HomeMy WebLinkAbout321 MONTE VISTA AVE - Building Permitsi
Y
(714) 754-5273 • Fex (714) 754d856 • www.d.coste•mesa.c��ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 321 MONTE VISTA AV
Suite:
Vicinity: APT BLDG
PrimaryOcc: R-1 HotelslApis/Res>70Occ
Parcel Number: 43913126
Applicant: WOLSKY, BRIAN
Address: 17662 METZLER LN
Type of Construction: V-N
Zoning:
HUNTINGTON BEACH, CA
Owner: GUPTA PROFULL K AND LY TRUST
Add�ess 6271 GLENWOOD DRIVE
HUNTINGTON BEACH, CA
Contractor. TOM BYER ROOFING
Address: 17662 METZLER LN
Arch :
Address:
Zip:
HUNTINGTON BEACH, CA
Zip: 92647
Phone:
License:
Status: ISSUED
Applied: 12/732005
Issuetl: 12/13I2005
Phone: 714-847-9332 ISSUED BV: �
Zip: 92647 /
Phone:
Zip: 92647
Phone: 714-847-9332
License: 575002
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
REROOF APT BLDG ONLY: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15# FELT, INSTALL 30-YEAR COMP SHIf
2400 SQ FT
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other.
Inspection:
Total:
$0.00
$111.25
$0.50
$0.00
$0.00
$0.00
$111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0. 0
PARKING Existinq: o
Rear 0-0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
LeR 0- 0
Le(t 0. 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
sa,soo.00
sa,soo.00
NOTICE: The work authorized by this permit shall compty with all applicabte handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automaticalty expire and become void il work is not commenced within 180 days, or if work is suspended or abandoned
for a perlod ol 180 days.
INSPECTIONS: In order for tha work authorized untler this permit to be considered lepal, such work must comply with ell epplicable codes, end all
requlrod inspaetlone end (Inal approvel must be obtained. Failure to obtaln Inspections and final approva� will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545828
2N8-e0 (bU0)
WORKERS'COMPENSAnON DECLAHAnON: � ' . . '
I hereby eHirm under penalry oi perjury one ol Ihe following declarations: � �,. .
❑ 1 have and will main�ain a certificate ot mnsent to selt-InSure lor workers' crompensation, es provltletl for by section 3700 af Ihe Lebor Cotle, fOr the peAortnence of the
�ork for which tlils permit is issued.
`�',JI have an0 wlll meinta�� workers' compensetion insurance, es requlretl by SecUon 3700 ot Iha Lelwr Cotle, tor Iha peAortnence ol the work for whkh Ihia pertNt is issued
My workers(' �co,� ensatlon Insurance carder antl policy numDer are: / / —7
CBfflBf:f� O" Po y'Nu er. C� S 3 "�'
'(This sectlon need not be �pletetl i! the pemtil ls va/ued et one hundretl ddlers ($100) oNess.) . ,
❑ I certffy Ihat in Ne pd�ortnance W tha work for which thls pertnit fs issuetl, 1 shail nol employ eny person in any menner go es to becoma suD�ect ro the workers'
wmpensation lews a� Calilarnia, and a thet It I should bacoma sub�ect to the workers' compensatlon provislons ol Sectlon 3700 oi the Lebor Cotle, 1 shall fanhwlih
compry with Ihese rSwns'
,Applksnl�Slg`natare: Da�te: 7 � 2 �Z /
WARNING: FAI�URE TO SECU RS' COMPENSATION COVEMGE IS UNL1W FUL AND SHP115UBJECT M! EMPLOYER TO CFIMINAL PENALTIES M1D CML FlNES UP TO ONE HUNORED
THOUSAN� OOLLARE (5/00,0�). IN ADDfTION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE IABOR CODE, IMEREST, M!D ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby eHirm Ihal I em IiGense� nder pmNsla
rorce end enect. lSc..M-r� S� 3 oG Z
CONSTRUCTON LENDING
e(cammencing wlih Section 7000) ot Dlvision 3 0l the Business end Prafessions Cade, enA my licanse Is in lull
Ga'ss.► r C � 'f
❑ I hereDy ettirm �hat Ipere Is e consWction landinp egency for tha peAormanca of the work for whlch this permit is Issuetl. (Sec. 3097, Civll Code).
