HomeMy WebLinkAbout956 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
JobAddress: J$6 JOANN ST
Suite:
Vicinity:
Parcel Number: 42235116
Applicant: PEREZ, ANTONIO
Atldress: 956 JOANN ST
COSTA MESA, CA
Owner: PEREZ, ANTONIO
Address 956 JOANN ST
Contractor.
Address:
Zip:
Arch :
Address:
COSTA MESA, CA
Phone:
Zoning:
Phone:
Zip: 92627
Phone:
Zip: 92627
Phone:
License:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: OS/18/2001
Issued: 05/18/2007
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISITNG, RE-SHEATH"AND COVER�25 YEAR COMP SH WGLES. INCLUDES ATTACHED GARAGE.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
FEE SUMMARY
Calc Valuation:
Claim Valuation:
� ,
PLANNING & ZONING
Rear 0- 0 Left 0- 0 �
Rear 0- 0 Left 0- 0
Required: 0 Proposed: 0
Rigfit 0- 0
Right 0- 0
52,500.00
s2,soo.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiiements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period ot 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
� required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
I FOR INSPECTIONS CALL• (714) 7545626
?aac�as (woo)
WORKERS' COMPENSATION DECLARATION: � �
I hereby affirm untler penelry of perjury one of Ihe tollowing declarations:
❑ I heve antl will maintain a ceeifcate of consent to sel4lnsure for workers' compensatioq es provided tor by section 3700 of the Wbor Cotle, for Ihe pertormanca of ihe
work tor whiCh thi5 permit is issuetl.
❑ I have antl wlll maintain workere' compensation insurance, as required by seMion 3700 of the Labor Cotle, for the peAortnanca ot the work Por which this pertnit is issued.
My workers' compensatlon Insurance carner end policy number ere: .
Carrier: Policy Num�er:
�(This s cfion need not be completetl il [he permif is valued e( one hundred dollers ($f00) or IessJ
ertify that in tha peAormance of ihe work for whi h this pertnit is issued, I shall not em0�oy any person in any manner so as to become subject to ihe workers'
crompensalion laws of California �ntl grae tha�hould b ome subjecl to iha workero' compensation pmvisions oi Sectlon 370q of the Labor Code, I shall torthwith
camply with these provisions. ( ���/ '` I
�Applicant Signature: Date: V
WARNING: FAILURE TO SECURE W RK ENSA VERAGE IS UNLAWFl1L AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FlNES UP TOONE HUNDRED
THOUSANDDOLLARE($100,000),INAODI N THECOS OFCqMPENSATION,DAMFGESASPROVIDEDFORINSECTION3]O60FTHElABORCODE,INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm ihat I em licensetl under provisions of Chapter 9(commencing with Saction 7000) of Division 3 ot Ihe Business antl Professions Cotle, and my license is in full
force antl eNect Lic. k Class q
Contracbr's Signature: Date:
CONSTRUCTON LENDING AGENCV:
❑ I hereby aHirm that ihere is e construction lending agency for the peAormance of the work for which fhis permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn ihat under penelry ol perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or ihe tollowing reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or counry which requires a pertnit to consiruct, alter, improve, tlemolish, or repair any stmaure, prior to its issuance, also requires ihe applicam tor such permit
to file a signetl stetement ihe� he or she Is Iicensed pursuent to ihe provlsions of ihe Contrecbrs Llcense Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the
Business end Professions Code) or that he or sha is exempt therefrom and the hasis lor the elleged exemption. Any violation of Section 7031.5 by any appliwnt tor a pertnit
�sub' cts the applicant to a civil penelry of not more than five hundred dotlars ($500).):
I, es owner of the property, or my employeas with wages as their sole compensation, WILL DO 7HE WORK, and ihe strucWre Is not intended or oHeretl for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law tloes not apply to an owner of propeM1y who builds or improves thereon, and who tloes such work
himself or �erseN or through his or her own employees, providetl that such improvements ere not intended or oHered for sale. If, however, the building or improvement is
sold within one year ol completion, the ownervbuildar will have tha burden of p�oving that he or she did not build or improve foi purpose of sale.).
❑ I, as owner of fhe propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct iha project (Sec. 7044, Business and Protessions
Code: The coniraaors License Law does not apply to an owner oi propeny who builtls or improves thereon, antl who contracts for such pmject wi�h a contraaor(s)
license pursuant to thp Contractors Liceqse�aws.�.
❑ I am exempt
Owner ID verified 6y tln�('s li e- e.
