HomeMy WebLinkAbout868 LIARD PL - Building PermitsJob Address: 868 LIARD PL
Suite:
Vicinity: GARAGE AND RESIDENCE
Primary Occ: R-3 Dwellings/ Cong Res <10
Parcel Number: 41806405
Applicane SHUMSKI, JASON T
Address:
Owner: PAJARO, RUDY
Address 868 LIARD;PL
COSTA MESA, CA �
Contractor: HOYT ROOFS
Address: 1809 N ORANGETHORPE PK
ANAHEIM,CA �
Zip: 92801
Arch :
Address:
Zip:
Phone:
License:
Type of Conslruction: V-N
Zoning: R1
Phone:
Zip:
ISSUED BY:
Phone:
Zip: 92626
Phone� 714-773-1820
License: 606111
Eng:
Address:
Status: ISSUED
Applied: 02/15/2007
Issued: 02/15/2007
Phone:
�icense:
' SCOPE OF PERMIT
TEAR OFF WOOD SHAKE, INSTALL SHEATHING AND COVER WITH GAF COMP SHINGLE. INCLUDES RESIDENCE AND ATTACHED GARAGE
Plan Check: 50.00
Permit: $153.25
SMIP Res: �0.00
SMIP Com: 50.00
Other: $0.00
Inspection: $0.00
FEE SUMMARY
Calc Valuation: 5�,2�s.00
Claim Valuation: So.00
Total: $153.25
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front � 0• 0
ACCESSORY Front 0-0
PARKING Existin : � 0
Rear . 0- 0 Left 0- 0 Right 0- 0
Rear 0- 0 Left 0- 0 Right 0- 0
Reauired: 0 Pr000sed: 0
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commencad within 180 days, or if work is suspended or abandoned
for a peiiod of 1 BO days. , " •
INSPECTIONS: In order for the work authorized under this permit to be considared legal, such work must comply with all applicable codes, and all
requlred Inspactlone and final approval must be obtained. failure to obtain inspections and final approval will result in the expiration ol this permit.
FOR INSPECTIONS CALL: (714) 7545626
2448d8 (8�00)
WORKERS'COMPENSAnON OECLARAnON:
I hereby eftirtn untler penalry of perjury one ol ihe following declaration5:
❑ I have and witl maintain a certificate oi consem to self-Insure for workers' compensa�ion, es provitled tor by section 3700 0l tha Labor Code, for the pertormance of Ihe
work tor which ihis permit is issued.
❑ I hava antl will rt�eintain workers' compensation insurance, as repuired by section 3700 of the Labor Code, for the pedortnance ot ihe work br which Ihis permit is issued.
My workce[s' cIo_m��Lpe�nsation surence arner antl policy number are: /�'7
Carrier. �, JQ�1 � — � Policy Numhec I �� [ [ C — � CJ�
(Tliis section need not be completetl il the permi( is valUetl af one hundretl dollars (5100) or less.)
❑ I certify Ihet in �ne performence ol �he work �or whi h this pertnit is issuetl, I shall not employ eny person in eny manner so as to 6ecome subjec� �o ihe workars'
compensation laws ol Celi/or 'a, end egree thet' I h tl become si lect to the workers' compensation provisions of Section 3700 0l Ihe Labor Code, I sha0 forihwith
comply wiN fheSe provisio➢
Applicant SigneWre: l a Dete: Z— � S U%
WARNINQ: FAILUFlE TO SE R ORNERS' COMPENSNTION COVERAGE IS UNUWFUL PND SHALL SIIBJEGt AN EMPLOVER TO CRIMINAI PENALTIES AND CIVIL FlNES lIP TOOfJE HUNDRED
TIqU$ANDDOLLAiiE(5� . .INADqTIONTOTHECOSTOFCOMPENSATIIXJ,�AMAGESASPROVIOEDFORINSECTION3]OBOFTHELA00qCOUE,ItJrEREST,ANDATTORNEV5FEE5.
LICENSED CONTRACTORS DECLARATON:
I hewby aHirm Iha1 I em
force end eflecl Lic. a_
Contrectofs SigneWre:
with Section 7000) ot Division 3 of the Business and Professions Cotle, and my licanse is in lull
� CIa55a L-"'Jq
Dare: Z — � 5�—O 7
CONSTRUCTION LEND�NG AGENCY:
❑ I hereby eHirm tnet there is a constmction lending agoncy tor the pertormance ol ihe work for which this pormit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Neme: Lender's Adtlress:
Signature: _
OWNER-BUILDER DECLARATIONS:
�ate:
1 hereby ettirm that under penalty oi parjury that I am E%EMPT FHOM TME CONTAACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Protessions
Cotle: Any city or couPry whic� requires a permit to construct, alter, improve, tlemolis�, or repair any strucNre, prior to its Issuance, also requires the applicant for such pertnit
to lile e signed staiement Iha� he or she is licensed pur5uent to Ihe provisions of Ihe Contractors License Law (Chapier 9(cammencing wi�h Sec�ion 7000) ot Division 3 of lhe
Business antl Professions Code) or Ihat he or she is eXempt therefrom antl ihe basis for the allegetl enemption. Any violetion of Section 7031.5 by eny applicant for a pertnit
su6jecis the epplicant to a civil penalty of not more than five hundretl tlollars (5500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe s�ructure Is not intendetl or oNeretl for sale (Sec.
