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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. —O a —� —Z D —r PLOT PLAN 6how Iocation and distancea from property Iina and between buildinpa I .. I.���J,.�� j. ,'�'� • . :� •:!�,',;,;:��cas�^. �{.? :.-..�:.Z3!'n - � � • . . ' _ ii r . . . 1. � . .. �' � ` �' . • � ' ' � _ � . • . . . . / . ) ' . 1 - � . . E , t • . . ' . �