HomeMy WebLinkAbout371 WOODLAND PL - Building Permits1\
ti
r
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 37i WOODLAND PL
Suite:
Vicinity: HOUSE 8 ATTACHED GAR4GE
Parcel Number: 42623105
Applicant: MC EUEN, DAVE
Address: 2428 NEWPORT BLVD #5
COSTA MESA,CA
Owner: SALAZAR, DAVID GEORGE TR
Address PO BOX 2776
CAPISTR4N0 BEACH, CA
Contractor: THE ROOFING SPECIALISTS
Address: 2428 NEWPORT BLVD #5
Arch :
Adtlress:
Zoning:
Phone: (949) 722-8846
Zip: 92672
Phone:
Zip: 92624
Phone: (949)722-8846
COSTA MESA,CA
Zip: 92672 License: 734068
Eng:
Address:
Status: ISSUED
Applied: 11/29/2000
Issued: 11/29/2000
ISSUED BY:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (24 SQ). TEAR OFF EXISTING SHAKES &
RESHEATH WITH 7/16" OSB. INSTALL 1 LAYER Of 30# FELT UNDERLAYMENT 8 REROOF WITH 25 YEAR COMP
SHINGLES.
Plan Check: $0.00
Permit: $11125
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Ezistinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
Sa,soo.00
$4,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § t, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
taa6-ae(fl�oo)
WORKERS' COMPENSATION DECLARATION: �
I hereby ettirm under penalty of perlury one oi Ihe following declarations:
❑ I heve antl will maintain e certiticate of consent to self-Insure tor workers' compensatlon, as pmWtled for by section 3700 ot the Lebor Cotle, far the peAormence of the
work for which t�is Dermit is issued.
�-Wave and wlll maintaln workers' compensation insurence, as required by seCtion 3700 of the Labor Cotle, for the pedormenCe ol Ihe work lor whic� Ihls permit i5 i5sued.
�My worke �compensatlo nsurence carrier and policy number ere:
Carrier: �T"T� �"� � n Policy Num6er:_ .-%F� S" � 6 Z`f
�(7his section need nat [�cam tetl il the peimit is velued at one hundred dollers ($100) or less.)
❑ I certity t�al in t e peAorma ice oi lhe�yAA or which this r �it is issued, I shall not employ any person in eny manner so es to become subject to the workers'
compensetlon ws ot alil rnia, entl e�ree It I s ul �cdaia sublect to Ihe workers' compensetion provislons of Sec�lon 3700 of �ha Lebor Code, I shell forthwi�h
comply wich th se pro 'si s. /
Applicant Signature: -, /'Date:-- �i- �_. Z`1 I
WARNINO: FAILUFE TO ORKERS' COMPENSATION COVE E IS UNUWFUL AND SHALL SUBJECTtAN EMPLOVER TOGRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TYfOUSPND OOLURE (E100.00O�.IN ADDITION TO THE COST OF CAMP NSATIIXJ, DPMAGES AS PROVIDED FOR IN SEGTION 31080F iHE LABOR CODE. IMEREST, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aflirtn thet I em lice ed rowsiqns,Pf C�apter 9(wmmencing with Sectlon 7000) oi Divisian 3.ot.t�e.8usine�s an¢,pmtessions Code, end my license is In full
torce antl ettecl. Uc. a --� � C% (o �& I�� �__.Glass a. L" S�7
Contrectors Signeture:" ��� ���p rData: -f�! ZR �
CONSTRUCTION LENDING AGENCY: �
❑ I hereby aHirm that there is e construction lendinp egenty for the performance oi ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lentler's Adtlress:
Signeture:
OWNER-BUILDER
Dete:
I hereby attirm thet under penelty of,perjury Ihet I em EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reasan (Sec. 7031.5, Business ena Professlons
Code: Any ciry or caunry which requires e permit to construct alter, impmve, demolish, or repair any structure, pnor to its issuenca, elso roquires the epplicflnt lor such permit
to lile e signed stelement Ihei he or slie Is Iicensed pursuani to the provisions ot Ihe Contractors LJcenSe Lew (Chapter 9(commencing with Section 7000) oi Divislon 3 ollhe
Business entl Professions Cotle) or that he or she is exempt therefrom and Ihe basis lor the elleged ezemption. Any violation of Section 7031.5 by eny epplicenl for e permit
sub�ects the epplicent to a civil penalty of not more.i�eri five hun�retl tlollars ($500).):
❑ I, es owner of ihe property, or my employees witti wages as their sole compensation, WILL DO TME WORK, end ihe structure Is not Intendetl or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves Ihereon, end who does such work
himself or �erself or through his or her own employees, pmvided that such improvements are not Intentletl or oNeretl for sale. If, however, Ihe building or Improvement is
sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not builtl or improve tor purpose of sale.).
