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313 23RD ST - Building Permits
PROJECT ADDRESS: 313 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 058961 OWNEWSNAME: NETTLES, ROBERT G ADDRESS: NETTLES JANNETTE PERMIT NO: B 058961 PLAN CHECK NO: N GOVT: N SUPP: N 313 E 23RD ST COSTA MESA,CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O EXISTING, REROOF W/FIBERGALSSCR—GO SQ FT: 1 , 800 ADDRESS: UNIT: // Ii} CLAIM VALUE: 1 , 800 . 00 CALC—VALUE: 1 , 800 . 00 GROUP OCC: R-3 /M-1 PERMITTEE: HOTLINE ROOFING CO. ( 714 ) 722-0484 ADDRESS: 236 VICTORIA ST COMMENTS; SMOKE DETECTOR(S) REQUIRED PER 1991 UBC. M•�E �� ®Vim COSTA MESA CA 92627 ****************************** eEyt+E�t*****�E*�t*�E*�EgEr�t ****** ' "�" 7©fi 4 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS ®e CITY LIC.: 043447 STATELIC.:604887 cu : C-39 REQUIRED Date: P— 9 L Signature:_./_b_ •—•"*— MAIN BUILDING JACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: COMPANY: ,+� PARKING REQ: PROV: PARCEL: 42604160 ZNE; REF NO: '7 Certified copy is hereby furnished. L`] Certified copy is filed with the city Building Division. PLANNING N T ES> > Dale: Applicant: *********************************************************************iE********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N `T S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the pikers'Compensation Laws of California. ZONING APPROVED BY DATE: Dater fro ,) Signature: ....„,...1 a- ..,, 4,` $UILDING APPROVED BY NO E:II.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• . DATE: which this permit is issued(Section 3097.Civ.C). ************************ *** *** * **** **************** ** LENDER: ******************************************** ********************************* ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Cede: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 41 . 00 , `5 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SNIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 41 . 50 0 . 0 0 0 . 00 41 . 50 41 . 5 0 . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 41 . 50 OVER/SHORT: , 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the mpuents of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 41 .00 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ' and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFR 1800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 800 . 00 t do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements Inn a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date'. Applicant. I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above.mentioned property for inspection purposes. �9 T .` Date:_Ries/— 7' Z Signature: Cf..--,.+ Driver's License or Social Security n: '- 1641.46 White—Bmldina:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCIPJN AMJ PLANNING POOL SPA APPROVALS Permit'# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System , .1 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping D Gas D Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing - _ 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding • ' I I' 77. FIXED SYSTEM FINAL 29. InsulationI :I• 78. FIRE PREV. FINAL 30. Drywall Nailing i ' ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I 79. FINAL INSPECTION 32. Electrical Power Meter-Final '=1 80. FOOD CERTIFICATE ISSUED 33. Final Electric i I • Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test I I 36. Hood or Canopy ( 37. Final Factory Fireplace I I 38. Final Plumbing 39. Water Service-Final i 40. Gas Service-Final ( I ( 41. Solar domestic-Final 42. Backflow Preventer I I 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations / 47. FINAL STRUCTURE & BUILDING r ,o 48. FINAL PLANNING 49. Electric Release to Edison I - 50. Gas Release to Southern California Gas Co I , •I 51. CERTIFICATE OF OCCUPANCY No. Date