Lentler's Name: LenOefs Address:
Sipnamre:
Dete:
OWNER•BUILDER DECLNiATONS:
I �ereby e11lrtn that untler penalry ol perjury Ihat I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW lor the Iallowing reason (Sec. 7031.5, Business end Prolessions
Catle: Any ciry or counry wNc� requires e permit ta wnstmct, elter, impmve, tlemolish, ar repair any sWCWre, prior to Its Issuence, also requires ihe epplicam tor such pertnit
lo file e signetl statement Ihet he or she is Ilcensed pursuent b the provisians ot tho Comrecrors License Lew (Chapter 9(commencing with Sectian 7000) of DiNsion 3 oi ihe
Business end Profeuions Code) or thet he a she Is ezempt therefrom enA t�e basis for the alleged exemptlon. Any vloletlon of Section 7031.5 by eny epplicant far a pertnit
sub�ects the epplicant to e civil penalry oi not more than tive hundred dollars ($500�.):
❑ 1, es owner oi Ihe praperty, or my empfvyees wftT wages as their sole wmpensation, WILL DO TNE WOAK, and ihe swcWre Is not lntendetl or oflared tor sale (Sec.
7044, Business antl Protessions Cade: The Cont2IXors License Lew tloes not appy to en owner of properry who builds or improves ihereon, erW who tloes such work
himselt or herself or through his or her own empbyaes, prwidetl that such im0��'emems are not Intended or oflered tor sale. If, however, the building or improvement is
sold within one year of wmpletloq Ihe owneo-builtler will have the burden of proving that �e or she did not Duild or impmve tor purpase ot saleJ. •
❑ I, as owner of the property, em EXCLUSIVELV CONTRALTING W17H LICENSED CONTRACTOHS �o Cons�ruct �he pro�et� (Sec. 7044, 8u5iness antl Professions
Code: The comrecio�s Llcense Lew does nat appry to an owner ol property who huiltls or Improves thereon, and who comrects for such pmject with a contractor(s)
license pur5uent to ihe ContractOrs License Lews.).
❑ I em exempt under sec. Business antl Professions Code for this reason:
Signature: Date:
Owner ID verilied by drive(s Ilcense. ❑ Yes ❑ No Drivefs License No.
Vedfication of OwnersNp W(rype ot documem, i.e. - praperty Ieac bill ar deetl):
Eaplres:
OfVIS10N OF INDUS7RIA� SAFETY PERMrt CERTIFICATION:
❑ I hereby certlty ihat no excavetian tive (5) or more feet In deplh into whlch a person is requiretl to descend, wlll be mede In connection with work euthorized by thls
pertnii, and �hat no 6uilding structura, sceNolding, lelsework, or demolitlon or tlismantling t�ereol, wlll be more Ihen �hirty-sIx (38) feet hig�. (Chep. 3.2, Grp 2, Art 2, Sec.
341, 710e B, Calilomla Atlministrative Code).
❑ As owner-bullder, I wlll not amploy enyone to do wark which would require e pertnit from the Divisian of Intlustnel Satery, es noted ebove, unleu such person has e
pertnit to do such wo� <<om tha division.
Signature: Date:
Division ol Indusirial Selery Permit Numbar:
CERTIFlCATE OF COMPLU�ICE AND AUfHOROJITION OF EMRY: I cenity unAer penalry of perjury that I have read this epplication and state thai ihe infortnalion gNen L5
correct. I agree to compty wic� all state laws en0 dry wdinaixes relaGng to bullding constructlon, entl eutnodze represenlatives oi the Giry ol Costa Mese to enter upon the
above�tlescnbetl property lor inspection purposes. I egree not to acupy or ellow occupancy ot eny building authorizeA by this permit until finel inspection.
COOE 1. INSVECAONITPE� �
1618 FIxeC System Final Fire Prevention
1288 Pool Spa Final
200
201
202
203
Final Re-Rool
Finel Block/Ratelning Well
Final Fectory Fire Plece
Final Sign
204 ' Final Demolitlon
I Applicam
PAif. It�E64
� �
D
�� L� ��
D2te�"".