❑ I, es owner of the property, am EACLUSIVELV CONTRACTING WITH LICENSED CONTRAC70R5 to constmct Ihe pro�ed (SecJ04a, Business and Professions
COde: The Conlrector5litense Law doe5 nol apply to en owner of property who builds or Improves thereon, entl who coniracts tor such pm�ect wilh e Contractor(s)
license pursuam to the CoNraciors License Lews.).
❑ I em exempt under sec. Business antl Professions Cotle tor Ihis reason:
Signeture: Date:
Owner ID verifletl by drivefs Ilcense. ❑ Ves � No Drivefs LicenSe No.
VedNcetion of Ownere�ip by (type of tlwument, i.a. - properry tax bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity that no excavation tive (5) or more feet in depih into which a person is required to tlescend, will be made in connectlon wiih work authorizetl by Ihis
pertnit, antl t�et no builtling sWcture, scaHoldinq, talsework, or demolition or tlismantlinq thereof, will be more ihan thlrty-si: (38) teet hiph. (Chap. 32, Grp 2, Art 2, Sec.
341, T�le B, Calilornia Adminisirelive Code).
❑ As owner-builder, I will not employ enyone to tlo work which would require a permit from the Division of Indusirial Sefery, es notetl ebove, unle55 such person hes e
pertnit to do such wark from the tlivision.
SigneNre: Date:
Division of Industrial Salery Permit Number:
CER7IFICATE OF COMPLI D AUTHORIZA710N OF ENTRY: I certify under penalry of perjury ihat I have read this application entl state that tha information given is I
correcL I agree to compl Ilh nll sta ws entl c' rdinances relating to huilding cnnstruction, and euthonze represematives of the City of Costa Mesa to enter upon the
ebove-described propert for inspection p oses. � e ot to occupy or all cupancy oi any builtling authorized by this pe(r� i/�ntil 1' el inspection.
-� �(,%r��---
COOE 1. INSPECTIONTYPE
1616 Fixetl System Final Firo Prevention
1266 Paol Spa Finel
200 Final Ra-Rool
201 Final Block/Retaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
0
COOE I INSPECTION TYVE
206 Final Mechanical
208 Finel Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Builtling/Occupency
� �
euapss a em�arxi
VNHEFS WYE Ii 1P10Y1k
�onn[ss
wvi.�muw�ooness: SAME
dPCXRECT OP FNOINEER:
RCII ON FNO.'S IUDflE55:
1 WOODLAND PL
ZAR DAVID GEORGE TR
OX �2776
STRANO BEACH,CA 92624
uc. ra.:
uNT: B
IINT:
COMqAMOR9NWE ISLAND PACIFIC ROOFING (714)444-7683
ca�m�c�ararwa�a 17440 BUSHARD ST
�oo�sx F.V, CA uc.wo: 631472
92708 urr: 13
UCENSED COMN�CTOPS DECLApATON: I M�eby dlim uMer paally d pa�ury Net I em IiunnwE uMx prMdme d Cheqar p�
(wvnenun0 rqA Sectbn )000) W Diruian � d Na Bivimse eM Pmleaabna COAe� vd mY 4oeroa N in Iu01au and ellsd. �
cmuc.No.:05 709 �CO�Se C-39 ��N 631 EXP; 10/95
om c �: /
OWNEP B UEN ECIAN�TION: ��ebY dfirm uMa d pmj.ny ihd I em easnq han tM Commfm limms lew In Te
la0ov.+q raeaon (Setlian JW 1.5 BMibu erd PMenio�n Cade: AnY M' a aoun7 whidi niwee a M�! to mnWtl. Mer. imqwa.
