HomeMy WebLinkAbout2884 MIGUEL LN - Building PermitsY 1
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GTY OF COSTA MESA
; � svao►Na ��v�s►oN + �
� DEVELOPMENT SERViCES DEPARTMENT
� PERMIT PERMIT NUMBER
�� �
698-01784 �'
(774) 754-5273 • Fa�c (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626
JobAddress: 2884 MIGUELLN
Suile:
Vicinity:
Parcel Nunmber: 14157208
Applicant: GOYA VIFIADIS
Address:
, i .
�"�. _ .
Owner. LEGERE�,+STEVEN"W ,
.,:.
Addresa 2884�MIGUEL'LN V �'- � , -
� . %� %� `� �� _
� COSTq MESA;CA �� _
�`
Contractor." � COAST,ROOFING �
Address: 216811MPALA' �
BUILDING PERMIT
Status: ISSUED
Applied: 10/02/1998
Issued: 10/02/1998
Zoning:
. Phone: �. . : " . � . . _
Zip:
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- Phone: -- 540-5965�� _ - . ` '� . . ., .� ` `�� j �
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Zip: 92626 '''�, : ; _'- .'��� �� �--��,� �
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� , ;_ j Phone: 968-8754 ' � � �
. � . H.B. CA ". ' Zip: - 92646
. � - Licensei�- 450393
Arch / Eng : " . . - � ' � ' � A
• /� :•
Address: � � � � � '
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' , ' -i O � "Phone:_ . _ , , .
, � J"�.. � - .
i� . - , Zip: . .
� , . license:
Plan Check:
Permit
SMIP Res:
SMIP Com:
Otfier:
Inspection:
Total:
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SCOPE OF PERMIT
iT/OFF SHEATH AND REROOF 1800SF RESIDENCE W/FIBERGLASSSHINGLES. SMOKE DETECTORS REQ
PER94UBC. � � .. -. � � �
�a '
. , FEE.SUMMARY � % .,
$0.00 - � _ � - ' � �` � � - -=Calc Valuation:
' $87.25 - - � j � Claim Valuation:
� $0.50 . ✓__�
$0.00 , '--'_ ` �
$0.00
$Q.00
$87.75 _ ,
SETBACKS -
MAIN STRUCTURE Front 0- 0�' '
ACCESSORY Front 0-0- -
PARKING Existina: o
NOTES:
�� Rear 0- 0
Rear 0- 0
Left 0- 0
Left . 0- 0
Required: 0 Proposed: 0
Right 0- 0
Right 0- 0
0
.
$3,020.00
53,020.00
�
EXPIRATION: This permit shall automatically expire and become void if work is not commanced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred inepectlona end final approval must be obtained. Failure to obtain Inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5628
WORKERS' COMPENSATON DECLARA710N: ► � _
I hereby efNrtn untler penalry of perjury one of the tollowing declarstions:
� I heve entl W��I meintain a certificate of �consent to self-Insure for workers' compensatlon, as provitled lar hy section 3700 of t�e Labor Cade, for ihe pertormence of the
wark tor which this permit is issuetl.
❑ I heve entl w�ll meintein workers' compensation insurence, as requiretl 6y section 3700 of �he Lebor Code, for the pertortnance oi ihe work for which this pertnit is issued.
My workers' �ompensation Insurance cartier end policy numbar are: �
cemar. `-sY[Ki�. ri ar�� / PolicyNumber. IlI �1G1 (� '
f!h/s sectlon need not be coma/eted illhe oermif is valued et one Aundred dollars /51001 �or lass.l
❑ I cartify t�at �� the perfortnance of tha wo�k tor which ihis pertnit is iuued, I shall not amploy eny person in any manner so as to becoma suD�ect to the woAcers'
compensatlon laws of Califomia, and egree ihet ii I should become subjed to Ihe workers' compensetlon provisions of Section 3700 of ihe Lebor CoOe, I shell forthwith
comply with these provisi ns. , 1 /
AppllcantSlgneWr�: TA�. 11f!l�.�l /A /A.t.11 . Date: ! D! �a J 9R ,/
WARNING FAILURE TO SECURE WOR S' CAMPENSATI CAVEPAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED
THOUSANO DOLLqRE (5100,OW), IN ADDRION TO THE COST OF CpAPENSATION, OAMAGES AS PROVIDE� FOR IN SECTION 3106 OF TME LABOR CADE, IMEREST, AND ATfORNEV'S FEES.
