HomeMy WebLinkAbout335 WOODLAND PL - Building Permits.
� .., `� 898-01266
CITY OF COSTA MESA
y ° BUILpIN6 D/VISION
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� DEVELOP�F�T I,ERV �RTMENT
�•� � ���a PERMIT NUMBER
JobAddress: 335 WOODLAND PL StaWs: ISSUED
(714) 754-527��1€ax (714) 754-4856 77 FAIR DRIVEq��A td��,ifs9e92626
Vicinity: Issued: 07115/1998 �
Parcel Nunmber: 42622137 ZOning:
Applicant: MARION, BARBERA
Address:
Phone: 714-548-3012
Zip:
Owner: BOURGEOIS, HARRY D TR
Address 335 A WOODLAND PL
. -- PhonB: .
COSTAMESA,CA -"� - Zip: 92627 � -." �
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Contractor. MESA ROOFING- � -' /� � �
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Address: 00843 W,17TH , -� A�' V � , i i � i / ' � - ` �
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CM CA �V �. � � � � --_'Zip 92627 � � ��� �� � ��
�.�,� A �� /i = License 564151 '�V � �. � ` /� ����•
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! ���� ,� � /�/� / Phone: A: A\ ./ .
��/% ��%� Zip:�' � '��c� �" � ,
' ^ � ' � �,j License: �. �\� _�"�
��n'� �� �'�%/ W'� . _ . -. - . . A.- , �
,�%"' ��,_ !�'�'��' , - :' SCOPEOF PERMIT � ' � �� �
� - T/O SHAKE AND INST 1/2 PLYWOOD,15 FELT A ND COMP. GARP,GE FLAT ROOF ONLY, T/0 ROCK
� - � � � ' INST-4PLYCLASS�A.CAPSHEET�ROOFi,.:,y _ � ,��v-,- �
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' � ' "� � ' �', ,' �� FEE SUMMARY ' `�
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� PIan�Gheck: ' � $0 00 �`� � �,Calc Valuation:
. �Permit: $124.75 � �� �. -� � ,: : � � � -� �. Claimed Valuation:
` SMIP Res: $0.70 � _ . , � � � ' � � . _ ; ..
SMIP Com: $0.00
� � Other. � � $0.00 �� �
��' �:. r �
'Inspection: �$0.00 , �:,.r���.r=--.- - ;��.�'
> _ - -- ' � "� _
�, ��� Total:, � � $�125.45 - � ' ',/ /
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�';�,� � � � PLANNING &-ZONING
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SETBACKS__- � ", �.'--
MAINSTRUCTURE Front `-0.�0,� Rear 0;0 ,�1' �,�Lefl >���0.0 Right 0;0���
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i . . , . � �A , �' � ' � t„ , � - - %i
ACCESSORY�_� Front 0.0 � Rear 0-0 � ��Left ��0-0��' Right �0.0,- ,
.
s�,000.00 �
s�,000.00 '
��,� . , `. -:�ti- . . '�i - : � ,�
; � /.
PARKING Existinq: ,0�. � Re� uired �� 0 ^� � ; � �'Pr000sed;. .�0 . ` �'� - /'�� � ,
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NOTES: � ,-� � ' .. - . _ � , - ,. � %,
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EXPIRATION: This permit shell automatically expire and become void if work is not commenced withln 180 days, or If work is suspeniled or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorizad under this permit to be considered legel, such work must comply with ell epplicable codes, and all
requiretl Inepectlone and final epproval must be obtainad. Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CAIL: (714) 754-5828
WORKERS'COMPENSATONDECLARATION: �. . �
I hereby eflirm under penalry of per�ury one of the followinp declaretlons; � �.
❑ I heve end will malnteln a ceRiticete of consent to aeM-Insure fw workers' wmpensation, es provided for by sectlon 3700 af the LeDor Code, for the pertortnance af the
work for whic� this pertnit is Issued.
��ave erM wlll melntein workers' compensallon insurenca, as requiretl by secYion 3700 ot Ne lebor Code, lor Ne pertartnence oi ihe woik for whic� Mis pertnit fs issued.
My workers' m nse�Jtla-n Insur cartler en0/�olicy number ere: �y�---`�'—/ -7 �(�—
Certier. �/l P� nA - . Palicy NumDer. lJ� -' Co /" A`
(Tltls sectlar need not be complefed (/ Me pertn/t /s velued et one hunCretl tlol/ars ($100) or less.)
❑ I certity ihet In the pertormence af Ihe wark tor which this pertnit is issued, I shall not employ any person in eny menner eo es to become sub�ect to the workers'
compensetion laws of Celifomle, antl epree thet it I shauld bewme subJect to the workeB' compensetlon prod5ion5 ot Section 3700 0l the Lebor Catle, I shell foehwlN
comply wIM thesa visi ns �,n '
�licent Slgneture: �C Yl j� Q�� Date: �— �� ��
WARNINCi: FNLURE TO SEWRE WORNERS' COMPENSATON OOVEMOE IS UNLAWFUL !WD SHFLL SUBIELT AfJ EMP�OYEH TO CRIMINAL PENALTIES AND dNL FlNES UP TO ONE HUN�RED
TFqUSFND DOLLARE (5100.000), IN ADDfTION TO THE CQ^iT OF COMPENSATIIXJ, OAMAGES AS PRWIDED FOR IN SEGTON 31O80F ME LABOR OODE, IMEREST, PND ATTORNEV'S FEES.
