HomeMy WebLinkAbout954 LINDEN PL - Building Permits..�l.. nv r�ncTA AAFCA
$UIlE:
Vicinity:
pcimary Occ:
Parcel Number:
qpplicanC
ROOF
R3 Dwellingsi Cong Res <t0 � TYPe of Construclion: V-N
42248314 zoning:
PEREZ, DOMINIQUE AMBE
_ ._.
Address: 954 LINDEN Pl phone: 949-642-5465 iSSUED BY:
2iP: 92627
COSTA MESA, CA F, ,,,,,
.. �;� :
Owner: PEREZ, JUAN A "i,,,
Address 954 LINDEN PL � ` �'��- �'--
- , , . . . `.. Phone:_ .
.. � '. ZiR?°�x 92627 �` ' �� . .
COSTA MESA, CA • . � , '
Contractor OWNER-BUILDER t N � _ , �
Address `�� � � ' � '_� ���:'��'c' �
Phone:
_ License: 000000 �� �
Zip: - ..-.�` . _.
Arch - ��'
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AR OF.F EX1ST'
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Plan Check
� Permit
� SMIPrRes: . ��'
SMIP Com:
Other. ��
Inspection:
' "Total: '
cciy.
Address:
Phone: � 3�"; � " �
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�.' License: �';. f< "�:
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- - . ,�,�Llcense: , .
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INSTALL 1 LAYER OF 15# FEL7, 40 YEAR COMPOSITION SHINGLES-AND REPAIR/RE -
ES ATTACHED CARPORT.
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„-„�-. - �- PEE SUMMARY , "- � � � ��
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4� ;�' ' Ctiaim Valuation
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ACGESSORY "'�-� Front` �0,-0 %"`'� ' `�'" a� "°
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ortl. No. 92-28, § �, 12'Z�'92)
EXPIRATION: This permit shall automatically expire and become void lf work le not comme�ed within 180 days, or if work is suspended or abandoned
for a period of 180 days.
reyulred I apectlons anditinel approvat must he obla nedSFaeuretto�obta n� nspect'ons9and t n 1 approval w�ll resu1lt In theee�xpvation of this parmite all
FOR INSPECTIONS CALL: (714) 7545626 ------�-�--^�-^" � �
z+as-ae (aroo)
WORKERS'COMPENSAPON OECLARAnON: � - �
I hereby aflirtn under penalty of perjury one oi tha tollowinq declarations:
❑ I have antl will maintain e cehitiwte of consent to self-Insure for workers' compensation, es provitled for by section 3700 of the Lebor Code, for ihe perlormance oi ihe
work for which ihis pertnit is issuetl.
� 1 have antl will maintain workers' compensation insurence, fls raquired by section 3700 ot Ne Lshor Cotle, for ihe pertortnance ot ihe work tor which Mis pertnit is Issued.
My workers' compensation Insurance carrier antl policy num6er are:
Carrier. Policy Number:
(This section need not 6e comp/efetl i/ the pertnit is velue0 et one hundred dollars ($700) or less.)
ity �het in the performance ot the work tor which ihis permit is IssuGQ, I shall not employ any parson in any menner so as to become subject ro the workere'
�ensatlon laws ot Califomia, and egree thet if I shoultl become�.subject to ihe workers' cwnpensation provislons of Section 3700 ot the Wbor Code, I shall torthwith
tly with Ihese provisions. �• i�-
' � ~ � �.�+. 1
ilpnaNre: � .':� '��-. %+er � r (� D'a�te'�:. I��'Z\ �C>—�
'AILURE TO SECURE WO SATION COV ELS UNLAWFGL AND SHALL SUBIECT 'EMAN PLOVER TO CRIMINAL PENAL IET 5 AND CIVIL FINES UP TOONE HUNDRED
DOLLARE ($100,000), IN A�DITION TO THE COST OF CA PENSA�ION, DAMAGES AS PROVIOED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND AiTORNEY'S FEES.
LICENSEO CONTRACTORS DECLARATION:
I hereby aHirtn that I em licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Busineu and Professions Cotle, and my license is in tull
force and eflect Lic. » Cless »
Contracrofs Slgnature: Oete:
, CONSTRUCTION LENOING AGENCY:
❑ I here6y aHirm that there is a constmction tentling agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penelry ot perjury ihel I am EXEMPT FROM hIE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demoiish, or repair any structure, prior to its issuence, also requires ihe applicant for such permit
to file e signed statement that he or she is Ilcensed pursuem to the provislons of ihe Contrectors Licensa Law (Chapter 9(commencing with Sectlon 7000) oi Divislon 3 ot Ihe
Business and Protessions Code) or thet he or she is e:empt iherefrom and ihe basis for the allegad exemption. Any violetion of Section 7031.5 by any aDPlicant for a pertnit
subjects the applicant to e civil penalry oi not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, antl ihe structure Is nol intended or oHeretl for sele (Sec.
