HomeMy WebLinkAbout3485 VENETIAN DR - Building PermitsCOSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
OWNER ��
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CONSTRUCTION /
LENDER l.
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ADDRESS ' ZONE TVPE GRO�
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CONTRACTOR �ONI+O ' O\ Pa� A'S Br ATE
ADDRESS 2 Q C CC� �/�
TEL. �/� ZON NO.OF USE OF N
CITV U /�1(yyjJ� �/} NO. (�^-�v�0 PtA BUILDIN
F STATE CITY �ARDSAPPROVED VAROSAI
LIC. NO. C.5 —3S 3 LIC. NO. MAIN BUILDING ACCESSOR
� SI2E � (�` / NO.OF BLDGS (FROM GL STREET)
O� OF LOT O ij D NOW ON LOT ( NT -�FT
� USE OF � �
EXISTING BLDG .D N L
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� Separate permits are required for L SID FT.V
Q electric, plumbing and heating work. REAR Fr '�
E.W., USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BEf. BET. MAIN &
QQ MAIN 8LOG5. ACCESS. BLD(
VAfl.�F DATE
QL' C.U.P.qW APVROVED
� APPRO �
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0 1 heraby acknowledpe thet I hava raetl this epplieation antl ctata
pj t�et the abova Info�meclon la correct end epree to comply wlih
p+ ell lews reBuleNnp buildinp construction, antl I ahell not amploy
,� nny person In violetion of Ma workman's eompanmclon lews of
5 Ma Steta ot Celifornle.
3 I hereby certify thai l em O�oparly Iicensetl es a<ontrector untl¢� SQ. FT.
Me Smm W Celifornia Businan antl Protessiona Cotla, Division 3, TH A OUNT SHOWN UNDER VAIU
Chepter 9, and thei wch Iicanaes era In fuli tarce antl effeet, or 1 TME PURP06E Of ESTABLISHING A PER!
em anempi from Ma provislonsof the State of California Busina VALVATION PERMIT FEE E
end Professlons Cotle, islon 3, Chapter 9
PLAN CHECK S
Siqnatura of
Permittae �G � � TAX E
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COSTA MESA BUILD�NG-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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MAIL
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ADDRESS
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CITV NO.
F STATE CITY
� LIC. NO. LIC. NO.
{y SIZE NO.OF BLDGS.
L OF LOT NOW ON LOT
a USE OF
.�. EXIS'fING BLDG.
�
FSeparate permits are required for
o electric, plumbing and heating work.
E.w. USE OF BUIID�NG AND WORK TO BE PERFORMED
a
° CONST2UCi�ON OF �,eEENfi�G
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APPLICATION FOR STRUCTURAL PERMIT
FECEIVEDBV DATERECEIVED nn�rciccim�
A.P. NO. 7�� �✓
a�,�o�N� � y� s
ADDRE55
TRACT 990�
EW v A R
^
ZONE NO.OF
� PLANS �
VARDS APPROVED
MAIN BUILDING
DISTANCE BEf
MAIN BLDGS.
VAR. ¢b
C.U.P. �
APPROVED /�
LOT
� GROUP �
DATE � �/��
USE OF NEW ��
BUILD�N� e
VARDS APPROVED
ACCESSORV BUIIDI}�
V �O FT �
BEi. MAIN
ACCESS. 8L
DATE
APPROVED
0 I hereby acknowledpa fhat I have reatl thia epplleatlon and stote �
y� t�at the abova Information is corract antl apree to comply with m
a ell lews reBulaNnp builtling conztruction, antl I shall noi amploy
i
Z eny person In vlolation of Me workman's compensation lawe of Q
Me State of Celifornla. ^.�
3 I hareCy certify thet I am prope�ly Ilcensatl es a contractor untlar � 54. FT. �� /o�EJ oi
tha State of Celifornle Business and Professlona Cotle, Dlviaion 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOP m
Chapter 9, enG that such licenaes ere in full force antl effact, or I THE PURPOSE OF ESTABLISHING A PERMR FEE NLV � �
em exempt fram Me provisions of the Smta ot California Buslnea e
antl Protessiono Cotla, Division 3, Chapter 9.
