HomeMy WebLinkAbout2002 MAPLE AVE - Building Permits ADDRESS OFBUILDMG: 2002 MAPLE AV UMT: _ _ CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNOWN: PEDERSEN, JAN MARIE PERM NO: B 076321
F ADDRESS: 1843 W BOISE AVE #A
/ BOISE, ID 83706 PERMIT NO: B 078321 PLAN CHECK NO: N GOVT: N SUPP : N
\.4PPL.MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: LIC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 3, 200
ARCH.OR ENG.'S ADDRESS: (NT:
CLAIM VALUE: 3, 200 . 00 CALC—VALUE: 3, 200 .00 GROUP OCC: R-1 /
CONr11ACTOWSNAME: R C ROOFING COMPANY ( 714 ) 534-6205
CONTRACTORSMNUNO 11782 REVA DR - COMMENTS : REROOF APARTMENT BUILDING W/COMP
ADDRESS: GARDEN GROVE CA UC.NO.: 456490 *****N'*+ti['#+F+h1E#i('d('fE#1Ei('1('1Edt1EREft***H('+e N'*d('d('i('fEiEl('+liftfEiE'lEIEiE♦<-♦E♦E*rfEiEitiE#****♦E** itt RtaEfEiE?'EaEdE+E+ER(-****
92640 UMT: ZONING R EQUIR EMEN TS /
LICENSED CONTRACTORS DECLARATION:I hereby°Aim under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS /
(commendng with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect. /
CrTYLIC.NO.: 040426 Uc.cuss: C 39 L456490 EXP: 05/97 MAIN BUILDING ACCESSORY BUILDING
7 (¢{�qRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT /IN
_y Da a: 6 v� — �6 comma«: 7— Co------'— 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 from the Contractors License Law for the
!allowing reason(Sedion 7031.5 Business and Professions Code:Any city or county which requires a pent to construct,after,improve. PARKING REQ: PROV: PARCEL: 42209224 ZNE : REF NO:
demolish,or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he Or she PLANNING NOTES>, '
is licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commenting with Section 7000)d Dirision 3 of the
Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Sedpon > •
7031.5 by any applicant fore permit fabld,the applicant to adsil penalydnd more than Ike hundred dollars[55001). **************HE****************************************************************
❑ I.all owner of the properly or my employees with wages as their sole compensation,will do the work.and the structure is nonntended D E V E'L OP MENT SERVICES REQUIR E M E N j S
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property
who builds or improves thereon,and who does such work Nmsef or herself or through his or her own employees.provided that such
improvements are not intended or offered f«sale.If.however.the building or improvement is sold within One year dcompletion.the ZONING APPROVED' BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ owner 7044, )
LmCode
The Contractors
cLicense
Lawdioe not licensed contractors propertywhoAlis or imp'onstheroni and and BUILDING APPROVED BY DATE:
Professions Code:The with
License does not apply to en owner d property who builds or improves thereon end who
Contracts br such projects wita mntradot(s)licensed pursuant to the Contractors License Law). /
❑ Iemesempt under Senon: B.8pc.,mnhisreason: APPLICATION ISSUED BY: DATE: .' l
********************************************** ******************* ** ******
Dater °MTs LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and
25534,and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements br
e permit for construction or modification from the Ai Duality Management District.Residenti°1mMrudbn applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 87. 25 ,50
Date: Applicant: PLAN SMIP/NON—RES
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
o I have and will maintain a certificate of consent to sett-insure tor workers'compensation,as provided for by Sedion 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,it the performance dthe work for which this pennh is issued. TOTALS----> 87 . 75 0 . 00 0 .00 87. 75 87 . 75 . 00
C.l I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance d the
7C work for which this permit is issued.My workers'compensation insurance caber end policy number are:
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87 , 75 OVER/SHORT: . 00
Policy Number: 185-96UNTT1b / 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(T)0s section need not be completed il the panni is for one hundred dollars 1St00/or leu.) 87 . 25 . 50
o 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to
become subject to the workers'compensation laws o Calibmu. and agree that B 1 should become subject to the wotiars' *******************************************************************************
compensation provisions of Sedkm 3700 of the labor Code.I shot hwith comply wit thaw provisions.
INDIVIDUAL F E E BREAKDOWN
Date: C ne2 Y'— Y„ Applicant: n •Iii✓'--
Warning:Fail tars to secure wolfram'compensation coverage is unlawful,• dR shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars($100,000),In addition to The coat of compensation,damages as provided for In
Section 3706of the Labor Coda,interest and atbroey'afees. SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 200 . 00
CONSTRUCTION LENDING AGENCY:I hereby eines under penally of perjury that then is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
1 certify that I have read this application and date that the above information is corred.I agree to comply with all city and county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes. ROGER COON
Print Name - - .-
-
r
�� Date:�`�1-j'-96, Signature of Owner/AOent/AppicentContrad«
(5151 de WP) Whets-Building B Safely:Green-Ale;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor
I CONSTRUCTION AND PLANNING PQ.,L & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
d-3:.Electrical Conduit-Utility-Undrgrnd� . 54. Forms C
G4i'E{ectrical ConduLLI rgrnd. 55. Electrical Bonding
--r tcSteel Reinforcer 56. Rough Plumbing& Pressure Test
• 6.) Electrical UFEFCQ fid. 57. APPROVAL TO COVER-GUNITE c
.4�M Footings "r.,r 58. Electrical ConduittUndrgrnd.
