HomeMy WebLinkAbout3371 MARIGOLD CIR - Building Permits-PflOJF� ADOBESS: 3371 MARIGOLD C1
owxensxame: pHILLIPS JAMES L
nooness: 344 MEDE�f CREEK LN
AGOURA,CA 91301
AflCMIENGINEEB:
�OOXESS:
NEG.NO.:
UNIT:
UNIT:
PEflMITTEE: WALT' S ROOFING ( 714 ) 847-1558
nooness: p,O,BOX 1635
H.B CA 92647
I 110EN5ED LONTBRCTOB OECLA�1RTION: I Aereby atbrm ma� I am Icense0 un0er v�o��s o� Clupter 9(wmmencing wiih Sec�ion
7000) ol DiriS�On 9 0l I�e Businl55 aM PrafeSLOns COOe. anE my IKertu 6 N IWI lorce anG eflect.
cirruc� ����sT�reuc.:400226 , F����
SiBnature: ����%
W08NEF5' LOMPENSA710N UECLAMTION: I �ere0y affirm tlut t Iwve a cetlifiwte of corisent to sell-insure or a cenifiwte ol Workers'
Compen5ation Insunnce, or a cenifie0 copy tnere0l (��an 7&10. LaU. CI.
POl1tVN0.: lO4ZOi1-9Z E%P.D�TE: O%IOI�93
cornrnxr: STATE FUND
❑ Cenified copy a hereby NmisAeJ. �} CertitieG Copy is IAeA),w-�tyjre/{{' Bu�il,tlm"g� Di�vi�sian.w�
eet� /� �� / � F-0Vliwnt: (/✓/%1�"��i "" " �
EXEMPIION FflOM WOflCENS' COMPFNSNTION OECUN�TION: (ili5 5¢cibn neM rol De compk7E0 it �he purtA ¢ iw me hunOreO (4700) W I¢ss�.
I cetlily Ilut in Ih¢ pedormance o� t�e work for w�i[h lhis p¢rmit a isSueJ. I 51w0 no� em0�%' any persan in any manner m as ta 6ecome
suGiect to ine workers' CAmpenShcion Laws ol Calilomu.
Oa�e: Siqnamrt:
NOTILE: li. alter maltinq tnis eecWratiw. yau shoula Eecame su�iect to tne Wohsrs' CamDenufion pmvisions oi ihe Labor
Code, you musl lonnwitn comply wiln sutn ptovisians or ik5 oermit snall Ue Eeemed revoke�.
CONSTPUCTION LENOING RGENCY: I �¢r¢Oy allirm Iha� Iher¢ i5 a tonslmc�ion IenGing apency �orl�e Dedormance otihe work �or
wnicn mis oe�mit is issuea (5etlion 7097. Gv. CI.
LENOEfl:
AOONESS:
OWNER BUIIUEB oECLAPaTION: I herzby aflirm ilw� I am exemp� Imm i�e Contraciors' Slate License Law for ihe following reason
(Section 70.31.5 Business anG Pmlessional COAe: Any city ol coumy which repuires a Darmil m constmc�. alter, impmve, AemolisA, or
repair any siNcture. oria lo i1s iuuance. aI50 Rquires Ihe apDlicant lor wcn Dermit to lile a sipnea stalement ihal he/she is licensetl
pursuanl lo Ihe provisions al l�e Cantracmrs' State license law �ChaO�er 9(commencinp vntM1 Sec6on 7000) oi Oivision 3 of ihe Business
antl Pmlessions CoOe) or tnat ne/she is e+empt tnerelmm anOlhe Dasis lor ihe altepe0 exemp�ion. My vioWtian ol Section 7031.5 by
any aODlican� lor a permil su0letls Ihe appliWnt �o a tivil penal�y o� nol more �han live �untlred Eollars (5500).
