HomeMy WebLinkAbout952 JOANN ST - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JabAddress: 952 JOANN ST
Suite:
� ViCinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42235115
Applicant: VAN SCHAIK, ALBERTINE
Address: 952 JOANN ST
COSTA MESA, CA
owner: VAN SCHAIK, ALBERTINE
Address 952 JOANN ST
COSTA MESA, CA
Contractor: O W N ER-BU I LD E R
Address:
�
Arch :
Address:
Phone:
Zoning:
Phone: 949-646-8170
Zip: 92627
Phone:
Zip: 92627
Phone:
License: 000000
Eng:
Address:
ISSUED BY:
StaWs: ISSUED
Applied: 02/07/2005
Issued: 02/01/2005
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE WITH ATTACHED GARAGE: T/O 2 LAYERS OF EXISTING ROOF, REPLACE SHTG WITH 5/8" CDX, FELT PER MFGR'S
SPECS, APPLY "30-YEAR COMP SHINGLES:' FACIA TO ALSO BE REPLACED.
2076 SQ FT
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$125.25
$0.60
$0.00
$0.00
$0.00
$125.85
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING ExiSljflQ: o
Rear 0- 0
Rear 0- 0
Requiretl: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0-0
�s,oao.00
ss,000.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicabla codas, and all
requlred Inspeetions antl final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
!446�46(N00)
WOHKERS'COMPENSAnON DECLARAnON:
I hereby eHirtn under penalry ot perjury one of t�e following declawtions:
❑ I heve end wlll melntaln a certificate of consent to sell�lnsure for workers' compensatlon, as provided for by section 3700 of the Lebor Code, for the peAortnance of t�e
wark tor which ihis pertnit is issuetl.
❑ I �ave antl wlll meintain workers' compensetion insurence, es required by section 3700 of Ne Labor Cade, lor �he pertwmance of the work for which ihis partnit Ls Lswed.
My workers' compensation Insurance carner and policy num6er are:
Cartiec Policy Numbec
(This secfion need not be completed i/ the permlt fs velued et ane Auntlred tlallers (5700) or less.)
� I cenity thet in ihe pedormance ot tha work tor which this permit is Issued, 1 shall not employ eny person In eny manner so as to become subject to Ihe workers'
compensetlon laws II mia, antl agree Net If I ahould pecome subject.ro the workers' compensation pravisions oi Section 3700 oi the Lebor CoAe, I ahell tonhwith
compl�se, r .. ,s. //'G� L� e
Appli n i r}atu� . F�ii�n i I /JiF/il2���! .�f1liil Del ��— � � 0 rJ
WARNIN4: FAILURE TO SECURE WORKERS' CAMPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TFKKISAND DOILARE (5100.000�, IN ADDRION TO THE COST OF CqMPENSATiON, DAN.FGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, If�REREST, AN� ATiORNEV'S FEES.
LICENSED CONTRAC70R5 DECLARATION:
I hereby ettirm that I am licensed under provislons ot Chepter 9(commencing with Section 7000) of Divislon 3 ol Ihe Business and Professions Code, enC my license is in full
force end eftect. Lic. q Class N
Contractors Signeture: Date:
CONS7RUC710N LENDING AGENCV:
❑ I hereby eHirtn that ihere is a consiruction lending egency for the performance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
''I Lenders Name: Lender's Atlaress:
�. Signawre: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm ihat untler penalty of perjury ihet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions
Code: Any ciry or county which requires e permit to constmcL alter, improve, tlemolish, or repair eny stmcNre, prior to its issuance, also requires Ihe applicant for such permit
to tile a signetl stetemem thet he or she Is licensed pursuem to the provisions of tha Contrectors License Lew (Chepter 9(wmmencing with SecOon 7000) of Division 3 oi the
Business and Professlons Code) or that he or she Is a:empt therefrom and the basis for iha allegatl ezemptlon. Any vlolation of Section 7031.5 by eny epplicam for a permit
�su6'ects Iha applicent to a clvil penelry of not more than five hunCred tlollars ($500).):
I, as owner of the properry, or my employees with wages as their sole compansation, WILL DO TME WORK, and the structure is not intended or oHeretl tor sale (Sec.
7044, Businass and Professions Code: The Conirectors license Law does nol apply to an owner of property who builds or improves Ihereon, end who tloes such work
himself or herself or through his or her own employees, providetl that such improvaments are not intendeA or oHered lor sale. If, however, Ihe builtling or improvement is
sold within one year ot completion, ihe owneabuiltler will �ave the Durden of Droving ihat he or she did not builtl or improve for purpose of sale.). '
❑ I, as owner of the proDerty, am EXCLUSIVELV LONTRACTINC WITH LICENSED CONTRACTORS to construct the project (Sac. 70d4, Business antl Professions
Cade: The contrectors Llcensa Law tloes not epply 10 en owner of propeny who builds or Improves thereon, and who coniracts lor such project wlth e contrector(s)
license nt to the Coniractors Licen Laws.).
i
❑ I am untle ec. i Business and Professions Code tor this reeson:
1n�B' , � t0' � �
Owner IO verifietl 6y dnver's license. ❑ Ves ❑ No DriveYs nse No. .�,�,�=( E�6S7 (�,S '
Vedflcatlon ol Ownership by (type of tlocument, i.e. - propeny taa 6ill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenify ihat no excavation flve (5) or more fee� in tlep�h into which a Derson is requlred to descend, wlll ba matla in connectlon wlth work euthonzed by this
pertni6 end ihat no building sirucWre, scaHolding, felsework, or demolition or dismantling ihereof, will be more ihan ihirry-siz (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia Atlministretive Code).
❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Divislon ol Industnal Safery, as noted ebove, unless such person has a
permit ta tlo such work from Ihe division.
Signature: Date:
Divislon oi Indusirial Safery Permit Number:
CERTIFICATE OF COMPLIANCE ANU AUTHORVA710N OF EMAY: I cenity under penalry of perjury ihat I �ave read ihis epplication entl state ihat the infortnation given is
Correct egree to compty with all s�ate la s entl city ortli nces relating to building construciion, end authodze representatives of the Giry ol Costa Mesa to enter upon the
eb. - scribe property forn' inspection p o s. I e �� ot to occupy or allow occupency ot any building euthorized by this�mit until final insDection.
/uZL✓i � � � � S�'�
Sig�stwe�Ol�LegaYOw'ner(s)
And/Or Authorized Applicant
LOUE �. INSPECTIONTYPE
I616 Fixed System Final Fire Prevention
1268
200
Pool Spa Final
Finel RB-Rool
201 Fine181ocWRelaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Finel Demolition
Qdjg INTRIALS
COOE� INSFECTIONTYPE
206 Finel Mec�anical
208 Final Plumbing
210 Final Electrical
212 Final Fire Preven�ion
220 Final Planning Approval
222 Finel Site
250 Final Building/Occupency
Date
PAIE INTRIALg
�
C� � L''.odta ��eQa �iur�i�. Dufiaio�s
OWNER-BUILDER
VERIFtCAT10N
A city or county, which is required lo give nutice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, reyuire the completion and reyuire the retum of, an
owner-builder veri�7cation,
AUention Property Owner.
An 'owner-builder' building permit has becn applicd fur in your name and bearing your signature.
Plcase complete and return this informaliun in ihe cnvelupe prnvidcd at your earliest opportunity lu .rvoid
unnecessary dclay in processing and issuing your building permit. No buildine permi� will he issued unlil �hix
verification is received.
I. I personally plan �o pruvidc lhe major labor :md ma�erials for construc[ion of lhe propised
property improvemenL ❑ Yes �Nu
2. I hav /have not) signed an applicatinn for a building permii liir
Ihc proposed work. .
3. I have cantracted with ihe fulluwing persun Uinn) ro provide ihe proposed conslruc�ion:
Name
Addretis "
Phonc (
City —
Conlractur's Lic. No.
4. I plan to prov��c portiuns u(thc work, bul I havc hired thc folluwing person to courdinaic.
supervisc and provide �hc majur w�xk:
Namc
Address
Phone ( )
City _
Contractor's Lic No.
5. I will provide some of the w`ork_ bou�t 1� f�ave cuntracted (hired) Ihe following persons �o
pro��icle the work indicated: ' ��Lw
Name �, . � • Address
iMP�<5 �PEV 3/98)
Phone Typc of Work
OW NER �r1St01 EStdt�S •� � DATE 4-18-�6 �
JOBADDRESS 952 Joann StI'E2t ' BUILDINGPERMITNO. 2875
GENERAL CONTRACTOR $•�!.Hunsaker VALUE $ 8,856•00
��r 159 a�ocK TRACT 2873 Single Res. w/att gar
GRUUP I & J
INSPECTIONS
3 Trench /N �
ition Forms and Grade to
Framing `_ �
ng, Roug o I r�
Plumbing, Rai
Temporary Po
Wiring, Rough
Heating, Roug
Heating, Final
Sewer; Ho su e
�=
Septic Tank or
�athina. In
Sewe
Out
F ering
Pi,..��bing, Final, Fixtures
Plumbing, Final Gas Test
Wiring, Final
Occupancy
FONM 210 3M 10-49
ZONE H!1
SUBCONTRACTOR
aicr 2901
PERMIT3ISSUED
I NUMBER
:':. Costa Mesa Building Degartment
• P. O. Box 3! 7
•� ' "' COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
Buflding
Address �iSz- O/�-�(i.(% S� •
Costa Mesa, California
Nearest �;7l�G�T/� �/' -
Cross St. rL
Owner �/.S! O(_ —S% fi%T` �
Mail � h� �,, � �
Address CnG � • L� �j✓ f
i i� r Tal
or
Address
Address
V�
� �/�.e.rq�c-�-7 n,o.'
Blotk
Size of Lot �U X /��
4se of
Existing Bldg.
Set6ack Line from �—� ♦
APPLICATION FOR PERiV �
��� BUILDING
'� � FOR OF'FICE USE ONLY
Receipt No. I P��t N�
O S
Receive Date Rec'd. ate Issued
, SG�/��5� f �i/,y-cS�
Building
Address
Costa Mesa, California
Nearest
Cross /
Zon INo.of I Type � Grqu�i
Plans .S! 7
Approved
by Date
CORRECTIONS
n
Building �O� � No.of � �
Bize � Rooms Stories
'erior Wa Roof
eNng 7Z�CC0 I Coveriny OC /r APPROVALS
use of New �''' ^� / ' Foundation Loeation Ins ector � Date
Building d/,v ��P TA%7�� � .^ Forms.Materials. I P I
�
I hereby acknowledge that I have read this Application
and state that the above is correM and agree to comply Lath. Int.
with all Ctty Ordinances and State Iaws regulating
building constructi � Lath. Ext
SignatureoT
Permittee P laster. I nt.
Authorized Agt. � plaster, Ext.
Valuation Permit Fee $ Z • c� Masonry Rei
�.y p� ' 4v Plan Check $ �� ��� Bond Beam
$ 4
Total >S
Fee $ c�d- - �� I FINAL
flM 304 10�5y D. P. G 5.
O
A
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YLU'P YLAN
6how Iocatlon and disFances from
property Ilne and between buildinga
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