LICENSED CONTRACTORS DECLAPATION:
I hereby efrirm Ihat � am licensetl untler provisi�
torce antl effect. Lia a�ri 0�`T �
Cantradar'sSigneNre: �'lv�na
of Chepier 9(commencing with Section 7y00) of Division 3 of ihe Business antl Profeuions Cotle, end my license is in
� Class k /' ,`.3�
_11 'a di�, ,� oate: �Ta sc
CONSTRUCTION LENDING AGENCV:
❑ I hereby affirm lhat there is a construction lending egency for ihe perfortnanca of the work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lander's Neme: Lentler's Address:
Signature:
Date:
OWNER-BUILDEp DECLARATIONS:
I hereby eHirm thet untler penelty of perjury ihat I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor iha tollowing reeson (Sec. 7031.5, Business end Profes5ions
Coda: Any city or counry which requires a permit to conslmcL alter, Improve, demolish, or repalr any stmcWre, prior to its issuance, also requires tha epplicent for such permit
to file e signed statement that he or she is Iicensed pursuant to �he provisions of the Contrectors License Lew (Chapter 9(commencing wlth Section 7000) of Divislon 3 of the
Business end ProfBssions Code) or ihet he or she is exempt therefrom anOlhe basis tor the elleged exemption. Any violation ot Sedion 7031.5 by eny epplicant for e pertnit
subjects the applicdnt to a ciNl penalty of not more then five huntlred dollare ($500).):
❑ I, as awner of the properry, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, and the siructure is not intentled or oHeretl for sale (Sec.
7044, Business and Protessions Code: The Contrectore License lew does not apply to en owner of properry w�o builds or improves thereon, entl who does such work
hlmself or heBetl or ihrough his or her own employees, providad ihat such improvements are not Intentletl or ofrered tor sale. If, however, ihe bulltling or improvement is
soltl wit�in one year of completion, tha owner-hulider will have the burden of proving that he or she tlitl not build or improve tor purpose of sale.).
❑ I, es owner of the properry, am EXCLUSIVELY CONTRACTING WITi LICENSED CONTRACTORS to construct ihe prqect (Sec. 7044, Business antl Professians
Cotle: TTie ctlntractors License Law tloes not apply to an owner of properry who Guilds or Improves ihereon, and who coNrects for such pmject with a contractor(s)
IlcenSe pursuant to the ContraCtors LiCen58 Laws�.
❑ I am exempt under sec. Business and Professions Code for ihis reason:
Signeture: Date:
Owner ID veritietl by tlrlvefs license. ❑ Yes ❑ No Drivefs Licensa No. Evpires:
Vedficatlon of Owna�ship by (rype oi tlacument, I.e. - propeny tex blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
❑ I hereDy certily that no excavation five (5) or more feet in tlepth Into which a person is required to tlescend, will be matle in connection with work euthorized by this
pertnit, antl that no building strucfure, scafloltling, felsework, ar demolition or dismantling t�ereof, will be more Ihen thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle e, Califomla Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from Ihe Division of Industnal Safery, as noted ebove, unlass such person has a
permit to do such work from the division.
Signeture: Date:
Division of Intlustnel Safety Pertnit Number:
CEHTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMHY: I certify under penalry of perjury thet I heve read this application antl stete that the information given is
conect. I egree to comply with all state laws end city ordinances relating to building construction, and euthorize representatives of Ihe Ciry ol Costa Mesa to enter upon the
ebove-describad property for inspection purposes. I egrea not to occupy or allow occupency ot any building euthonzed by ihis Oertnit until tinal inspection.