.VALVATION � PERMIT FEE 5 N
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� PLAN CHECK E "�
Signatura of ,�N/J / �
Parmittee � . �/ ' g O TAX E LL
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Auihorized Apent TOTAL PAID E �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADDRESS 3�B.S (/c,uG ',��.1`p�� ✓
OWNEF Fplk,y FAMILY TRUST
MAIL
CITV �1� �
CONSTRUCTION
LENDER TT_
BRANCH ZOZO N.
TEL.
NO.
H312S—IclIKiSt.OR niE
ADDRESS "/']% S, - qE �J266
CONTRACTOR �tyon Cn.� Tn
ADORESS SdillE dS ciUOV�
TEL.
CITV NO.
F STATE CITY
i LIC. NO. UC. NO.
0;
SIZE NO.OF BIDCaS.
OW. OF LOT NOW ON LOT O
a USE OF
..N,. EXISiING BLDG. N�A
y
FSeparate permits are required for
� elec[ric, plumbing and heating work.
� USE OF BUILDING AND WORK TO.BE PERFOPMED
a
ci
¢ New constxuctinn sin le famil
� detached, Plan 3, 4 Bedma��s.
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ADDRESS
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OCT 21-77'A'�001066# ***317.71
cri5a
FORSTRUCTURALPERMIT
ATE RECEIVED DATE ISSUEC
� � — �l.�.Z � y�
ZONE^I NO.OF
K rv,"s
VARDSAPPFOVED
MAIN BUILDING
REAR Z (
DISfANCE BET.
MAIN BLOGS.
VAR. #
�
/
USE OF NEW s��
BUILDING �
YAqDSAPPqOVE
BET. MAIN &
ACCESS.BLDGS.
DATE
APPROVED
ne�rc ������%�
� I hareby acknowledge ihet I have reetl this applicaiion and state �
y� that the e0ova information is correct antl agree io comply wiih
m
a ell lews regulaHng buildin8 construetion, antl I shall not employ
Z any person in violation of Me workman's compensailon laws of m
Stha State ot Celifornia. � m
3 I hereby certify that I am properly Iicansed es e contractor untler SQ. FT. N
ihe Steie of Calitornta Businass antl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, end that such licenses ere in full force entl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: �
� em exampt from the provlsions of the Stete at Cellfornia Business V/iLUATION PERMIT FEE $ a
and Professlons Code ' islan 3, Chept �' m
� �, PLAN CHECK $ '� M
Slpneiura of �/�� �
Pe�mittee $ �A �""� TAX E LL
� �
U
Authorl ni TOTAL PAI O
(714) 754-5273 • FeX (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIFi DRIVE, GOSTA MESA, GA 92626
BUILDING PERMIT
Job /+ddress: 3485 VENETIAN DR
Suite:
Vicinity: ROOF
Primary Occ: R3
Parcel Number: 41237106
TypeofConsWcUon: V-N
Zoning: R1
Applicant: KIM MCLAIN ' . .
Address: 12812 VALLEY VIEW ST � �- - - �
t,-
STE 33 ; �� � Phone: p14) 897-1780
GARDEN GROVE�,CA ' ' � Zip: 92845 %
Owner: DIAZ,�COUIS � �� ' �
Address %3485 VENETIAN,DR� '� , — _ _ � _ " - - , - _ _ �
. , "� �. - - Phone: � ' . _
" ,, . COSTA MESA, CA -';.� � ' Zip: 92626 � ,
Contracmr: MCCLAIN ROOFING INC
Address: 12812-VALLEY VIEW ST
STE 33 .` � Phone: (774) 897-1780
- GARDEN GROVE CA , `
Zip: 92845 License: , �625013 �
Arch :
Address:
Zip:
.
