HomeMy WebLinkAbout921 JUNIPERO DR - Building PermitsPHOJECTpOUFESS: y`1 JUNIPERO DR
OWNEN'SNAME: DURAN, LUPE JOHN
aooxess: 921 JUNIPERO DR
CO5TA MESA,CA 92626
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AXCHIENGINEEF:
AOOHESS:
HEG.NO.:
UNIT:
UNIT:
' PEPMITTEE:
ADOPESS: R�1{�3TSp W�(�S��ANTAFE AVE ( ��14)449-7750
LICENSED CONTFRCTOfl OELCAN�TION�1TfeTe�y aflirm that l am licensetl un4eiQldvisi6n��R5�0r 9(cammencing wilh Section
7000� of Orv�smn 3 oi Ine Business entl Professons Cotle. ana license is in t force ne efiect. '
ciTr uc.: � � 4 sTnTe uc.: ,(3 2 3 5 C 3
Oate: �� —R �Signa�ure:-- _
WOBREBS' COMPENSATION OECLAflATION: I �ereGy aflirm thai l have a enif f consen� lo selGinsure or a cenifica�e af Workers'
Compensation Insurance, or a cetlilietl coDY thereol (Seciion 3800. La�. �.
roucvxa.: 1099567-89 E%P.OPTE: /OS�yl
COMPANY: S�CP�T� F[�i��
� Certihea copy is ere y �urmsned Ce ied coD s U with th ciry uil in Uivisian.
�aie: � "��� ' AP�licant: " .
E%EMPTION FROM WOflNENS' fAMPENSATION ECLAPATION: Rhis seclian n ed n t b completed ii Ihe permit is for one hun4reE (51q1) or ess).
I cer�ify that in Ihe periormance ol Ihe work br which Ihis permit is issuetl, sh I not employ any person in any manner so as lo become
sub�ecl ta IM1e Workers' Campen5aimn Laws of Calilornia.
Daie: Signature:
NOTICE: II. a�ter makinq �his declaration, you shoWd �ecome suble�� �o �he Workers' Compensa�ion pmvisions o� Ihe La6or
CoOe. you musi farl�with camply wiih suc� O�ovisions or Ihis permit shall 6e Aeemed revoketl.
CONSTflUCTION LENUINC AGENCY: I �ereLy aflirm IAat ��ere is a cons�Nction lenaing agency for ihe perlormance o� the work for
which �his permit is issuea (Seclion 3W7. Crv. C�.
�exoeR:
ADOflE55:
OWNEH BUILOEP DECLAHRTION: I here�y af�irm Ihal I am exem0� ��om IAe Con�mclors' Staie License Law �or �he following reason
(Section 7031.5 Business antl Pm�essional CoOe: Fny ciry of couniy which requires a permi� lo conS�mcL al�er, impmve, demolish, or
repmr any s�mclure. prior �o ns issuance, also requires �he applican� for such permi� �o file a signed s�alement Iha� he/she is licensetl
pursuam m Ihe pmvismns o� ��e Contracmrs' Siate License Law (ChaD�ei 91�ommencing wi�� Seaion 70W) of Oivision 3 of �he Business
and Pmfessfons Code) or Iha� �e/she is e�empt �herelmm antl Ihe Gasis for Ihe allege0 exemption. Fny viola�ion af Seclion 703L5 by
any applicant lor a permi� subjecis ihe applicant Io a civil penalry o� not more Ihan live hun4re0 dolla�s (5500).
I. as owner ol �he pmpetly or my employees wilh wages as Neir sole campensation, will tlo �he work, and the
❑ slmcture is nol inten0ed m offeretl �or sale (Seclion 7044, Busmess and Pm�essional Cotle: The CONractors' S�a�e License Law
tloes nol appty to an owner ol a pmpeny who 6uilOs or improves t�ereon, anJ who does such work himsell/Aerself or ihmugh
his or her own employees. D�ovitled I�a� such impmvemenls are nol intentletl or oflered for sale. I�, howeve� Ihe builtling or
impmvement is soltl within one yeai of compl¢tion. �he owner will have ��e buraen ol Omving helshe tlid not hui10 or improve
�ar ��e purpose ol sale�.
