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Home My WebLink About916 TANANA PL - Building Permitst �1 r ` (714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIF ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 916 TANANA PL SuitC: Vitinity: RESIDENCE 8 ATTACHED GARAGE ParcelNumbe�: 41$OSZO9 Zoning: R1 R1 Applicanl: ZAIDI, SYED Address: 1175 EL CAMINO DR Phone: (714)404-9752 COSTA MESA, CA Zip: 92626 Owner: HOLLINGSWORTH, ROBERT R Address 916 TANANA PL Phone: COSTA MESA, CA Zip: 92626 Contracmr: PRECISION CONST & ROOFING Address: 7715 EL CAMINO DR COSTA MESA, CA Zip: 92626 Arch : Address: Phone: Phone: (714) 404-9752 License: 658880 Eng: Address: ISSUED BY: StaWs: ISSUED Applied: 1 7 11 7/20 00 Issued: 71117/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O EXISTING, INSTALL 1/2" OSB PLYWOOD, 30# FELT 8 APPLY 30-YEAR COMP SHINGLES. 28SQUARES Plan Check: $0.00 Permit: $139.25 SMIP ReS: 50.67 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.92 SETBACKS MAIN STRUC7URE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0. 0 $6,740.00 ss,�ao.00 NOTICE: The woAc authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abendoned for a period ot 1B0 Oays. INSPECTIONS: In order for the work authorized under this permit to be conslderetl legal, such work must comply with all applicable codes, antl ell requlred inepeetiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of thls pertnfl. FOR INSPECTIONS CALL: (714) 7545626 �aae-ae �aroo� WORKERS' COMPENSATION DECLARATION: I hereby ettirm untler penalry ot perjury ona of the following tleclaretions: ❑ I have and will maintain a cehificate of consent to self-Insure for workers' compensetion, es provided lor by section 3700 of t�e Lebor Code, for the paAormance of the wOrk for whiCh lhis permit Is issuetl. ❑ I have and wiil maintain workere' compensation insurance, as required by sectlon 3700 of the Lebor Cotle, Por the pedortnance of Ihe work for which thls pertnit is issued. My workers' compensation Insurance cartier entl policy number ere: Carrier. S�R�G CO"MrLNS/-��ofV )n1SUK/�YVCL FU��- PolicyNumber: ��y4 1o3�'—VO (This sectlon need not be completed il the permit is valued af one hundred dollers ($ f 00) or less.) ❑ I certify tha� in the pertortnence ot t�e work tor which this permit is issuad, 1 shall not employ any person in any manner so as to become subiect to the workers' wmpensation laws ol Ca f mia, antl agree thet il I shoultl bewme subject to the workers' wmpensetion provisions of Sectlon 3700 oi the Labor Code, I shall lorthwith comply with these provisi / AppliceN SigneWre: Da�9: __��l 1 � �/0 (� r WARNINO: FAILURE TO SECURE WOflKERS' ODMPENSATION COVEPAGE IS UNIAWFUI PND SMFLL SUBJECT Ml EMPLOVER TO CRIMINAL PENALTIES AND GVI� FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO iHE COST OF COMPENSAiION, DAMAGES AS PROVI�EO FOR IN SECTION 3l08 OF THE UBOR CODE, INTEREST, AN� ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy attirm ihat I am licensed under provislons of C�aptar 9(commenGng with Sectlon 7000) oi Dlvislon 3 ot the Business end Professlons Cotle, entl my license Is In tull force entl eflect. Lic. q i 6 6 YYX o C�ass e � �� \ L� Contrectofs Signawra: �� Dete: 1 l� U b CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm that there is e consimction lending agency for the peAormence of t�e work for which this permit is issued. (Sec. 3097, Civll Code). Lendels Name: Lentlers AtlOress: Signeture: Da�e: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penelry of perjury ihet I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7037.5, Business end Protessions