. Phone:
� License:
.. ' -. . �/ • „ SGUPt
TEAR OF EXISTING SHAKE ROOF AND•INSTALL 7/16" OSB BOARD;
GARAGE. REPAIR AND REPLACE SHEATHING AS NEEDED. - "
Eng:
Address:
Status: ISSUED
Applied: O6/O6/2005
Issued: O6/06/2005
ISSUED BY: 1-�" ' -
Phone:
License:
T�AND 50 YEAR COMP SHINGLES ATTAHCED HOUSE AND
FEE SUMMARY '
Plan Check: $0.00 _
Permit: $125.25
SMIP Res: $0.60
SMIP Com: , $0.00 - -
�, Other: ' � $0.00 -
Inspection: $0.00 L''' � � -�
� Total: �'$125.85;. � ��..� ..-�-, . � -
�' �- .
���. � . � �
� /�
Calc Valuation:
Claim Valuation:
�' �
� � � �� �=. �PLANNING & ZONING � ' % ��
��, � ���., � .
SETBACKS� . ` � ; -. _ . . ; , _ � - : .
MAIN STRUCTURE� Front. 0-�Oi �: , % Rear 0- 0' �� Lett - 0- 0 Right- --0- 0� �
�:�� � . /. •' � .
ACCESSORY Front� 0=0� . �<,' Rear' 0-0. �" � Cek ; 0-0 �.� �� Right , 0-0"�'
PARKING Existin : 0����'� �Required: 0 � ' . .' Pr000sed: � 0 . �
- - -� ,. .,-��..- .
ss,000.00
$s,000.00
NOTICE: The work authorized by ihis permit shall compty with all applicable handicap access requiremenis under Califomia statutes and related
regulatlons. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7B0 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
�equired Inapectiona and final approvel must be obtained. Failure to obtaln inspections and final approval will result in the expiratlon of this pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
zaas+s (eroo)
WORKERS' COMPENSATION DECLARATION:, -
I hereby aHirtn under penally ot perjury one oi the following declarations: �• r� '
❑ I heve end wlll mainteln e certificate of consent to self-Insura for workers' compensatlon, es provitletl lor by section 3700 of the Lebor Cotle, for Ihe perfortnance of �he
rk for which Nis pertnit Is issuetl.
• I have and will maintain workers' compensaUon insurance, es requiretl by section 3700 of the Lahor Cotle, for the peAortnance of the wwk for wh�h ihls pertnit is iswed
My worlja�s_wmEensatlopAnsurence carrier antl pallcy number ere:
�Qlicv,Numtier;�:- 7T� �LlCi'!-017S�
❑ 1 certily t�at in the performence of t�e work for which this pertnit Is issued, I s�all not employ eny pereon In eny menner so es to become subject lo Ihe workers'
compensetian laws ot Celltomia, and egree Ihet if I should become suD�ec� to Ihe workers' compensation provlslons ot Sectian 3700 al lhe Lehor Code, I shall forthwlih
comply vrith these h ions � 1 /
want 51 � '� � � Dete: . � �P L � �
WARNINO: FAILURE TO SECUFE WORKERS' COMPENSATION COVERAOE IS UNUWFUL AND SW1LL SUBIECT AN EMPLO ER T IMI PENALTIES AND GVIL FlNES UP TOONE NUNDRED
TFKKISAND DOLIARE (E100.000). IN ADDfTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDE� FOH IN SECfION �O60F TME LABOR CODE, INTEREST, AND FTTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
of Chepter 9(commencing wlth Section 7000) ol Divislo he.gusin§e� s�@n�1 Professions Code, entl my Ilcense Is In full
�sl / �. �-S.°'I ,
at /n � _ �S
CONSTRUCTION LENDING AGENCY:
❑ I hereby atfirtn that there is a wnsirucNon lending egency for the peAormence oi ihe work for which this pertnit is Issuetl. (Sec. 3097, Civil Code). .
