HomeMy WebLinkAbout2817 NEVIS CIR - Building PermitsJobAddress: 2817 NEVISCI Sfatus: ISSUED
Suite: Applied: 08/162005
Vicinity: ROOF Issued: OB/16I2005
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construclion: V-N
Parcel Number: 13943150 Zonin9: R1
App�icant: SCOTT JOHNSON
Address: 13672 ONKAYHA
Phone (714) 778-6294
IRVINE, CA Zip 92720
Owner. ASSEL, HOWARD J __ _ ' �"' , - ��
Address 2817 NEVIS CIR #R . - .... . - , � '
- -- - ' Phone: ,..,. _ � - _
COSTA MESA, CA - < . e°� ; Zip: �', 926263537 • _ �
Contractor. PQPA ROOFING INC� - �� � � �
Address: .138720NKAYHA �;� _ .� �� � .� , �
� . Phone: (714) 778 6294 -. . . .
�: �� IRVINE; CA "�� . � - - .' . ' - . -
Zip: ° 92720 _ � � . - License: 675902 - - ' �
ISSUED BY:
Arch :
Address: - � -
" Phone:
,, r: .��`` ,;
Zip: b�':�. 3License:
y- b
Eng:
Address:
�su ^
" SCOPE OF PERMIT '
TEAR�OFF EXISTING ROOF. INSTALL 1�LAYER OF 30# FELT, METRO SHINGLES, ER #5826, AND-RE
2,400 S.F. INCLUDES ATfACHED GARAGE. �.
Plan Check �!��:� $0 00°�� � � -
' Permit � `� $11125 � ��"' ` `
SMIP Res`. �. ,� ;$0.50 �
SMIP Com. ,2; .,$0 00 '� �_ �
Other `'` $0.00 : �.-- --.�
Inspection: � $0.00 �
�Total ���� $111.75 ��.:�" --
7
., f�y = �:
'HING A$ NEEDED.
s. ;rq
� F.EE"SUMMARY _ ' ��'� ;
' 'r: � y Calc Valuation € "
� � �� � � � 'Claim Ualuation ;�_�
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- - .?A, _ _ �'. A, - �P
. � ��� " � ... F'LANNIN(i tk NNINIi "'"
SETBAC,KS �;'� . �s . � a � �,��� ,�" ra , .
MAIN STRUCTURE Fronl 0- 0 '.;• Rear 0 0-�•� L�eft' 0- 0 Right :. 0- 0
- : ,�� ��.:� - . , ' ;:'1 .�"�.`�- _
�
ACCESSORY ;.Front 0-�0 �* =�" Rear�,,,.0=0 � �Lefl� 0 0�" Rigfits 0=0
r, ,
PARKING Ezistina 0 Reauired 0�, " Pr000sed 0 £,:
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ss,000:oo
ss,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, antl all
requlred Inspeetlona end flnal epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
2a48�a8 (8�W)
WORKERS' COMPENSATION OECLARATION: ,r
I nereby attirm under penelry of perjury one of the following tleclarations: �'�
❑ I heve entl wlll meintain e certificate of consent lo self-Insure for workers' compensetion, es provltled for by section 3700 of ihe Lebor Code, for the performance of the
work for which this permit is issuetl.
;��I'liave and will maintain w rke ' cq�npensellon insUrance, as required by secGon 3700 oi Ne Lebor Cade. for the pertortnance of the work far which this pertnit is issued.