�,- Mmdeh, a rapei eny ei�ucturo, pM io il� ewence. ebo rtquiree tte eppliaeu la euch ppmn to Rb a eqned aWemeni tlW he a�M
=�i" icensad Wnueni ia �M V�A"� tl tM Caurmon ikenas lew ICheqa 9(wmmenc^Y wGh Sepbn ]000) d Divsian � d IM
i�"iynev eM Hdaa'vn COEaI a 0�1 M a eM u manq Ihaelmn end iM Esve la Ne ebpaE ssempion. My vulmion tl Swen
�� %OJt.S M�Y Wd�N la a Vx� ubprss �M ePVrwu w a aH D�Y d nd maa ihen fve MVNnE EaOen �SSOOp.
❑ I.mowrord�MpopenY>M'/^'^a°"e°"'yhwepeemtheivobcompenaetbn;wiOEOlheMa�k.enAlMevucvununaimeMeE
ar dlereE la eeb (Senion'loH. Buxma eM Pmlmaiona Code: The Comreean Lreve lew dw rot evDN�oen oww d popeM
who Wlda a inV�+IhaeM. md Wa does suM wuklimeetl rc hend a IMaqh he a hm own anpbm. D�deE Ihet wch
�*w�«+. ae � �mddee s w.�e �« w.. e. no.�,. ma wad��y o, mn�«e 4.aa..nn� o�e r� a�oMoa u»
ow�wr-0uikm wiA hevs IM bPden d pewifq M w eho d'q np WNd or'pnqo.e tor �M prtpoee d mb).
� I. ea mmer of iM popwry. em exWuivety conlredip wGh IicemeA mntrenon m rnMrue iM projeat (Sadion 10u. Bwi�e eM
Profeavwn Code: The Lenirtldm Licewe lew does nal eWN b en awrwr d pWMY who huilda a impa'm �lwrswi and x1n
eonleMe la arh pajetla wilh e ewarmor(e) Ice wd puauw to �M CmlraGm Lieema Lewl.
� I em uamq uMx Seciion: B. 8 P.G.. br Nie ree.von:
ome: ow�«
1 Eo hereby cMiy Nel I em ewue d eM uM«aieM tM myuimnmb d Galianie IbMh end Seiety CaEe Setliom 25`A5. 255�. md
255�0, erd ihm I n eiry Mure Wildirp ocapeM will / wil M �ertb one) r�eed to canply wYh eeid mme codr aM iM ieyuiramenb la
e pemin f«mnevucibnw modif�ionhamtMA'v-Oue tTy .�erwyemsm Omna. ReeideMiel coneVud'on appNMetioneen uempt Irom IMw
pror.�o�..
Dve: �pdceM:
WONKEF'S COMPENSATION DEGLANATION: 1 Mroby eifirtn uMer penelry d peejury me d the lolbwiip dedueibns:
� I hma eM MI meiruen e cenA�e d oonsent lo eatlinwre br waken' canpruYion, m prwkM lu by Setlbn �)00 W �M leUor
Coda, la iM pMmnvice d�M1e xak ia whicM1 Uie pamE u inued.
❑ I new aiH wil meiMen wakMa mmW��ion inwrence. n n9uired M Swion �)00 d tlr lebor Cole, br IM OeAormenm W �M
work Iw which Ihie 0�� ie K�ueE. My woFere cwnPanution irourercn famer enJ Odkl' number ue:
c��:
vdcy numbe�:
e sxtion msd mt w cvndmed I Us P�i a la wx hurMied ddlan Rfool u leea.l
��]'� � mnN �nv in ue o�ameroe a ine .ax ro..ncn mo o�+a is eeuse. � enm� �a .mWw •m v� x.m m��e..o m�o
"\ Ee'eoma wEptl lo IM wkAa' �D�+e�ian �ewe d Celtlorrie, eeM gpree tlet E I qquk pe ome eubjetl to IM waMen'
cwppem ion p Naiom d 5�� �)� d tM lebar Coda. I WA f U6� oanpfy +�I e� 'am.
od n�dv„i.
WemMp: FWun 1 ueun woM1'ri ro�atlon • 1 , uM LWI WbJ�et �n �mployr ro a1Mlul pmeNu mtl
clw nn. 1y ro an nu�mw uw�w�C do/hn !s� aouA �1don ro m. co.r o� rompwwtan dam.p.• u provnw ror �n
Sxtlon �106 0l N� Ltlor Cob, Inlw��t �0 eRo '
CONSTNUCTION LENDINO AGEN�� ��aM �� uMer pendry d per�uy ihel IAere'n e oma�'an Irideq qprx.y br tM
o�mnenoe d me.An io..nd, �w o�i o ewee cseaon xs�. civ. cl.
