HomeMy WebLinkAbout365 OGLE ST - Building Permitsr � � f
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, GOSTA MESA, GA 92626
Job Address: $BS OGLE ST
Suite
Vicinity: RESIDENCE ONLY (UNIT A& B)
Parcel Number: 42519205
npp�icant: CURIEL, ROMAN
Address: 9 SHILOH ST
IRVINE, CA
Owner CURIEL, ROMAN D
Address 9 SHILOH ST
IRVINE, CA
Contractor: OWNER-BU IIDER
Address:
Zip:
Arch :
Address:
Zoning:
Phone: 714-838-0769
Zip: 92620
Phone:
Zip: 92620
Phone:
License: 0
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 17/22/2000
Issued: 11/22/2000
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF UNITS A& B(SINGLE STRUCTURE): T/O, REPAIR SHTG AS NEEDED, 2 LAYERS 15# FELT, APPLY GAF
TIMBERLINE "DIMENSIONAL" COMP SHINGLES.
2100 SQ FT
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING existin : 0
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
sz, i oo.00
$2,ioo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Cali(omia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit snall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 BO days.
I INSPECTIONS: In order for the work authorizetl under ihis permit to be considered legal, such work must comply with all applicable cotles, and all
I �equired inspeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
�' FOR INSPECTtONS CALI: (7t4) 754562fi
2446-0818�00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eMirm under penalty of periury one of ihe following declarations:
❑ I have end will maintain e certificate oi consent to self-Insure tor workers' compensation, es provitletl tor by section 3700 af the Lebor Cotle, for lhe peAormance of Ihe
work For which Ihis permit is issued.
❑ 1 �ave an0 will maintain workers' compensatlon insurance, as requiretl by section 3700 of the Labor Code, tor the pertortnance of the work for which this permit is issued.
My workers' compensation Insurance wrrler and policy number ere:
Cartier. Policy Number.
(This section nee0 not be completed i! the permit is velued et one hundred dollers ($f 00) or less.)
❑ I certity ihat in tha pertormance of lhe work tor which ihis permit is issuetl, I shall not employ any person in any manner so es to become subject to Ihe workers'
compensation laws oi Califomia, and egree that if I should become subject to ihe workers' compensation provisions of Section 3700 of Ihe Lebor Code, I shall forthwlth
comply with these provisions.
Applicant SlgnaWre: Dete:
WARNING: FAILURE TO SECUPE WORKEFS' COA/PENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVEP TO CflIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3106 OF THE IABOR CADE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aMirtn ihat I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professlons Code, and my license is in tull
force and effect. Lic. M Cless #
Con�ractor's Siqnature: Dete:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that there is e constmction lentling agency for the peAormance of tho work for which this permit is issued. (Sac. 3097, Civil Cotle).
Lentlefs Name: Lender'S Address:
Signa�ure: Date:
OWNER-BUILDEF DECLARATIONS:
I hereby ettirtn thet under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Code: Any city or counry which requires a pormit to construcl, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appiicant for such pertnit
to file a signed statement thet �e or she is licensetl pursuant to the provisions of �he Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi Ihe
Businass end Profession5 Code) or that ha or she is exempt tharefrom end Ihe besis lor the elleged ezemption. Any violetion of Sedion 7037.5 by eny applicant for a pertnit
subjecls the applicant to e tivil panalty of not more than five huntlred Collars ($500).):
� I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, end the stmcwre is not intendetl or oHered for sale (Sec.
7044, Business and ProFessions Code: The Contractors License Law does not apply to an owner ot propetly who builds or improves thereon, entl who tloes such work
himself or herself or through his or her own employees, provitletl �hat such improvements are not intended or oflered lor sale. If, however, the builtling or improvement is
soltl within one year of complation, t�e owner�builder will hava the burtlen oi proving that he or she did not buitd or improve for purposa of sale.).
� I, as owner of the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct ihe project (Sac. 7044, Business and Professions
Code: Tha contractors License Law tloes not eppty to an owner of proparty who bWlds or impmves thereon, and who contracts for such project with e contractor(s)
license pursuant to tha Contractors License Lews.).
� I am eapq�pt untlar sec.
� 8usiness and Pmfessions Code for ihis reason: fL �' 2�—� �� �7T�
Date:
Owner ID venfied by driver's license. ❑ Ves ❑ No Driver's License No. E:pires:
Verifiwtion oi Ownership by (type of tlocument, i.e. - propeny tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenify that no ezcavation five (5) or more feet in depth into which a person is required to descend, will be mada in connection with work au�honzeC by this
permit, and ihat no building stmcture, scaifolding, falsework, or demolition or dismantling thereoi, will be more than thitly-six (36) teat high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Calitomia Administretive Code).