Cotle: Any ciry or wunry which requires a permit to construc6 alter, improve, demolish, or repair eny siructure, prior to its issuance, elso requires ihe applicant for such pertnit to flle a signetl statament that he or she Is Ilcensad pursuant to the pmWsions of the CoNrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 01 the Business end Prolessions Code) or that he or she is exempt thereirom end ihe besis tor the alleged eaemption. Any violation ot Section 7037.5 by any epP�icant tor e pertnit subjects Ihe applicant to a civil penalry oi noi more than five huntlre0 tlollars (5500)J: ❑ I, as owner of �he properry, or my employees with wages as their sole compensation, WILL DO THE WORK, entl the siructure Is not intended or oMeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ownar of property who build5 or improves ihereon, antl who does such work himself or hersetl or ihrough his or her own employaes, provitled the� such impmvements ere not imentled or oXeretl tor sale. If, however, the huilding or impmvemant is sold within one year of completion, the owner-builder will have the burtlen of proving t�at he or she tlid not build or improve tor purpose of sale.). ❑ I, as ownar of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAGTORS to consiruct the projact (Sec. 7044, Business and Professions Code: The contrac[ors License Law does not apply to an owner of propeny w�o builds or improves ihereon, and who coniracts for such prqea with a contracmr(s) license pursuant to the Coniractors License Laws.). ❑ I am exemp� untler sec. Business end Protessions Cotle for this reason: Signeture: Dete: Owner ID veritied by drivers licensa. ❑ Ves ❑ No Dnvers Licen58 No. Verilication ot Ownership by (type of tlocument, i.e. - property lax bill or deed): Expir85: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlity ihat no excavation five (5) or more feet in tlepth into which a person is required to descend, wlll be mede In connection wi�h work euthonzeC by thls permit, end �hat no building siructure, scaflolding, falsework, or demoli�ion or dismantling Ihereol, will be more than thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifarnia Administretiva Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would repuire a permit Irom Ihe Division of Intlustrial Selety, as notetl ebove, unless such parson hes e pertnit to do such work irom the division. Signeture: Date: Division ol Intlustnal Satery Parmit Number: CERTFlCA7E OP COMPLIANCE AND AllfHOFIZA710N OF EMAY: I certify under penalry ot perjury �ha� I have read this epplication and state Ihai the infortnation given is correct. I egree to comply with ell siete laws end ciry ordinances releting to building constmction, antl authoriza representetives of Ihe Ciry ot Costa Mesa to enter upon the ebove-described property for inspeciion purposes. I agree not to occupy or allaw occupancy of eny building au�horized by this permi� until final inspection. Signature Ot Legal Owner(s) Date SiE D 2AID1 i7 AnNOr Auihorized Applicant �Y% �Date COUE 1, INSPECTIONTYPE 1618 Fixed System Finel Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIxWRetaining Well 202 Final Factory Fire Place 203 Final5lgn 204 Finel Demoli�ion PalE 1I�lL9 �/_ L6�� COUEI INSPECTONTYPE 206 Finel MeChanlcal 20B Finel Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 Finel Plenning Approval 222 Final Si�e 250 Finel Builtling/Occupancy PAg II�ELS � OWNER DAVENPpRT, p, N. �JOB ADDRESS ql6 Tanana P1sce � GENERAL CONTRACTOR Aluma Kool �APNo. 418-0 1-0 LOT TRACT INSPECTIONS Si natu SOIL 1 GAS W ATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH NEATING AN� AIR CONDITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � ROUGH wIRING TRENCNES � FORMS � STEEL ftEiNF. � FLOOR SYSTEM BON� 9EAM STEEL REINFORCf SHEATHING FRAME ANO FLASHING LATHING - IN OI/T PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., PlUM91NG, FINA ELECTRIC, FINAI BUIL�ING, FINAL REFRIG. AN� A.C., FINAI. ANO GAS TEST n DATE SUBCONTRACTOR .y '" 29704 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Z . o- U Z ZQ ON n- m J � J � Q W p] J m J Q U N Za W � d W J � m Z J � W LL� O Z F W � �O FEB —6-69PpIoOO 127 0***** �aSA 5.�0 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely �� ',✓GN PI. RECE �V DASE R/ECEIV�D pqTE IS$UE�� BUILDING J` /p !� � �i ADDRESS d « /J G PERMIT NO. OWNER l] ,� / (i �,� A.P. NO. O' MAIL �� / BUILOING ADORESS /G�:� /, ADDRESS CITV 't0 /t(,[ f ryE��S _ 3� TRACT LOT� BLOCK CAN5TRUCTION W LENDER �. BRANCH / OWNER f ADDRESS � . �^/' VALUS �OO� ARGHITECT 1 TEL. $ � •L'�� OR ENGINEER I� II/ G '/" 1✓ ��T'�� FIRE ADDFESS � f� 20NE TVPE GROUP / APPROVED � CONTRACTOR � BV DATE ADDRESS �%�, �, �.��/ TEL. ZONE NO.OF USE OF NEW CITY NO. _ yI�/(� P�� BVILDIN� STATE CITV �'AR�SAPPROVED VARDS APPROVED LIC. NO. �d,j�6 ?` LIC. NO. MAIN BUIIDING ACCESSORY BUILDING SIZE � / NO.OF BLDCS. (FROM C/L STgJF¢� �T) OF LOT GQ X� NOW ON l0T RONT FT . FT. USE OF EXISTING eLDG. (o fI !..- FT SIZE OF � NO. OF NEW BLDG. IQ X I( , ROOMS STORIES L.SIOE FT. FT. EMERIOfi WALL ROOF COVERING COVERING REAR FT. FT. USE OF BUILOING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BIDGS. ACCESS. BLOGS. VAR.�W DATE (� ,�/( .t � - O ! � C.U.P. qp APPROVED APPROVED I hareby acknowletlpe that I have reetl this applicetion entl ztata that the ebove informetion is correcx antl epree to eomply wiN � all lows re9ulatinB builtlin8 conzvucxlon, antl I shall not employ any person in violation ot iho workman'a cOmpensntion lewa ot Ne State of Colifomia. I hereby certify ffiat I am properly Iicensetl as e conbecror untlar SQ. FT. tha Stata of Calitornia Businass end Profassiona Cotla, Dlviaicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, entl [het such licanaes ere in full forea nntl oftoct, or I THE PUfiPOSE OF ESTABLISHING A PERMIT FEE ONLV: em axempt from [ha provislons of tha Stote of Colitornlo Business VALUATION antl Professione Cotlo, Division 3, Chepter 9. � n�� ,�� PERMIT FEE 5 �� Sipnnture of � y _ , 0 /L% � _ // ��y/'}/�% /� Parmittee /LQf/)'L. l��J(�i(U g �,/v/ l P�„qN CHECK $ v • �i ^/.� Authorizetl Agent TOTAL FEE S --/ � � ..� r-.°- " COSTA MESA BUILDINCrSAFEiY DEPARTMEM' P.O. BOX 1200 GOSTA MESA, CALIFORNIA Y2L2E For AppI7mM ro F711 In Compltlaly TYPE OR PRINT A DREDY 1 an na Place COSTA MESA. CALIFORNIA ownew U. $. -r'�1R3T�C18�. San Liard P1., Costa Mesa I+EW15 R. $CYd111C1� OF LOT 6� X 100 I No, or e�oos. � HOW oN IAT US6 OR EXISTINO BLDfi. 86iDACKLIN6IROtl CO� pg�RyAR 2"� CBNT[a OP 6Tq¢R ` ID YAR I LlPi S•S RIOlfT S•S� DESCRIPTION OF WORK u.cw X II �� raw.r�eu I �eo�rmu I.b BU �1 X6R6GY ACKNOWLYDOt TIAT.1 NAV[ ptAD AND BTAT6 TXAT TM[ AGOV[,1.� CORR6CT A! PLY WITN ALL"CITY OROINANCY' AyD �TAT[ BUILD�NOCONHiRUCi�ON. � H AUTX0111z[Dw02N'[ rato � *��:< FEB 17•67cMsn00 704 i�.CO IJPLICATION FOR PERMR BUILDING For OHic� Uu Only n�ciirtno. (7p��wsgo� G+' 7 C 7 rGy ZONING xo.or u.a •uns � euu L6YAL �. NO. '& NO EAV! OVERHANQ BMALL E! L688 THAN TO HIDH O REAR P. L es .OWHD (U. B. C. REGIIIREMHNT7 YARDOMPROVED YARD9APPROVHD MAIN OUILDINO ACC6HBORY BUILDIN6 1 � VM. �i c n e RiOYUTINO iMC �YOYNT /t ►lIRl08[ OI i VAWATION 8/�P" �� DATB a w 7 � �/ � VALUATION 18 POR THi � A P6RMIT PEH OHLY. � /' �W IT FHe S //7� -� � �O � � .PfiE ; / V