LENDER'S NRME:
LENOEWS RDDflE34:
I cMiN ihet I Mve raed Nu eGVr�'°^ ud aeta Ihel Ne eEova'udamdion c ronetl. I eY�se �o canPM vnlh M f+7 aM cou^7 atlmencaa
entl e�ete lexe reWnO w driMM oo� aed hereM eWarce iepmmiatnas diM tltY b aua uG� �M ebow�memiorrd papwry
lainapatlion purpoves.
� FRANK MIRANDA
(St51aB WP) Whne-Buildiq b Sal&y; Greer�Fle; Ganery-Appirenl; Pink-qe`enua; GdAmro0.Mwvor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 071526 PLAN CHECK NO:
CONSTROCTION TYPE; 5—N PERMIT TYPE: STR
JOB DESCRIPTION ; T/OFF ROCK ROOF 6 REROOF W/HUR
CLAIM VALUE: 950.00 CALC—VALUE:
�
PERM NO: H 071526
GOVT; N SUPP: N
PURPOSE: ALT
SQ FT: 950
950,00 GAOUP OCC; M-1 /
COMMENTS: X
***rr**rrat�t*�t**+t*rr**�rirr*r��e*�*****et***�t**r**ir***�r**+r****�r***+rr*�t*�trr**r�t******
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARICING REQ• PROV; PARCEL: 42623105 2NE: REF NO:
PLANNING NdTES>
i
1E if M 1tiFlF ifM M1E iF1f 1f if 1f1E it Mif 1f 1f If if ifM iFM 1tM Mif M if ff iE ifi�4 M M 1f�f M Itifif !f 1f1E if MifiF M 1f if iflf if if iE iFiFlflf K 1F 14 iF 1f !f MiF iF iFiF3f if �F
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED HY; i� DATE; -I I 1�
ik�fflMMifiFififiFfffF�)k7fiflF*iflFfFffik ffifklf�fiEj4MMif iF1k
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25.00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25,50 0.00 � 0.00 25.50 25.50 ,00
AEVENUE DIVISION TOTALS--> COLLECTED: 25.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECA
25.00 - ,SO
1f ik'k 1f if7f1f1f ifififff lkif'k If ih if1! ifififikiF'lf ff if 1f if1F 1tiflFff if lflFff lfffif 1F1f ififif 1f 1flkif 1f 1t1fiflf ifif lfif if iF1E1f if % 1f 1f it M ilif 1f 1f if if 1F 1f If 1f
Z N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 950 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 !�'�Or,950.00
END OF FEES pETEV
��,��K��Q�1�ED _:.
O1 Q0178J27—QO1?°32p 3'O T' 25.jD
DAT=_: p3Ji7/y:� TIPS�: 15:27
- . ,.
CONSTRUCTION AND PLANNING VOOI '�eA
�' APPROVAIS Permit # Date Inspector p�ppROVALS Permi"t # " Date inspector
1. Temporary Electricai Service or-Pofe 52. Pool & Equipment Location '"
2. Soil Pipe•Undrqrnd. ��' 53. Steel ReinfOrcement '
.,;�,:�lecaical Condui[,Utiliry-Unqrgrnd. 54. Forms � ' �
�4: Elect7ical Condtf�+Undrgrnd. ' 55. Electrical Bonding
��5. Steel Reinforeement 56. Rough Piumbing & Pressure Test -�- :
6-'ElectricalUFERGrnd. 57. APPROVALTOCOVER•GUNITE �
: �7'. �ootings �' " ' 58. ElecVical CqnduirUndrgmd.
�''8. �F,.oundation ,� � a� / t 59. Gas Pipe, O Undrgrnd., Test •
,;'9. ,V!later Pipe-Und�grnd. _, ��% 60. Backwash Lines, P�Trap, O Undrgrnd.
.f': '
'9'0. �Structural Floor•Svscem 61. APPROVAL TO DECK ''
'Ti. Property Sewer Line.& House�Co'�nection 62. Backwash & Receptor�Final
42_ �SeWe� CaP - �' 63. Heater & Vent-Final �
. �.