❑ As owner-6uilder, I will not employ anyone to do work which would require a permit from ihe Division of Industrinl Sefety, as noted ebove, unless such person hes e
pertni� �o tlo such wark from the tlivision.
Signature: Date:
Division of Industriel Satety Permit Number:
CERTIFICA7E OF COMPLIANCE AND AUTMORVA710N OF ENfRY: I certify untler penalty of perjury �ha� I have read this application end state Ihat the infortnetion given is
correct. I agree to comply with all state laws and ciry ortlinances relating to building construction, and emhonze representatives of ihe Clry ot Casta Mesa to enter upon the
above�-�J9 c�ryibe�d�p�ro�pieI�rty tor insp/e/p��bn p�u�rpo�se�s�. ,I eg�x%e not to occupy or ailow ocwpancy of eny building authorized b/y t/his pertnit until finel inspa�ctjion.
/ Cit7 ///U�� '(1/.2�C/GU�. / l �' � 2 ' L ��
Signamre Of legal Owner(s) Date
And/Or Authonzed AppliCant
COpE t. INSPECTIONTYPE
1616 Fixetl System Final Pire Prevention
1266
200
201
202
203
204
Pool Spe Final
Final Re-Roof
Final BIocWRetaining W ell
Final Fectory Fire Place
Finel Sign
Final Demolition
D�TE �NTRIALS
�Z Z � �
COpEt INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecVical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtlin<yOccupancy
Pd7E Itl�Lfl
r ..
� � �� �� ��� ��
OWNER-BUILDER
VERIFICATION
A city or county, which is reyuired to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, require the comple[ion and require the re[urn of, an
owner-builder verification.
Attention Property Owner.
An `ownervbuilder' building permit has been applied for in your name and'bearing your signamre.
Please complete and retum this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building pennit. No buildin¢ aermit will be issued un[il this
verification is received.
l. 1 personally plan to pr vi the major labor and materials for construction of the proposed
property improvement.�Yes ❑ No
2. I(have/have not) �,v��� signed an application for a building permit for
the proposed work.
3. I have convacted with the
Name '�D �
Address
Phone ( )
person (firm) to provide the proposed construction:
City _
Con[ractor's Lic. No.
4. I plan to provide portions of the work, but 1 have hired the following person to coordinate,
supervise and provide the major work:
Name �() ��it�._..o �
Address City
Phone ( ) Contractor's Lic. No.
5. I wili provide some of the work but I have contracted (hired) [he following persons to
provide the work indicated:
Name
10C2-46 (PEV.9/98)
Address
Phone Type of Work
�.�: - . � '7�`�5
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
• COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADORE's"s 365 Ogle Street
COSTA MESA. CALIFORNIA
OWNER WlLGROWE CONSTRUCfION CO.� INC.
11933 Stanton Blvd.,
,T,. Anaheim, California No.TW-3-3135
CONTRACTOR T. P. Gregg CITY
AooRE55ll933 Stanton Blvd.
�Ec�� LOT
�ESCPIPT�ON HQ� (i BLOCK
A.P. NO.
SIZE
OF l
SETB�CN LINE FROM SOT
CENTER Of $TREET
�ic.
NO.
� � �se�, ^� ;
.,I� ����.l��� �lL�,
��Q ��`�' G� S��Z blid� L( �'�J O
FI11^,.�CE DEPT.
� �� nnc-,t r�o
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
COSTA MESA. CALIFORNIA
FIRE
ZONE
TW-3-3135 BYPROVED' DATE
rRncr 3345 CORRECTIONS
OF pLOGS.
I ON LOT
HT ZS LEFT
DESCRIPTION OF WORK
NEW R ALTERATION ADD�TION
REPAIh MOVING DEMOLISH
BUILDING �8 X 5'T ROOMS � STORIES 1
SIZE cf
E%TERIOR WALLXYVCCO ROOF ,_
Duplex
3" -
ST�TC T11PT THE ABOVE I$ CORMECT AND /�GR TO COMPLY WITM LLL
CITY ORDINPNCE$ LND $T.�TE 1�W5 f1EG t G BUILOING CONSTNUC�
riOrv. VALUATION � ^
SIGNATIJRE OF � PERMiT FEE S
PERMITTEE
/ �/ �� � P�AN CHECN $ � � "
5 � AUTHORIZED AGENT TOTAL FEE S � 9'��
�
OWNER WTT�RQ1e7E CQTj,CTR !`nMp��r���� DATE 9-h-58 _
10B ADDRESS ����i � G{�,86.� BUILDING PERMIT NO. �a�s
GENERALCONTRACTOR T P aFggg-- VALIIE $ 1'��%O%.00
AP. No. LOT !� T$ACT q�� r, FIRE ZONE DESCRIPTION OF WORK T„�� �,,,.
(
PLAN NO.
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMBER
F, �inq Fixtu
Final Gas Test