arch :
Address:
Phone:
Phone: (714)778-6294
Zip: 92720
Phone:
Zip: 92626
Phone: (714)778-6294
License: 675902
Eng:
Address:
Status: ISSUED
Applied: 07/71/2005
Issued: 07/11/2005
ISSUED BY:
Phone:
Zip: � License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTAIL 1 LAYER OF 30# FELT, METRO SHINGLES, ICBO #ER-5626, AND REPAIR/REPLACE SHEATHING AS
NEEDED. 1,500 S.F. INCLUDES ATTACHED GARAGE.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$83.25
$0.50
$0.00
$0.00
$0.00
$83.75 �
SETBACKS
MAINSTRUCTURE FronF 0-0
ACCESSORY Fronh 0-0
PARKING Existinv: o
FEE SUMMARY
PLANNING & ZONING
Rear 0- 0 Left 0- 0
. Rear 0- 0 �" Left � 0- 0 �
Required: 0 Proposetl: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0`�
$3,000.00
$3,000.00
NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access raquiremanis under California statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requ(red Inspectlo�s and tinal approvel must be obtained. Faifure to obtain inspections and final approval will resufi in Ihe expiratfon of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaa�as la�oo�
WORKERS' COMPENSATION DECLAHATION: ' ' � �
I here6y aHirtn under penalry oi perjury one of the following declaratlons: .
❑ 1 heve and will malnlain a cerliTicate of consent to self-Insure for workers' wmpensetlon, es provided for by section 3700 of the Labor Code, for the perfortnence of Ihe
��work tor which this parmit is issuetl.
,d,. Yf�eve antl will maintain workare' compensation insurence, es required by section 3700 of the Lebor Cotle, for the pertormence of [he work for whl Ihis pe�mit is Issuetl.
w r��co ensatlon nsurance der end Policy num6er ara: �^ ��(J.
er }� �jJ� .P`o�ty'�Number. � ��
%ZpiS`secfion eed not be cro plefed if the permit is velued at one huntlre0 tlollers ($f 00) or /essJ
❑ I certity [hat in the peAormence of the work tor which this pertnit is issued, I shall not employ any Derson in eny manner so es to 6ecome subject to the workers'
wmpensetion lews of Celifomia ee ihet If I should becoma sub�ect to the workers' compensetion provislons ot Sectlon 3700 of the Labor Catle, I shall torihwith
complywiththeseprovislons � �� ���
p{,��phcenl�5i9� N :.�_ � ,rOa�a�-� /
WA,gWWgo.�•t �,-^^-..�" �^ c�j,��
FAILUFE TO SECURE WORKE COMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO qJE HUNDRED
THIXISAND OOLL4RE (5100,000), IN AODITIIXJ TO THE COST OF COMPENSATIIXJ, DAMAGES 0.S PROVIDED FOR IN SECTIIXJ 3](IB OF THE IABOR CODE, IMEHEST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
at Chapter 9(commencing with Sectlon 7000) oi
0
Code, end my license is in full
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn thet ihera is e construction lending agency for ihe pedortnance of ihe work for which this pertni� is issuetl. (Sec. 3097, Civil Code).
Lentlers Name:
Signature: _
Lentler's Atltlress:
Data:
OWNER-BUILDER DECLARATIONS:
I hereby e%Irm Ihat untler penelry of peQury that I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW to� ihe following reason (Sec. 7031.5, Business and Professions
Gotle: Any ciry or counry which requires a pertnit to construd, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such pertnit
to fle e signed statement Ihat he or she Is Ilcensed pursuant to Ihe pmNsions ot the Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of DiWslon 3 of the
Business entl Professions Code) ar that he or she is axempt theretrom and the basis tor ihe elleged exemption. Any violation af Sedion 7031.5 by any applicant for e permlt
subJects the applicant to a civil penalry of not more ihan five hundred tlollars ($500).):
❑ I, es owner of Ihe property, or my employees wlth wages as their sole wmpensation, WILL DO THE WORK, end the structu�a is not inlandetl or ofleretl for sale (Sec.
70d4, Busineu and Pmfessions Cotle: Tha Contrecrors License Law does not apply to an owner of properry who builds or impmves thereon, and who does such work
himself or herself or Ihrough his or her own employees, provided ihat such improvements are not In�ended or oXered for sala. N, howaver, the builtling or improvement is
sold within ona year ot completion, the owner-builder will heve the burden ot proving thet he or she did not builtl or improve for putpose of sele.). '
❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe D�olect (Sec. 7044, Business end Protessions
Code: The contracrore Licanse Law does not appry to an owner ot prapeny who builtls ar improves Ihereon, end who cantracts tor such project wlih a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Cotle for Ihis reeson:
Signature: Date:
Owner ID verifetl by driveYs licensa. ❑ Yes ❑ No Drivefs License No.