13. Roof Orains �"�-� •
,� 64. Plumbing System - Final ,
74. Rough Plumbing ,- ✓� 65. Electricat-Final ' .
75. flough Electricai•Conduit a�- 66. Solar SYstem-Final �
16. Rough Electric �Viring , ._ '' 67. Fencing & Access Approval �
77. Rough Wiring Sign � � 66. APPROVED FOR PLASTERING �
„ i
78. Rough Electricat�T Bar Ceiiing' ; 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioni�9 FIRE DEPT. REQUIREI�/IENT
20.'�iough Facto'ry Fi.ep"lace , � ` . , �: APPf3AVQLS.:;' PeYmit # ' ' „
21. �bucts, in-Structure� . � .. . � r ' - ` ' 70. •Underground F4ydro • ��
22. Ducts, Verytilating;� � � , � -• _ " 77, product Piping'��Gas C] Oil
23. Gas Fpe:.Eough &�Test � .�� • = r - � - 72, Underqro6nd Flush - - �
24. RooE�Framing" " ' " ,. � �. = 73� Undergrnd. Stoi'��e 7ank O Gas O�Oil
25. Roof.Sheathing . - �� � 74. Overhead Hydro�� � � '
26. T�6ai�Ceiling fStructural) & Mang@oat � 75. Dry Chemical �� � ��
27. �rame and Flashin9 0 � -:r.- . � � 76. Dry Standpipe � �.�� � � � "
28. Lathiiig &, Sidin9 * ''• _ � -- " ' .' 77, FIXED SY.STEM-FINA� , '
, 29. Insulation -. � '� �� �� :. + �� � � !. 76. FIRE PflEV. FIfVAL - �
30. Drywall Nailin9 ' � �,_ � i HEALTW DEPT.'REQUIREMENT
� 31. Plaster Brown�Coat , ,,,' - , i �� , 79. PINAL 1_N5PEC7.ION • � -�
32. •ElectricatPow�r Mettr�Final ' '" � ! ��� 80." FOOD CERTIF�i'CATE I$$UED
� 33. �Rina(SEI tric: : �,; � . � ' � No'tes: -i;� • -� •
: 34. Final.Heating & Air Conditfoning � ' � ' '`:�-�'���j -. _%/� QGo �,y' c..� lf�a- �
. . , t. i . ,. _ . .� t ,. � i 5 .c
35. �FinarGas_Pipe;�Test ' 1 . < -- � � }' � Y ,�,�� �//,._....,�.a._. " �'u'lj
a�+ • ��_,�., z'�P--��
� _ . s,,.
.: 36. Hood•or Canopy • � � � � + . � �: - ' �'• =
, ;r f•- r1 :,
i�
.: 37. �Final.Faciory Fireplace�, ; " , � n ' �, _ � �'
�38. FinaP.Plumbing + �^' � .. : ' !� _ -• • . �-
� i �-� •
� 39. Water Service�Finai ` ' � . � '�''' � "
. . ` ..
� 40. Gas Service-Final � �., �� _� �� . ; � • �� .
, . -
` 47. Solar pomestft-Fina�- � " ' ' � � ' .
� �� � '[
42. Backflow Preventer - �� k �� i � • • � ' �
� s -
43. Backflow IrrigStion ^ �'� -• : , ' ' � . _
_ , .. . -
44. Landscape frrigation�System �• -i ': . � �� _ .� + ' •� .�- �. � * • � "',
�r �.�r`
45. $bund AE.tenuation' " " � ' ' - " � `.', � ` . � �
i S . .. . n � . _ . � � �.+.
46. klandicap•Regulatioris -� - �� 'r. •- __ - • ;,"� �.
�
n7. FINALSTRU6TURE&BUILDWG � ,f,� �Lv� . . �
48. FlNAL PLANNWG � -� - . � ��- . � , � � -
49. Elect�ic Release to Edison � ` ..'.
, -, - •_
b0. Gas Release to Southem CaliforniaGas Co * : � � • :. �� � " �
5/. CER IFICATE OF OCCUPANCY ` � •.. �: ' -
No Date
� •
;
October 31, 1994
C�
CITY OF COSTA MESA
CALIFORNIA 9262&1200 P.O. BOX 1200
DEVELOPMEN7 SERVICES DEPARTMENT
Dear Costa Mesa Property Owner:
In reviewing past permits, we find that work has been done on your
property located at 371 Woodland Place, Permit No. B65319, for a
roofing permit. The permit is valid for 180 days from issuance or
your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210{a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us accass.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Sinc�ly,
11 1
1/,. �
�zu.