I. as owner o� Ihe pmperty, am excWsively conhacting with licensed conVactors to canstmc� �he pmjec� (Sec�ion 7044, Business
❑ and Pmlessions Cade: The Coniraciors' S�ate License Law tloes no� apply b an owner of pmperiy who builds or improve5 ihereon
antl who conlraps for such Dmle��s wi�h a conirac�oqs�license pur5uani to Ihe ConVactors' Siate License Law),I am aware
Ihal pmof of I�eir Worker's Compensa�ion insurance 5hou10 be pmvitled lo me.
� I am exemp� unAer Sectian: B. B P. C.
lor Inis reason;
oate�. owner
I Oo here0y tenify ihal I am aware al ane untlerstana Ihe reqUirem¢ms ot Cali�ornia Heallh an0 Sa�ery CoJe Secti0n5 2550.5, 25533, an0
25594 ana IAai I or any fuiure builtling occupan� will/will noi (circle one) nee0lo comply with said state cotles antl the requiremen�s �or a
pennit for conslmc�ion or motlillcalion imm Ihe Alr Ouality Management Ois�det. flesitlen�ial cansWction applica�ians are exempl imm
Ih¢Se prOviSi0n5. ,
�a�e'. ApplicanL _
I M1¢reby ceilifyihatlhavereatlthi5 apphcation tl slale ih
mtlinanwsanOslatelawsrelatinglobuilaingc s�mctionan�
pm0erly foi mspection purposes.
Dale: � �� —�' 9gnaWre:
�rivefs Cmense ar Social Securiiy #: � �,
t64bd6 Whne—BmlDing:Green—CodeEnlorcement:
is «e L I agree to comply with all
ni rve5 �hi5cily�oenlerupOnlhet
Pmk—Revenue: GoltlenroC—Assessor
CI1Y OF COSTA MESA — BUILDZNG PERMIT PERM NO; B 053Q5
PERMZT NO; B 0,53057 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCRIPTION : T/O REPLACE W/COMP SHINGLES SQ FT; 3,500
CLAIM VALUE: 3,500,00 CALC—VALUE; 3,500.00 G�,4O, OCC� R-3 JN(—`�1
COMMENTS: REROOF' 2700SF RESTD & GARAGE "`'���� ����v���
9E�EiF-1Fi(��lEiF9EiFiEdF-IfiE�%ifaFjEdfiEjE�kjEjEicifaf,iElEif��1E3f�K�E�e3EjFjfiiaF3f3E3EiFiF3fiEiEiEifiEifiF3Eif�Fif9F#iE3F�lE�Y�li 3F iF3F?E
7 O N I N G R E Q U I R E M E N T S �i����.
i S E T B A C K S
------------ MAIN BUILDING --------- ------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT ZN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REO• PROV: PARCEL; 42607109 'LNE: REF NO:
PLANNING NtSTES>
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U E V E L O P M E N T 5 E R V I C E S R E Q U I k E M E N T S
ZONING APPROVED BY DATE: �-
BUILDING APPROVED HY ; DATE: •
APPLICATION ISSUED BY• (� DATE• ���
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LEGALIZATION:N F E E S U M M A R Y STRUCTJRAL SEGMENT';Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADI3vG
PER,MIT 63,00 ' .50
SMIP/NON—RES
PI,AN
ISS[7E FEE �
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECI{ TOTAL PAID DUE
TOTALS----> 63.50 0.00 0,00 63,50 63,50 ,00
/'. .
