HomeMy WebLinkAbout2000 MAPLE AVE - Building Permits sDDREssaelnwa 2000 MAPLE AV WMT: CITY OF COSTA MESA — BUILDING PERMIT
oNNERSNwE1E'wwyN: PEDERSEN JAN MARIE /PERM NO: B 078320
ADDREss: 1843 W BOISE AVE #A
BOISE, ID 83706 PERMIT NO: B 078320 PLAN CHECK NO: N GOVT: N SUPP: N
. APPL.MAKING ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: 0TH
ARCHITECT OR DIGNEER: LIC MI: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 3, 200
ARCA OR ENO'S ADDRESS: WIT:
CLAIM VALUE: 3, 200. 00 CALC—VALUE: 3, 200. 00 GROUP OCC: R-1 /
"ONWACmasNAIE: R C ROOFING COMPANY ( 714 ) 534-6205
c1TRACwgsuInna 11782 REVA DR COMMENTS : REROOF APARTMENT BUILDING W/COMP
ADDRESS GARDEN GROVE CA UCNO.: 456490 itsERE+tRERE+t+E+E+E*****+Ex-*REstf ***Rt+ **********Rtft+t*** +E*i(+t+t******fERt+E+r** ***x******it**+E**
92640 WE: Z ON INC R EQU I R EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby alkm under away of perjury that I am licensed under proWipu of Chapter 9 S ETB ACKS
(commencing with Section 7000)of Dk eon 3 of On Business and Professions Code,arid my license Is In hdl force and sited.
CITYUC.NO.: 040426 LIG.CLASS: C 39 UC.NN 456490 EXP: 05/97 MAIN BUILDING ACCESSORY BUILDING
_�)� .�c Comma. ✓/� ��� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
°d°' 0 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt Iran the Contractors License Law for the
' neonProfessionsrequiresconstruct.label's; , PARKING REQ• PROV: PARCEL: 42209223 ZNE: REF NO;
demolish,csnnd pursuant repai to ill Provisions a the Contractors requires w[C°°°Ihapter 9(coo.neadsuch nrw mwthh Sed isigned000)d cession 3 or PLANNING NOTES> '�
Business and Professions Code]or Nal he or she is exempt Therefrom and the basis for the alleged sergtion.My violation of Section .>
703l.5 by and applicant lona perm]etaj l the applicant to a civil penally of nd mon than fire hundred Bolen MOOD. *******************************************************************************
O I.as owner of the PrnOMY of mY ernPloyees with wages as thee sole compensation,will do the work.and the stnxturo is nor intended D EVEL O P MEN T S ERVIC ES R E Q U I R E M E N .T S
or offered to sats(Section 7044.Buss heand Professions Code:The Contractors does License Law notapplya property
who Wads or improves thereon,and who does such work Itself or henel or through his or her own employees provided that such
rovem -
impeweraraIntendedodsalt ieredforsaII,however.the buildingorentssoldco
improvemwithinoneyeardmpletiothe ZONING APPROVED BY DATE:
owhw.Wilder WAR have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner a the propnty,em asueively contracting wih licensed contractors to cdmw the Project(Section 7044,Business and
Professions Code:The Cont on License Law does not apply to an owner of prppsay who drew or mgnwee thereon and who BUILDING APPROVED H Y r DAT E
contract tor such projects•M a wntrada(s)kernel pursuant to the Contractors License Law). U
❑ IamexemPunder Section: B.AP.C..for tlisrenal: APPLICATION ISSUED BY: J DATE:
Dae: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby cent/that lam aware of and understand the requirements d California Health end Safety Code Section 25505,25Snl.and
25534,and hat I or any future building occupant will/will cot(circle one)need to comply ash said date codes and the requirements for
aperms la construction or macifmonfom the Ai Sy asgeneu DisWn.RsosS
asntnJbh applications n aexempt from then BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 87 . 25 . 50
owe: Applicant: SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under d under penalty perjury one of the loiowSg declarations: PLAN
o Ihave andvdl maintain a certificate ax
icate went to self Wure for workers'compensation.as provided for a
by Sedion 3700 nte Labor ISSUE FEE
Code.for thepedormencedweworkforwhichthispermitisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
kJ Ihave and WI maintain woken'compensation insurance,srequired bySedis3700titeLabor Code for the performance oftM TOTALS----> 87 . 75 0 . 00 0 . 00 87 . 75 87 . 75 . 00
7C work for which this permit is issued My workers' EXPIRES
insuranceurpqNpanter end poky number ae:
Carrier: 7A�T96t)NTT16 , 01 /01 /97PREVENUE
BLDGDIVISION
PMT PLUMBING ELECTRICCOLLECTED:
IC FIRE? . 75 SMIPO/TOT/SHORT:GRADING PLAN—CHECK
00
. Policy Number.
