HomeMy WebLinkAbout892 LIARD PL - Building Permits�. �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 892 LIARD pL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 41806130
App�icant: GONZALEZ, GUSTAVO
Address: 892 LIARD P4
COSTA MESA,.CA �
Owner: GONZALE2, GUSTAVO
Address .892 LIARD PL
'COSTA PAESA, CA
Contracror. OW NER-BUILDER
Address:.
Zip:
Arch :
Address:
Zonin9: R1 R1
Phone: 714-979-3819
' Zip: 92626
Phone:
Zip: 92626
Phone:
License:- 0
.- Eng:
Address:
Status: ISSUED
Applied: 02/19/2002
Issued: 02/19/2002
ISSUED BY:
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� " Phone: � � � , . Phone:
Zip: � License: � �License:
SCOPE OF PERMIT
REROOF: T/O EXISTING WOOD SHAKE, 7/16" OSB SHTG, FELT PER MFGR SPECS,�APPLY "EAGLELITE CAPISTRANO
TILES (5.7 PSF). 27.5 SQUARES � �� � �
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$18125
$0.95
$0.00
$0.00
$0.00
$182.20 _,
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : 0.
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY ,: '
PLANNING 8 ZONING
Left 0- 0
Left 0; 0
Pr000sed:. 0
' Calc Valuation:
Claim Valuation:
Right 0= 0
Right � 0-0 .
$9,500.00
$9,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21�g2)
EXPIRATION: This permit shall autometically expire and become void it work is not commenced within 180 days, or if work is suspended or abantloned
tor a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicaDle cotles, and all
requlrad inspectlone and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
:aao-an ��wu�
WORKERS' COMPENSATION OEGLARATION: -
I hereby affirtn under penally ol perjury one ol ihe tollowing tleclarations: �
❑ I have end will maintein a certificate at consent �o self-Insure for workers' compensation, es provitled for by section 3700 of Ihe Lebor Code, tor the pertortnance of the
work tor which t�ls permii is issued.
❑ I have flnd will maintain workers' compensation insurance, as requiretl 6y section 3700 0l ihe Labor Code, lor ihe pertortnance of ihe work tor which Nis pertnit is issued.
My workers' compensation Insurence wrnar end policy number are:
Carriar. Policy Number.
(lhis section need not be completetl il fhe Oermif /s valued et one hunOred dWlars ($700) or less J
❑ I certily Ihat in the peAormance W t�e work for which this pertnit is issueQ I shall not employ any peison in any manner so as to bewme su6ject to Ihe workere'
compensation lews of Californla, entl egree thet if I shoultl become subject to ihe workers' compensetion pmvislons ot Section 3700 ot the Labor Cotle, I shall fotlhwith
comply with these D�ovisions.
Applicant Signature: Dete:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMP�OYER TO CflIMINAL PENALTIES AND CML FlNES UP TOONE HUNDqED
THOUSAND OOLLARE (E100,000), IN ADDITION TO THE WST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3)Ofi OF THE UBOR fAOE, IMEREST, AND ATfORNEY'S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aNirm that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, and my license is in tull
force end ettecL Lic. q Ciass A
Contraaors Signeture: Date:
CONS7RUCTION LENDING AGENCV:
❑ I hereby aHirtn that there is a construction lending agency for the performance oi lhe work for which this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Atldress:
Signature: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm ihat under penelry ot perjury Ihat I am EXEMPT FROM THE CONTFiACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business an0 Protessions
Code: Any ciry or counry which requires a permit to wnstruct, alter, improve, demolish, or repair eny strucWre, pnor to its issuance, elso reduires the applicant for such pertnit
to file e signetl statement that he or she is Ilcensetl pursuent ro the provislons oi the Contrectors Licensa Lew (Cheptar B(commencing wit� Sectlon 7000) of Division 3 of the
Business and Professions Cotle) or thet he or she is e:empt therelrom end ihe basis for the elleged ezemption. Any violatlon of Seclion 7031.5 by eny applicant for a pertnit
subleas ihe applicaM to a civil penalry of nat more Ihan five hundretl dollars (5500).):
❑ I, as owner of Ihe propeny; o my�employees with wa9es as their sole compensation, WILL DO 7HE WORK, end the strucWra is not intentle0 or offerad for sale (Sec.