My work r' c nsa InsulgQ�ce cerrler and pollcy number ere:
_Carcier: y�� %nG� poli�cyNumtier.�IS7g g ��
-(Yhls sect/on n ed not be campletetl il the pe�mit /s velued a( one hundred dollars ($100) or Iess.J
[j I certity Ihat in the peAortnance of the work for which this permit is issueQ I shall not employ eny person in eny manner so es to become subject to the workers'
compensetlon laws of Cal' o entl a ree Ihet If I shoultl become subject ro ihe workers' compensatiort provisions of SacUon 37W of the labur Code, l shall fort�with
comply with Ihese pmvi � j� /
qppli�SignaNre:r�—, � Date_-- r7� �V����
'y�/qRNINO:'FWLURE TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ml EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TO ONE HUNDRED
7�IOUSAND D04AFE ($100,OW), IN ADDITION TO THE COST OF GUfAPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3]O60F THE LABOR CODE, INTEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby ettirm ihel.l.em lice setl unde rov ions of Chapter 9(commencing with Section 7000) of Divislon 3 atthe,Busines5 end Pmfessions Cada, end my license is in full
fofceentl�ettect>Licrq�—''I.���� �GlassM—"`(�i5 S
Contractar's Slgnature:. � � �pat_e: g � lGi -� �
CONSTRUCTION LENDING AGENCY:
❑ I hereCy attirm that Nere is a construction lending agency tor Ne peAormence of the work tor which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lender's Atltlress:
SignaNre: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aflirtn �het untler penelry ot perjury Ihat I em EAEMPT FROM THE CONTHACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions
Cade: Any ciry or counry whiCh requires a permit to construct, elter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicant tor such pertnit
to file e signed statement ihat ha or she is licensed pursuem to the provisions of ihe Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 0l Ihe
8usiness end Professions Code) or that he or she is exempt therefrom end the basis for t�e allegeA exemption. Any violation of Section 7031.5 by any eppliwnt for a pertnit
sublects tha applicant to a civil penalry ot not more ihan }ive hurWrecl dollars ($500).)�.
❑ I, es owner of ihe praperty, or my employees wfth wages es iheir sole compensation, WILL DO THE WORK, and the siructure Is not intended or ofterea for sale (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to en owner of propeAy who builds or improvas thereon, and who does such work
himself or herself or through his or her own empbyees, pmvided lhat such improvemanis ere not Intendetl or oRered for sele. tl, however, ihe building or improvement Is
sold within one year of completion, the owner-builder will have �he burdan of proving that he or she did not builtl or improve for purpose of sale.). '
❑ I, es owner of ihe pmperty, am EXCLUSIVELY CONTRACTNC W ITH LICENSED CON7RACTORS lo construct the projecl (Sec, 7044, Business end Protessions
Code: The conirectors License Law does nol epply Io en owner of property who builds or Improves thereon, antl who contracts for such pro�ect with e coniractor(s)
licensa pursuant to the Contractore Licensa Lews.).
❑ I em evemp� under sec. Business and Professions Cotle for this reason:
Signe�ure: Dale:
pwner ID verifietl Dy dnvers Iicense. ❑ Yes ❑ No DriveYs License No. Expires:
Ved��cetion of Ownership by (type of documem, i.a. - property tex 6ill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMI7 CERTIFICA710N:
❑ I hereby ceNty ihat no ezcavation five (5) o� more feet in depih into which e person is requiretl to descentl, will be made in connection wl�h work authorizetl by ihis
permit, and iha� no building simcNre, sceHolding, falsework, o� demolition or dismantling thereof, will be more ihan thirty-sia (36) teet high. (Chap. 32, Grp 2, Ad 2, Sec.
341, 71tle B, Calitornia AdmlNsira�ive Code).
❑ As ownerbuilder, I will not employ enyone to do work which would require e permit irom the Divisbo ot IntlusMal Safery, fls noted a6ove, unless such person has e
permit to do such work from ihe division.
Signature: Date:
DiNsion of Intlusirial Safaty Pertnit Number:
CEq71FlCATE OF COMPLIANCE AND AIJfHORVATION OF ENTAY: I certify under panalty oi perjury that I have read this application end state that the infortnation given is
conect I agree to comply with all state laws and ciry ordinances relating ro builtling construction, end authonze representatives of the Ciry of Costa Mesa to enter upon the
aboye-descnbed property for inspection purposes. I egree not to occupy or allow occupency of any 6uilding authonzed by this permit until final inspection.
coo€d. INSPECTION T/PE
7g�6 Fixetl System Final Fire Prevention
1266 Pool Spe Final
200 Finel RB-Root
201 Finel Block/Relaining Wall
202 Final Factory Fire Place
203 Finel Sign
264 Final Demolition
Q�, NT I L
q L� 9� �'`
� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222
250
�� f,�°�d � i
(Date'"'—��—� +�
BdiE ixrm��s
Final Site
Final BuiltlinryOccupency
M�
",�
�
�
.^.oDii<ant to fill in au spaces exceD� those witnin heavy bortler lines ana zign all approD/iate Aeclarationi.