landa Huapaya
rmit Processing Specialist
�
77 FAIR DRIVE
Building pivis�on p1G) 754-5273 • Code Enlorcemen� (71A) 75d�5623 • Planning Division p�4) 754-52a5
FAX (714) 5567508 • TDD (714) 754-5244
�
� I
I
PHOJECT ADUFESS: 3 7� WOODLAND P L
OWNEN'SNAME: SALAZAR DAVID GEORGE TR
P�OFESS: PO BD}� �%%El
,i � CAPISTRANO BEACH,CA 92624
� PflCH/ENGMEEfl: 8 3 Z— S O S 3 qEG.NO.:
( noosess:
UNIT:
uxiT:
PEpminEE' FAIRWEATHER ROOFING ( 714 ) 997-9449
aoonEss: 3B45 E. CASSELLE AVE
ORANGE CA 92669
ULENSEO CONTBACTOP UECIAHATION: I hereby aliirm I�al I am IicenseU untler D�ovisions o� Chapter 9(commencing wi�h Sedion
7000� ol Div�sion 3 0l �he eusiness antl Pm�essions Coae. an0 my license is In lull b¢e and etlec�.
cirv uc.: � � q Z 8 STATE LIL.: S 1 S 1 Z S c ss ,. _ 3 9
oaie: l��k � L! -i 9gnaWre: ��
WOFNEflS' COMPENSp7lON OECLAPA7ION: I hereey atiirm ihal I nave a cenificate at consenl to self-insure or a cenilicate o1 workers'
Compensaiion Insuranre, or a ceniliea coOY �hereof (Section 3800. La�. C).
POIICY NO.: EXP. OATE:
COMPANY:
❑ Certifietl copy is hereby fumishetl. Q Certi�ied copy is �iled wi�h Ihe ci�y 6uil0ing Oivision.
�a�e'. Applicani:
E%EMPTION FNOM WOBKEHS' COMPENSATION �ECLANRTION: (This section need no� be campleted i��he permit is lar one hunarea ($1W) ar less�.
I cetlify ihal m the performance oi �he work lor which this permil is issued. I shall no� emplay any person in any manner so as Io become
subleci to the/�J�oBe s' Compensalion Laws ol Califomia. /'� 2
Daie: ��/��1/�� Signature: �L /�/ ��
NOTICE; Ii, aQer making �his 4eclaraiion. you 5hoW4 6ecome sublec� Io Ihe Workers' Compensation pmvisions of Ihe Labor
CoOe. yote must �orlhwM tompty wi�h such pmvisions or Ihis permit shall be deemetl revoketl.
CONSTflOLTION L�NbING AGENCY: I �ereby aflirm �hat there is a conslmciion lentling agency �or the perlormance ol ��e work �or
whiCh Ihis permii is i55ued �SettiOn 3a97, Civ. C).
LENOEX:
FODflESS:
OWNEB BUI�oEB oECuflRTION: I here0y affirm inat I am exempl Irom ihe Coniractors' State License Law for Ihe following reasan
�Seclion 7031.5 Business anA Pmfessional Cotle: Any ciry oi counry whic� requires a permi� to conslmc�, alter, impmve, demolish, or
repair any Siruclure. prior �o its i55uance. also reQuires Ihe applicanl �or such permit �a �ile a signea statemen� �hat he/she is lic¢nsetl
Dursuant to ihe pmvisions of ihe Comracmrs' State License Law �ChaD�e� 91�ommencing with Section 7000) oi Oivision 3 of IAe Business
ana Pmfessions Code) or Ihai he/she is exemp� therefrom antl Ihe �asis �or Ihe allegea ecempiion. Any violalion oi Sec�ion 7031.5 by
any applicanl �or a permit suble��s t�e applicant to a civil penalty o� not more (Aan five huntlred Oollars �5500).