COOEI INSGECiIONTYPE ,
206 Finel Mec�anical
20B Finel Plumbing
210 Final Electdcal
212 Final Fire Preventlan
220 Final Planning Approval
222 Final Site
250 FlnelBuilding/Occupency
PAff ¢�AL4
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PNOJECT AOOBE55: 3 7 1 MONT E V I STA AV
OWNEfl'SNFME: JOHN HOUSEF,MAN
aooAcss: SAM E
APCH/ENGINEEfl:
AUOXESS:
flEG.NO.:
uxir:
UNIT:
PEPMITTEE: SENTRY ROOFING CO ( 719 ) 751-7663
aooR¢ss: 3 3 6 4 N EL'ADA
COSTA MESA CA 92626
UCENSED LONTBACiOH oELlANa7lON: I nereby allirm ihat I am Iicense0 un0er pmvisions ot Cnapter 9lcommencinB wilh Section
70W) ol Division 3 01 Ihe BUSiness ana Pmie55i0ns COde. antl my litense i5 in Iuli forte antl ¢�l¢tt.
crcvuc.: 060929 psra/Teuc.: 678801 ycJuss: '.-39 F.P; 10/95
Oata_�� ���/'/ Signature:—�// _ '
WOBKEPS' COMPENSFTION OECLAXATION: I here6y a��irm lha� l �av¢ ¢rli�i[aIG at [anse IO SGI4in5ure ar a CertiliWtE 01 Warkers'
Comoensa�ion Insurance. or a cenilietl copy inereoi 15ection 3800. LaG. C�.
i POLICY NO.: E%P. ORTE:
� LOMPANY:
� Cenitiea copy is here6y lumis�ea. ❑ CetlilieC copy is filea vrit� t�e city BuilEinA Oivision.
)le: � Ap0licani:
' E%EMPiIONFBOMWONKEHS'COMPENSA710NOECIAflATION: QAi55tt1ionneetlno��0complete0if�hepermi i510roneAunUled(51W�ori¢55�.
1 ceriily Iha� in Ihe pedormance oi the work lor w�ic� I�is OQ�mii is i55ue0, I shall n0i en loy any perso in any manne� so as to become
suble�� �o �he Workers' Compensa�i/on laws 0� Calilomia. /yrJ/�J
Oaie: ���y� Signa�ure:e��"/y 6
NOTICE:II, aiter maiting inis aeclaration, yrou shoul ewme su lect e Workers' Co pensation provi4ons o� tAe Labor
CoOe. yw mus� torihvn�� comDM �^�� suc� promions or IN5 per 5030 EE Geemed reroke0.
CONSTPUCTION LEN�ING RGENCY: I �ere0y alfirm I�at I�¢re is a can5tmciion IenEing agency lor Ihe petlOrmance 01 I�e work for
w�icn this permit is issuetl (Seciion 3097, Civ. C�.
iexoEs:
AOUXE55:
OWNEN BWLOEfl OECLABATION: I hereby allirm Iha� I am exem0� ��om Ihe ConVacmrs' Slaie License Law br Ihe IOIlowinA �eason
(Seclion 7031.5 Business and Prolessional Code: Any city of county w�ich repuires a Oermii to ConSimct, alie�, impmve, Demolis�, or
repair any stmclure. pnor to its issuance. also repuires ihe applicant lor suc� p¢rmil to lite a signetl statement ihal hPlshe is licensetl
pursuanl lo �he pmvisions ol l�e ContraclaR' SIa1e License law (C�ap�er 9(commencing w�i� Seclion 7000) ol 0ivision 3 0l ��e Business
an0 Pmiess�ons Cotle) ar ��ai he/S�e is ¢Rempt I�ere�mm ana I�e UasiSlor ihE aileped ¢xemp�ion. Any dolaiion 01 Seciion 7037.5 by
any ap0liWn� tor a permil SuUleclS the applicant to a civil p¢nalty ol not more It1an five hunCreO OOIlarS (5500).