CI7Y oF COSTn MESa CONSTRUCTION PERMIT
Project Address �,% �P17 � s /�
Applicant's Mailing Address �3�LyL� f� -o C/Z�. � S, /Y �
Owner's Name ��Lyyy-��� �! hFSS2.�_ Phone ����b�
Address 2 ��� � � S
Arch/Eng. License No.
Address
Contracror's Name t- Ph ne ��S�� ���
AddresslmailingL�ZZ�E?riDL2/�.�Z.� WnL+.-
City License No. ��.v Z Z � �
LICENSED CONTRACTOR DECLARATION
I M1ereby affirm that I am licensetl untle� p�ovisions of Chdrter 9(commencing
with 5eC[ion ]000) of Divlslon 3 of the Business antl Prote55ions Cotle, anG
my license is in f I for nd effecL / +/
Licens Qass � ' e T
Date � Signatu�e
'NORKERS'COMPENSATION DECLARATION
iereby attirm that I have a certifi<ate oi consent to self-insure or a certificate
Worke�s' Compensation Insurance, or a certifietl copy the�eof (5`ection
3800. Lab. �^ ���f ^� � l�S •
Policy No. (jty 70� Com any
�Cer3f�el7oPy=�eedbwAPPhcan�t�6 ptlLin9 Di� . Lf�1�XY
Date «
EXEMPTION FROM WORKERS' COMPENSAT�ON DECLARATION
(Thissection neetl not be completetl if the permit i5 for one huntlretl ($100) o�
less).
I certify that in the pe�fo�manca of tM1e�wo�k tor which this perm�t is issuetl, I
shall not em0�oy any person in any manner so as to become subject to the
Workers' Compensation Laws of Cdlitomia. .
�a[e $ignature
NOTICE: If, af[er making this tleclaration, you shoultl become subject to the
WorkerY Compensation p�ovisions of the L�bo� Cotle, you must forthwitM1
comply witM1 such provisions or thi5 permit shali be tleemed revokeG.
CONSTRUCTION LENDING AGENCV /,-
I nereby affirm that there is a construction lentling agency for the per�fbrmance
of the work for which this permit is issuetl (Section 309].qCiv. C.)
Lentler's Name -
Lentler's Atltlress
OWNER BUILDER OECLARATION �
I hereby affirm that I am exempt trom the Coniractor'S License•Law for the
following reason (Section J031.5 Business antl Protessional Cotle:'Any city or
coun[y whlch �equire5 a permil lo construct, alter, impwve, tlemolish or repalr
any structure, priar to its issuance, also requires the appiicant tor such permit
to file a signetl statement thdt he/She is licensetl pur5udnt to the provisions ot
•he Contractor's License Law (Chapter 9(commencinq with Section•7000) of
'vision 3 ot the Business antl Professiore Cotle)-or that h¢/She is exempt
erefrom anA the basis fo� the allegetl exemption. Any violation of Section
.031.5 by any applicant for a permit subjecYs the applicant to a civil
�enalty o( no['more than five huntlretl tlollaro ($500).
I, as owner of the property or my employees with wages as their sole
mmpensation, will do the work, antl the structure is not intentletl or offeretl
for sale (Section ]044, Business antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner of a property who builtls or improves
thereon, antl who tloes such work himself/herseli or througn his or her own
employees, provitletl [M1at such improvements are no[ in[entletl or offeretl for
sale. It, however, the builtling ar improvement is soltl within one yea� of com-
pieUon, the owner will have tM1e burden of proving he/she tlitl not builtl or im-
prove fot tne purpose of sale).