� I. as, owner of Ihe O�operty or my employees wilh wages as their 5ole compensalion, wili tlo ihe work, antl Ihe
❑ s�mcwre is not imende0 oroffered for sale (Section 70a4, Busmess antl Pmfessional Code: The Contractors' State License Law
tloes no� Bppty to an awner af a pmperty who builds or impmves Ihereon, antl who does such work himsell/he�self o� Ihmugh
his or her own employees, pmvidetl Ihai such impmvemenls are nol inientletl or otterea for sale. It, however �he building or
impwvemenl is saltl wi�hin one year o� complelion, ihe owner will have the bur0en o� proving �e/she tlitl not 6uild or impmve
br Ihe purpose of sale�.
I.as ownerofihe propeny.am exclusively coniracting withlicensetl coniractorsto consimc[the prolect(Section 7044, Business
❑ antl Pmfessions Cotle: The Conlractors' Slaie License Law does noi appry to an awner o� pmpeM who hui105 or impmves ��ereon
antl who contracts �or such pmlec�s wiih a comrac�oqs�license pursuam m the Contracmrs' S�a�e License Law�.l am aware
Ihat pmal of �heu Worker'S Compensaiian insurance shoultl be pwvidetl to me.
� I am exemp� under Seqion: B. 8 P. C.
for Ihis reason'.
�a�e: Owner
I ao nereby cenily t�at I am aware ol an0 un0ersland ihe reQuiremems ol Califomia Healih anA Safery CoOe Sections 25505. 25533, antl
2553d ana Ihal I or any lulure builemg occupan� wiNwill nol (circle one) neeA b comply with saitl s�ate cotles and the reQuiremenis lor a
permil lor consimction or moadicaiion Iwm �he Air Oua�ily Managemenl DiSiricl. Fe5i0enlial constmction applica�ions are exem0� �mm
Inese pmvisions.
Uale: ApplicanL
I hereGy cerlily iha� I have read �his apPlica�ion and Slate Iha11M1e a�ove inbrmalion is correcL I agree to comply wi�� all ci�y antl counry
ordinances and slatelawsrelalingio bud�mg consimclion antl hereby aWhorizerepresentaiives ot�his cityto en�er uponihe above�mentioned
propetly Iorinspe �m)n purpases. /^[
Dale'. �Z � °� J Signalure'. �< /� ,
Driver�s �icense or Sociai Searity a:
1646a6 White—Butltling: Green—CoOe EnlorwmenC Canary—Applicanl; Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06531�
PERMIT NO: H 065319 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PIIRPGSE: ALT
JOB DESCRIPTION : T/O & RE—ROOF WITH FIBERGLASS ASPH SHING SQ FT: 1,891
CLAIM VALUE: 1,891.00 CALC—VALfJE: 1,891.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQ�UIRED PEA 91 UHC, REROOF 1700SF RESID 6 GARAGE �
*�u*****#tr�--�#*�tx*�r#�r�r�**xx�r�- +t�r*#i��-it�r�rx��r**�*�t***�r#�*�****#****�+��**�r�.u...,.,
Z O N I N GS ERTEB�A�CjKRSE M E N T�R��KE pETEC"f
----------- MAIN BUZLDING --------- --------- ACCESSORY B�I��l�Jf���----
FRNT: FT IN REAR: FT IN FRNT: �.FT IN REAR: FT IN
:,EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ; PROV; FARCEL: 42623105 ZNE: REF NO;
PLANNING NOTES> '.
> -
*****�t*x-******#tc***�ritx�ir****�tir*�-***�*�r*�t******�t�c**��+t�**+r���*�**��*�-��*+r**+�*�r*��c*
D E �� E L O P M E N T S E R V I C E S,- R" � Q U I R E M E N T S
ZONING AFPROVEIS. BY � DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY; � i/ DATE: �Z � �� L��
if it iE iE it it % iEjE 3E iE !E 3fdE iE iE iE if jt if if iE i! if if iE 3f�4 % if iF iE iE��iFiF�F'�F if-% iE
1k it iM1 iE iE �IF if if if if �lf *�f jF if iE iF 3f iE iF 3f i6 if iE if iE 1f iF iE if 3E 1F jE jf iE if ?f iE IE iE 1E !E 3h iE �f fF iE')E �)F jf If il?� ,dF 9f jE iE �F 9F 1E i(� iF # 9F iE �E iE it # if if iF iE �K iE iE iE IElf if
LEGALIZATION:N F E E S U M M A R Y ��. STRUCTURAL SEGMENT:Y
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 93.00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 43.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
43.00
TOTAL PAID DUE
43,50 43.50 ,00
43.50 OVERISHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iE it k iE iE �1f-iE iE iE 9E-%� 1E jE iE iE iE iE if iE it iE # iE if� iE iC it i1� �E if iF it iElE 1E jE iE iE iE iF i@ iE ik iE iE 9E �1t 9( if 1E if 3E d@ �1f iE jf 1P iF �74 if 9f dE iE iE �F if iF jE it �f * 9F i(� �IE ia if �7E if 1E
I N D I V 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 COST TOTAL COST
SFR
18�1 REROOF BY VALUE RESJ��IENTIAL NOZONE
EhLk OF FEES
1 EXPIR��E�D
' I�n te (�wa�"'�t /:��
( �� p��(, S fa�.
