HomeMy WebLinkAbout782 PAULARINO AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c���LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Jobnddress: 782 PAULARINOAV
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 14151229
Applicane GRAY, PAT
Address: 1015 E CHESTNUT
SANTA ANA, CA
Owner. PARK, JACK H
Address 789PAULARINOAVE
COSTA MESA, CA
Contracmr. YOUNGS ROOFING CO, INC
Address: 1015 E CHESTNUT
SANTA ANA, CA
Zip: 92701
Arch :
Address:
Phone:
Zoning: R1 R1
Phone: (714)953-5444
Zip: 92701
Phone:
Zip: 92626
Phone: (714)953-5444
License: 568560
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 10/31/2003
Issued: 10/31/2003
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING SHAKE ROOF, INSTALL SOLID SHEATHING, FECT ANb COVER WITH 30 YEAWR COMP SHINGLES. INCLUDES
ATTACHED GARAGE.
Plan Check: $0.00
Permit: $125.25
SMIP Res: $0.58
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.83
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Fronl 0-0
PARKING Existina: o
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
55,800.00
55,800.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes antl related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatirally ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all
requlred Inapectiona end final epprovel must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2a48i6 (B/00)
WORKERS'COMPENSAnON DECLARAnON: ��
I hereby ettirm under penalty ot perjury one of the following declarations:
❑ I have end will malntaln a certificate ol consent to sell-Insure br workers' compensation, es provided br by section 3700 of ihe Labor Cotle, lor the pertortnance oi ihe
wo w�iCh this pertnit is issuetl. �
�eve antl will maimain workere' compensetion insurance, as required by section 3700 ot �he Lebor Cotle, tor t�e pertormance of the work for which this permit is issuetl.
y workers' compen5atlon Insurance carner entl policy number are:
Cerriec ' Poiicy Numher: '
(7his section need nat be completed il [he parmit is veluetl ef one hundred dollars ($100) or less.)
❑' I certify thet in Ihe peAorman tha work tor w�ich thi mit is issued, shall not employ any person in eny manner so as to become sublect to the workers'
compensation lews ot Califo A gree �het II p Itl come subl ��he workars' wmpensetion provisions f Section 700 oi Ihe Lebor Code, I shall forthwith
comply with these provisio i
ApplicaN Signeture: Date: L :
WARNINO: FAILURE TO SECURE WOFiKERS' COMPENSATIIXJ COV GE IS U WFUL PND SHALL SUBJECi rW EMPIOVER TO CRI INAL PENALTIES CML FlNES UP TOIXJE HUNDRED
TMOUSANO DOLURE ($100,000), IN AD�ITION TO THE COST OF COMPENSATION, DAN.4GE5 AS PRpVIDED F-0R IN SECTION 3106 OF THE LABOR CO�E. INrEREST, rW D ATTORNEI^5 FEES.
LICENSED CON7RACTORS DECLAFiATON:
I hereDy eNirm ihat I em Iicensed
forca and eflecL Lic. N
Contredor's Signature:�
CONSTRUCTION LENDING AGENCY:
of Chapter 9(commencing with Section 7000) of Division 3 of the Business an Professia s Code, and my license is in tull
Cless #
De[e:
❑ I hereDy ailirm thai ihere is a wnstruciion lending agency for ihe performance of lhe work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lentler'S Nama: Lentler'S Address:
Signature:
OWNER-BUILDER DECLARATIONS:
oate:
I hereby ettirm ihat under penalry of perjury thet I em E%EMVT FROM THE CON7RACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a pertnit to construct, alter, impmve, demolish, or repalr any siructure, prior to its issuance, elso requires t�e appliwnt for such pertnit
to tile a signed stetement thel he or she is Ilcensed pursuant to the provisions of lhe Contrectars License Law (Chepter 9(commencing with Sectlon 7000) af DlNslon 3 of the
Business entl Pmteuions Code) or that he ar she Is exempt therefrom and the basis tor the alleged e:emption. Any violation oi Sealon 7037.5 by any epplicant tor e pertnit
subjects the appliceN to e civil penelN of no� mora then tive �untlred dollars ($500)J:
❑ I, as owner ol ihe property, or my employees wlih weges es Neir sole compensatlon, WILL DO 7NE WORK, and �he siructwe is not intentletl or ottered for sala (Sec.
