HomeMy WebLinkAbout928 TANANA PL - Building Permits, �:
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(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.1ob Address: 928 7ANANA PL
Suite:
Vicinity: HOUSE 8 ATTACHED GARAGE
Parcel Number: 41805206
Applicant: THOMPSON, DANNY
Address: 630 N. TUSTIN AVE
ORANGE,CA
Owner: KATSUMOTO, SUSAN
Address 928 TANANA PL
COSTA MESA, CA
Contractor. STARLIGHT ROOFING
Address: 630 N. TUSTIN AVE
ORANGE,CA
Zip: 92867
Arch :
Address:
Zoning: R1 R1
Phone: (714) 997-1761
Zip: 92867
Phone:
Zip: 92626
Phone: (714)997-1761
License: 759321
Eng:
Address:
Phone:
ISSUED BY:
Status�. ISSUED
Applied: 06/01/2000
Issued: 06/01/2000
Phone.
Zip: License: License: ,
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (22 SQ). TEAR OFF EXISTING LAYERS OF
ROOFING & RESHEATH WITH 1/2" CDX PLYWOOD. INSTALL 2 LAYERS OF 30# FELT UNDERLAYMENT & REROOF WITH
"EAGLELITE MALIBU" 5.5 LBS (IC80 #4556).
Plan Check: $0.00
Permit: $167.25
SMIP Res: $0.88
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.13
SETBACKS
ACCESSORY
PARKING
NOTES:
Front 0- 0
Front 0- 0
Existin : o
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
LeR 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Ri9ht 0- 0
sa,ns.00
$8,775.00
I NOTICE: The work authorized by ihis parmit shall comply with all applicable handicap access requiremeMs under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inepectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
1
WORKERS' COMPENSATION DECLARATION:
I hereby aflirm under penalry oi perjury one of the tollowing declarations:
❑ I heve and will maintain a certificate ot consent to self-Insure lor workers' compensation, as provitletl for by section 3700 of ihe Labor Cotle, tor �he peRormance ot t�e
work for which ihis permit is issued. .
❑ I have and will maintain workers' compensation insurance, as requlred by section 3700 of ihe Labor Code, for Ihe pertormanca of the work for which this permit is issuetl.
My workers' compensation Insurance carrier and policy number ere:
Cerrier: Policy Number:
(This sectlon need not be campletetl il the pelmit is valuetl af one huntlretl tlollers ($100) or /ess.J
❑ I certify that in the peAormance of th work for w�ich this permit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensation laws Calitomia, an0 gree ihat if I should becoma subject to ihe workers' compensation provisions of Section 3700 of ihe Labor Cotle, I shall forthwith
complywithihese rov ions.
Applicant Signature: ' Date: � /�6� G
WARNING: FAILURE TO SECURE W KERS' MPENSATION COVERA6E IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSANDDOLLARE($100,000),IN DITIONTOTHECOSTOFCOMPENSATION,DAM4GESASPROVIDEDFORINSEGTION3�O60FTHELABORCODE,IMEREST,ANDAT70RNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm tha� I am
force and effect. Lic. # _
Contractor's SiqnaWre:
ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Cotle, antl my license is in full
Class a G —.3 �
Date: � —� - �
CONSTRUC710N LENDING AGENCV:
❑ I hereby a8irm ihat there is a consiruction lending aqency for Ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: LentleYs Adtlress:
SignaNre:
OWNER-BUILDER OECLARATIONS:
Date:
I hereby afFirm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business and Professions
Code: Any city or counry which requires a pertnit to construct alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant tor such permit
to tile a signetl statement ihat he or she is licensed pursuant to ihe provisions of Ihe Contractors License Law (Chapter 9(commancing with Section 7000) oi Division 3 of the
Business antl Protessions Code) or that he or she is exempt therefrom and ihe basis ior the alleged exemption. Any violation oi Section 7031.5 by any epplicant for e permit
subjects the applicant to a civil penalTy of not more than five hundred tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensati0n, WILL DO TME WORK, and the slructure is not intended or oHered for sale (Sec.
7044, Business and Professions Code: The Contracmrs License Law dces not apply to an owner of property who builds or improves ihereon, and who does such work
himselt or herself or through his or her own employees, provided that such improvements are not intended or oRered for sale. If, however, ihe builtling or improvement is
sold within one year ot completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose oi sale.).
❑ I, es owner oF the propeny, em E%CLUSIVEIV CONTRACTING WITH LICENSED CONTRAC70RS to consiruct the project (Sec. 7044, Business antl Protessions
Cotle: The coniractors License Law does not apply to en owner of property who 6uilds or improves ihereon, and who conirects tor such prolect with a contractor(s)
license pursuant to Ihe Conirectors License Laws.).
❑ I am eaempt untler sec. Business and Protessions Cotle for this reason:
Signature: Date:
Owner ID verified by dnvefs licensa. ❑ Ves ❑ No Dnver's License No. Expires:
Verification of Ownership by (type of document, i.e. � property taz bill or daed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: '
❑ I hereby certity that no excavetion five (5) or more feet in depth into which a person Is required to descend, will be matle in connection wi�h work authorized tiy this
permit, end ihat no builtling strucWre, scaHoltling, falsework, or tlemolition or tlismantling thereot, will be more than ihlrry-six (36) teat �igh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Administrative Code).
