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2258 PACIFIC AVE - Building Permits
PROJECT ADDRESS: 2258 PACIFIC AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047994 OWNER'S NAME: MR. ALDERSON ADDREss: 4601 ROXBERY PERMIT NO: B 047994 PLAN CHECK NO: N GOVT: N SUPP : N i COM CA 92725 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT 7209685 ARCH/E,NOINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF SQ FT: 4 , 528 JADDRESS: UNIT: CLAIM VALUE: 4 , 528 . 00 CALC—VALUE: 4 , 528 . 00 GROUP OCC: R-1 / PERMITTEE: ORANGE COAST ROOFING (714 ) 631-1924 AODRESS: 20122 SANTA ANNAV 6—A COMMENTS: T/OFF REROOF W/ COMP SHINGLES S A HEIGHTS , 270 *�F*>Eac+E �F*TE*�F�Fi<**�LaFaF*****#*************************** *�F*** FBF**�r**�F*�r**Tr*IF****yt->t LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a‘, licensed rind, rmist ns of Chap r 9(cam ncing with Section ZONINGS ERT EBQA C I SETBACKS E M E N T S 70W)of Division 3 of the Business and Professions Code,an my tense is in 1 orcelend effect. Cm03, 9x- -sTATEUC.:43674 I cuss: •-3 / Dater ' d'''-- U Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: Ihereby affirm thaI . e a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT : FT IN POUCYNO.: 28590223 EXP. ATE: 01 01/91 iOeANYdSTATE • PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: Certified copy is hereby famished. © Certified copy is I n the uiMin Division. PLANNING NOTES> (� > ,.,� Date: '..-- 0 Applicant: *********************************************************************free******** EXEMPRON FROM WORKERS'COMPENSATION DECLARATION: (ills section need not be competed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENT. 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 Workers'Compensation Laws of California. ZONING APPROVED BY •• DATE; Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : 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 BY• — � DATE: 07 02- "20 which this permit is issued(Section 3097.Civ.C). **********************• „ .. ar-4-17 ***.***.*.**..**.***.*.**** *.X. LENDER: ******************************** *** - ************************************** ADDRESS: LEGALIZATION :N / F E E S '.r M M A R Y STRUCTURAL SEGMENT:Y / OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRI _ MECHANIC FIRE SMIP/RES GRADING (Section 1031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 72 . 00 repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the BusinessLpnN SMIP/NON—R E S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by S S UE F E E any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). a t.l I, as owner of the properly or my employees with wages as their sae compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 50 . 0 0 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 • 72 . 50 OVER/SHORT: 00 forteimprovement of soldtone 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 I,as owner of the property,am exausively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 . 50 • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or Improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware ********************************************************************.*********** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN ❑ I am exempt under Section: 8.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 4528 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 4 , 528 . 00 I 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 winAvill not(circle one)need comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management DIs t.Residentil construction applications are exempt from these provisions. Date: Applicant: t. I hereby certify that I have read this application and state that ,\bove informa ....Ma is cor' t.I agree I to I pty with all el( and county ordinances and state laws relating to building construction and h. ,.utlorve rep���r nta' -of this city t1 ent upon the b. .mentioned property for inspection purposes.pl Date: 0" !�`q�/ Signature: -v 1 IL 01 DATE: 07/02/904371-06TIME: T5¢ 72.50 Driver's License or Social Security A: 1641-46 White—Building;Green—Cade Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POI 4 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 OF 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. 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 0 Gas 0 0il 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. 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 i 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 i• 47. FINAL STRUCTURE & BUILDING pg 1Jp,[7U 01 48. FINAL PLANNING �` 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date TO THE CITY OF COSTA MESA; SUBJECT: SMOKE ALARMS. THE COUNTRY HOUSE APARTMENTS ALL HAVE SMOKE ALARMS. LISTED BELOW; 1024 A,B,C,D,WEST WILSON. 1026 A, 5, C, D, WEST WILSON 1028 A,B,C,D, WEST WILSON 1032 A,B,C,D, WEST WILSON 2258 A,B,C,D, PACIFIC AVE. 2270 A,B,C,D, PACIFIC AVE. nit. E H.E.ALDERSON, OWNER