7044, Business and Professions Code: The Coniractors License Lew dces not apply to an owner of properry who builds or improves the�eon, and who tloes such work
himself or herself or through his or her awn employaes, provided ihat such improvements ere not Intended or oHeretl tor sele. If, however, ihe building or improvement Is
soltl within ona year ot com0letion, the owner-builder will have the burtlen o� pmving ihat he or she did not 6uild or improve for purpose ot sale.). �
❑ I, es owner of the property, am EXCLUSIVELV CONTRACTiNG WITH LICENSED CONTRACTORS to consiruct tha project (Sec. 7044, Business antl Professions
Code: The contrectors License Law tloes not apply to an owner oi pmpeny who builds or Improves thereon, and who contrects for such project with a coniracbr(s)
license pursuant to the Contractors License Lews.).
❑ I em exempt under sec. Business and Professions Code lor this reason:
SignaWre: Date:
Owner ID venfied by dnver's license. ❑ Yes ❑ No Driver5 LiCense No.
Venfication of Ownership by (type of tlocument, i.e. - propeny taz blll or tleed):
UIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expiras:
❑ I hereby certify Ihat no excavation five (5) or more fee� in depih into which e person is requiretl to descend, will be made in connection with work euthonzed by ihis
permit, end ihat no building simcture, scaHolding, talsework, or demolition or dismantling thereof, will be more then ihirty-six (3fi) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Califomia Administrative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would reqWre e permit from ihe Division of Industriel Sefety, as noletl above, uniess such person hes e
permit to do such work from ihe division.
Signature: Date:
Division of IndusMal Safery Permit Number.
CERTIFICATE OF COMPLJANCE AND AUTHORVJITON OF ENiAY: I certity untler penelty of perjury that I have read this epplication and state Ihet the iMormation given is
correct. I agree to comply with ell state laws end ciry ordinances relating to building construction, and au�honze represematives of tha Ciry ot Coste Mesa to enter upon the
ebove-described property for inspection purposes. 1 egree not to occupy or aliow ocwpancy of eny builtling authorized by ihis permit until tinal inspection.
COOE �. INSGECTON TYPE
1616 Fixed System Final Fire Preventian
1266 Pool Spa Final
200 Final Re-Rooi
201 Final BIocWRetaining Wall
202 Final Faciory Fire Place
203 Final Sign
204 final Demolition
Q� Iti�4§
� �
COOE♦ INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final EleCtriCal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�Occupancy
��Id1�CtitlrlRy
DECLARATION OF AUTHORITY I BIdg.Permit#
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS This Permit #
Street Address: ��-�, �l J1GY-P,uI—�C'�k`�A. 1' L�._ C/P1 ��D��'"AP Number:
1. I(we), .�urAV� tYN�P�7 � , declare that I am the Owner of Title of the above
referenced real property, and thal I(we) hereby authorize:
�-���� ��tY�� V��Gl�]= �-�L�,—Z
Name: � �J\yP.( \�'��— Telephone Number. �� �P � � _ U"l �Q�
Street Address: �cJ� � Yl(�X.P�/1 ��.
City: ��Y,����ti� State: CiPf Zip: �d`�a-'�"
to obtain pertnits in my behalf, as ownerlbuilder, for
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workers
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by Slate of Califomia laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or o�cers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a resutt of work authorized by the permits from the City of Costa Mesa.
5. I declare under the penalty of perjury that the foregoing is true and conect.
Executed this � day of _� i�iYY�`�-�JY 20 G. , at W�tTi— ����� , California.
Print Name: .� Z
Signature:
Date: � � `��\�
-��
Note: This autlwrization does rrot grant auUmrization to perfortn Ne work as ovmer,
il solely provides for limited power of attomey to secure this pertnd in any behalf.
W�9-�B lrev.l tN01
BILI TO
Address
OWNER
PROJECT
Address
Architec[
Guni�
REPORT OF INSPECTION ON Masonry
Concre[e
�1Mo�S
�w�N.PA�N6 eo2.L�-Sp"A Report No.