7044, Buslness end Professions Cotle: The Conirectors License Law does not apply to an owner oi property who bullds or improves Ihereon, end who tloes such work
himself or herself or Ihrough his or her own employees, provided ihat such impmvements are not Intendetl or oHered tor sale. If, however, ihe huiltling or impmvemem is
soltl wi�hin one yeer of completion, the owner-6uilder wlll have the burden of proving tha� he or she did not builtl or improve for puryose of sela.). �
❑ I, as owner of the pioperty, em EXCLUSIVELY CONTRAC7INC WI7H LICENSED CON7RACTORS to consiruct tha project (Sec. 7046, Business and Professions
Code: The cantrectore License Law tloes not aDPly to en owner oi pmperty who bullds or improves thereon, and who wntracis br such pmject with a comractor(s)
license pursuant to ihe Contraaors License Lews.).
❑ I am exempt under sec. Business and Professions Code for this reeson:
Signature: Date:
Owner ID ventietl Dy tlrivefs license. ❑ Yes ❑ No Orivefs License No.
Vedficetlan af Ownership by (type of tlocument, i.e. - pmperry tax bill or tleed):
Eapires:
DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CERTIFICATION:
❑ I hereDy certlty that no excavetion five (5) or more teet in depih into which e person is requlred to descend. will be made in connectlon with work authonzed by ihis
permit, end that no building stmcture, scaflolding, talsework, or demolition or dismanNing Ihereof, will ba mo�e then thitly-six (36) teet high. (Chap. 32, Gry 2, An 2, Sec.
341, T10e 8, Celifarnie Administrative Cotle).
❑ As ownervbuiltler, I will not employ enyone �o do work which would require a permit Irom the Division of Industnel Satery, es noted ebove, unless such person hes e
permit ta do such work from the tlivision.
Signawre: Date:
Division at Indusinal Safery Pertnit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certiy under penalry ot perjury thai I have read this application end state that the intortnation given is
correct. I egree to comply with all state laws and ciry ordinances relating to bullding construcNon, and euthorize representatives oi the Ciry of Costa Mesa to enter upon the
eDove-descnbetl proparty for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by this permit un�il tinel inspection.
COUE I. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1268 Pool Spe Final
200 Finel Re-Root
201 FIneI BIacWRetaining Wall
202 Flnal Factory Fire Place
203
204
Finel Sign
Final Demolition
QaIE INTRIALS
t=+L=G s.=5r.�
COOE I INSPECTION TYPE
206 Finel Mec�anical
20B Final Plumbing
210 Finel Elec�rical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final BuiltlinryOccupency
�F �
OWNER
JOB ADDRES:
GENERAL CO
• � AP xo. 141-
INSPECTIONS
Soil
G
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— In
•.: �•
VALUE
FIRE 'LONE � DESCRIPTION OF
—� GROUP J TYPE V
SUBCONTHACTOR �
1, „�- 2� i��
�COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O.BOX Df] COSTA M66A�CALIFORNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
eui�owo '
ADORES9 X �- � U /O, / 2J
COSTA MESA, CALIFORNIA
■ MAIL
rS s9-N ti
�9 MGS�
� BETBACK LIN[ PNOM
�EE RECE!V► �)
�Ec 11 iss3 �
FINANCE DEPI.
Cltt OF COSTA MESP
APPLICATION FOR PERMR
BUILDING
For Oiflca Use Only
R6C81R NO. � PENMIT NO.
BY
(/ ZONINC3
o = � Ho. or uoe
rune �� aun
�eow� ! n 'Y- . /. /
A. P. NO.
NOTE: NO EAVE OVERHANG BHALL BE LESS T AN
=L. � 90' TO SIDE @ RfiAR P. L.
J.
I. EAVES
no.ope�oas. ALLOWE� (U.B.0. RE4UIREMENT;
t10W ON LOi
YARDSAPPROVED . YAROSAPPROVED
MAIN BUILOIN6 ACCESSORY BUILDINO
( FROM C/L STREET)
REARYARD FRONT tT. FT.
I // % ^}
DESCRIPTION OF WORK
EXTERIORWALLUDN�I ROOP 3(J��A.i�e/s,
COVERING COVERIN6
U6E OF BUILDING AND WORK TO BE PHRFORMED
� �-� .'l�j� %% �i
G' o �/G
1 HEHBBY �CKNOWLEDOE THAT 1 M�VB RlAD TH19 APPLICATION
ANO 9TAT8 TXAT TXB LBOVB 19iCORPBCT ANO /�OREE TO COM•
PLY WITH ALL C�TY��N `AND /�i8 LAW�DYLA�
BUILDINa CONBTRUMION�
S�GNA�UREO� � ���_� rj.'
