HomeMy WebLinkAbout3387 MARIGOLD CIR - Building Permitst
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PNOJECT ADOHESS: 3 3$�] MAP.I GOLD C I
OWNEfl'S NFME: TAYLOR LAWRENCE R
AODflESS: 33H% M�ARIGOLD CIR
COSTA MESA,CA 92626
;57-5839
AflCH/ENGINEEP:
p00NE55:
NEG.NO.:
uxir:
I1NIT:
PEHMITTEE: TOM BYEA ROOFING ( 714 ) 847-533?.
anoRess: 17662 METZLER LN B
HUNTINGTON BEACH CA 92647
IICEN5E0 CONTBpCTON OECLAXATION: I �ereby ailirm Iha� I am IicenSeA untler pmvisions of Chapter 9(commencing with Section
7000� oi Divsion 3 o�l�e Business antl Prolessions Code, antl my licens ' in fullforce apd eilecl.
cirru/c.:�049;32 TpTE��� S�J`.��� '>> EXP: 09/95
Oate: (Q. I� � Sign _ _
WOHKFflS COMPENS TION OECLPBATION: I �¢reby a�hrm Iha� I have a t¢tli i ent to seli-insure or a cenifiwre oi workeK
Compensa�ion I7� a�e o a cenifie0 copy �hereof Section 3800. La0 C.
POLILYNO.: L��—�4 UNIf 25�5 EXP.OATE: �1/OL/9S
comrnNv: STATE FUND
`� Ceriif'.0 copy is hereby fumis�ed. � Cerlifie0 copy is liled wi�h � y Bui 'n ivisio
�ate: � f "' ppplican '
E%EMPTION FPOM WOHNENS' COMPENSATION DECLAHptIUN: (This section need nat �e complet ' t permil is Iorone hunOreO (SiW) or less).
I cetlify ihat ln I�e pedormance a� the work for whlch �hls permlt is issued, I shall no� employ any person In any manne� 6o as to become
sublec��o ihe Workers' Compensalion Laws oi California.
�ale: Signa�ure:
NOTItE: if, afier making �nis tleclaration, you snoultl become sub�ect ro the Workers' Compensation Owvisions oi Ne La�or
Cotle. you musl tonhwith comply with such pwvisions or inis p¢rmit shall Ue Oeemetl revoke0.
CONSTflULTION LENOING RGENCY: I here�y aflirm �hai ��ere is a consimction lending agency br Ihe pedarmance o� �he work for
which IM1is Oermii is issuetl (Sec�ian 3097. Civ. C).
LENDEN:
aoosess: REROOF 2600SF RESIDENCE
OWNEH BUILDEN �ECLABRTION: I hereby alfirm that I am exempt imm ihe Contracmrs' State License Law �or Ihe following reason
�Seciion 7031.5 Business anA Professional Coae: Fny ciry o� coun�y whic� reQuires a Dermi� Io constmci, alter, impmve, demolish, or
repair any stmcture. prior lo its issuance. also reQuires Ihe applicant �or such permit to file a signetl statement Ihat helshe is licensed
pursuanl to 1�e provisions of �he Contracmrs' Sia�e License Law �Chapter 9(cammencing with Sectian 7000) of �ivision 3 o� �he Business
ana Pmlessions Cotle) or ihai he/she is exempt Ihereimm and Ihe basis for Ihe alleged exemD�ion. Any violation of Sec�ion 7031.5 by
any aDPlicanl br a permi� su61e��5 Ihe applicant �o a civil penalry of not more �han five hundretl tlallars ($500).
I. as owner of Ihe pwperty ar my employees with wages as �heir sole compensaiion, will Uo the work, and �he
❑ simc�ure is nat intenUetl or oiteretl for sale (Sec�ian 7044, Business and Pmfessional Cotle: The Contractors' State License Law
Ooes no� apply lo an owner ot a pmpeny w�o Duilds or improves thereon, and who Ooes such work himself/hersell or thmugh
his or �er own employees, DmviOetl Iha� such improvemenis are not in�ended or ottefed br sale. 0, however �he �uiltling or
imD�ovement is soltl within one year of campletion, the owner will have the burden of D�oving �e/she did not builU or improve
lor ��e purpose af sale�.