(This action need not be completed y the semi s for one hundred dollar(STOW ass..) 87 . 25 . 50
0 I only that in the performance or the work for which this permit S saved.I shell 701 employ any person in any manner so as to
becone subject to the workers'compensation laws a California,end agree that i h Judd become subject to the workout' M. *
e ' ****** * **********************************************************************
` ion provisions a Section 3700 a the Labor CodMromana.I ° ih roman Mill Ohne provisions. INDIVIDUAL F E E BREAKDOWN
Lis Dale: !S —.2()—96 Applicant: ( �
"
/ Warning:Failure rosecure workers'compensation coverage IsUnlawtul, rWaNllsubjctannryloyertocrim'wpensitlsand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fins Lc to one hundred thousand dollars($104000A In addition to the cost of conpe cation,damages as provided for In
Section 3706 of the Labor Cob,interest,and•tfomeY'a leen SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 200 . 00
CONSTRUCTION LENDING AGENCY:I hereby gains under Penny y of perjury that there S•constnnon lending wiener or the END OF FEES
performance of the work to which this perms S issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application end Yate that the above information is correct.I agree to comply with all say end county ordinances
and state taws raetig to buildig construction end hereby authorize represent•twes of the ay to enter upon the above-mentioned propend
to inspection purposes.
/�1{ROGER - arise
COON C I !��
�- \(. -s—_ P Date: —c l/ /" '
Sg d OvnndApenVAppltanIContrado
(5151-46.WP) WM.-&dldbg 8 Safety;Green-Fs:Canary-Appicea:Pink-Regime:Goldenrod-Assessor
4 -
CONSTRUCTION AND PLANNING PQt,_ & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
r
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
,4t-3.4iectrical COndutt1i ity-Undrgrnd. 54. Forms
_r4.'Electrical Condu t-Ur'tBrgrnd. 55. Electrical Bonding
z .4 Sieel Reinforcement 56. Rough Plumbing & Pressure Test -
r:.
6 Electrical UFER G,c-c- 57. APPROVAL TO COVER-GUNITE _
..,Footings rOC 58. Electrical ConduitUndrgrnd.
8:Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
z CWater Pipe-Undi'rnd. 60. Backwash Lines,RTrap, 0 Undrgrnd.
1O.1Structural Floor System 61. APPROVAL TQ DECK ,
11. Property Sewer Line.& House'Connection 62. Backwash & Receptor-Final
12. Sewer CaP 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing: Yr. 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring: 67. Fencing & Access-Approval
17. Rough Wiring Sign68. APPROVED FOTR"PLASTERING
18. Rough Electrica(.T Bar Ceiling" 69. POOL/SPA SYSTEMS FINAL
19. RoughHeating & Air Conditioning r FIRE•DEPT. REQUIREMENT
20. abugp Faslor Fir ace = . 4. _ :�
'.. APPROVA1:5t;F;Perfr 'ttit fir` c-
21. Dl$trr, initruturr.,= • •• n 71 : r -170. UndergTddAd H dro
22. Duct Vecttilaiing : - . 71. Produdt-Piping EE3 as ODiI
23. Gas PT-pc-Rough Test , -1 , _ s� 72. Underground FLsi, - `
24. Roof`Fra�jring-- '=` ` - ••T I. _ ! .7$' Undergrnd.Stor geTjnkl.DGas 0Oil
25. Roottheaithing t i 74 Overhead H drp;c
26. T-Balteiling (Structural) & Modbcbat 7.-0 75.- Dry Chemical i- J ^
27, Fyarne and Flashint0 , _ - = 76. Dry Stangpipe r-,-- r •�
-.28. Lathing . ..Siding :_r - _ t " •' 4 77.'y FIXED SY-STE ThNAE ,_.
r _
�`29. Insulation - t=r _ •- - _ :'+
_ _ 78E FIRE PREV. FINAL
"30. Drywall Nailing : S iEALTHDEPT. RECIUIRr5MENT
In - t %
D31. Plaster Bretw'n,Coat- - • - -- e r 79. FINAL INSPECTION -
32. Ejectrical Power Met4r-Final r - 80 FOOD CERTIF,KATE ISE
i-r;_33. FinakElectric- m Notes: -- -.!n 1-1 r.
s•134, Finat Heating& Ai�Eonditionirfg - •_ r _ • �-
L O .•t`
, 35, Final Gas'Pipe Test" r," q, 4 xc-. .- t
X36, Hood-or Canopy - t
-37. FlnaCEactlry Fireplace- : ,-_ 7..."
"38. Final"Plur`nbing t .- -
V - -
"39. Water Service-Final k r Zr. t _
x140. Gas Service-Final _ V: r
:41. Solar Domestic-Final, = -. x - s- - - -
42. Backf low Preventer * -
43. Backf low Irrigation 7, - , K .
r
J _ - __ _ �,t ,. _-,
44 i
. Landscapti_ Irritfatior System = - -_ _
C r,
45. Sound Attenuation k - ` .. , ; . - 1 . F•_ -
0. Handicap Regulations - - .
47. FIN%STRUeTURE& BUILDING 7-(- q4 toter. ^ _
48. FINAL PLANNING - '- - rr - -
I. r _ S
49. ETectFc Release to Eison
50. Gas Release to Southern California-Gas Co -. '-' _ ' - r'
51. CERTIFICATE OF OCCUPANCY • T
No Date