I, as owner ol ine pmoeny ar my employees wiln wa➢es as Ineir sale tompensation, will Aa Ihe work, antl ina
❑ stmcture is not intenOeU or oflerea for sale ISection 70aa. 9usmess ana Pmlessional Co�e: ine Contracmrs' Stale License Law
Does not aOPly �o an owner ol a Dmpeny wM Oui105 or im0�oves t�ereon, anE who Uoes suc� wnd himselOheruti or tAmup�
�is or �er own emDloyees, pmviGeG tAa� suc� improvements am �mt inteiMeG ar olha0 for sale. II, however tAe CuildinA or
I imOmvem¢ni i5 salC wiihn One y¢ar 01 complelion, (�! owntr will twve Ih¢ OurO¢n 0� provinp hd5he tliU noi builtl Or impmve
for Ine purp0u ol Satel.
I, as owner ol IAe um0eny. am e�Uusively canvaclinq wit� IicenseG contractors to cansimct ihe prolect �Section 70ad, Business
❑ antl Pm�essions CoGe: Tha Conlraclors' Siate License Law Uoes noi appty m an wmer oi oroperry wM EwIEs onmD��es I�ereon
an0 wha COnhatl5 �0� Suc� D�OjttlS wii� d CO011dttOr(5) IiCEnSE OURU3n1 IO I�p COfltrdtlOR' Slale License Law�. I am aWda
Inal o��� ol I�eir Worket's Compensatqn insurance sMWa Ge o�m'bN to mC.
� I am ezempi un0e� Seclion: 8, d P. C.
Ior INs reatOn:
Daie: 0«oer.
I Oo nereDy cenily Ilut I am aware of an0 mMerstan0 t�e repuirtmenis ol Calilarnia Heatt� anE Sahry CoJe Sections 25505, 2553J, anG
255JA an� Inal I or any IUWre builQinp acupant wiMviA not (tirLie one) neeG to tompry wit� SaiG state COGes anG t�e reQuiremenis lor a
peimil lor conslmclion or moOiliWiion imm IAe Air Waliry ManaAemmt GSlnct. Besfaenlial tOnitrutlion appliCalion5 are eeempi �mm
I�ese provisions.
Date: AC�i�cant:
I here�y cetlily Ihai I have reaG IN5 application aM Slat¢ i1u11�e a�ove information 6 correct. I agrte Io compty with all ury an0 caun�y
orCiriances an0 state laws relatinp Ia U�aMing cd¢Vuclion aM �U�tlnr'rp�presept�Wes ol IN5 dry m enter upon the a�ove-mentione0
pmpeny l�o�r ins)peaqn purpo5e5 G� /�///^- �
—Ba(� /� / r � � $i9naWre: n J
�river's Lirense or Sociai Secuniy .;
1641-a6 Whi�e—BUAGing�, Green—COCe En�orcemeng Canary—Appliwnt: Pink—Rgvenoe; GolOenroa—Pssessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 058001
PERMIT NO: H 058001 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : REROOF WITH CLASS A COMP SQ FT: 3,000
CLAIM VALUE: 3,000.00 CALC—VALUE; 3,000,00 GROUP OCC: R-3 /
COMMENTS; REROOF O/1 LAYER OF WOOD SHINGLES
�r�r+r+r�t�r�r***�*�t�*�� �r�t�rx��r�r**+r+t+t�ra�r�r�r�r�r+t+t�t�t�r�r�r*�t�r**�t�t*�e�t�r��tx **�r+r�t*�+t�r�t**�r�r*+r****��t*
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY HUILDZNG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REp � PROV; PARCEL; 91218217 2NE: REF NO:
PLANNING Ni3TES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E,N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE: �
APPLICATION ISSUED BY• DATE• L�
it iE iF i(� k�E * iF *�F IF iF ft * k* it it ** it it�±E' -'�'�'RiF'iF'iFiFiF�* **iE iE r.� tE�1F *+tw�FfF'kZ��'£'£it�+t
3FikiEkitiEit3Ekif�kaEiliElEifiFiflEiElE�fkiEiElElFiEiFkifaEiE�EiEiklt ifiE�4iEiEitlf*#iffEiPiEifiFifiFiEiliFifiF�ElFiFiFafifiFiElFiEifiFiEifif
I.EGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 .50�
PI�AN
ISSUE fiEE
BtiILDING—DIV—>
TOTALS---->
PERMIT ISSUE PLAN—CHECK
54.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
54,00
