HomeMy WebLinkAbout555 BERNARD ST - Building Permits. _ .
JobAddress: 555 BERNARDST
Suite:
Vicinity: ROOF � .
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 42210328 Zoning:
Applicant: MICHAEL BURKE
Address: 1653 SUPERIOR AVE
COSTA MESA, CA
Owner: PLATZ, JOHN /
� Address 3201 VERMONTA�
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. COSTA MESA, CA
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Contracror LEE ROOFING
Address � ,1653 SUPERIOR A
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� � � -�� COSTA'MESA,CA
. ' � Zip: 92627 �.,'.�%
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Status: ISSUED
Applied: 11/14/2005
Issued: 11/14/2005
� .�-.-Phone:r'(949)642,7222 C���?�;� �
- ISSUED-BY:
t'� .. - Zip: �92627;,2^_-'-�
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Phone: (949) 642 7222 ` � n '� .'�' � i �:� �
;License: 349686 �� ����, - � �
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TEAR OFF.EXISTING ROOF. INSTALL 1
'.NEEDED. 30 S�UARES'INCLUDES ATT
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� . . � ,Phone: , _ ,
' � t , License: � �
SCOPE OF PERMIT •
OF 30# FELT, 30 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS�
.GARAGE. _ �. - _ ... -. _ - — . . ��. , ` `- .
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, � � lt.rl_' L� '� !' '�'.FEE�SUMMARY�'i'�'. ,'�:_� . � �
Plan Check:' $0.00 - - �""' ` ' "" ' � � Calc Valuation.' �' $�,3so.00''
Pe"rmit: ' :; $153.25 1 �,ti, Claim Valuation: ' '.: $�,sso.00
SMIP Res: , � �$074 ,l'.� � -'s`ry�: -_ _. . - / t �
•;SMIFCom:,...,- '$0.00 - - . _ — .� �- . >".,' _ .
Otfier: ' � $0.00 ' "..__ ' . - - - ' _. . _ _
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, � �Inspection: - � $0.00 ' ��' � � �
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Total; 5153.99 � � ; �
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� � . ,��-PLANNING �&=ZONING � '"' �
SETBACKS '�„ i � : � �v �' � . � �, �/�� ',', `
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MAW STRUCTURE� Front 0 0��; �""��Rear 0-0� �Lek- 0 0-� ,�Right ��0 0� � �
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ACCESSORY� `��, Front 0 0� � �VAYRear ,0 0 _ �� . Lefl; ,0 0 ,� -� � Right� 0 0;'�� /,.", �
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PARKING Existina ; o � Reauiied '0-y � . �Pr000sed : ..0� . \-' .
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,NO710E: The�work-aulhorized by�this��.permiYshall compty with�all applicable handicap.access�requiremerrts underCalifomia.statu[es and.related
,regulations. (Ord: No. 92-28, §"1; 12-21-92)
' EXPIRATION:: This permit shali automatically,expire and become void if work is'not commenced within 1 BO.days; or if vrork�issuspended or abandoned
fora periotl of 180 days.
; INSPECTIONS: In orderfor�ihe work�authorized+under this�pertniPto�be�considered.legal,.such�work�.must compty with all:appiicable�codes, and all
� required�lnepectlonsand final'approval must be�obtained: FaiWre to obtain inspections and.tinal approval will result in the expiration of thispertnit.
FOR��INSPECTIONS�CACC:: (714) 7545828:
zuses (dool
WORKERS' COMPENSATION OECLARATION: ' �• � ' �
I hereby aRirm under penalry of Derjury one of the following declarations: � ' ,,
❑ I heve antl�will maimain a cenificate ot consem to seli-Insure for workers' compensation, es provided for by section 3700 of ihe Labor Code, tor the pertormance ot the
work for which lhis permit is i5sued. � „ - ' ��.' ' •.';'-+"} . - '. ,
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0 1 have and will mainWin workers' compensetion insurance, as reqmred by section 37�00 of I�e Cebor,Cotle, for the peAortnance of the work for which this pertnit is issuetl.
My workers' compensation Insurance rner antlp� Ilcy number ere:• �
•�' ���-7'� C� o ��.0 Cc '� �'� S4� � Pon''�'��'ce�: DOO //OR �31�U � .-
(This section neetl not be completetl ! tbe permit is valuetl et one hunoretl tlollars ($loo) or less.) �°' •.
❑ I cetlity that in the peAormance of the work for which'ihis peimit is issued,-'I shall nol employ'eny person ideny manner so es to become sublect to Ihe'workers"
compensation laws of Cy�lt Fniq nd e� that ii should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shell fotlhwith
��mpl�ywiththeseprodri � fl�y�a�
, �eture:;� �"'""— Date: '�dr3'.i±,'.. �
WAIMI FAILUiiE TO $ECURE W• KEFS' NSATION COVERAGE IS UNLAWFUL PND SHALL SU6IEGT AN EMPLOYEF TO CRIMINFL P TIE AND GVII FlNES UP TOONE HUNDRE�
TMOUSAND OOLLARE (5100.000�, IN ADDITIIXJ TO THE COST OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECTIIXJ 3!W OF THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTHACTORS DECLARATION:
Chapter 9(Commencing wi�h Section 7000)
CONSTRUCTION LENOING AGENCY:
Date:
Code, end my license is in full
❑ I hereby aHirtn ihat there is e construction lending agancy for Ihe pedormance ot t�e work for which ihis permi� is issued. (Sec. 3097, Civil Code).