�S�{ �1NDEN Q�-• Permi[ No. �%�9'3
Contractor �v��p� �v�ra�� QoaLS
Address �, Address
Engineer Qj,L, Qp{�MS Subcontrac
Gunite
Address � y�tip�N G �ov6 Masonry
Concrete
Address
Mix Used ���'S_— �
Slump, Inches
Admixture
Designed Strength, P51 �j O o O
Deputy Inspector
The following inspection was performed in accordance with the approved drawings:
Cu.Yds
DATES Placed
—1 �-�7 °f
�aNO` �.QNS
No. of
Cy1• Remarks
% S�C£.��t�ewn��G,�F..Pti��.S�E.�L C1,S.Iav.ArcS a�-
�2 G.,,.�.�� Poo4��crSC�eN SW��s�aC\o���.'QF.�.1o�n1c
--'[�`
C�r��N'-C �:�cks 13�.
�
Copies of Reports to: (Indicate WHICH Bldg. Dept. 6 Furnish Addresses of any not Listed)
J06 ADDR�SS �
GEN�RAL COl
nr rro115-52:
IN""'GCTIONS
S�.
R
Ht_.
DAT�
PERMIT NO.
LOT TRACT I'IR� ZONE DESCRIPTION OF
� Signature � DATP GROUP .T TYPE TTT
�/c-
SUI3CONTRACTOR
.� . �, i �s��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. GALIFORNIA
For Applieanf to Fill in Compietely
TYPE OR PRINT
BUIL�ING �
AD�RE9S �S L ii✓O E%� L•
C057A MESA. CALIFORNIA
OWNER - L �� OFI=
ADORE66 S^ L � N D���L -
arv � �ES No:L/. S-�J
ARCHITECT �� TEL.
ne cwm�uc�o un---.
FIRE
��
FEE RE(;ElUED
OCT2 �qr?
FINANCE DEPT. l>
A�TIC�I�S��f�'1 R�RM IT ��
BUILDING
For Office Use Only
nece�ar No. e t rfjqT
t v-T
BY DAtE PECHIVEU OATE 188UED
, /O'1-6Y
COSTA MESA. CALIFORNIA
Z NO. OP U8H OF NE\
CITY -� � PL.ANB L BUIIDINa
STATE T --- -" � —
LEGAL �- � /
LIC. NO. q� NO. DEBCRIPTION
OF LOT O //'(y I NO. OF BLDGe. / �� (� _
NOW ON LOT q, p, NO. V�'
EXISTINGBLOG. ��✓�N(r- YARDS EVES
APPROVED LOWE�
6ETBACK LINE FROM A� «BHTe0. LI
ceNraH oF S'R�sT � REAR YARD /� � FRONT � '
/-� //, l
SIDE YAR� I LEFT � V I RIGHT `� R. SIDE FT.
DESCRIETION OF WORK , -�� �
� NO. OF
EXTERIOR WALL
COVERING
USE OF BUILDIN
l.
BYPROVEO 1'� I � oarc '(� -� -In Y
/ JGc �i v U !J t� �
-q
1 HERHBY ACKNOWI.��GE THAT 1 HAVE R6AD iHl APPLIGTION THE AMOUNT BNOWN UNOBH VqLUAT10N IB POR THE
AND 9TATE THAT THE ABOVE 18 COPRELT ANO AGPEE TO COM-
PUliP09E OP CBTABLIBXINO A PERMIT FEE ONLY.
PLY WITH ALL CIN ORDINANGEB ANO BTATE LAWB H¢OULATING
BUILDING CON9TeUCTION. � . VALUATION
SIGNATURE OF PERMIT FEE $.S�G O
PERMITTE / /{� o m
$ h � � ' �% PLAN CHECK $ '
AUTHORIZED AGENT �/ S'BQ o
TOTAL FEE LL
� i�iRV
Linden
INSPECTIONS
P. _ocation
Forms
Main Drain
Steel Reinforce
-Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Final
Ba sh and Recep. Final
Fencing Final
RACT
••�
UA I t �_19��
BUILDING PERMIT N0.