� SMIP/NON'RES
TOTAL PAID DUE
59,50 54.50�•' .00
54.50 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iF 1f if 1f iE IE iE iF if if 1F 1F If if iF iE If 1F 1P M iE af iF 1E iE �F it if iE if 1f if if if iE �F aF iF iE if iF 1F iF iF if ±f iE if iF 1k if if iP if iF if 3E iF IF 1k 1E 1E iF 1F if 1F 1F iF M ii iF If iF if iE af K!E 1i
I N D I V I D U A L F E E B R E A H D O W N �
TYPE QTY D E S C R I P T I O N ONZT COST = TOTAL COST
SFR 3000 REROOF BY VALUE RESIDENTIAL N020NE 1,00 3,000,00
END OF FEES
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t
� POOL A
CONSTRUCTION AND PLANNING
'. APPROVALS Permit � Date {nspector APpROVALS Pe�mit # Date lnspector
i, Temporery Electrical Service or Pole 52. Pool & Equipment Location
2, Soi1 Pipe�Undrgrnd. 53. Steel Rcinforcement
3. Electrical Conduft UtilityUndrgrnd. 54. Forms
4. Electrical Condwt-Undrgmd. 55. Etectrical Bpnd�ng
5. Steel Reinforcement �� 56. Rough Plumbiny & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7, Footings � 58. Electrical ConduirUndrgmd.
$, Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. S[ructural Floor System 61. APPROVAL TO DECK
� 7. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' 63. Heater & Vent•Final
13. Roof Drains 64. Plumbing System � Final
14. Rough P�umbing _ 65. Electrical-Finai
15. Rough Electrical-Conduit 66. Solar System•Final
i6. Rough Electric Wiring 67. Fencing & Access Anproval
77, Rough Wiring Sign 68. APPROVEO FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SVSTEMS FINA�
t9, Rough Heating & Air Conditio�ing F1RE DEPT. REnUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Pipinc� � Gas ❑ Od
23. Gas Pipe•Rough & Test , )2. Underground Flush
24. Aoof Framing 73. Undergrnd, Storage Tank O Gas ❑ Oit
25. Roof Sheathing 74, Overhead Hydro
26. T�Bar Ceiling (Scructural) & Monocoat 75. Drv Chemical
y7, �Frame and Flashing 76. Dry Standpipe
28. lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation ' 78. FIRE PREV. FINAL
30. Drywall Nailing ��� HEALTH DEPT. REQUIREMENT
31, Plaster Brown Coat �.-� 79. FINAL INSPECTION
32. Electriwl Power Mecer-Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ,f Notes:
34. Final Heating & Air Conditioning , •
35. final Gas Pipe-Test - ,
36. Nood or Ca�opy
37. Finai Pactorv Fireplace
38. Final Plumbing � �
39. Water Service�Final '
40. Gas Service-Final
A1. $oiar pomestic-Final
42, 8ackfiow Preventer �
43. 8ackflow Irrigation � -?- �i,� � �
- ^
,44. LandscaDe Irripa[ion SVstem
45. Sound Attenuation �
46. Nandicap Regulations � `_L%✓��
- L
47. FINAL STRUCTURE & BUILDING '7L � C' � _ /�
.���, !/
a6. fINALPLANNWG '�
� 49�. Electric Release to Edison '
50. Gas iielease to Southern California Gas Co ��
51. CERTIFICATE OF OCCUPANCY ; _
No. Date
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. � �j � (�
LOT N0. � �-t �
nnnxEss � 3`� i � ,,��,�'Go 1�1
DATE , I � � �
1 �
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen:, acknowledges that
(he-eke-Chey) 1� (was orwere) W�a� advised that this tract has
not been given final inspection nor has it been accepted by the City of Coata Mesa
as having complied with the conditiona of approval which were impoaed by the City
at the time the final tract map was approved.