7044, Business dnd Pmfessions Code: The Coniractors License Law tloes not apply to an owner of propeny who builtls or impmves thereon, and who dces such work
himself or hersel� o� ihrough his or her own employees, provitletl t�at such improvemenis ara not intendetl or offered for saie. If, however, Ihe builtling or improvement is
sold within one year of completion, the owner-builder will have ihe burden of proving that �e or she did not builtl or improve for purpose ol sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTFACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness and Professions
Code: The contractors License Law does not apply to an owner of O�oPerty who builds or improves thereon, antl who coniracts for such projeq with a contractor(s)
license pursuent to the Conhactors License LawsJ.
❑ I am exempt under sea Business and Professions Code for ihis reason:
Signature: Date:
Owner ID verifietl by driver's license. ❑ Ves � No Orivels License No.
Verification of Ownership by (type oi daument, i.e. - property tex Dill or deed):
DIVISION OF INDUSYRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certity Ipat no axcavation five (5) or more �ee� in depih into which e person is required �o descend, wiil be made in connection wi1� work authorized by ihis
permit, and that no building strucWre. swNoltlinq, falsework, or demolition or tlismanlling ihereof, will be more than ininy�six (36) fee� high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ti�le 8, Califomia AdminiSlreiive Code).
� As owner�DuiltleL � will not employ enyone to do work which woula require a permit Irom the Division of Intlustrial Setety, as noted aDove, unless suc� person hes a
pertnit to do sucn work trom the divisian.
Signawre: Date:
Division of Industrial Safety Permii Number:
CERTIFICA7E OF COMPLIANCE AND AUTHORIZATON OF EMRY: I ceniy untler penalty of perjury that I have read ihis epplication and state �hat �he infortnation given is
correct I agree to comp�y with all state laws end ciry ordinences releting to building consiruction, entl eulhorize represeNa�ives of ihe City of Costa Mesa to emer upon the
above�describetl property ior inspection purposes. l agree not to occupy or a11ow occupancy ot any boilding authorizea by ihis permit until final inspection.
CODE �.
1616
1266
200
201
202
203
Fixetl System Final Fira Preventi0n
Pool Spe FinA�
Finel Re-Rool
Final BIaWRdtaining Well
Final Factory Fire Place
Finel Slgn
204 Final Demalition
PEIE I[�9ki
Z- l �'�e C�%
Date
CODE I INSPECTION TYPE
206 Final Mechanical
20B Final Plum6ing
210 Final Elecirical
212 Final Fira Prevention
220 Final Planning Approval
222 Final Site
250 Final BuilEing/Occupency
PpIf. INiIf1�L5
No.
. �1/ILLIAMS INSULATION COMPANY
OF CALIFORNIA
7207 E. Hunter Ave., Santa Ana, California 92705
(714) 547-5148
THERMAL INSULATION CERTIFICATION
THIS IS TO CERTIFV THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WIT
CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STAT
OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Tract Name:
� lo. �G Tract No. ������-� Block No.
Street ��l_���C;axi cC�l � City
EXTERIOR WALLS:
Mfg. G.3CC3 GOYRiAs'. Thickness/Type _
Ceilings:
Batts:
Mfg. CiF7�nl1 C6?'6SIl�'t Thickness/Type _
Blown In:
Mfg. Thickness/Type _
Sq. Ft. Covered No. of Bags Used
Floors:
f Thickness/Type _
Other
Mfg.
General Contractor
Thickness/Type
California Contractors License No.
c
R—
Value ��
R—
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Value
R—
Value
R—
Value
R—
Value
Date
R—
Value
Signamre Ti[le
Williams Insulation Co. of California
California Contractors License No. 267522 Date �'�%"�t'
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JOB COPV-WHITE
GENERALCONTRACTOR-VELLOW
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BUILDING DEPARTMENT-PINK
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 12P0 COSTA MESA, CALIFORNIA 92626
For ApplicanC to Fill in Completely — Use Ink Only
BUIIDING _ � _ . 1 l � e..
OWNER Fol,ev Construction Co.,
ADORESS 2101 E. Fourth St. ,�IOI
TEL.
CITY .^�71td Ai]d NO.