❑ I, as owner of the Droperty, am exclusively contracfing with licensetl con-
tractoR t0 const�uct the proje[t ($ection ]044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner ot property wno
builtls or improves; tnerean, antl who cantracts for such projects with a con�
tractor(5I bcense pu�suant to the Contractor'S License Law). I am aware that
proof of their Worker's Compensation insurance shoultl be provitletl to me.
❑ 1 am eaempt untler Section B. & P. C. for [hiz reason
Date Owner
1 hereby certify that I have reatl this application antl state that the above
information is correct. I agree lo comply with all city antl county ortlinances
antl 5tale la relatin9 �o builtling con5tructi n, antl hereby authorize repre-
sentatives oi tnis c' to e{�t p th bove-meniionPtl property for
in5pectio p poses. U
Si9natur O�
or 55 �
TYPEOFCONSTRUCTION IJ NEW IJ ADD LJ ALTERATION
O CONVERSION ❑ DEMOLISH ❑ OTHER ---�—�
' DESC�RIPTJQN OF WOF;K/USE OF BLDG,; nQf' [T��._.�"�
TYPE OF PERMIT I..IYGRADING� qLJ FOUNDATION LJ STRUCTU
❑ TENANT ❑ ELECTRICAL (e�PLUMBING ❑ MECHANIGAL
O OTHER
PROJECT DESCRIPTION 5c1. FT, ocCUaANC�
�CONSTRUCTIONTVOE ._ VALUATION$ �
:ZONE ' GRADWGCU.VDS. ACRES.
fiemarks:
Sink
Preventer
Irrigation
Drinkin9 Fountains
Floor Drains
Floot Sinks
Gas Service Outlets
Intercepmrs �
Kitchen Sink
Lavatories
Roof Drains
ReinspeMion Fee
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
FirepVFact Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU Ot00,000BT
Reinspection Fee � $15
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenwtl - Asse55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Cbset .
Water Heater
Water Serviw -
Auto-Wash
Laundry Trays
Issue Fee
Hood or � Type 1 ❑
Canopy Type I I ❑
Refrigeration System
❑a�oo,000aTu ❑ioo,aoosru
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
EPAIR
FEES
$ 3
FEES
$ 3
A.P. #
S Main Building:
E
T FronT
B Rear
A
C Right '
K
g Left
Ping. Fef. #
Planning Notes:
4135 3/17/B7
Zone
Accessory Building:
Parkinq Req./Provitled
ELECTRICAL
Automatic Washer ' Transformer ❑ 15-50 KW
Cons[ructionPoleSub. ��50+KW '
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Eleccric
Fan
F.A.U.
Fixtures
Device Boxes
OuHets
Switches -
Garbage Disposal
Generaror �0-5 KW 05-15 KW
Meter LJup to 100 amps
Merer ❑over 100 amps
Sub Panel
Motors � 0-1 HP � 1'/: - 8
Inc.Solar �9-15 HP �i6-15+
Microwave
Pole Light �
Range
Sign
Standing Sections
Tresh Compactor
Fee �$15 � � Issue Fee
DEVELOPMEN7 SERVICES REQUIREMENTS:
Zoning Approv¢d By
Building Approved By , ,
64.03 TL
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARY OF FEES .
BUILDING PERMIT $ 3�..Sb SMIP $ � S�
PLAN CHECK $ ,,.Z.�1 U3 PERMIT �
PLUMBING. $ �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFI�M $
MECHANICAL $ TOTAL FEE $ � ��
PLAN CHECK 25% $ ,
1
CONSTRUCTION AND�PLqNNING POOL & SPA �
APPROVALS Permit # Date Inspecfor qppROVALS Permit # Date Inspector
i. Temporary Electrical Servire or Pole 52. Pool & Equipment Location ,
2. Soii Pipe-Undrgrnd. � 53. Steel Reinforcernent
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ' 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Tesi
9. Water Pipe-Undrgrnd. �, . 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System ; 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System - Final �
14. Rou9h Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. �Fencing & Access Approval
17.-Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Cei�ing 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT t
20. Rough Factory Fireplace � ' APPROVALS Permit # _ '
21. Ducts, in Structure 70. Underground Hydro
22. Ducts.Ventilating 71. ProductPiping�Gas ❑Oil -
23. Gas Pipe-Rough & Test � 72. Underground Flush -
24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling (Structuraq & Monocoat .• 75. Dry Chemical .