The Ci[y assumes no liability for the enforcement of the conditions
necessary for approval other than those conditiona protected by sure�y bond.
The undersigned agreea to indemnify and hold the City harmless from
any claim reaulting in damage or pereonal injury to the underaigned by reaeon
of the aforementioned uncompleted condition.
RECEIVED
CIfiY OF COSTA h.�ESA
�;,�,�r ;;F.^i,
p' . �.,:.,
JAi�d 15 1973
PM
��8i9iiuiiiiuii�2t3�4i5i6
4
BY a(,p�
Purchaser
sY �¢�L�O 1�. �—�-✓z��
Developer and/or authorized
representa[ive
aY iS.Lt�%w lc���
Len er
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COSTA MESA BUILDING-SAFETY DEPARTMENT pqlp
3OIC PO BOX 1200 COSTAMESA CALIFORNIA92626 �1�)C �S'%i--O�
� -cnsr. 1Q93� ���154.34
PP ICATION FOR BUILDING PERMIT
Fo� Applicant to Fill in Completely RE ei ev DATE RECEIVED
DATE ISSUED
BUILDING - .- �
nooRess �37 Mari old Circle '��i' o�
PERMIT NO.
OWNER Larwin. Southern Calif In A'P' NO. -- -„- .
MAIL BUILDING � � CJ
ADDRESS 16255 Ventura Boulevard A.DDPES 3 �� L� �
GTV Encino Calif. No.`986-889 TflACT �� LOT BLOCK
CON5TRUCTION Larwin South.ern Calif, In NEW ADD A P
LENDER
BPANCH 16255 Ventura Boulevard
AODRESS Encino California OWNER W%� ��• G
VAWE �
ORENGINEER LARWIN NE`273-446 S � � 5
FIRE
ADDRESS a ZONE TVPE GROUP T
APPROV y
CONTRACTOqL'c�.i'WZTl South.ern Calif � TiiC BV DATE �' � p^ Zi
ADDRESS 16255 Ventura Boulevard
CITV Encino, Calif. rT,o��986-889 ZONE � P�� � BVILDING EW � r,U
STATE 191311 CITV �'ARDS APPROVED VARDS APPROVED
LIC. NO. LIC. NO. B-1 MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BLDGS. (fROM C/L STflEET)
OF LOT (�S X 1 NOW ON LOT O FRONT FT. FT.
USE OF
EXI5TING BLDG. FT. FT.
SIZE OF NO. OF
NEWBLDG1987 ROOMS STOFIES 1 L.SIDE d FT. FT.
EMERIOR WALL FOOF ^^
COVERING StUCCO COVEFINGWOOd Shin 1 FiEAR /�+ FT. FT.
USE OF BUILDING ANO WORK TO BE PERFORMED DIS7ANCE BET. BET. MAIN &
MAIN BLD(',5. ACCE55. BLWS.
Construct Single Family Residen c�Ra�w °a"P OVED
APPROVED 4. il (�YS ST �/�'�7
Vl/ '-'f�
a
I herebv acknowletlge chet I have read this aooliwtion ana state Q� FOR SPECI
ffiat the above intormation is correct and ogree to comply with
all laws regulating buildin8 �onsttuction, antl I shall mt employ
any person in violation oi the workman's compensation laws af
the State of California. °�
/�, �
I hereby certify 2hat I am proparly licensetl as a contractor under SQ. FT. �W o
the Stere of California Business antl Profassions Cotle, Divisicn 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR
Chaprer 9, antl that such licenses are in full force antl etfect, or I THE PURPpSE OF ESTABLISHING A PEFMIT FEE ONLY: m
am exempt irom the D/ovlsions ot the S[ate ot California Business ¢
VALUATION m
and P�otessions Cotle, Division 3, Chapter 9. PERMIT FEE $ _ �
Signature o �/�/ �i� r� /^/ � �fs �
m
Pe�mlttae �f//�� 11. L�Wl�i$ $�7i �O PLqN CHECK $ - o
AUNorizatl Agent L� Z� LL
TOTAL FEE S `)