BRANCM
ADDRESS
ARCHITECT
ADDRESS 777 S. �']d771 $t. � �1�8; Orange
CONTRACTOR a'�IlE'Y/+-�V210�Jf-'r
ADDRESS ��
TEL.
CITV S� NO.
STATE S�� CITV
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. 0
OF LOT NOW ON LOT
USE OF^ ^ ^^ j�j�j�
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOR�
Develognent of 41 single-
detached residence �its.
I �o�aby acknowledpe that I have reetl thie application entl state
that the ebova informatlon is corract entl aBree to comply wIM
ell laws reguleting building constructlon, end I shell not omploy
ony person In vlolation of Ne workman's compensation laws of
Me Stata of Celifornia.
I horeby certify that 1 am proparly Iicensatl as a conttactor untler
tha State of Californle Businav antl Profeulons Cotle, Dlvision 3,
Chapter 9, end Nat such Iicansas ara In full foree entl effeet, or I
om anempt from Me pravlsions of Ne Stete o( California 8usinass
and Professions Code, Divislon 3, Choptar 9.
Sipnatura
Parmlttee
Authorizetl ABent
�
33�44�0000447A35 �.1;7r���KTQI
-- - �
APPLICATION FOR STRUCTURAL PERMIT
ECEIVEOBV DATERECEIVED r.�rvwcimn _
�
ADDRESS
TRF
�:�
Construction Co
FI+ M A VALUE I/
u�a
FIRE
ZONE � NO.OF ..
PLAN$ �
VARDS APPROV ED
MAIN BVILDING
(FROM GL 5'�FLF}�FT��
NO.
Inc.
USE OF NEW �/F�,/
eUILOING Q,��
VARDS APPROVED
ACCESSORV BUILDIt
L.SIDE i�/ FT. Q FT.
REAR �' FT. � FT.
DISTANCE BET. BEf. MAIN &
MAIN BlDGS. ACCESS. BLDGS.
VAH.91E Q4TE
C.U.P.�+ APPROVED
APPRO%ED �—.// , . _/ � .� I l —
THEAMOUN
THE 7URPOSE
VALUATION
b$,100
$�
�A
m Q
i '
m ,^
_ v�
m �N
VN UNDER VALUATION IS FOfi �
'ABLISHING A PERMIT FEE ONIV:
e
PERMIT FEE E �'
n�
� �
PLAN CHECK s "�
0
LL�TAX S f
-u
TOTALPHID E/
�
k 5760 3127%79 225.00 T�
4�57�- 3'727/79_ "22B.00CKT�
.s RySo n�aa4t;�� a5 _.. , � a... ...
COSTA MESA BUILDINGSAFETY DEPARTMENT --� -� �-- •- _� � "'
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPL[CATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
PECEIVED BV DATE RECEIVED DATE ISSUED
BUIIDING
ADDRESS
PERMIT NO.
OWNER P..P. NO.
MAIL BUILOING � �
ADDRESS ADDRESS
TEL. TFACT LO BLOCK
CITY NO.
CONSTRULTION N W ADD ALTER P
LENDER
BRANCN
OWNER �
ADDFESS VALUE
ARCH�TECT TEL. SE S
OR ENGINEER .
FIRE
ADDflESS ZONE TVPE GROUP
APPflOVED
CONTRACTOR BV DATE
ADDRESS
TE� ZONE NO.OF USE OF NEW
CITV NO.
PlANS BUILDING
STATE CITY V.4RDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLOGS. (FROM C/l STFEET)
OF LOT NOW ON LOT qOtYT FT. FT.
USE OF
EXI5fING BLDG. I FT
Separate permi[s are required for � s�oE FT. FT.
electric, plumbing and hea[ing work. .
REAR FT. FT.
USE OF BUILDING AND WOPK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
MAIN BL.OGS. ACC�, 9LOG5.
VAR.� OATE
C.U.P.� APPRpVED
APPROVED
I heraby aeknowlatlpa that I Nave read thia epplication antl stete v
n
Met the above Info�metlon is eorrect entl aprae to comply wlth Q
ell laws reBulating Duiitlinp co�struction, end I shall not amploy
any person in violation of Me workmen's compensatlon lews of �
ffie Stata of Catifomle. �
I hereby canify that t am proparly Iicansatl es a contrector under SQ. FT. rv
<he State of Callfornie B�slnesa antl Prafessionz Code, Division 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOfi m
Chapter 9, antl that such IieenSes ere In }ull }orce and eifBct, Or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
am exempt from Me provlslons of the State of Calffornia Busineu VALUATI� pERM1T FEE a
and Professlona Cotle, Dlvislon 3, Chepter s� �
m
PLAN CHECK § ^�
Signatura of °
Permlttea $ LL
TAX E f
`U
AuthorizedAgant TOTALPAID §��., �D