COpE �, INSPECTIONTYYE
tfi16 Fixetl Syst�m Final Fire Prevention
1288 Pool Spa Final
200 Final Re-Rooi
207 Finfll Blxk(Relaining Wall
202 Finel Factory Fire Place
203 Final Sign
204 Final Demolitian
26d&48
�7dY�CliiiF.1F9
��iY/ � i -I1�/�
�ai r
/O� 2�95{ ..o,.,
�— Date
CODEY INSPELTIONTYPE
206 Finel Mechenicel
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Finel Planning Approval
222 FinalSite
250 Final Building/Occupancy
QA7E U1iIDELS
�
M^ �i�'"�4 1'vd4-a4
22 '" • ApD�itant lo fill in all
CITY OF COSTA MESA CONSTRUCTION PERMIT
Pro�ect N��lress z88� M��UEC L N•
f�ant'sMailin Address 1
Owner's Name �AQ��NF .J • ��A�C�C�Plphon� -���
Address /��6�6�i'��4.GLe..�— �,N � ' `hl � �."�irui�
•Arch/Eng. ' License No. - -
Address
Contractor's Name � �'� � 'i- � 1��� Phone l
Address (mailing)
City License No.
LICENSED CONTR CTOR DECLAR TION� '
I h¢reby affirm that I am licensetl untle� provisions of Cha�te� 9(commencing
wit� section ]000) of Division 3 ot the Business antl Professions Cotle, antl
my license is in full /orce antl eltect.
License Class License No. �
Date Signature
WORKERS'GOMPENSATION DECLARATION
I hereby affirm tnai I nave a certificate of consent to selbinsure or a certificate
�f Warkers' Compensa[ion Insu�ance, o� a certifletl copy thereof ($ection
09, Lab. CJ
licy No. ' Company
❑ Certifietl copy is hereby furnished. �
❑ Certifietl copy 6 flletl with the city Builtling Division.
Oa[e Applicant
EXEMPTION FROM WORKERS' COMPENSATION OECLARATION
(Thissection neetl not be completetl if the pe�mit is for one huntl�etl (E100) or
less).
I tertlfy that in [h¢ perfo�mance of the wo�k to� which this pe�m�t is issuetl, 1
shall not employ any Derson in any manner'so as t beco e sub'ect to the
Worke lon Laws of Calify� !e.
Datg,� i�_Signatur.�A w� �'
NOTt : If, ter making this tleclz�atidn, you sho ecome subject to the.
Workers' Co pensation provisions ot the Labor tle, you must forthwith
com0ly with such ' O�ovisions or , this permit snall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV �
I he�eby attirm that there is a mns(ru[tion lentling a9ency for the pertormance
of Ihe work Por which this permit is issuetl (Section 309] Civ. C.)
Lentler's Name
-Lentler's AGdreSs
OWNER BUILpEN OECLARATION '
I hereby affirm that I am eaempf from the Contractor'S l.icense Law tor the
following reason (Section ]031.5 Business antl Professional Cotle: Any ciry or
wunty wfiich requires a permit to construct, alter, improve, tlemolisn or repair
any structure, prior [o its issuance, also requires the applicant for such permit
to fiie a signetl sta[ement that he/she is IicenSetl pu�suant to tne p�ovisions of
the ContractorY �icense Law (Chapler 9(commencing with Section �000) of
�IviSion 3 oT [he Business antl Protessions Cotle)' o� that he/she is ezempt
� therefrom',antl [he basis for the alle9etl exemption. Any violation ot Section
� 'tl-.5.. by any applitant for a pe�mit subjects tne applicanl to a civil
flty;of not more Ihan five huntlretl tlollars.($500).
I, as' owner ot [he property or my employees with wages ds thBl� sole
compen5ation, will qo the work, antl the structure is not intentled o� offeretl
for sale (Section �044, Business and Professional Cotle: 7he Contractor's
License Law tloes not apoN to an owner of a property who builas or improves
� thereon, antl wno does such work nimself/herself or tnrough hls or her own
emolovees, provitled that� such improvements are not incentled or otteretl tor
sale. If, however, Ihe builtling or improvement i55oltl within one y¢ar of com�
pletion, the Owne� will have the burtlen of Droving he/sM1e ditl not builtl or im-
�r ve for the purpose of sale).
