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Home My WebLink About3064 MADISON AVE - Building Permits PflOJECT AODflE55: 3064 MADISON AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063919 OWNER'S NAME: TOM WALKER ADDRESS: 3064 MADISON AV PERMIT NO: B 063919 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT AflCHIEN E ( 714 ) 957-6882 REG.NO.: JOB DESCRIPTION : T/O EXIST FLAT B—U & APPLY ' TORCH DOWN' SQ FT; 1 , 775 ADDRESS: UNIT: .� CLAIM VALUE: 1 , 775 . 00 CALC—VALUE: 1 ,775. 00 GROUP OCC: R-3 / PERMITTEE: STAR COURSE ROOFING CO. ( 800 ) 954-0014 ADORESS: 24981 HON AV COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC w • LAGUNA HILLS C • �� . **************************** ************************************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed •• -.ovisions of Chap• 9(comm• ing with Section Z ONING REQUIREMENTS 7000)of Division. of the Business and Professions Code,and my lice • • cell force and effect. SETBACKS T B A C K S CITY LIC.: STATE LIC.:532778 IS: C-3. � � DETECTOR. Date: \` �� Signature: _ MAIN BUILDING ACCESSOR D ('� WORKERS'bOM NSATION DECLARATION: I hereb firm that I hay-.certi .te of consent to self-insure or a certificate of workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR t�FF nE N Compensation Insurance.or a certified copy therm (Section 3801 ab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT1 A F N POLICY NO.: '. .ATE: COMPANY: PARKING REQ: PROV: PARCEL: 14159316 ZNE: REF NO: ❑ Certified copy is hereby furnished, ■ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: a **********************************************************************•********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio. be completed if the per • for• •hundred($100)or less). D E V E- L O P M E N T SERVICES R E Q U I R E M E N i•T S I certify that in the per .mance of the work for which this permit is':. ¢d shall mploy any. . y manner so as to become • subjectat . to he workers Cyn enation Laws of California. ZONING APPROVED BY � ' �Z DATE: — Date. � �SlgnaWr' NOTICE:It alter making this dedaratioal you .uld becom• :..fecl to the workers'Compensation provisions of the Labor BUILDING APPROVED BY ./` Code.you must forthwith comply with such .ovisions• is permit shall be deemed revoked- r /l.� DATE CONSTRUCTIONthis LENDINGeAGENCY: hereby. : at there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; til '1� , `i� i dF DATE: /� which this permit is issued)Section 3097.Civ.C). {(.**************** *.** * ***. * . *** *** ************** • ** LENDER: ********************************************** ********************A********* ADDRESS: LEGALIZATION:N F E E SUMMARY . STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES " GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve.demolish,or PERMIT 41 . 00 5 0 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON=RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE ❑ I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 41 . 50 0 . 00 0 . 00 41 , 50 41 . 50 .00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. II.however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 41 , 50 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 41 . 00 . 50 - ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.**.x.************.*.******.)f**..x.***{(.***.***.J(.*****.J(.{f***.*j(.**.**.*.x.{(.*.*****.J(.*****.*******.*..x.*. that proof of their Worker's Compensation insurance should be provided to me. - ❑ am exempt under Section: B.8 P.C. I N D I V I D U A L F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: SFR 1775 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 775 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a • permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: . I hereby certify that I have read this application and state that the ay. ormation is correct.I a. • o corn. •Th all city and county ordinances and state laws rel ting to building construction and h' './authorize representatives. city ti'- 'r upon the above-mentioned _-- property tot in pection pt ses. / Date: $ l5 3 si.