Verifica�ion ot Ownership by e of
� Business and Pmfessions Coda for this reason:
❑ No Driver's License No. %�_ Ezpires: �
i.e. - property tat bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excave�ion five (5) or more feet in tlepth in�o which a person is required ro descend, will be mede in connection with work authonzed by ihis
permit, antl that no building structwe, scaHoltling, falsework, or demofitlon or tlismantling ihereof, will be more than thirty-six (36) teet �igh. (Chap. 32, Grp 2, Ar12, Sec.
341, Title e, Celifornia Adminisirative Code).
❑ As ownervbuilder, I wili not employ anyone to do work which would require a permit from ihe Division of Industriel Satery, as noted ebove, unless such person has a
permit to do such work from ihe division.
Signature: Date:
Division oi Intlustrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AU7HORIZATON OF ENTAY: I certify under penalry ot perjury lhat I have read this application antl stata that the information given is
correct I agrea Io comply with all s �e I ws end ciry or ancas releting to builtling consWction, and au�honze representatives of Ihe City of Costa Masa to enter upon ihe
ebove-described property for insp uryoses. I s e notto o y or ailow occupancy of any building authorized by this permit until fin I inspection.
� �/i�%o I
ign e O egal w er � ate
And/ Authorized Applicant Date
CODE f, INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining W all
202 Final Factory Fire Place
203 FinalSign
204 Finel Demolition
ILAjf INi1TIRL
e " ��
CODE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
272 Flnal Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
D�F INTffIRLS
; . .
L'',�t�y � L''.aa�a ��leQa z�u���uuy ��i�ia�t
OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent [o issuing a building pernut, require the completion and require the re[um of, an
owner-builder verifica[ion.
Attention Property Owner.
M`owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building pernut. No building nermit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes ❑ No
2. 1(have/have not) signed an application for a building pemut for
the proposed work.
3. 1 have contracCed with the following person (firm) to provide the proposed construcuon:
Name
Address
Pho�e ( )
City _
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired [he following person to coordinate,
supervise and provide the major work:'
Name
Address _
Phone( )
City —
Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name
1042-46 (REV.9/98)
Address
Phone Type of Work
. �osta Mesa Bnilding Department APPIdCATION FOR PERIMIIT
, P.O.Bo:3�� 2902, BUILDING �
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL d1CT
FOR OFFICE USE ONLY
Building ReceipS No. Perm�(lt No.
Addresa 9� OAcUu S 1• �U ��
Costa Mesa, California R ce�i by , �ate Rec'd. Data Issued
Nearest /J/�1 ^ .0 / �` '��I � �O 'S `-'
Cross St. /L r7 �. L�T/rt V� Building
Owner
STV �.�. 7pTES Address
Mail _, r Costa Mesa, California
Address b �G- L��r T F7f . Nearest
Te�. crou St.
City � j � No. 7� �.i) Zone I No. oi � Type Group
Architector Lic. P�a^g
Engineer No. Approve
b Date
Address CORRECTIONS
rc�+ V I�IV I'I S A�. E—R Nl�ty Ll��e O� '
Contracto � �
Address �ij�7�
Legal Lot I ,3
Descriptlon I No. �� � I Blo�k � Traet� -
(Attaeh Metes and Bounds) P � ��� ��.. « ,�
No. of Bldga � �
Size ot LOt �aS X �(�i � � Now on Lot CT �� � s� ��� �� r�
lJse o1 �� No. of No. of ' �=-' �. � �� .� � •
Existfng Bldg. I Families I Rooma ` ��
Setback Line Trom i Rear Vard Z S-� i �� ��/� � n ��%
Center of Street �O Side Yard ' i z �(„��—
DESCIZIPTION OF WORH
New I eretion I I Additian I V� �� M17'p
�;��
Repair I I Moving I I Demolish I ���'�'��--
Buildin ./ No. of
Size 9 / �� Rooms Stories �
ExteriorWail'�.C,C� Roof
Coverfng a�T�" I Covering Q�'l� (�PP$,Q�7��'
Use oT New�"'' ,
Building 5J/ ��p F�%Jfi � / � �.- Foundation Lxatfon Inspecto
Forms, Materfals,
�(/ �i Under-Pinning
� f_ Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all Ctty Ordinances and State Laws regulaffng
bullding constnl ti6i. ! Lath. Ext
Signatureof
Permittee Plaster, InL
Authorized Agt , plaster, Ext
Valuatlon Pe�mit Fee $ Z, • d� Masonry Reinforced
� Plan Check $ �- ��� ga�d Beam
$ ����' Feea' �� � � FINAL
GORM 204 IO�SS D. P. 8 5.
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PLOT PLAN
6how Iocation and distancea from
property Iina and between buildinpa
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