87 Foundationtt 59. Gas Pipe, O Undrrornd.,Test
r
a9 Water Pipe-Undsgrnd. `- _ _60. Backwash Lineg•E:Trap, C Undrgrnd.
'1D`•Structural Floor'System r 61. APPROVAL TEE DECK
11. Property Sewer Line& HouseConnection 62. Backwash & Receptor-Final
12. sewer Cap a- 63. Heater & Vent-Final ,
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing ,-. 65. Electrical-Final
-
15. Rough Electrical-Cohduit • 66. Solar System-Find
16. Rough Electric Wiriry z.- 67. Fencing & Accl.gs Approval
17. Rough Wiring Sign -- 68. APPROVED R-5.-.R-PLASTERING
18. Rough ElectricaGT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating Air Conditioning r 77T y Y '- rIRE
r FDEFT_TREQUIR.EMENT
20. �goug� Factor Fiigtace �•,� _. ,_ u.,,01 b ,APPRaV-443 . 1:2 Permit# _
PI 7
21. Ducts, in'Structurer', •• •• ,-S r C+ r-+x " r'- x
Y�. -1 �� 70. �lnderot{nud F`adro ,
22. Ducts, Ventilating ... it
"'S % r._ - c. ct
r 71. Productpdping+C}_Gas [13 Oil
f •
23. Gas Pi•pe-Rough &_Test _T t'S r. r 7 c' _ �' 72. Undergr�udd PIUsh` x '
-
24. Roof Framing' F_n' ;. =' - ,.' - -,mom
. 73, Undergrri, 5tota9s Tan'❑Gas ❑i5il
25. Roof,Sheathing C;;•�s s. r /'� - -
n- ` r, z7 G� 74.-Overhead Hydra.... v.
26. T-BaF Ceiling (Struc( ral) & Mouocoat x ` v rt.:s 7g._Dry Chemical +-.~ ` rd
27. .Frameand.Flashing s ;pa'f..7. 1 :T >• W'e 76. Dry Star pipet 3
U-- v. ti.. K'l-, x ^
- 28. Lathing $;:Sidrng s, ' -i4 rt- • : ` i * 7 FIXED S.YSTE{vY�INAL,.. r', --
29. Insulation • S _- * 7,-.., FIRE PREV. FILL
30. Drywall Nailing s> S .. I i ,x 2,-LEALTR DEPt. AEQ1RE
JIMENT
• 31. Plaster Beawn-Coat.* - + � 1 I° t' 79, FINAL INSPEG-PION -
32. Electrical Power Keith-Final r 4 80.t FOOD CERTIF,1CATE 1 ISQED-•
33. 'inaFElectric '< ,?i < x - ✓ Notes: "a :4. '-i C. pi.-t
_ Y•" - x T _ L. .,t - $
34. FinarHeafing& AilConditioning� y 1 -r! S
35. Final Gas pipe-Test •`r`- . .-, I w .r ;o• G --
, , - .-.r•'
;c
-36. Hootor Canopy $ ^ . .--' V a- , It I rI. t- y Kr t-
..;
- 37. Finai.Fact_ory Fireplace x -F- s' - C x
-. . - .. - ,r ..e -
:38. Fina Plumbin Y - •- a -' C
39. Water Service;Final * z "• ., I r'. , -`-' -
'40. Gas Service•Fi"rsal - m c m':+" ,: n 's Ot- .tea 4
�. t-. . 1..1. e ri
s _t .. �., _
_.41. Solar Domest -Finale,• Pi 1 - I• T •1;v _ s: -- 7_
42. Backflow Preventer * - • Y - r '- ^ r-
r", 6 '. C .-.t 14 ,- - _., -•c - '
Y
43. Backflow Irrigation 5 - - a: ;
44. Landscape',lrrrgatlon'System --573C r 4• . f* Ci. ' i, �� •_ 6-
45. §ound Attenuation x ..• • 1: t :r dt m t i-. t" ¢L •.). C
46, Handicap Regulations i-• C FT s r; 1:.] ,, n
47. FIN L STRUCTUR & BUILDING ° ' *
_ 7-.1.--.14, fie ', r
• 48. FINAL PLANNING' `- - . _� it !i r1 "
Y r Y , -J �j
49. Elecfne Release to Edson .*,1 d' 1• -- .
50. Gas Release to Southern California-Cas Cn i •
f r ' : 1-,.: ' Z. ,-
5-1. CERTIFICATE OF OCCUPANCY - -
No Date