Lentlefs Neme: Lender's AGtlress:
SignaNre: Date:
OWNEH-BUILDER DECLAflAT10NS: � �
I hereby aXirtn thet untler penalry of perJury that I em EXEMPT FHOM THE CONTRAC70RS LICENSE LAW tor �he following reason (Sec. 7031.5, Business entl Professions
Code: My ciry or county whicli requires e pertnit to construd, elter, improve, demolish, or repair eny struMure, prior to Its issuance, elso requlres Ne epplicent for such pertnit
to tile e signed stetement t�a� he or she is Iicensed pursuant ta the provlsions of the Cantreclars Ucense Lew (Chepter 9(commendng wlth Secllon 7000) of Division 3 0l the
Busineu antl Professions Code) ar tha� he or she is exempl theretrom enO t�e besis for Ihe elleped exemptlon. My Nalation of Sectlon 7031.5 by any epplicent far e pertnit
subjects the applicant to e civil penalry of not more ihen fiva hundred dollers ($500).):
❑ I, as owner of �he properly, or my employees with weges as ihelr sole compensatlon, WILL DO THE WORK, antl ihe structure Is not Inten0e0 or offerad tor sale (Sec.
7044, Business and Profeuions Code: The Contraqors llcense Lew does not apply to en owner ot pmperry who builtls or improves thereon, and who does such work
himsel� or herself or through his or her own employees, provlded that such improvements are not intendetl or oHeretl for sele. II, however, the building or Improvement is
soltl wi�hin one year of completion, Ihe owner-6uiltler will have ihe burden oi proving t�at �e or she did not build or Improve tor purpose ot sale.). �
❑ I, as owner of the proDerty, am EXCLUSIVELV CONTRACTNG W17H LICENSED CONTRACTORS to conslruct the project (Sac. 704a, Business entl Professlons
Code: The coniracrore License Lew tloes not apply Io en owner ol property who bullds or Improves thereon, end who contracis tor such proJect wlth e conirector(s)
license pursuant to ihe Contractors License Lews.).
❑ 1 em exempt under sec. Business end Professions Cade for this reason:
Signature: Dete:
Owner ID veritied by dnvels license. � Ves ❑ No Dnvefs License No. Expires:
Ven�icetion ot Ownerehip by (rype oi documenL i.e. - properry te: bill or tleetl):
DIVISION OF INDUSTiiIAL SAFE7Y PEHMR CERTIFlCATION:
❑ I hereby certify ihat no evcavalion five (5) or mora teet in depth into which e person Is required lo descend, will be matle in conneMlon with work authorizetl by thls
parmi6 end that no buil0ing sirucNre, swttolding, felsework, or demolition or dismantling thereof, wlll be more than Mirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tllle 8, Celifornia Administretive Cotle).
� As owner-builder, I will not employ enyone to do work whlch would require e pertnit trom the Dlvislon ot Indusirial Sefery, as notetl above, unless such person �es e
pertnit lo do such work Irom Ihe division.
SignaNre: Dete:
Division ol Industrial Safety Pertnit Number:
CEHi1FlCATE OF COMPLIANCE AND AUIHOR2Al10N OF EMAY: I certiy under penelry of pe�ury that i have read this epplication antl sWte Mat the information given is
correct. I egree to comply with ell stete lews and ciry ordinences relating to building construction, and authorize representetives of the Ciry of Costa Mese to enter upon the
above-described property lor inspedion purposes. I egree not to occupy or ellow occupency of eny building euthorized by this permi� until linal inspection.
COQE 1. INSPELTION TYPE
1676 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 FIneI Block/Retelning Well
202 Flnel Fedory Fire Place
203 Flnal Slgn
204 Finel Demolitlon
PA7E lt{�ELS
� �
COOE� INSVECiIONTYPE
206 Finel Mechanical
20B Final Plum�ing
210 Finel Elecincal
212 Plnel Fire Preventlon
220 final Planning Appraval
222 Flnal Site
250 Flnel Buliding/Occupency
PAIE lt�lLfl