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Home My WebLink About3234 NEBRASKA PL - Building Permits3234 NEBRASKA PL KROGH HELEN V 1300 LONDONDERRY COSTA MESA,CA APCM/ENGINEEfl: FUOXESS: UNIT: 92626 NEG.NO.: UNIT: PEflMITTFE: ATKINS ROOFING ( 714 ) 898-1169 aooxess: z3591 EL TORO RD I-160 EL TORO CA 92630 UCENSED CONTNACTOB OECUINATION: I hereby al�irm Iha� I am liwnsea unde� D�ovi5ion5 0� C�aD�ei 9(tommencinq wilA Sec�ion 7000� oi Divisian J o� t0e Business anC Pmlessions Cade, antl my license is in iWl lo¢e an fleci. ciT c/] �j y sTnre uc.: 3 614 1 c ss: gp : a�e: 7� 2- ` SignaWr 0 Efl5' COMPENSRTION OECIABATION: I Aere� fi tha� I nave certilicate ot ronsent m seu-inwre or a cenificate ot Workers' C oenuiion Insurance. or a cendie0 copy �nereaf ISecuon 3800. L. C�. POLILV NO.: E%P. OATE: COMPANY: ❑ Cerlilie0 topY is h¢re0y I ' CertilieG [OpY i5 Iiled wit� [he tiiy Building Division. Oate: AOV�icant: E%EMPTION FPOM WUPeEPS' COMPENSATION oECIANATION:' (7 - tion nee0 not be completetl ii t�e Der ''s lar ona hunAred (5100) or less�. I[e ' I in Ihe perlormante ol Ih¢ work �or wAich IhiS De ' i5 i sued, I 5hall n0� ¢mplo ny D � in any manner 50 aSlo become s cl lo e Woqrker5' Compensalion Laws ol Calilomia �ale'. �L — � SignaWr iICE: II, afier making �his aeciarolion, you sM10 Itl become subject o e W rkers' Compensation pmvisions o1 tAe LaOor Code. you musi Ior�hwiU comply wi�� such pmvisions or this permit 5hall be tleemetl revoketl. CONSTNUC710N LENOING PGENCY: I hereby allirm �hat there is a constmction lentling a0enry for the petlormance ol ihe work lor v�hicn inis pe�mi� is issueA (5etlion 3W7, Civ. CI. LENOEN: AOOHESS: OWNEN BUILOEB OELUNRTION: I �ereby allirm Nal I am exempi imm t�e Contramors' Sia�e License Law lor t�e tollovnnA �eason (Section 7031.5 Business antl Pmlessional Cotle: Any cny of counry which requires a permit ta canstmc6 alter, impmve, Oemolish, or revair any slruciwe. prior lo ils issuance. also reQuires ihe applicant Ior sucn permit to file a siqnee statement ihat he/she is licensetl pursuanl lo tne Omvisions o� �he Canlraciors' State License Law (Chap�er 9(commencing with Sec�ion 7000) al Division 3 ol lhe Busines5 anU Pmlessions Cade) ar inal helshe is exempl �ne�etmm ana ine basis far the allege0 eremo�ion. My vialatian of Section 7031.5 by any app6cant lor a p¢rmi� SUGjtttS i�e a001ican� t0 a civil penalty o� na� more Ihan live hunCr¢G Gollars (5500). I. as owner of ine O�openy or my employees wilh wages as t�eir Sole compensation, will Oo ihe wark, an0 ihe ❑ 51mcWre is nol intenEea or oller¢tl �or sal¢ (Section 7044, Business anU Pwi¢ssional Coae: The Contractors' Sia�e License Law Ooes nm ao0ly �o an owner of a pmpeny who ouilds ar imo�ovxs therean, an0 wha tloes such work himsetllhenell or ihrouAh his or �er own empl0yee5. pmviUed lha� 5ut� impmv¢menis are n01 infen0e0 ar atlereG �or sale. Ii, twwev¢r l�0 �uil0ing or impmvemenl is saltl vnihin on¢ year ol completion. IAe owner vnll have I�e 6urden at provinq �tls�e Gitl noi Oui10 or improve lor ine owoose ol salel. I, as owner ol Ihe pmperly, am exclusively conlmcting with licensed contractors �a cons�mct IAe D�olec� (Seclion 760<, Business ❑ ana Pmfeuions COGe: TAe Cantractars' Stare Licenu Law Goes not apDy to an owner of pmperty w�o butlEs or imD�oves lhereon anE who Conira[�5 far suc� orojecis wit� a coniractor�s) license pursuant �o I�e Canlrattors' Sia�¢ LitenSe Law�. I am awar¢ t�at pro01 0� illei� Warke�'s Compensation