�3at� _�.1I-� t ° I._L S�: -�
�
1.00 1,891.00
ai ooisl�9.-ao��zz9� -r��� ;.S.so
DATE: 12l14/?a' TIflE: 13:14
CO�JSTRUCTION AND PLANNING
A14'ROVALS Permic �
7. Temporary Electrical Service or Poie
2, Sod Pipe-Undrgrnd.
3. Electrical Conduit Utihty-Undrgrnd.
4. Electncal Conduit�Undrgrnd.
5. Steal Reinforcemenc
6. Eiectrical UPER Gmd. �
7. Foot�ngs
8. Foundation
9. 4Yater Pipe�Undrgrnd.
10. Structural Floor System
17. Proper;y Sev+er Line & Ho�se Connection
12. Sevrer Cap
73. Foof Drams
14. Rough ufum6ing
15 Rough Electricai�Conduit � �
16. Rough Electric �Viring
77. flough �Viring Siyn
18. Rough Elect�icabT Bar Celhng
19. Rouyh Hea[ing & Air Conditioning
20. Ro�gi� Factorv Flrepiace
21. Ducts, in Structure
22. �uctv, Ventilating
23. Gas Pipe�Rough & Test
24. Rooi Framing 4�Y
25. Root Sheath�ng `
26. T�Bar Ceiling (Structuralf & n5or.ocoat
27. Frame and Plashing
28. lathmg & Siding
29. Insuiation
30. Drywall Nailing
31. Plaster Brown Coat
32. Eiectrical Power MeterFnal
33. Final Electric
34. Final Heaung & Air Cond�:ioning
35. Final Gas Pipe�Test
O
36. Hood or Canopy
r-
37. Final Factory Fveplace
38. Final Plumbing
39. Water Service�Finai � �
40. Gas Service�Final �-
41. Solar pomestic-Fi�al ,�
-.
42. Backtlow Preventer
43. Backflow Irrigation `�="'
44. landscape Irngation _4y�.:m
45. Sound Attenuatio� �� "
� ; j'
46. Handicap Regulations.__ ('�
s...
`s� ----
47. FINALSTRUCTUR�.��B�'+�I.tDING
�c �'� --
48. FINAL PLANNING j� s��
0.9. Electric Release to f;(�r;�^^;
60. Gas Release to Soutr,.n California Ga;
Date
b
�
POOL SPA
inspector p�ppROVALS Permit -;r
�� 52. Pooi & Equipment Location
- 53. $teel Relntorcement
54. Forms
55. Electrical6onding
56. Rou9h Plumbiny & Pressure Tes:
57. APPROVAL TO COVER-GUN�TE
58. Electrical Cqnduit�Undrgmd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P�Trap, Ci Undrgrnd.
61. APPROVAL TO DECK
62. flackwash i4 ReceptorFinal
63. Heater & Vent•Final
64. Plumbing System Final
65. Electrical-Finai
66. Solar SYstem�Final
67. Fencing & Access APproval
68. RPPftOVED FOR PLASTERING
69. POOL/SPA SYSTEh�S FINAL
FIRE DEPT. REQUIREMENT
APPRQVALS Permit #
70. Underground Hydro
77. ProducT Piping O Gas ❑ flii
72. Under9round Flush
73. Undergrnd. Stora9e Tank G Gas ❑ Qi:
���% �4. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe '
77. FIXED SYSTEU FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUiREMENT
79. FINAL INSPECT�ON I
� 80. FOQD CERTIFICATE ISSUED �
IVotes:
Date �inspecto