DESCRIPTION of WORK ppiyg Rwim _p00
� FIRE ZONE vALUE E
»c GROUP TYPE ZO
-�I SUBCOMTRACTOR PERMI
_ Date � I
Electric
"1 L - -Z '
� — ---_
Plumbing
s
. '79 �
Ix]
i
j ��'>e�;a�
,, COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILOING � � f c ii
ADDRESS �1 K
u
OWNER a �/�-y\
MAIL c, C '� U
ADDRESS 7 J
��T� `.a=i G
CANSTFUCTION �
LENDER
BRANCH
ADDRESS
ARCHITECT � n �^9� _v _ �EL� f�e l'
ADDRESS
L
nooaess y RY L�
R
FIFiE
20NE
APPROVED
6J,�'6, 3/ I 9/79
!�4B.5D TU
FOR STRUCTURAL PERMIT
VALUE
DATE � � Y l �
.r ZO J NO.OF - USE OF N
CITV b� p� y'�L' Q P� BVILDIN
F STATE CITV �'ARDSAPPROVED VA DSAPPflOVED
LIC. NO. I a I LIC. NO. C� MAIN BUILDING ACCESSORV BUIIDING
� SI2E NO.OF BLDGS (FROM C/l EE�7)
�. OF LOT NOW ON LOT RONT FT. FT.
a USE OF �
� EXLSTING BLDG. FT. FT
� ( C
FSeparate permits are required for � sioE FT Fr.
p electric, plumbing and heating work. REAR FT. O FT.
� USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. 9ET. MAIN &
�Q MAIN BLDGS. ACCESS. eLDGS.
' rh .� n { VAR. # DATE
a ���_lr�( vt_ C.UP.#�' APPFOVED
� APPROV
r -
a
x
w
QI hereby acknowletl8a that I hava �eatl t�is epplleation antl etata �
a thnt the above info�mation is corract and aprae to comply with m
0+ ell laws re8utatln8 building connrucHon, entl I shail not amploy
i
z eny person in vlolation ot the workmen's compenseNon lews af m
� the Stata of Celifornle. �
3 I he�eby eertify that I am properly Iicansatl as e conttacior unEar SQ. FT. Q �v
the Stata of Calitornia Businass end Professions Code, Olvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
C�eptar 9, antl that such licenses ere in tull foree and effect, or I TiE PURP�E OF ESTABIISHING A PERMff FEE ONIV:
am axempt fram Me provislons ot the Stete of Celifornla Business iO
VALUATION PERMIT FEE E a
entl Professions Cotla, Divis(on 3 hapter 9. �� u�
m
�� PLAN CHECK y o
$IB�atur f LL
Parmittea � S� 2(s� TAX S � �
� � �U
AuthorizetlAgant TOTALPAID E
�GE COUNTY BUILDING DEPARTMENT
636 NoRh Broadway
,. " SANTA ANA, CALIFORNIA ' . . . _
FOR APPLICANT TO FILL IN
B""°'"� 954 Linden Place
ADDRE55
SCHOOL DIST. COB t+a Meea
OR TOWN
NEAREST
cRosssr, pq�b�ln Ave_
OWNER SNOSNONE HONES� INC.
MAI l
ADDRESS 9�� WILSMIRE BLVD.
QTV BEVERLY HIIIS ND'CH. 5436t
ADORE55 2�IO E: WALNUT ST.� PASADENA
ADDRE55 93b� Mi�sN�e
LEGAL
DESCFIPTION LOT NO.
(ATTACH METES & BOUND51
NO. OF
IG. FAM.ILIE$
DESCRIPTION OF WORK
NO. OF
co_TTRooMs � STORIES
STUCCO I RoaFO1.,,. �OMPO
USE OF NEW
BUIL�ING
I HEREBY ACKNOWLE7GE THqT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLV WITH ALL COUNTV ORDINANCES
AND STATE LAWS REGIJLATING BUILDING CONSTRUCTION.
SIGNATURE OF NEMPORT YI,STA yO.
PERMITTE n
AUTHOHIZED AGT. � - �� • ��� / �/' - —
$ i1���Yn'�n P. c. s� �
5902' W FEE /� '�
VALUATION s I � �
FEE
APPLICATION FOR PERMIT �
.- , �� �_IJI.LDING
FOR OFFICE USE ONLY
, RECEIPT NO.� PERMIT NO.
-�/ld'7. S'/S-s;� �
RECEIVED PY OATE OF APPL. OATEISSLiE�
� �r i� _,.�s� o�r 2 � ,s53`.
BUILDING [L / � //
ADORE55 � / T�U"J � ���
SCHOOL DIST. J ��` ��A �
OR TOWN VCi
NEAREST �n/� /,�'�/ //,p
GRO55 ST. /lJ',%/'u� 1��' W� l�.
�n / I PLANS -I. I�{
/v� 1
SETBACK LINE FR CENT[R OF
REAR VARD i�� 'S'IDE Y
APPROVALS
: LOCATION INSPEC
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