HomeMy WebLinkAbout237 20TH ST - Building Permits ADDRESS OF BUILDING: 237 E 20TH ST UHT: CITY OF COSTA MESA - BUILDING PERMIT
01YHEWSNMIEIPQChm: CURIEL, ROMAN PERM NO: B 071984
ADDRESS 237 20TH ST
s COSTA MESA, CA 92626 PERMIT NO; B 071984 PLAN CHECK NO: N GOVT : N SUPP : N
l APP MAKING ADDRESS:
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 2, 000
ARCH OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: 2, 000 . 00 CALL-VALUE: 2, 000 . 00 GROUP OCC : R-3 /
CONTRACTORS NAIL
CamRACTOWSNNUNG COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC, REROOF 2000SF RESIDENCE
ADDRESS MC./OD.: ************************************************* *******eh*
UMT: ZONING REQU I R E M E N T S �i tt ®n:
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 - S E T B A C K S
(commenting with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force end effect. 1 �j
CRY LIC.NO.: LIC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUI u '�_ii Z--
Dae: Contractor FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason n(Section 7031.5 Business and Professions Code:Any cry or county whim requires a Penni to construct.after,improve. PARKING K I NG R E PROS!: PARCEL: 42627311 INE: REF NO:
demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Q
s licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)el Division 3 of the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom and the base for the alleged exemption.Any violation of Section
7031.5 by any applicant lore permit subjects the applicant toe evil penally of not more than lye hundred dollars]$.50011. ******************************************************************493+99**********
43 I,as owner of the progeny«my employees with wages as their sole compensation,will do the work.end the structure is not intended
«offered for sale(Section 7O44.Business and Professions Code:The Contractors LicenseLaw does not appy ;Dome;to anof POMMY D E V E L O P MEN T SERVICES REQUIREMEN TS
who With or improves thereon,and who does such peavor «
peak himself or borealthrough he her own employees,provided the such
improvements are not intended cc offered for sale.9,however,the budding or improvement is sod within one year of completion,the ZONING APPROVED B Y
owner-bolder will have the burden of proving he or she did
not build or improve for the purpose of sale). DATE;
o I,as owner of the property,am exdushey contracting with licensed contractors to construe the project(Section 7044,Business and
Professions Code:The Contractors License Law does not appy to an owner of property who builds«improves thereon and who BUILDING APPROVED BY : DATE:
contracts for sum projects with a mmracbr(s)licensed pursuant to the Contractors License Law).
❑ lamexempt under Section: B.BP.C.,for this reason: APPLICATION ISSUED BY; DATE: 1 Ii0 l S.0
Data: Owner: *iridin***it****lE1fiR#i(dEififffiEjf*if#*iEififlfiEfficiE#*iFic**S44**IEIf ih9FgFlfiFie)ciflajE***lf*+R*-1Fi ***-lf-Y-lLifiliFici:if
I do heteby certify that I am aware of and understand the requirements of Callomia Flealth and Safety Code Sections 25505.2vmvi.and LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534.and that I or any future building occupant will/will not(circle one)need to comply with said state codes end the requirements for
a permit for constniction«modifcationfromlheAiOualyMan gement District.ResidemelmnsOudion applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Provisions. /� PERMIT 45 . 00 50
Dau: 4T- 2D -9b- Applicant: //Lieu/22st/ "0/q.e/ml SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally al Perim,/one of the following declarations: PLAN
❑ I have and veil maintain a certificate of consent to aef'inwoe
re for workers'cnpenselion,as provided for by Section 3700 of the Labor ISSUE FEE
Code.for the performance of the work for which the permit a issued. BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Ihave and will maintain work« compensation insurance,as regaired by Section 37C0 of the Later Code,for the performance of the TOTALS----> 45 , 50 0 . 00 0 . 00 45 . 50 45 . 50 . 00
' ! work for whim this permit is issued.My workers'compensation insurance cattier and policy number are:
Carrier: REVENUE REVENUE DIVISION TOTALS--> COLLECTED; 45 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the perm*is for one hundred dollars a,cg)of less) 45 . 00
❑ I cenLy that in the performance of the work for which this panel is issued,I shall not employ any person in any manner so as to . 50
become
nsatioedtothe wohectioncompensation e Labor Ccl ode «rve,andehrcomy illahoudbecome w4eduthe waken' *******lfif********************)f**!f****1F*1f****if****ff**Asif***it****4t*Ifja*******el***i!*
compensation provisions of Section 3]00 d the labor Code,I shall forthwith ah oompfy with those provisions.
Date: Appicent: IND IV IDUAL F E E BREAKDOWN
Warning:Fay/ore to secure workers'compensation coverage Is unlawful.and shall subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),M eddltlon to the cost of compensation damages as podded for In
Section 3706 of the Labor Code,Interest,and attorney's fees.
CONSTRUCTION LENDING AGENCY: I hereby affirm under penabY of perjury thiscedn
there is a rutren lending agency for the SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 000 , 00
performance of the work for whim it
this permit is issued(Section 3097,C .Cl. END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and state that the above information is coned,I agree to comply with all city and county ordinances
and stale laws relating to building construction and hereby authorize representatives of the city to enter upon the abwe.mentoned property EXPIRED
for inspection rpose.. r
1 td M
'%IJ 5j vR l
lint Name
` , ia,..., nn, - .rul�oyDALime: C�_,2/'i-9S � GATc41oQ�E04��01805 i8�. �"�]T =S.`i,
-1 Signature al Cromer/Agent/Applicant/Co red«
111 (615b46.WP) ' White-Building A Safety:Green-File:Canexy-'APPErant:Pink-Revenue:Goldenrod-Assessor
t
CONSTRUCTION AND PLANNING POO 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 UF ER 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 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62, Backwash & Receptor-Final
12. Sewer Cap 63. Hester & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rougn 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test •
72. Underground Flush ;-
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing (Qwb/ 74. Overhead Hydro
1
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final,Electric, Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING •
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date