A68NT
DIBTANCH BET. I BET.I
MAIN BLD68. AGCE
VAR.# DATE
���
�
��U "
so. F-r. "
TH8 AMOUNT eHOWN lINOBR VALUATION IH FOR TH! F
PURPO86 OP H6TABLI6HIN0 A PHFMIT FEE ONLY. �
VALUATION T m
v PERMIT FEE $ �J j
� v � m
��
s, _ ;
r- 6
TOTALFEE $ �
OWNEft NOR`PHGATE DATE �UL 5 1963
JOB ADDAESS 7 Paularino Aveaue BUILDING PERMIT N0.
GEN�RAL CONTRACTOR Bonser COIIBf,I't7Ct�0II, 1S1C. VALUE $ 1 .�1.�
SUBCONTRACTOR
r
��� >'' ��Q015
� COSTA MESA BUILDING-SAFETY DEPARTMENT F E E R E C E I V E D
P. O. BOX 917 COBTA MBBA. GALIFORNIA JU N`�
0 198�
For App1(canT to Fill In Comple�ely ARPI�IH���I,QN��Q�.PERMR
TYPE OR PRINT 8 CIIV `�fIL fIF� .
BUILDINO ��/y '(���_l j/���`,�-+ CITR'oA6�T8:�l�y
ADDRESB / 1 V'U �� I� ' 1`� ` R[CEIP� NO, pEHMIT NO.
COSTA MESA, CALIFORNIA 7(�(1 ��
RHC81 BDBY pAj8.q6CE`VHD��11�0�� sr
OWNER NORTHGATE � � y �
MAIL � BVILDIN6
ADDRE88 1331a1 Golden West ADDRESB
FIRE
q7y Westminster �i�. �No�897- 82 ZONE TVPE GROtIP
V APPROVED
OR EN'GIN QR C +4L�8T TE�" �2� BY DATE
AD�RE88 Box 11 Anaheim Cal. ZONINCi _ �
NO.OP U6HOR
✓ PLAN BOIL
CONTRACTOR Bonser Construction Inc. ;
�a�� �, � y — �
AooRean r oa.cRirnoH
CITY W8$'FM1TL9ti82' C'dl A. P. NO.
' NOTE: NO EAV E OYERHAN6 SHALL BE LESS THAN
STATE TEL. p _ p2 90' TO SI�E 8 REAR P. L.
LIC. NO. NO. U V
[ EAVES
OFLOT V7� X ZOO�7�� HOWONtAie O A�-LOWED (U.B.C.REOUIREMENT)
YARDSAPPROVED YAROSAPPROVED
USEOF MAINBUILDING ACCESSORYBUILOIfJ6
EXISTING BLD6.
(FROM STREET) �
BETBACN LINE FPOM � � FRONT
CENTEP OF BTflE6! O� REAR YAH� O
61DE YARDI LEF7 � I R16HT Z� �� R. BIDE _bT. z,� FT.
DESCRIPTION OF WORK L. HIDE �. �.
i
N� � MOVN6T' NI� DEMOLIOg�{ REAR Ff. � Ff. ,
DIBfANCE BHT. BET. MAIN Q
REPAIR MAIN BLDGB. ACCESS. BLD68.
BUILDI NO OP VAR.iC DATE
SI2E ��� X O� �� ROOMS T 6TpR1E8 � C. U. P.?21 APPROVEO /'
COVERINGWAL COVOERINfd sh' e BYPRO 0. �'`'�' DATE C`• V
USE OF BUILDING Af�D WORK TO BE PERFORMED . -
' a
/yy .
8 .Z so. �. � ° �� o
I HEREBY ACKN TMAT AV8 D TXIB APPLIGTION TXE �MOUNT BHOWN UNDER VI�LUA ON �B FOP TXE
RNO BTAT6 T TH8 AB CORRHC AND AOREB TO COM- PURP08H OF EBTABlI6XIN0 A PEPMIT FEE ONLY, f
O
PLT WITH A CITY OR N AN 9T 6 I.AWB q80YLATIN4 ypLUATION '
BUILOINa C BTqUCT1 ��J m "
PERMIT FEE $ V �
SIGNATU �
PERMI7TE /�/ •%� .� m
$ � A EC O
AUTHORREDAGENT Q - a
TOTAIFEE $ J