7044, Business and Professions Co`de: iTha Contractors License Law dces not applY to an owner of property who builds or improves thereon, and who dces such woM
himselt or herseN or Ihmugli his'or;hei owri employees, pmvided that such improvemems ere not IntendeO or oHered lor sala. If, however, Ihe building or improvement is
/sold within one year of completion, Ifie�ownervbuiidei will have the burden of proving that he or she did not build or improve for purpose ot sale.).
�� I, as owner of Ihe properry, am EXCWSIVELV CONTRACTING WITH LICENSED CONTRAGTORS to construct the prolect (Sec. 7044, Business and Profeuions
Catle: The contractors License Lew tloes not apply to`eri owner ot property who builtls or impmves lhereon, end wha cantracts tor such project wiih a coniracbr(s)
license pursuent to the Contrectors License Laws.)..,
❑ I am exe t under sec. Busines5 and Pmlessions Code br this reason:
Signe�ure: ��� � Date: Z �' 1 �( — (% �
Ownar ID verilied by ddver's licensa. ❑ Ves ❑ No Dnvers Licensa No. Expires: �i'� b%1'v'+�
Verification ol Owners�ip by (Iype of document, i.e. - propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenity that no excavetion five (5) or more fae� in depih into which e person is required to descend, will be made in conneciion with work authorized by this
permit, and that no building structure, scaflolding, talsework, or demolition or tlisman�linq �hereof, will be more ihan ihitly-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Celifornla Atlminisiralive Code).
❑ As owner-builder, I wili not employ enyane to do work which would require a permit from the Division of Indusiriel Selety, es noted ebove, unless such persan has e
permit to do such work irom the tlivision.
Signature: Data:
Division of Intlusirial Salery Permit Number:
CERTIFICATE OF COMPLIANCE AND AllTFiORIZATON OF EMAV: I ceRify under penelty ot perjury thet I heve read �his epplication and state t�at ihe infortnation given is
correct. I egree to comply with ell stete laws and ciry ordinances relating to building construdion, anC eNhorize reD�esen�atives of the Ciry ot Cwta Meu to enter upon Ihe
ebove-descnbe0 pmperty tor inspection purposes. I agree not to occupy or allow occuDancy of any builaing authonzed by Ihis permit until tinal inspaction.
��''��rS7 r�----- `L- l �j- C�'Z
ignaWre Of Legal Owner(s) Date
AnNOr Aut�orized Applicant Date
CODE t. INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
200 Final Re-Roof
201 Finel BIocWRetaining Wall
202
203
Final Factory Fire Place
Final Sign
206 Final Demolition
DATE �; �Qp(� INSPECTONTYPE
206 Final Mechanical
20B Finel Plumbing
210 Finel Elecincal
212 Finel Fire Prevention
220 Flnal Planning Approval
222 Final Site
. 250 Final Building/Occupancy
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
3335 2L13(79
3335 2/13%79
127.97 T
I27'.97CKT�
- APPLICATION F01� STKUCTORAL��MIT � Q
For Applicant to Fill in Comple[ely — Use Ink Only
RECEIVED BV DATE RECEIVEO DATE ISSUE�
ADDRE55 L � �� � �I II P/
OWNEP Foley Oonstruction Cr�. , IRC. A.P. NO. — _ z PERMIT NO.
MAIL 2101 E. Fourth St. , }�ZOO ADDFIE55 /� L I�F�U V
ADOFiESS
CITV San� �� o,o`.� 543-947 TRACT 10513 LOT 13 BLOCK
CANSiRUCTION W P' P
LENDER
X
BRANCH
OWNER F''Ole Construction CA. �C.