LentleYs Name: Lender's Atldress:
Signeture:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby eHlrm ihat untler penelry ot perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or county which requires e permit to construcl, alter, improve, tlemolish, or repair any siructure, prior to its Issuance, also requlres the aDD�icant for such permit
to file a signed slatement Ihet he or ahe Is licensed pursuaN ro the pmvisions of the Cantrectars License Law (Chapter 9(cammencing with Seclion 7000) of Division 3 of ihe
Business and Professions Code) or Iha� he or sha is axempt iherefram and the besis tor tha ellaged exemption. Any violation of Sedion 7031.5 by any applicant for a permit
subjecis the applicant to a civil penalty oi not more ihan live hundrad dollars ($500).):
❑ I, es owner of the pmperty, or my employees with wages as their sole compensation, WILL 00 THE WORK, an0 ihe sWcture Is not IntenOed or oflered 1or sale (Sec.
7044, Business and Pmtessions Code: The Contrectors License Law does not epply to an owner of properry who bulltls or improves thereon, end who does such work
himself or herself or through his or her awn emplayees, pravided ihet such improvemanis ara not intended o� offered tor sale. H, however, lhe building or improvement is
sold within one year of completion, the owner-builder will heve the burden of proving Ihat he or she did not build or improve for purpose of sale.). �
❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
Cotle: The conirectors Llcense Lew tloes nm epply to an owner ot propeny who bullds or Improves thereon, end who comreas tor such proJect with e comrador(s)
license pursuant to the Conirectors License Laws.).
❑ I em exempt untler sec. Business antl Professions Code for this reason:
Signatura: Dete:
Owner ID veritied by dnvers license. ❑ Ves ❑ No Drivefs License No. Ezpires:
Venlication at Ownership by (rype of tlxument, i.e. - praperry tax bill or tlaetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify �het no escavetion tive (5) or more feet in depih into which a person Is required to descend wlll be metle In connectlon with work authorized by ihis
permit, and that no builtling sirucWre, scalloltling, talsework, or tlemolition or dismantling thereof, will be more Ihen ihirty-sia (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Titla B, Calitornie Atlministrative Code).
� As owner-builtler, I will not employ anyone to tlo work which would require e pertnit irom the Division of Industnel Sefety, as noted above, unless such person has e
permit to do such work from the divisian.
Signature: Date:
Division ot Industnal Safery Pertni� Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certiry under penalry of perjury that I have read this application and state tha� the iniormation given is
correct. I agree to comply wit� all state laws and city ordinances relating to building consiruction, antl authonze representatives of Ihe Ciry oi Cosla Mesa to enter upon ihe
ebove-described property tor inspection purposes. I agree not ro occupy or allow occupancy of any building authorized by ihis permit until finel inspection.
1•�
1266
200
Legal
• . ` .. . . . P�, � • MTIiULS
Fixed System Final Fire Prevention : ' �
Pool Spa Final
Final Re-Roof ' ��' � �
201 Final BIocWReteining Wall
202 Final Factory Fire Place ' :''
203 �� Final�Sign
204 Final Demolition
ii
4bDE� INSVECTIONflPE• '�
206 Final Mechanical
208 Final Plumbing
210 " Final Electncal
212 Final Flra Preventlon
220 Final�Planning�Approval
222 Final Site
250 Final Building/Occupancy "
OUNTY BUILDING DEPAR�'MENT • APPLICATIQN FOR PERMIT
. 636 North Bruadway �. �, ' � � a � � �, � � � �� 1
SANTA� ANA, CALIFORNIA � �9 ' �
FOR APPLICANT TO FILL IN FOR-OFFICE USE ONLY
RECEIPT ND. PERMITND, f
9UlLDING ' . �
4DORESS r� �J �j ��
SCHOOI OI57. /'� i ��� �
OR TOWN (_ O Si �A �Je S a R GE1V BV DATEREC'O. DATE ISSbED
�RoSss�.ar,�►,a�a n� M}�an�z — 0-� -i -s
OWNER �O � l.° I'� � � /J � �� � QUILDING ��^
�{ r� AOORE55 �
ADDRE55 � 2.Z �2 C�,� p� Z � S/" OR TOWN �ST. �
GITY N�nfi; . fi�a . eac NoL���{f7�Y0 CROSS 6T.
EN INEERT OR � W^�'\ NO Z ' 1 PlANS TYP GRO
I
ADDRESS _____„__ � �i �.yi"y�? ��
AODRE55
LEGAL
VSE OF
USE OF NEW
HUILOING
I.IQ
NO. OF I NO.
DESCRIPTION OF WORK
ROOF
1 HEREBY ACKNOWIEDGE THAT 1 HAVE READ Tlil6
APPLIGA710N AND STATE THAT TNB ABOVE IS CORRECT
nND AGREE TO COMPLY WITH ALL COUN7Y ORDINANGES
ANO STATE LAWS REGULATING 6UILDING CONSTRUCTION.
M A . .n �, . A
AUTHORIZEO AGT.
y��� PENMIT FEE
VALUATION � �/r(...///��� V �/ �/ � p��H GHEcn
( — ( �4 TOTAL
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STftEET �
PLOT PLAN
Show location and distances from
property_line ond between.buildings.
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