insurance snoultl be O�oviGeG to me. � I am exempt untler Seciion�, B. 8 P. C. lor ihis reason: �aie: Ownec I do hereby cerlily ihat I am aware of ana untlerstan� �he requirements of California Healih antl Safery COAe Seclions 25505, 25533, anA � 25534 antl Ihai I or any fu�ure building occupanl willlwill no� (circle one) need Io compty with sai0 sta�e cotles and Ihe requiremenis for a ' permil lor conslmclion ar mo0ilicalion Imm Ihe Air �uali�y Managemeni �i5iricl. Residential constmc�ion applica�ions are exempt irom �hese Omvisions, Oate: Fpplicanl: I herehy cetlily thal I have r¢aa IniS applicati0n antl Siale �hat ��e a ve informa�ion is correct. I agree ortlmancesantlstalelawsrelatingtoDuildingconsimclionand�er ya��or¢ereoresentalivesof� ury opetly /Io1rinSpeQ^iOn pmpose5. �al� / — J � � Signature' s License or Saial Security Pink—Revenue: GolEenroE—Assassar CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06877 PERMIT NO: B 068774 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION ; REROOF W/COMP OVER EXIST. 1 LAYER WOOD SQ FT: 3,000 CLAIM VALUE: 3,000,00 CALC—VALUE: 3,000,00 GROUP OCC; A-1 / COMMENTS: REROOF W/COMP. SHINGLES OVER EXISTING 1 LAYER WOOD SHINGLES *+c�*�rir+rx�**+r+t+tx�x�******�rx��r+r**�r�t�r+tx�****�r+r***�r***�t*�rr**x�*�rx�**�r*�r+��r***��r*****�*+�**�r�r* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAZN BUILDING ---------- --------- ACCESSORY BIIILDZNG --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGAT; FT IN LEFT: FT IN RGAT: FT IN PARKING REQ• PR�MOKE PAACEL: 13908309 ZNE: REF NO: PLANNING NOTES> > �" ��*�*��*��**�**�*��**�* �*ET�C�p/� �**��**��*�**�**��*�*�*��* D E C� E L O P M..:�_N �E��f'3 C E 5 R E Q U I R E M E N T S �� ZONING APPROVED HY �ATE: BUILDING APPROVED BY : DATE: APPLICATZON ISSUED HY: ��^^� DATE; `{- i(�iEiEihlflEiElfiFlFiElFiEkftiEiE143fiE1EfE7F3F'iFiF3FiFiFi�iFiF3FiF'iF�F3F iF i'c�iFiFiElEiEiElEiFiEfFiE�IE iE3� iEfFiF�ffEiEifiEikitiEiFiFiEitifjEififififitiElFiEiPiEiEiaiFiEiEfEiEiFiflfifiF�FifjEi6iflGiFiEiFiFiEitiFlfifiFiFiFiEiFifiF�EiEibifjEiE1ElE 1EjEY iEffifjtiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING PERMIT 54.00 50 SMIP/NON—RES PLAN ZSSUE FEE BUILDING—DZI,�—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54.50 0.00 0.00 54,50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 54.00 ,50 1! iE 1E 1t iE iE iElE iE fF iE fF 1f iE iF �F �F 1E iE iE jE it 1E itlF if iE 1E iE if ik if it iE ft ik ik iF iE iF it iF 3E if f!!f fE iE fE ik i6 iE iE if !k iE iE ih iF 1! 1F 1E fE iE iE ik 1E iE iE fE 1E k fF iE iE it iE 1f 1E I N D I V I D 0 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 COST SFR 3000 REROOF BY VALOE RESIDENTIAL NOZONE 1.00 3,000.00 END OF FEES EXPIRED incomp!a�te lnsp�ctioris � �.��gS �s � O1 OOib723D—OCi167231 T C�T `✓4,Sp DATt": 09/06i94 TIl4E: id:02 .TRUCTION AND PLANNINCi • . POOI & SPA � I ,sOVALS Permit #• Date� In5pec2or APPROVALS Permit # Date �(nspec?or � � ernPorary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UtiGty-Undrgrnd. 54. Forms ' 4. Eleciricai Conduii-Undrgmd. � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plum6ing & Pressure Test 6. ElectricalUFERGrnd. � 57. APPROVALTOCOVER�GUNITE � I 7. Footings 58. Elec[rical Condurt�Undrgrntl. � 8. Foundation 59. Gas P�pe, C Undrgrnrl., Test 9. Water Rpe-Undrgmd. 60. Qackwash Lines. P�Trap, L, Undrgmd. 