❑ As ownerbuilder, I will not employ anyone to do work which woultl require a pertnit from the Division of Industrial Safety, as noted above, unless such person has a
permit to tlo such work from ihe division.
Signature: Date:
Division of Industrial Safery Permit Numbec
CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certify under penalty of perjury thai 1 have read this appliwtion and state Ihat the information given is
correct. I agree ro comply with all state laws and ciry ordinances relating to building constmction, and authorize representatives ot ihe Ciry of Casta Mesa to enter upon ihe
above�descnbed property tor insp�ction purposes. I agree not to occupy or allow occupancy of any building authorized by ihis pertnit until final inspection.
COpE �, INSGECTION7YPE
1616 Fixed System Final Fire Preven�ion
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
2d46-46
PAIE �MRIRLS
r ,i / /i ,�
COpEt INSPECTIONTYYE
206 Final Machanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Pinal Site
250 Final Building/Occupancy
Date
/_' - /-Dc'i
Date
U�TF IMRIRLS
I
'OWNER RUST, C.W.'
JOB ADDRE55 �2g Tg,n;
�GENERAL CONTRACTOR p�ie
APNd+l�-O51-06 LOT
INSPECT�ONS
SOIL
GAS
WATEF
ROUGH PLIIMBING
PROP. SWR� LINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR GON�ITIONING
TEMPORAftY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES FORMS � STEEL RE
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFORCE �
SHEATHING
FRAME AN� FLASHING
LATHING � IN n OUT n
PLNSTER, 9ROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FI
PLUMBING. FINAL AND GA$ TEST n
DATE 7-20-71
BUILDING PERMIT N0.
DESCRIPTION of WORKPati�
FIRE ZONE VALUE
SUBCON7RACTOR
,� � 33340
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX1200 C0.STAMESA,CALIFORNIA92626
For Applicant to Fil/ in Comp/etely
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APPLICATION FOR BUILDING PERMIT
EIVED B DATE RECEIVED DATE ISSUEC
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BUILDING � �
ADDRESS
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VI hereby acknowledBe that I hnva reetl this appiication antl rtata
� that the ebove intormecion Is corract antl a0ree to comply with
� all lows regulatin8 builtlin8 construccion, antl I zhell not employ
r any parson in violetion of tha workmnn's campensation laws oi
y tho State o( Californla.
ZI hereby ter[ify t�at I am properly licensetl as e conttactor untler S
tho Stete of Celifornie Businesa antl Profauions Cotle, Dlvisicn 3, THE AMOI
Chapter 9, antl thet such licansas ara in full force and et(act, or I THE PURPO
am oKompt from t�e provisions of t�a State of Californle Business VALUATION
ontl Protessionz Cotl�ivislon 3, hap� $
SIB^otura oi w
Permlttee �_�
� Authorized ABani �DD• H
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VALU<S�. ��
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VALVATION IS FOR '
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�OSTA MESA BUILDING-SAFETY DEPARTMENf
P.O. BOX 13W - COSTA MESA, CALIFORNIA 9162!
For Applfcanf ro F711 In Completoly
TYPE OR PRINT
COSTA MESA, CALIFORNIA
San Die�o, Calif .
ORENIGINEQR A. S• Henryck HOL546-z3
AODRE88 901 Liard Pl. , Cos ta t�esa
CONTRA R �C�S R• SC}IIOld
ADDR[W 294�A Randol h Ave.
cin Costa Mesa Calif.
�;�TNo. 23I�399 „g�• 54ao96o
s�ze 6o x loo �o.or.tna.. p
OF LOT NOW ^� • ^�
USE OF
EXISTIN6 BLDO.
Y6T�ACK LIX[ 1110tl
cermwororn�rr SO� RGR'
SIGHYARDI L[Ff 6� RIaIiT
DESCRIPTION OF WORK
oaew I X I��T�w�r�nw I I�nn
�euac�Ha �18 No.o� 6
SIZE ROOMH
PJ(THRIOR WALL w�� ROO/Sh
rs
BUILDIHO
.4�
uo.u.
PA70
FEB 17-67u�sA00 701� ^***Oa.�
APPLICATION FOR PERMR
BUILDINCi
�Or Offlce Uu Onfy
RtC[II�NO, p6RMITNO.
ZONING
r�o. o� Ilt[ O� N[W
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NO GV 6 OV [IIHANO BXALL EH LE88 TMAN
YAHDD MPROV HD
MAIN BUILDINO
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V
I HHRlBY ACKHOWLCD06 TXAT 1 NAVI R6AD TXIf APPLIGT�ON
ANG BT�TB THAT TX6 ApOV6 1/ GORRRGT�AND AOR66 TO COM-
PLY WITX ALL CITY ORDIIUNCi/ I1t1D Rl1T[ LAWY RtOYL11TINY
OUILDINO CONBTRURION.
SIGNATUREOP�tQ �`�_ o
P6RMITfBG 11`.
AUTHORIZBD A06M
/i
YARD9 MPROV HD
ACCEYSORY BUILDINO
DATE
01 l�/C'W CAT! �
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P1
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THH AMOUIT 6XOWN YNO[R YALUATON 18 FOR TX[ j
tURro88 OI [HT/.BLIBHINO A P6RMIT PBB ONLY. j
VALUATION �
PERMIT FEH �
s ��c�� �/.5� ��°.
TOTALFEE S ��S