'I, as owne� of the praperty, am exclusively contracting with licensetl con-
Vactorsto construct the p�oject (Section ]044, Business and Professions Cotle:
The contractor's License law tloes not apply to an owner ot property who
builtls or improves tbereon; antl who mnt�acts for such projects wlth a mn-
tractor(s) imense pursuant to the Contractor's License Law). 1 am aware that
proot of fheir Worker'S Compen5ation insurance �shoultl be provitletl lo me.
❑ 1 am exempt untler Section _ B. & P. C. for [his �eason
have reatl this
agree to comp
o builtlinq con
above
those within heavy Dortler lines antl si9n all app�opriale tleclarationz. �[
,_ TRACT NO. LOT N. UNIT N6. `
..�°�C a Y8'� 3q z z s� y��
TYPE OF CONSTRUCTION NEW P.D� ALTERATION REPAIR <
❑ CONVERSION ❑ DEMOLISH ❑ OTHE,F� � A p �t ' �
DESCRIPTION OF WORK/USE OF BLDGk' /i{r5 � UNi7� Pc�eL
- . _ -_f 'S Main Building:
TVPE OF PERMIT GRADING �LJ� FOVNDATION L� STRUCTURAL
❑ TENANT ELECTRIGAL L.�J PLUMBING ❑ MECHANICAL ..-
❑ OTHER. ' '
PROJECT DESCRIPTION Sq. FT. S oCCUcarvCv �
CONSTRUCTIONTVPE VAWATION$ l3�
;20NE 'GRADINGCV.YDS. ACRES
Rema� s: , � � — n`
Qar Sink
Backflow Preventer
Backflow Irrigation
Jrinking Founiains,
°loor Drains �
=1oor Sinks �
3as Service
Interceptors
Kitchen Sink ;
Lavatories �
'—Trap
Roof Drains
Reinspec[ion Fee
PLUMBING
Showers
Service Sink
�Sewer Cap
.Sewer Connection -
Solar Collectors
Solar Piping
Solar Tank
Swimming PoolwLSrs
Urinal
Outlets Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Treys
$15
Duct- UnderGround ,
Duc[ - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIt. ICBO #
Heating System & Ducting
❑ ai oo,000 aTu O i oo,000
�ignamrs� viw- � - � — vaie.
Drivers' License or 5 �� — Rainspection Fea $15
CMF 0865-46, rev. 10/84 White - Builainq; Canary - APPlicant; Pink - Accounting: Goltlanrotl - Assessor
Issue Fee
Hood or Typel ❑
Canopy Type II ❑
Refrigeration System
❑0-100,OOOBTU ❑t00,0006T
System Repair/Alteration
Fire Dampers
Registers .
Issue Fee
FEES
T rronc
B Rear
A
C fiight
K Left
s
Ping. Ref. #
Planning Notes:
.. _.. w � i i �a
�
Accessory Building:
Parking Req./Providx
ELECTRICAL
Automatic Washer
- ConstructionPoleSub.
� Cooking Unit �
' Dishwasher, � . - .
Dryers ❑Gas ❑Electric - -
Fan
P.A.U. '
Fixtures ' ' �
Device Boxes
Outlets
Switches - � � - -
Garbage Disposal
Generator �0-5 KW �5-75 KW
$ 3 I
� Reinspection Fee
FEES
DEVELOPMENTSER�
Zoning Approved By—
� euildin9 Approved ey
Appliwtion Issued BY_
$ 3
. CUU�00 11U
Zone i Q (
Transformer � 15-50 KW
; ❑ 50+KW •
Meter ❑up to 100 amps
Meter ❑over100amps �
Sub Panel - �
Motors DO-1 .HP O1 X�- 8
Inc.Solar �9-15 HP 016-1
Microwave
Pole Light
Range
Sign � .