•.tere: 01 00146731-00146732 TOT 41.50 Drivers License or Social Security.: DATE: 09/13/93 TIM: 10:33' 1641,46 While—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • 4- r4 , POOL ;PA CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service qr-Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit.Utility-Undrgrnd. . 54. Foims ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i 5 Steel Reinforcement 56. Rough Plumbing & Pressure Test u. Electrical UFER Grnd. 57. AP'ROVAL TO COVERGUNITE , 7. Footings 58. Electrical Condu;t•Undrgrnd, • 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor.System • 61. APPROVAL TO DECK ! 11. Property Sewer Line & House Connection •, 62. Backwash & Receptor-Final 1 • i 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains -'. ;', 64. Plumbing System Final • 4. Rough Plumbing , - - ' i% 65. Electrical-Final 15 Rough Electrical-Condu}i / 66. Solar System-Final • 16. Rough Electric Wiring' I 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. 'Ro,.gh Factory Fireplace 1 1 ', .. ,APPROVALS,,, ' Permit;r 21. Ducts, 7n Structure .. • 70. Underground:Hydro 22. Ducts, Ventilating. . ' 71. Product Pjping0Gas 0 Oil 23. .Gas Pipe-Rough & Test . 7 . ' - ' 1 ' 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 01 Gas 0 0i' 25. Roof Sheathing " ^l'-/Lj 64( 74. Overhead Hydro- - 26. T"Bar Ceiling (Structural) & Monocoat . , , 75. Dry Chemical ' 27. Frame and Flashing. 76. Dry Standpipe 28. Lathing& Siding - -I77. FIXED SYSTEM;f(NAL (' 29. Insulation . .78. FIRE PREY. FINAL 30. Drywall-Nailing - I .IHEALTH DEPT. REQUIREMENT 31. Piaster Brown Coai . ! .79. FINAL INSPECTION 32.'Electrical Power tAeter=Fina!• • . l 80: FOOD CERTIFICATE ISSUED 33. Firal Electric , Notes: 34.- Final Heating& Aw'Conditioning 1 • ,35. Final Gas Pipq-Test , 36. Hood or Canopy i 37. Final Factory Fireplace _ l + 38. Final Plumbing i I 39. Water Service-Final I - 40. Gas Service-Final . 1 41. Solar Domestic-Final 42. Backflow Preventer ----i ' 43. Backflow Irrigation i I 44. Landscape Irrigation System - 45, Sound Attenuation , 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING f-16--q3 4 ct� s-L, ,,„it, Ad. 6 'c _ 4 cc& 48. FINAL PLANNING .. ' 49. Electric Release to Edison I I i. 50. Gas Release to Southern Catiforn'.a Gas Co i i 51. CERTIFICATE OF OCCUPANCY No. Date • 17061 n�� a iii SS �U COSTA MESA BUILDING-SAFETY DEPARTMENT ,r FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA it I CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDADDRESS 206-,./ / /<�iS •) An- /COSTA MESA. CALIFORNIA For Office Use Only OWNER Occidental Loan Company I RECEIPT NO, I 1P706RMIT NOI. ADDRESSMAIL O 2901 Benedict - • , RECEIVED Y DATE EC IVHD 'ATE�SU ,662 , -b2 I MAY,31 U CITY Beverly Hills TEL CR.-•- .- BUILDING 3064 Madison Avenue ar 1,,., ADDRESS ARCHITECT TEL O COSTA MESA. CALIFORNIA OR ENGINEER -- NO. ADDRESS �- FIRE , ✓/ �GJ , ` ZONE TYPE GROUP J CONTRACTOR Alfred A. Edelsohn APPROVED BY DATE ADDRES9O1 Benedict Canyon Dr. ZONING NO.OF clTYBeverl.Y Hills . California ZO"(—f I PLANS a I BUILDING use OF (y/W -C1A. _A LIATE L G NO. 1141 TNO. R.-6-6-4o DESCL SIZE �/-I DESCRIPTION Lot H __ TR-4-607 OF LOT 42x1 00 I NOWONLOTeO A.P.NO. USE OF YARDS EVES EXISTING s LDG -- APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OP STREET 5311 REAR YARD 20 I FRONT ...C.3 FT. �- IN. SIDE YARD (LEFT 51 I RIGHT 51 R.SIDE S FT. - IN. DESCRIPTION OF WORK L.SIDE --5-- FT. IN, I NEW $ II ALTERATION I ((ADDITION I REAR Z FT, 3 IN. REPAIR I II MOVING I D DEMOLISH I APBYPROVED 10376,,o& DATE slit/1e L SIZE LDING.52X119 ROOMS I STORIES 1 EXTERIOR WALLY ROOF COVERING SLf]CCO ICOVERING WOod R• Ron, USE OF BUILDING AND WORK TO BE PERFORMED 1 - FRIT RPR w/attPcheri (7Rr 9. i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPIJCATION THE AMOUN SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT A AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND ET LAWS REGULATING BUILDING CON CTION. VALUATION SIGNATURE O "1 // e.4 PERMIT FEE $ � T i 11! N PERMITTEE p e $ 20 ,991.00 PLAN CHECK $ 07 o AUTHORIZED AG NT , D i 8 TOTAL FEE n