27. 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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i_
33. Final Electric Notes: � '
34. Final Heating & Air Conditioning � � '• � -)
35. Final Gas Pipe-Test �
36. Hood or Canopy •
37. Final Factory Fireplace -- �
38. Final Plumbing ?l/9/�� �
39.�Water Service-Final - '
40. Gas Service-Final '
41. Solar pomestic-Final � �
42. Backflow Preventer � ' ". �
�43: Backflow Irrigation � - �
�
•44. Landscape Irrigation System . - r .
45. Sound Attenuation � ' .
. �'46. Handicap Regulations " � � •
r -
47. FINALSTRUCTURE&BUILDING . ' + •
i
48. Special Requirements Completed � . �.. , ' � . � �
49�. Electric Release to Edison , .
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
- ' 19802
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
P.O.60X9f] CO3TAM68A.CALIFORNIA ��� 10 1983
For Applicanf to Fill In Complefely ��I�Q�(t PERMfT
Tr. 4341 rrae oR PRINT Lot 37 �ITY OF �4���
BUILDIN6 �, � I'7 //�" t /� For iice Use Only
ADDRE68 ` l Q+
11GC[II� NO. P
GQSTA MESA, CALIFORNIA
PlCEIVH GY T6R[C61VH O/
OWNER Grove Park Construction, Inc., (? �� ��N
MAIL BUILDIN6 ^/�{' /
ADDRE53 �653 Minorca Drive ADDRESS 9'% / C..
��n, Costa Mesa No•KI-90395 =ONE rrae � ROUF
ARCHITEGT TEL. BYPROVED OATE
OR ENGINEER E. G. Kaltenbach No. 772-3361
zoNiNo
nooRess 9772 Katella Ave. Anaheim
ZO NO.OF� UB80PN J
CONTftACTORMeSQ Veid2 DeVBIOF7f11011t CO. - Purve(/ BUILo�HO ��,
LeOAL � � � l /Ii
ADORE6S �653 Minorca Drive oeecn�vnox �
��TM COStO Mesa A. P. NO.
NOTB: NOEAVEOVER
LIC?NO. I� 1322 jE� K I-90395 90' TO 61DE 8 REAR F
SIZE NO.OFBLO09. ALLOWED
OFLOT IIZ X HO I NOWONLOT O
YARDSAPPROVED
USE OF MAIN BUILDINO
EXISTING BLDB, ---
(FROMGLSf T>
9ETBI�CK LING FROM 45 � 23 FR NT � FT.
CENTEP OP BTHEq� REAR YARD
SIDEYARD Lpp7 3H p�G� �5 R.81DE /��•
DESCRIPTION OF WORK L. BIDB ' Ff.
NO. OP n VAR. #
f. ROOMB 7� BTORIFA L C.U.P.
EXTERIORWA�L �'"VVU ROOF D11�^c u
COVERING StUCC COVERIN6 shin �E
USE OF BUILDINOAND WORIS TO BE PERFORMED
e a il residence and attached arc
Plan 2 C
I H8R8BY �CKNbWLED�e THAT 1 XAVe READ TX19 �PPLICATION
ANo 9TAT TH8 ABOVB IB CORRBCT AND AOREB TO COM-
PLY WITH ALL C�V OROINANC89 �flO 6TAT8 l.AW9 q80ULATINO
� AUTHORIZE� qGENT
6HALL BE LE59 THAN
<U.B.C.FEQUIREMENTI
YARDSAPPROVED
ACGESSORV BUILOING
�ATE
6�
TXB AMOUNT BHOWN UNDBH VALUFTION 18 POR TH8
PIIRPO6E OF 88TAB�I9HIN0 A pERMIT FEE ONLY.
VALUATION ,'� O�J
PERMIT FEE $ ��
$ �'/�� .ce �� 'l
�
PU�� / � I f %l