HomeMy WebLinkAbout488 TRAVERSE DR - Building Permitse , � '
(714) 754-5273 • Fax (7/A) 754-4856 • www.ci.costa-mesa.cB��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 48S TRAVERSEDR
Suite:
Vicinity:
Parcel Number: 41803115
npp�icant: MCPHILLIPS, EARL
Address: 12812 VALLEY VIEW ST
GARDEN GROVE CA
Owner: DRAGOUN, LEE ROY
Address 488 TRAVERSE DR
COSTA MESA, CA
Contractor. MCCLAIN ROOFING INC
Address: 12812 VALLEY VIEW ST
GARDEN GROVE CA
Zip: 92845
Arch :
Address:
Zoning: R1 R1
Phone�. (714)897-1780
Zip: 92845
Phone:
Zip: 92626
Phone: (714)897-1780
License: 625013
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: O6/OS/2001
Issued: O6/05/2001
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: REROOF OVER EXISTING ONE LAYER OF COMP SHINGLES WITH 30# FELT & 25-YEAR COMP SHINGLES.
24 SQUARES
Plan Check: $0.00
Permit: $69.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $69.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: 0
NOTES:
FEE SUMMARY
Calc Valuation: 52,000.00
Claim Valuation: Sz,000.00
� � , PLANNING 8 ZONING , � ,
Rear 0- 0 Lek 0- 0 Right 0- 0
Rear 0-0 �Le(t 0-0 Right 0-0
Reouired: 0 Proposed: 0 '
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 72-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspaellone and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
246&48 (C✓00)
WORKERS' COMPENSATION DECLARA710N:
I hereby aHirm under penalfy of perjury one of the lollowing declaratlons:
❑ I e entl wlll maintein e certlficeto of consem to self-Insure for workers' compensation, as provitled for by sectlon 3700 of the Lebor Cotle, for tha peAormence of the
ork tor which ihis permit I5 issuetl.
I have and will melntain workers' compensatlon Insurence, es reyuire0 by sectlon 3700 of che Labor Code, for the peAortnance of Ihe work for w�lch this permit is issuetl.
My warkers' compensatian Insurence cerrler and poliq number ere:
Certier. Policy ivumber.
(This sectlon need nor be cnmp/eted I! the pertnit is velued et one huntlretl tlollers (5100) or less.)
❑ I certily thet In the pertormance oi the work tor whicht�ws"permit is issued, I shall not employ eny person in any menner so as t become subject to Iha workers'
compensetion lews ot�nle, er� egr if b Kl ecome sub�ect to t�e workers' compensation provislons of ectio 3700 of the Lebor Code, I shall fotlhwith
comply with these pro io . � ��
Applicent Signeture: �Sl Date:
WARNINGFNLUFETOSECUFEWORKERS'COMPENSATIONGUVERAGEISUNL4WFULM'DSHALISUBJECT/WEMPLOYERTOCfl NAL ENALTIESANDCIVILFlNESUPTOONEHUN�RED
TFqUSAND DOl1APE (f100,000), IN ADOfiION TO TME C0.ST OF CON.PENSATION, DPN.4GE5 AS PROVIDED FOR IN SEClION 310fi OF THE UBOR COOE, INTEREST, M1D ATiORNE1^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aftirtn that I em Ilcensed under provisions ot Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Prolessions Cotle, antl my license is in full
IOrCB 0nd BffBCt. Llt. k � T y���{l�= Q CIa55 N
Comrectors5lgneture: `-�"fl%L�� !///Al�� Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aflirm ihat Ihere is e consimction lentling agency for the peAarmance ot the work for which ihis permit is issued. (Sec. 3097, Civil Cade).
Lendefs Neme: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby afllrm ihat under penalry ol perJury ihet I em EXEMPT FROM TME CONTRAC70R5 LICENSE lAW for the followinq reason (Sec. 7031.5, Business end Profeuions
Cotle: Any ciry or county whic� requlres e Oermit to consiruct, alter, improve, demolish, or repair eny structure, prior to its issuanca, elso requires the applicant tor such permit
ro file e signed statement thet he or she Is Ilcensed pursuant to the provisions ol the Conirectors License Law (Chepter 9(commencing with Sectlon 7000) ol Division 3 oi the
Business and Prolessions Code) or Ihet he ar she Is exempt theretrom antl t�e basis for the alleged e:emption. Any violetion of Section 7031.5 by any epplicent 1or a pertnit
sublecis the apDlicent to e civil penelty ol not more then tive hundred dollars (5500).):
❑ I, as owner of Ihe property, or my employees with weges es �heir sole compensation, WILL DO 7HE WORK, end ihe siructure Is not Intentletl or offered for sale (Sac.