110ENSED CONiAACTOH3 DECLARATON:
I hereDy etfirm thel I em Ilcensed un �° rovlslons oi Chepter 9(commencing with Section 7000) of Division 3 of t�e Business end.Professions Code, end my Ilcense is In full
force end ettect LJc. # -? la �i ��i�.. Cless N �3 `7
COMractors SlgnaNre: �i l Dete: -�—/ S-�7 �-
CONSTRUCTION LENDING AGENCV: .
❑ I hereby etfirtn thet there is a conslructian lending egenty for t�e peAortnance of tha work for which Ihis permit Is issued. (Sac. 3097, Civll Code).
Lenders Name: Lenders Address:
Signeture: Date:
OWNER•BUILDER OECLARATIONS:
I hereby ettirtn Ihet untler penelry at perJury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Buslness entl ProfeSsions
Code: Any ciry or counry whlCh requlres e pertnit to con9truct, elter, imprOve, demoll5h, or repelr eny siruCture, pnor to its Issuance, elso require9lhe eODIIcaM for such permlt
to flle e signed stetement thet he or she Is Ilcensetl pursuent to ihe provisions ot Ihe Coniractors License Lew (Chepter 9(commencing wlth Section 7000) ot Divlslon 3 01 the
Business entl Professions Code) or ihet ha or she is exempt tharalrom end the basis tor the elleged exemptlon. Any Noletion of Section 7031.5 by eny epplicant tor e pertnit
sub�ects the epplicen[ to e civll penalry ot nol more then Ave hundretl dollars ($500).):
❑ I, es owner ot Ihe property, ar my employees with weges es Ihelr sole compensatlon, WIL� DO THE WORK, and Ihe structure Is not intended or oHeretl for sale (Sec.
7044, Businesa entl Professlons Code: The Coniractars License Lew daes not epply to en owner o1 properry who bulltls or improves thereon, end who does such work
�Imsetl or �erself or Ihrough �Is or her own emplqrees, provltletl thet such impmvemems ere not Inientletl or otteretl for sale. It, however, Ihe building ar Improvement Is
sold vnthin one yeer o1 completion, t�e owner-builtlar wlll have the burden of proving ihet he or she did not build or imprava tor purpose o1 sele.).
❑ 1, es owner of the property, em EI(CLUSIVELY CONTRACTNG WRH LICENSED CONTRACTORS to construcl Iha praect (Sec. 7044, Business antl Proteuions
Cotle: The contrectors Ucense Lew does not apply to en owner oi properry who builds or Improves thereon, entl who wnirecta for such pro�ect with e contractoqs)
license pursuent to the Contreaars License Lews.). �
❑ I em exempt under sec. Business and Protessions Code tor this reason:
SignaNre: Date:
Owner ID vedfled by drivels Ilcense. ❑ Yes ❑ No Drivels License No.
Verlfication of Ownership by (rype of document, i.e. - property tex 6111 or deetl):
Expires:
DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFlCATION: �
❑ I hereby certlly lhet no eacavetlon fiva (5) or more feet In tlepth Into which a person is required to descend, will be matle in connectlon wit� work euthorized by ihis
pertnit, end that no 6uiltling structure, scaRolAing, felsework, or demolitlon or dismflntling ihereof, will be more thfln thirty-six (38) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title 8, Celltomle Atlminlstretive Gotle).
❑ As owner-builder, I will not employ enyone to do work whic� woultl require a pertni� trom t�e DMsion of Industrial Sefery, es noted ebove, unless such person has e
pertnit to do such work iram the tlivision.
Signeture: Date:
DiNsion of Intlustrial Sefery Permit Number:
CERTIFlCATE OF COMPIUWCE AND AUfHOROATON OF EMFiY: I certity under penalry of perjury ihet I have read this aDPlicellon enC stete thel the Infortnation qiven is
wrtecl. I egree ro compty with ell stete lews end dry oNinences relating ta building construction, and authorize representaWes W lhe Ciry of Coste Mesa to enter upon ihe
above-0escribed properry tor inspection purposes. I egree not to occupy or allow occupancy of any builtling authorized by this pertnit until tinal inspection.