I, as owner oi t�e p�operty, am eecWsively contratling wi1� licensetl conVacmrs to consimct �he pmle�� (Sec�ion 7044, Business
❑ antl Prolessions Code: TAe CAniractor5' Slate License Law Ooes not apply to an owner of properry wlla builtls or impmves thereon
antl who comracis lor such pmleds wit� a caniracbqs) license pursuam m the Contrac�ors' Slaie License Law�. I am aware
Ihat D�oo� af Iheir Worker's Compensation insu�ance ShoWC be Dmvided lo me.
� I am exemp� uneer Sec�ian: B. 8 P. C.
�or mis reason:
�aie: Ownec
I tlo here6y cenily Ihal I am aware oi anA unUers�antl ��e requirements of Calilomia Meal�h antl Sa�ery Code Sec�ions 25505, 25533, and
25594 and thzi I or any lulure building occupan� willlwill no� (circle one) neetl �o compty wi�h sai0 siale codes and Ihe reQuiremen�s for a
permil lar consimciion or modificalion �mm Ihe Air Ouah�y Management �i5Vic1. flesiden�ial cans�mction applicaiions a�e exempt �mm
Ihese provisions.
Oale: App6canL
I here�y ceitify I�ai I �ave reatl �his applicalion anA slate I�at ��e ahove informa�mn is corre agree �o com0ly wii� ciry antl counry
ordinancesantlslale wsrelating�obuildingconsimctionana�ere�yauthor¢erepresentativ oi '' loenter eabove-mentionee
proper�y I � inspecu n purp ses.
Oale — SignaWre:
oriver's �.ense or Sociai Secunty n:
t64L46 W�ite—Bwltlinq: Green—Cotle Enlorcemenl; Canary—ApPbwnl; Pink—Revenue', Goldenrotl—Assessor
CITY OF COSTA MESA — BUILDING PEAMIT
PERMIT NO: B 067G56 PLAN CfiECK NO: N
CONSTRUCTION T1'PE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : APPLY COA7P. OVER EXIST. WOOD SIiINGLES
PERM NO; B 067656
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT; 2,745
CLAIM C�ALUE: 2,795.00 CALC—VALUE: 2,745,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED IN EVERY BEDROOM 6 HALLWAY, UBC 1991
� iE iF # iE iE it # iE iM1 it 3F fE iE 1E if iE 1E if #!F iF-0E iE iE iE iE if iE iE �lE iE jElE dE fE iE iE iE if !E it #:- fk 1E 1E 1E iF �)E 3E 3f 9E iF iE aE if iF "-" � V•• ••• •• •E:• ••... ., ... . • ..
ZONING REQUIREMENTSMQ�CED�TECTOR
S E T B A C K S
------------ P1AIN BUILDING ---------- --------- ACCESSORY b`�'��L^��I��'°�-----
FRTIT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKZNG REQ: PROV: PARCEL: 91218221 ZNE: REF NO:
PLANNING NOTE5>
�
iE iE if 1t i(� �f if i!!f ih iE 1f iF iE }� iE if if iE if # if ih it iF iF if if 1k # if 1E'6 iElE 1f # if iF iFlM1 # iF if iE ik iE iE 3E !E iE if 1E # iE fE fE ## if *# iF iE ik ## jE 1f 1E �M M� iE #!Flt+F k if�
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:
AP+Pr******O********�B+�r� �a� ��**r*D*�**#�*,`��,F�3r��'�.#+r
iE iE iE if iE iE 1F �IE i( iE iF if iF if iE iE iE �f if if it 1E # if� 1E jf if if iE �lE iE if # k� �?E �E?E iE:F # IE if if if ik �)E iF iE �lE # if # jf ic iE fF iE #�f 1E �X� iE ��E 3E iF if ic jt iE 9E iG-K if if �1F �lE if �F IE
LEGALIZATION;N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 54.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CI-IECK
TOTALS----> 59.50 0.00 0.00
FIRE SMIP/RES GRADING
50
SMIP/NON—RES
TOTAL PAID DUE
54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 59.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
59.00 .50