7044, Business entl Professions Cotle: The Contractors License Law doas noi apply [o an owner of propehy who builds or improves thereon, antl who does such work
himself or hersell or ihrough his or her own employees, provitled that such improvemenis are not inten0etl or offered tor sale. If, howeve�, the builtling or improvament is
sold within ono yeer of completion, ihe owner-builder will have the burden of proving that he or she did not builtl or improve lor purposo of sale.).
❑ I, as owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7044, Business entl Professions
Cotla: 7he contrectors License Lew tloes not epply to an owner of property who builds or improves ihereon, and who conlracts tor such project with e coniracbr(s)
licensa pursuent to Ihe Contractors Licanse Laws.).
❑ I em exempt under sac. eusiness and Professions Code lor this reason:
Signature: Date: �
Owner ID verifietl by tlnvar's license. ❑ Ves ❑ No Drivefs License No.
Venfication of Ownership by (type of tlocumem, i.a. - propeny tax �ill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
Ezpires:
❑ I hereby certify Ihet no ezwvatlon Me (5) or more teet in depih into which a person is requlred to Gescend, will be matle in connactian with work authorized by this
pertnit, and thet no building swciure, scaftolding, talsawork, or demolitlon or tlismantling thereoi, will be more t�en thirry-six (36) teel high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Califomia Administrative Cotle).
❑ As ownar-builder, I will not employ anyone to do work which would requira a permit from Ihe Division ot Industnal Safery, es notetl above, unless such person has e
permi� to tlo such work from the tlivision.
Signature: Date:
Division oi Indusirial Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUh10RVATION OF ENTFiY: I certity under penalty of perjury that 1 have reed Ihis epplica�ion end stete ihat the informa�ion given is
correct. I egree to comply with ell stete laws end ciry ordinances relating to building consWction, end authorize representa�ives ot the Clty of Costa Mesa to enter upon Ihe
above-descd6etl pmperty tor inspection purposes. I egree not to occupy or allow occupancy of any building authonzetl by t�is permit until finel ins0ection.
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COOE t. INSPECPONTYFE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Finel
200 Finel RB-Rooi
201 Finel Blak/Retaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolitlon
ceg ,�a�s
COOE/ INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final ElecMcal
212 Final Fira Preventian
220 Final Planninq Approval
222 Final Site
250 Final euiltling/Occupancy
G�TF. INTITIRlS
_ � .' 2�sss
COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOJC 1100 COSTA MESA, CAI.�FORNIA 928Z8
For AppllcaM fo Flll In Complatoly
TYPE OR PRINT
BIZE `
OFLOT
USE OF
COSTA MESA, CALIFORNIA
re�
xo, o� ��.no�,
S
DESCRIPTION OF WORK
�BUILDINO \'l� QO NO.
SIZE �ROC
EXTERIOR WAW__.... n ..I H�
1 HHq6BY ACKNO D THAT �
ANO 9TAT6 TXAT �j OV6 1�
PLY WITH ALL CI RD N �f
eu��oinaconern o'
SIGNATURE OP
PERMITTE
AUTHORIZHD AOQN'�
: RB�p TNIO APPLIGTION
BCT�AND AO0.H6 TO COM.
Oil1T[ LAWi R[OYUITINO
�c:27-er� 9zs+ ****85.50
APPLICATION FOR PERMR
BUILDINfi
For Offlce Use Only
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DATE
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VALVATION � �
PERMIT FEE E
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\,OWNER g��g� pp�, DATE 10-15-68
r` JOB ADDRE55 4F3A Travaraa nrive BUILDING PERMIT N0. 2922�
AP No.1�18-0�1-15 LOT 60
INSPECTIONS
SOIL
GAS
WFTER
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGM HEATING ANO AIR CONDITIONING
TEMPORARY SERVILE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCMES � FORMS � STEEL REINF.
FLOOR SYSTEM
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, 6ROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C.
PLUMBING, FINAL AND GAS TEST �
E VALUE
SUBCONTRACTOR
. - 29223
" �CT 15-68cnsn�0 751, ��***�S.QQ
COSTA MESA BUILDWGSAFEfY DEPARTMEPI�
V.O. BOX 1200 COSTA MESA� CALIFORNIA B262E