Standing Sections
Trash Compactor
$15 I I Issue Fee
�
HEQUIREMEN7S:
_ •
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� •
_ •
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3
� SUMMA Y fj€ES . . /j�
, BUI�DING PERMIT $ �•) SMIP $ i ��
PLAN CHECK $ - �PERMIT : y
PLUMBING $ ISSUANCE, S
PLAN CHECK -25% $ ENERGV,P.C. $
� ELECTRICAL $ . 'GRADING . $
. PLAN CHECK 50% $ ' •S MICROFILM $ �_�/��
MECHANICAI 5 � TOTAL FEE $ �lJ'�
PLAN CHECK -25% $ � - �
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date ' Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ( �
2. Soil Pipe�Undrgrnd.' ". 53. Steel Reinforcement
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 �� tj � �
7. Footings . , 58. Electrical Conduit-Undrgrnd. '
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ndrgrnb.
70. Structurel Floor System� �. 61. APPROVAL TO DECK $ y�/� �
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. Rough 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 Ceiling 69. POOL/SPA SYSTEMS FINAL (/
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating ;71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test t72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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 S0. FOOD C RTIFICATE ISSUED'
33. Final Electric Notes: B` ( _ �[.�O�L O�
34. Final Heating & Air Conditioning �' 9' 9
iy
35. Final Gas Pipe-Test • �
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing � �
39. Water Service-Final �
40. Gas Service-Final �
4,1. Solar pomestic-Final -
42. Backflow Preventer
'43. Backflow Irrigation � '_
44. L.andscape Irrigation System �
.45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING � '
48. Special Requirements Completed '
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co � \
51. CERTIFICATE OF OCCUPANCY �
No. ' Date _
�i.�J' ��.o�P��
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX Sf7 COSTA MEBA. GLIPORNIA
For Applieanf fo Fill In Compleiely
TYPE OR PRINT
� BUILDING
COSTA MESA. CALIFORNIA
� MAIL
1 ARCHITECf
OF LOT 6(122 S F I NO. OP BIDOe.
NOW ON LOT TIOYle
USE OF
EXISfING BLDG none
B6TBACK tIN6 FR
CeNTeR oi eTRe � REAR YARD 16 � 6��
61�E YARD I LEPT ZO � l�� I RIGHT 1�- � 1�-�� �
DESCRIPTION OF WORK
NEW I� II ALTERATION I II ADDITION I
REPAIR I IIMOVING I IIDEMOLISH I
BUILDING I.I.�X]Q� ROOMB V STORIES 1
31ZE 4+.t J
EXTERIOR WA�L S'tllCCO ROOF
COVERING O COVERING O
U6E OF BUILDING AND WORK TO BE PERFORMED
w�attached garage
F EE REC IV tu
Lot 59 ��'act 2 P _B f P 1� 1�61
Fi`�A�teE ��
��TY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offlce Use Only
RBCHIPT NO. FBqMISYlO.;�
rsec;yeo ar
/�
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING
20N�„ I NO. OP �� U88 OP
PLANB BYILDIN
LEOAL .��,h e / • .� / .
YARO6 EVE6
APPROVED ALLOWED
(C6Nt6R LN6 BTd
FRONT SO FT.
R.81�E /I FT. /I
L. SIDE ' `O FT. I
REAR // FT. �
APPROVED ��� narc �/
wv
Living Area
Garage Area
Covered Porch Area
�eaueo
i274 s F
445 s F
i HEPGBY ACKNOWLEDOB THAT 1 HAVE PGD THIB A'PLIWTION {HE AMOUM 6XOWN UNDER VALUATION 18 FOH TH8
•N� BTATC THAT TH6 ABOVB 18 CORPER AN� AGR66 M COM• p{�pp096 OP EHTABLI6HINO A P6RMIT pEE ONLY.
PLY WITH ALL CITY ONDINANCEB AND BTAT6 4W9 RHODUTNO
auuotN6 coxerqucnON. VALUATION '/
BIGNATURE OF PERMIT FEE $ a Y^
PERMITTE �j
B3r /��j// ���/////A, $ 11y��jO1�OO P�AN CHECK $ � /�
AUTHORIZED AGEN ��'(.V' (_�'(� �_ _ _
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