iE iE iF if iF aE iE M iE iE iR iE �)E k�)f �E fE iF iE 3E k iE iE if if if iE �f k 1E iF iF iE if if iF i6 iE iE iE iE iE iE iE jE iE 9E i: #' 3E 3f if #%3f 1%if iE 1� if iE iE aE 1E?E iE i' dF * if * iF fE iF i(� iF aF iF+F
I N D I V I D U A L F E E B R E A K D U W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2795 REROOF BY VALUE RESIDENTIAL NOZOA]E 1.00 2,745.00
END OF FEES
O1 00162497—OO1G2498 T C�T 54.;Q
DATE: �b/17/SS TI19E: 08:13
\
'CONSTRUCTION AND PIANNING POO, SPA I
APPROVALS Permii# Date Inspector APPROVALS Permit?k Date Inspector �
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2, Soil Pipe�Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Und�gmd. 54. Forms -
4. Electrical Conduit-Undrg; nd. 55. E�ectrical Bonding
5. 5teel ReinForcemenc 56. Rou9h Plumbiny & Pressure � est I
6. E�ectrical UFER Grnd. 57. APPROVFlL TO COVER�GUNITE �
7. Fpotings ' 58. Electricai Conduit�Undr9rnd. �
8, Fpundation 59. Gas Pipe, � Undrgrnd., Tzsc (
9. Water Pipe-Undrgrnd. '� � 60. Backwash Lines, P�Trap,'�^'. Ur,drgrnd. �
70. Structural Floor System � .' 67. APPROVAL TO DECK
}}, property Sewer Line & House Connection 62. Backwash & Recepior-Finai 1
12. Sewer Cap ' &3. Heater & Vent�Final �
73. Roof Drains �� 64. Piumbing System - Final
14. Rough Plumbing 65. Electrical�Fina� '
15. Rough Electrica6Condu;t 66. Solar System•Final
16. Rough Electric Wiring 67. Fencing & Access Approval �
I
17. Rough Wiring Sign 68. APPROVED FOR PIASTERiNG
18. Rough Eiectrical-T Bar Ce�Iing 69. POOUSPA SYSTEPoIS F�NRL �
19. Rough Heati�g & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Firep!ace APPROVALS Permit # '
2L �ucts, in Structure � 70, Underground HYdro
22. Ducts, Ventiteting 71. Product Pipi�y C:� Gas L:; Q,; :
23. Gas Pipe�Rough & Tes. 72. Underground Flush
24. Roof Framing 73. Underymd. Storaye Tank i� Gas ❑ Oii {
25. Roof Sheathing 74. Overhead Hydro f
1
26. T�Bar Ceiling (Strucwral} & ft4onocoat 75. Dry Chemical �
27. frameand Flashing 76. Ory Scandpipe '
I
28. Lsthing & Siding 77. FIXED SYSTEM FINAL
� 29. Insulation 78. FIAE PREV. FINA�
30. DrYwall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Bro�n�n Coat 79. FINAL INSPECTION ' ��
i
32. Electrical Power h�ete;-.'-inal 80. FOOD CERTIFICATE ISSUED -�
33. Finai Electrtc Notes: {
34. Final Heating & Air Conciitioni�g
35. Final Gas Pipe�Test
36. Hood or Canopy �
37. Final Factory Fireplace . �
38. Final Plumbing - _
39. Water Service�Final �
40. Gas Service-Final
q�, $�lar pomestic-Fina�
42. Backflow Preventer / � ( _� (,�� � � /��.,� (/^'�,/� [/ '
{..y � /"K��_`� - �--A
43. Backflow Irrigation <t- " j
44. LBndscape Irrigation!SY�Stem j
45. Sound Attenuation , �.; �
46. Handicap Reguiation$„f. ��i '
1
47, FINALSTRUCTURC'&SJ4IDWG -`�j_L� �t�i�pL, '
48. FINAL PLANNING �# r;':;
49. E12ctric Release to E�is"Unv "'
50. Gas Release to SoutF� California Gas Co -
51. CERTIFICATE OF ' GCUPANCY
l�
No. Oate
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. � / I S /�
IAT N0, � k` �
• � �
ADDRESS ,�L
DATE
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 under igned, by executing this agreement, acknowledges that
�he�� (�ere) �` advised that this tract has
not been given al nspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by sure[y bond.
The undetsigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reaeon
of the aforementioned uncompleted condition.
BY � � • �
Purchaser
, �_
BY �ir.�[2�r,�-L) �� ��C'ti .
Developer and/o �� ut_ho�r�/''ze�
�'/�—�
zepresentacive (. �
�.G' �%%
BY _��C�c,z!?rG, <cY-G� �rr
I.ender
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141
3516�
201CCOSo eOxEtiao Ucos�7�a M SAFCALI ORNAIA 9 626 T
PAI❑ � **�
nur i s•n�„S;,OO i o89 126.05
APPLICATION FOR BUILDiNG PERMIT
For qpplicant to Fill in Completely
R EI E BV DATE RECEIVED DATE ISSUED
BVILDING .��� Mari old Circle � � ' ' 7
ADDRESS
PERMIT MO.
OWNER Larwin Southern California lnc. A•P.NO. ��� y:a I �
MAIL BUILDING .y�G %�/^�` L� / !�^ �
ADDRE55 16255 Ventura Boulevard ADDRESS�� o /��IT �� ��
CITY Encino, Califomia No��986-8890 TRACT ���a LOT / BLOCK
OONSTRUCTION W p' P
LENOER a in Southern California �nc
BRANCH 16255 Ventura Boulevard � , G �N�
ADDRESS Encino, California �WNER
ARCHITECT TEL. S u' 7% R'I�LUS fd—I��% �
ORENGINEER LARWIN N 273�
FIRE
ADDRESS PV_ HIIIS ZONE TYPE GROUP
APPPOV_ � �j�
CONTRACTOR Larwin Southern C alifornia, �11C. BV OATE Q
ADORE55 16255 Ventura Boulevard
TEL. 20NE NO.OF USE OF NEW 5'�/ti/ ' � V
PLAN$ � BUILDING
cirr E a • rvo.
L C No. 191311 IICYNO. B�� YMAIDN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. IFROM C/L STREE7
OF LOT $O X�.LO NOW ON LOT Q ROM FT. FT.
USE OF
EXISTING BLDG. F FT
SIZE OF NO. OF 'r
n,�ve�oc.1436 ROOMS STORIES 1 L.SIDE �'FT. FT.
EMERIOR WAL4 ROOF � T
COVEPING StUCCO COVERING Wood Shin �2 REAR FT.
USE OF BUILD�NG AND WORK TO BE PEFFORMED DISTANCE BET. BEf. MqIN &
MAIN BLDGS. ACC65. BLDGS.
Construcf Single Family Residence C VRP.vW APPROVED
APPROVED %//L srnre
v-
�
1 he�eby acknoW�atlpe that I hava rentl Ihis application antl sta�e OLD
thet tha abovo information is corroct antl a8ree xo comply wiM
all laws reBulatlhe builtlinB conscruction, entl I sholl noc amplay
ony person in v�olatlon of [he workmads compensatian laws of
t�e Stete of Califomia. m
i b
1 hereby certify that 1 am proparly licenwtl os a eonttector untler SQ. FT. o
the State ol California Business antl Professions Cotlu, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j
Chapter 9, entl that such licenus are in full force end affect, or I THE PVRPpSE OF ESTABLISHING A PERMIT FEE ONLV: Q
em exempt from the provisions of Me State of California Businass
antl Professions Cotla, Oivision 3, Chapter 9. VAlUAT10N � m
PERMIT FEE 5 c'
SIB�aiure of � �j J � t, m
Permittae ����� D. Downe $J'�(� PLANCHECK 5 ' E
� � `o
Authorized A9enx TOTAL FEE 5
1 LL