Verification of Ownerehip by Qype ot document, i.e. - pmperry taz blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Ezpires:
❑ I hereby certify iha� no escavation tive (5) or mare feet in depih Into which e person is required lo descend, will be made in conneciion wit� work euthorized by this
pertniL antl that no building stmcture, scaffolding, falsework, or tlemolition or dismantling thereo�, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Celibmia Adminis�re�ive Code).
❑ As owner-builder, 1 will not employ enyane ta tlo work w�ich would require a pertnit from Ihe Division ot Industrial Safery, es noted ebova, unless suc� pereon hes e
pertnit to da such work irom the divi5ion.
Signature: Date:
Division of Industrial Sefety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AllTHORVATON OF ENfAY: I certify under penelry of perjury that I have read this epplication and state the� �he Intortnetion given is
correcl. I agree to comply wilh all stete lews end ciry ortlinances releting to building construction, end eulhorize representetives of the Ciry of Coste Mesa to enter upon the
ebove-descnbed property for inspection purposes. I egree not to occupy or ellow accupancy of eny building euthorized by this permit until finel inspection.
cooe �, ixsvecnoxnre �
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Final Re-Roo�
201 Final BIocWRe�aining Well
202 Final Fectory Fire Plece
203 Flnel Slpn
20d Final �emolltlon
QdIF L�dLfi
J�`� _�IG�V
CQOE� INSPECTIONTVPE
20fi Final Mechenlcal
208 Final Plumbing
210 Finel Eleclncal
212 Finel Fire Prevention
220 Final Planning Approvel
222 Flnel Slte
250 Final Buildinp/Occupancy
PAg IIi�LB
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil] in Completely - Use Ink Only
BUI�DING
ADDRE55 Tract 10278. Lot ZQ
�ENAN �R Mc Lain Development Co.
MAILING
ADDRE55 1470 Jamboree R.d
TEL.
cirv Newport Beach N�� 640-6!
OONSiRUGTION
BRANCH
McLain
GTV
F STATE
� LIC. NO.
{� SIZE
S OF LOT
a USE OF
'� EXISTING
�
FSeparate permits are required for
Q elec[ric, plumbing and heating work.
F USE OF BUILOING AND WOFK TO BE PERFORMEO
a
gingle family residence,
New house
1 n�n� �5i
�
TEL.
No. 640-
CITV
U0. NO. 1$8
NO.OF BLDGS.
NOW ON LOT
�
�
.a
a
w
�
f:.
6.
Z
S
3
�� �47�i I I/ I u/7S 39F.71 TI,
. .. _..
APPLICATION FOR STRUCTURAL PERM[T
RECEIVEDBV P�Bfy�T���_Na - � .
I!A
A.P. NO. �{I�
BUfLDING
AD�RE55 3�"�
VNIT OR
SPACE NO.
TR.NO�oI LOT�
�� a
NEW ADD LTEI
OWNER
USE
ZONE l T'
APPROVED
ev
APPROVED SETBACKS
(FROM C�/L S^TREET)
FRONT l�J FT.
R. SIDE � FT.
L. SIDE `� FT.
REAR I�/IFT.
PLAIVNING ACTION
ovPROVED�W� /�
1 hereby acknowlatlge that I have read this application antl state
thai the abova informaiion is corract antl agrae to comply with
all laws reguletinp building construction, antl I shell not amploy
any parso� (n violaiion of the workman's compensation laws of
the State of California.
I hereby cdrNfy ffiat I am properly licensetl as a contrector vnder '
the State ot California Business antl Professions Code, Division 3, THE AMO
Chaptar 9, and ihat such licenses are in full force antl effeet, or I THE PURP(
am exempt from the provisions of the State of California Business VALV ATION
a�d PmfesSions Cotle, Division 3, Chapter 9.
Signature Of /` �� ^L. /'
Permlitee �`" 'I— $�� /�
o, J 7�
A�Shorizec� nt Date
r
REPAIR IMOVI
VALUE
s
DATE
APPROVEO
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m �
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FT. �+ M
f SHOWN UNDER VA�VATION IS FOR m �'�
OF ESTABLISHING A PERMIT FEE ONLY: � �
PERMIT FEE E � � a
n �`
PLAN CHECK 5 0 l\
�' TAX v �j E � f �
V
TOTALPAID E
v!!ar'7i d / �/' r`i