REVENUE DIVISZON TOTALS--> COLLECTED: 63.50 OVER/SHORT: .OU
BI�DG PNT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
63.00 ,�0 •
i'
iE i4 R i't k ji� )E 3f 3E iF IE if ie iF if if 1E iE IF iE iE if iE 1E iElE jE 1f %i'r i(� iE if iF 1E if it if 1f iE )f iF it iF 3E� i6 �f i: iF iF ik i(� if �f �F 3F if if iE 1E if iF iE 3f 3f 9F if if iE 3E ir iF 1F ii� iF �1E af ±F if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST ' TOTAL COS7'
SFR 3500 REROOF BY VALUE RESIDENIAL NOZONE 1.00 �� 3,500.00
END OF FEES"�-
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CATE: 07i25/41 TIffE: 12:32
^—?..�1:
CONS 4RUC"�ION AND PLANNING POOL 'A
APPROVALS Permit # D2te Inspector AppROVALS Permir # Date I�spector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. S[ecl Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrital Bonding
5. Stael Reinforceme�t 56. Rough Plumbing & Pressure Test
6. ElectricalUFER�Grnd. 57. APPROVALTOCOVER�GUNITE
7. Footings : 58. Eiectrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrrid. 60. Backwash Lines, P-Trap, O Undrgrnd. ,
10. StructUral Floor SVstem ' 61. APPROVALTO DECK
11. Property Sewer Line & House Cbnnection '� 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Ven[-Final '
13. Roof Drains " 64. Plumbing SYstem � Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar SVstem•Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Reugh Wiring Sign 68. APPROVED FOR PLASTERING
18. Fough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure - 70. Underground Hvdro
22. Ducts, Ventilating • � _ 71. Product Pipin9 OGas ❑ Oil
23. Gas Pipe-Rough & Test ' 72. Underground F1ush
24. Roof�Framing � • • � � 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. Roaf Sheathing 7�-C�( �e.. �- 7q, OVerhead Hydro
26. T-Bar Ceiling (StrucFural� & Monocoat ' 75. Dry Chemical
27. Freme and Plashing ' 76. Dry Standpipe
28. Lathing & Siding � � 77. FIXED SYSTEM FFNAL '
29. Insulation . � ' 76. FIRE PREV. FINAL
30. Drywall Nailing � • NEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
.33. Final Electric . . - Notes: � �
34. Final Hea[ing & Air Conditioning• � I .
35. Final Gas Pipe-Test _� �
36. Hood or Canopy � �
37. Final Factory FirePlace . .
38. Final Plumbing �
39. Water Service-Final �
40. Gas Service-Final . . , �
'41. $olar pomesticFinal � �
42. Backflow Prevente� - , .
43. Backflow Irrigation �
44. Landscape Irripation System . �
'45. Sound Attenuation " �-( GL QG��[ 0 \-
/ �i
46. Handicap Regulations . • - Bw/,y�
H
47. FINAL STRUCTURE & BUILDING �-(•-�1i �C�•� • -
48. FINAL PI.ANNING �, ,
49. Electric Release to Edison • � . �
50. Gas Release to Southem California Gas Co � � , -
51. CERTIFICATEOFOCCUPANCY .
No. Date
. 13� g-�
COSTA MFSA BUILDING-SAFETY DEPARTMENT
P. O. BOX SlT CASTA MEBA. CALIPORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
� STATE
U6E OF
EXIBTING BL
6ETBACK LINH
EXTERIOR
COVERIN6
USE OF BI
COSTA MESA. CALIFORNIA
asa Del Mar Denelooment Co.
S. CoaBC
,_��RECEi�l����
9Ec ; �aso
FINANCE DEPT.
�� �6, �.��,vC1i'l��STA MESA
APPLICATION FOR PERMIT ..
, BUILDING � - ' '
For Office Use Only
R[C61PT NO, R8R `„NO. �
'll � /i tu
yI (.T�Qp rAtJ !> fl
PHFiYE�Y I /.K RPCEIVV� I�^o�EUe���QY
�
JR 34220 pDDRe�s"s ero Drive
DR �iL2O �STA MESA. CALIFORNIA
��N� �/ L
�. rcc v conii . `1
�SB�IINO. 'LEOAL
CR
q� I Ho. oF B�oae. ^ �
I LEFT ,�� I RIGH7 �S�
DESCRIPTION OF WORK
ANO
10. OF
IOOMS
ROOF
ZONING
NO. OF I UBE OP NEW
vuNs 7 9u�Lo�Nc
� fCENTER LINB BTJ
_ FRONT
— R.SIDE
APPROVED
0
A
I HlRBBY ACNN�W�D08 THAT 1 XAVB RBAD 18 APPLIGTION }Xt �MOUM BHOWN UNOER VALUATION IB FOq THE
AND BTATC THrT TMC ABOV6 ie wrsaecr A AGPHE TO GON• pUPPOBE OP 88TpBLI6HING A P6qMIT F6E ONLV.
PLY WITX ALL CIiY PGI NCEe AND BTAT LAWB RE6ULATNO
Bu1tDINo CON9TMu ION VALUATION
BIGNATURE Op � �/ �'ERMIT FEE $ 31J. O L
PERMITTE
f �I�'I� 13D.O0 PLAN CMECK $ I7. LO C
AUTHORIZED AGENT
TOTAL FEH
J