��..hr►� S�`l�`°P�'�``g' -��s-9s'�
AnNOr Authodzetl Applicent Dete
fAQE �. MSVFCTONME
7616 Fixetl System Finel Fire Prevention
1266 Pool Spe Flnel �
200 Finel Re-Rooi
201 Finel Blxk/Reteining Well
202 Finel Factory Flre Plece.
203 Final Sign
204 Fnel Demolition
2666de
�eg �iY
. /L�/ � � .f
Q
COOE1 INSPECTIONTYPE
206 Final Mechanicel
20B ' Finel Plumbing
210 Final Electricel �
212 Finel Fire Prevention
220 Finel Plenninp Approval
222 Final Site
250 Final Building/Occupancy
Odff . It�AlS
City of Costa Mesa
Building Safeiy Department
P. O. Box 317
Cotta Mem, Califomio
CERTIFICATE OF OCCUPANCY N� 2719 C
7he Building locoted at �,; �s4''�"��'°—"'A �^ ����� A�'
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group �� ei Occupanq.
':. A. >a �. x � a.a rc6 :r.� nc � rinr :1ev:r .�!
Legal Description �•�t��
(Seo revone sida for Mato� and Bwnds)
R
Building Permif No. �� Electrical Permit No. �� Plumbing Permit No. �1$
Floor Lood Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . reqvired under Sec. 3301 (1) U. B. C. _
17050. CERTIFICATE OF OCCUPANCY. (a) No apariment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occ�pancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as req�ired under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments � ond/or guest rooms
15SUED TO: Building Official
aRr�s�-�, b,, �.s�n..d/ i3 , Y�1 ° %�°��
Date Qp�lQbtr ly�t� b�fi,7D
This CeMificafe of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under See. 306 (e) U.B.C. Fo�,,, svas-_iai—u-e�—ss r
31716
COSTA MESA BUILDING-SAFETY DEPARTMEI
f � P.O. BOX 1200 COSTA MESA, CALIFORN{A 9262f
For Applicant to Fill in Completety
BUILDIN 'I '-��
pDDFESS��j,��— land Plar.e
pWNER Rich d S we
MAII
Z qDDRESS 1 E. t.Yl St.•
W W TEL. .
PAIO
1,PR24-7C�N;�O01503� **''Z�u.%5
APPLICATION FOR BUILDING PERMIT
FiECEIVED 8 D E RE IVED DATE ISSUED
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I/8�-'�-.�/ /:1- PfiRMITNO.
A.P.NO. $/— �
BUILDING
ADDRESS 1`z _ _Q--U-`(/ ,iQ,(�
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J 7 B%aANCH � OWNE /�, ' �W �/✓
J V7
a w ADDRESS
m J � VALUE 1C- � '
J m qRCHITECT TEL. S $ J✓O
a OA ENGINEER NO.
V N FIRE
wa ZONE TYPE GROUP
2 qDDRESS
aW
APPROVED
JQ CONTRACTOR R. SBWP.]_Z BV DATE
m Z �����/�
J � ADDRESS fibOVO '^��+^"
w w TEL. ZO NO.OF USE OF NE4l�/ Q��j
�= C�TV NO. • y P�� BUILDING �
Z F
y2 LC No. 245d14 LICVN0.193�1 VP'RDSAPPROVED VARDSAGPROVED
MAIN BUIIDING ACCESSORV BUILOING
�� SIZE NO.OF BLDGS. (FROM C/L STFEET) /�,� �_ {%�� /�
pF �OT 51 R ZZO NOW ON LOT O RONT FT. u/u�-`^-'�'�-`pf^-+' �/
USE OF `
EX���NG BLDG. 5 FT
z NE�'�'BL�. 99 FOOMS 16 STORIES 2 L.SIDE �FT.7�
u� FT.
a EXTEflIOfl WALj, ROOF Shin 10 W
V COVERING Jt.UCCO COVEqING AEAR FT. FT.
J USE OF BVIIOING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a' MAIN BLDCS. ACCESS. BLDGS.
d ^
a garage• CURP�� /� qPPROVEO � "' ��V
N APPR�I✓Hm. t A .' / _'h�`��
(i(l ���
o� e t- c9 �.�
� , hereby e�k�ow�aeaa <ne� I have read this application antl state HOLD FOR SPECI L KEQUIREM�NT;
� that the ebove information is correct antl e0�ee to comply with
a. all laws regulating builtling consiruction, antl I shall not employ
anY Person in violation of tha workman's compensation laws ot
y the State of Calitomie. �L/� � A. �
Z� pereby certify that 1 em properly licensetl as a conttacror under � SQ. F O
the State ot Californla Businezs end Pro(essions Code, Oivlsicn 3, THE AMOUNT SHOWN UNDEF VALUA I N IS fOR
�haptar 9, antl that such licanses are in full force an0 aftect, or I THE PURPOSE OF ESTABLISHING A PERMI FEE ONLV: ¢
art� exempt trom the provisions of [he $tata of California Business VA�UATION +�O
antl Profestions Code, Division 3, ChaPter 9. /�% �
PERMIT FEE $ b �
S ]
${gnatura ot ( // %�
//� m
Pe/mittae � "�a'�Q' �/t �L S. / �y PLAN CHECK 5 �o ' � a
AVthorized Agant ✓� ��a ' TOTAL FEE 5�" d�/ LL