10. Structurai Floor SYstem 67. APPROVALTO DECK 17. Property Sewer line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap , 63. Heater & Vent-Final 13. Rovf Drain: 64. P4umhing System - Pi+lal 14. Rough Piumbing 65. Electricai�Final 15. Rough Electricai-Condurt 66. Solar System-Pinal 16. Roogh Electric Wiring 67. Pencing & Access Approval 17. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING 78. Rough Electrica�-7 Bar Cei�ing 69. POOUSPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. RE�UIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Undergrour.d Hydro 22. Ducts, Ventilating 77. Product Piping O Gas � Oil _ 23. Gas P�pe-Rough & Test 72. Underground Fiush 24. Roof Framing. 73. Underyrnd.StorageTank OGas ❑Oil � 25. Roof Sheathing 74. Overhead Hydro I 26. T�Sar Ce,ling (Structural� & Monocoat 75. DrY Chemical � 27. Frame and Flashing 76. DrY Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insu�ation 78. FIRE PREV. FINAL . 3Q. Drywall Naiting .=•�` . HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat "�� 79. FINAL INSPECTION 32. EleCtrical Pow2r MeterFinai � � 80. FOOD CEqTIFiCATE ISSUED 33. Fina� Electric �� --�+ Notes: 34. Pinai Heating & Air Conditioning �1�- 35. Fina� Gas Pipe�Tesi --� --" � 36. Hood or Canopy 37. Fina� Faciory Fireplace �^"' �� S' 38. Final Plum6ing � 39. Water Ser�ice-Final 40. Gas Service-final 41. Solar pomestic-Final . 42. 8ackflow Preventer 43. Backtlow Irrigation 44. Landscape Irriyation System 45. Sound Attenuation ti 46. Handicap Regulations 47. FINAL STRUETURE & BUILDING 48. FINAL PLANNING 49. E�ectric Release to Edison 50. Gas Release to Southern Calitornia Gas Co � = 5L CERTIFICATE OF OCCUPANCY _ No. Date UWiVl�:it l:U1V1V11VliFiAM.. NKL't1Uit L. LA'1'ri y G 07 JOB ADDRESS �34 7pebraska Place BUILDING PERMiT NO. 2�7� GENERAL CONTRACTOI� p�er-Builder DFSCRIPTION OF WORK Femily Room AP No. l�q=�=j_(Xa LOT TRACT FIRE ZONE VALUE $ I}�]�S OQ INSPECTIONS I Siauature I Date ( GROUP T TYPE V ZONE R-1 _ SUBCONTRACTOR or ( -..�- 2467� �CITY C� C��TA M�SA �� QOSTA MESA BUILDINCrSAFETY DEPARTMENi $Ep 2 �965a\ P.O. BOX 1200 COSTA MEBA. CALIFORNIA V2620 � 33 - rRA�T 3 25 � -�� N �OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIPORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT euiLotNc Z � NEBRASKA PLACE ADDRESS COSTA MESA. CALIFORNIA � ��.� . .� : _ _ _ .�. ..�: � 5-13 =�� ' ��;, . -. � , .. �. � . - . . � y APPLICATION FOR PERMIT BUILDING For Office Use Only NECEIP! NO. I _ ElqfpIT�NO, �PLACENTIA AVENUE ascei ev owre ncc rvso �wr 555 �— a t�GY : NEWPORT BEACH T�{ 6�-32z7 BUiLo�NG ADDRE55 .. 7E^. COSTA MESA. CALIFORNIA aoDREsS �555 PLACENTIA AVENUE EWPORT EACH crrv ��T�o. 6�i95 No: Mi 6-322� 81ZE 6o x� oo I NO. OP B�DOB.Q OF LOT NOw orv LOT USE OP EXIBTING BLD eerewcK uxe mtow � � CeNT6H oP BTPeBT �O REAR YARD 20 � 5� � 5� SIDE YARD LE� RIGHi DESCRIPTION OF WORK Ixll I II I ' BUILOING � SINGLE GARAGE � NO. OF � ROOMS � STORIES IR�p OOD HINGLES fllffn COVERING ' ANO�v ORK TO BE PERFORMED ILY KESIDENCE AND ATTACHED PLAN - / FIRE ZONE APPROVED ZONING ONe � 1 I PlANB �I BUILDIlf.� \L E �� .�, teo�� { ��^ ��—�.R OE6CN�M1 �N� A. P. NO. YARDS EVES APPROVED ALLOWE� <eexTew uxe er.> � '��l '�OVEd/i' I w 6 �/ R Y'7� I XlP6BY ACKNOWLPDGe THAT 1 HAV6 R6AD TNI6 MPLIWTION TXE �MOUM 6HOWN UNDER VALUATION 19 FOR TH! AN� BTAT! THFT TH6 ABOVE 18 CORR6CT AND AORBB TO CON- pUI809E OF E9TA0L18HIN0 A PfiHMIT FE6 ONLY. PLY W�TH ALL WTY GRD�NAMC¢8 AMO BTAT¢ LAW9 R80ULATINO BUtLO1No coNBmUGT10N. VALUATION SIGNATURE OF PERMIT FEE $ ��• � PERMITTC AUTHORIZED AGE T� �M� ��f�/�/t _ $ /�� J P�N CHEGK S ��• .I � i TOTAL FEE S 'y D