A DDR ESS VALUE
ARCHITECT j.�leS—ItiIl St.0I1 NEL. S4%—OHE) S �� § /�
OR EN IN ER �
ADORESS �%%7 S. M3711 St.. � #LOS; Oran e ZONE TVPE GROUP�OL
/�,� APPqOVED
CONTRACTOR OW11PS�ucVe1 BV DATE
ADDFiESS ��
TEL. Z�NE NO.OF USE OF NEW •
CITV .� NO. � I P�� � BUILDWG �
$TATE CITY rARDSAPPROVED VAqDSAPPROVED
LIC. NO. �� LIC. NO. MAIN BUILOING ACCESSORY BVILDING
SI2E NO.OFBLDGS. (FRQMC/LSTRE ) �
OF LOT NOW ON LOT � M � FT. �'Q F.�
USEOF N/A 16 � � Klo i e� 1}ve.
E%ISTING BLDG.
Se arate ermits are re uired for �
p P �I L SIDE FT. O FT.
electric, plumbing and heating work.
REAq � FT.O FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
peVelo t of 41 Sin le—famil c�Ra.#� APPROVED
Y251C�ERC2 LIIlltS (d2tr1C11C(�) . nPvaO — I � G
1 haraEy aeknowledpe that I �ove reatl ihis eppticetion and smte
that Ma abova informatlon is correet antl apree to comply with
e�� laws repulatlnp bulltlln0 conatructlon, end � sha�l not emplov EOU�REMENS'�
any parwn In vlolntion of tha workman's compensallon lawf of
ffie Stete of Califof��e. I, ,� /
I heteby certity that I am properly licensetl as a contraccor untlar SQ. FT. �( �L �
the Stete of Califof��a Business enA Profaufons Cotle, Division 3, THE AMOUNT SNOWN UNDEq VALUATION IS FOR
Chapter 9, entl thot suc� licenaas are In full force entl effect, or I THE PURPOSE OF 6TABL45NING A PERMIT FEE ONLV:
am oxempi from tno provisionsot theSiete of Californla Buslnaa VALUATION PERMIT FEE
entl Profesflons Coda, Dlvislon 3, Chapta . ^7 s
Slpnetura o �/���� �/pO� �O -i P�N CHECK S` 2,2 ,
PermlRee $ .�vvv.+v TAX 5 s� �
Authorized AOent TOTAL PAID y a�, q
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUIIDING �/S� �I�/�,\ � p1 .1
AD�fiESS �� Ic�\ j V
OWNEF
MAIL
CITV
CONSTRUCTION
BPANCH
ADORESS
ARCHITECT
CONTRACTOR
ADDRESS
CITV
STATE
LIC. NO.
SIZE
OF lOT
USE OF
TEL.
NO.
TEL.
NO.
CITY
LIC. NO.
NO.OF BLDGS.
NOW ON LOT
Separate permi[s are required for
electric, plumbing and hea[ing work.
USE OF BUILDING AND WORK TO BE PEFFORMED
I heraby acknowladBe thet I have read this applicetion and stete
thet the ebove informetion is corract antl aBree to comply with
a�l taws regulatinp buildin8 consttucNon, and 1 shell not employ
eny person in violation of the workman's compensallon laws of
the State ot Celitornie.
I heraby certify thet I em properly Iicensatl es e conttactor untler
the Sieta of Californie Busineu antl Protevlons Code, Oivision 3,
C�epter 9, antl that such Itcenses are tn tull force and effact, or I
am exempt from the provisions of the Stata of Californla 9usinea
antl Protassiona Code, �ivision 3, Cha er 9.
Sipnetura of
Permlttee
Authorixetl Agent
r �
^ 37 3l27/79 246.00 TU
,� 37�7[Z9--- �2GS.00CNTD
� Od004474 22 I Q'"
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APPLICATION FOR STRUCI'URAL PERMIT
RECEIVED BV OATE RECEIVED �o-rF iccuFn
BUIIDING �
ADDRE55 _ ^
TRACT
OWNER d'�G3///�(
�sci—
USE �
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FIRE
ZONE T
APPROVED
BV
20NE NO.OF
PLAN$
VARDSAPPROVED
VAR. �
APPROVED
PERMIT NO.
BLOCK
DATE
USE OF NEW
BUILDING
VAFDSAPPROVEO
ACCESSORV BUILDING
OP.TE
APPROVED
THE AMOUNT SHOWN UNDER VALVATION IS FOR
THE PURPOSE OF ESTABLISNING A PERMff FEE ONLV:
VALUATION PERMIT FEE b ��
PLAN CHECK E
$ TAX E
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