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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— :, g� 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' � / Si9nature JOB COPV-WHITE GENERALCONTRACTOR-VELLOW �'a�Z:'. Su�E. TiUe BUILDING DEPARTMENT-PINK FILE COPV-GOLD F � La] a Q ti � F C W F� Q Li ..1 Q 7 r .� a w o. O 4 z W S"� 3 ���'�;'.�c�i . - --. 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