1. as awner oi the DroDe�y or my employees with waAes as t�eir 5oie wmpensation, will Ga Ihe woM, antl tAe
❑ stmcWre is not imen0ed ar offereC br sale (Section 70a4. Business an0 Pmiessianal Catle: The Contracmrs' State License Law
does nol apply �o an owner ol a D�oDetlY who builGS or im0�o�e5 Iher¢on, an0 who Coes such work �imSel�IherSelt or �AmuAh
nis or her own employees. proviAeO inat such impmvements are nol inientled ar ottereA for sale. II, however ihe GuildinA or
impmvemenl is sola wit�in one year oi complelion, �he owner will �ave ��e �urtlen of pmving �e/she tli0 no� Oui10 or impmve
lor Ihe purpose ol sale).
I, as owner o� Ne pmperly, am eaclusively contracling with licensetl conlrac�or5 io cons�ruct IAa pmlecl (Seclion 7044, Business
❑ ana Prolessions Code: The Coniractors' Staie License Law Ooes not appty m an owner ol pmpeny w�o �ml0s or impmves �hereon
antl who tonirat�5 �or suCA pmleds with a contraCtor�s) litense purSUani lo �he ConUaCiors' State License Law). I am aware
Ihat Omol ol Iheu Worker's Compensation insurance should be pmvidea to me.
� I am exempi unde� Section: 8. 8 P. C.
lor lhis reason:
oale: Owner.
I ao �ere�y cenify t�a� I am aware of an0 untlerstanU Ue requiremen�s ol Calilomia Healt� anU Safery CoOe Sections 255P5, 25533, antl
25534 an4 iha� I or any IUIur¢ �uiltling acCupanl willlwill noi (CirCle one� need Ia comply wi�� Saitl slale cotles antl Ihe reQuir¢men�s lo� a
permii for wnsimction or mo0ihcation Imm Ine Air Oualiry Management Disiricl. Fesidential conslruciian applications are eKempt �mm
Inese pmvisions
�aie: AppliCan�:
I hereby cerlily Ihai I have read l�is apP6cation and slaie Ihal Ihe a0ove inlormation is corre L I aAree to c mply wilh all ciiy antl counly
orainances an0 Slalelaws�elalingto �uilaing consimclion antl �ere0y aulhoriie represen�ali o�lhi5 ti�y�o Ierupon�he above�menlioneU
pro0erty �orinspedian purpOses.
�aie: �/ c�' � Signa�ure:
od�crs uce�se or Sociai Securiiy x:
164La6 Whlte—Builtling: Green—Cade Enlorcemenl', Canary—ApPlicanf. Pink—Revenue�, Goltlenmtl—Assessor
CITY OF CO5TA MESA — HUILDING PEP,MIT FEF,M NO: B U7410!
PERMIT NO; B 070108 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PEP.MIT TYPE: STR PURPOSE: ALT
JOB DESCF.IPTION : P.EROOF W/BOILT—UP TORCH APPLIED ICB04392 SQ FT: 1,125
CLAIM VALUE: 1,125.00 CALC—VALUE: 1,125.00 GROUP OCC: M-1 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91UEC, REROOF 909SF GARAGE
�iF if iE iF if if AF jf 1! 3f if iE aF V if if it i� iF if if i�'lf iF'If iF iF if if if iF # aE 1f if 1E Jf if iE i� iF if it # iF iR iE iF d4 %+4 Y iF JF iF 1f 1�'?e i41E iF il� �li if if iF if iR iF iF i� if if i!� if'1F �)f')f iE
Z O P7 I N G P. E Q U I P. E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSOP.Y BUILDING ---------
FRNT; FT IN AEAR: FT IT! FRNT: FT IN REAP,: FT ZN
LEFT; FT ZN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKZNG P.EQ: PROV: PARCEL: 00000000 ZNE: REF NO:
PLANAIING NOTES>
>
if if if 1Y if 1F 1G V tf-'7F if if'� if if iE ik if if ib �R'V�')f +E if 4 4 M if i! # if * 1E iE �f iE 1f �f i` ff if i' if'1f M iE if 41f il� Y iE iF if 1f 1E 1F if iF'IF if'N� i! iE?f 1F it if iF if iF if 1F'1f jF ik �lf'If
D E V� L O P M E N T S E P. V Z C E S A E Q U I P. E M E N T S
20NZNG APPROVED HY DATE;
BUZLDING APPROV,ED HY : DATE:
APPLICATION ISSUED BY: DATE: ��
***ic�c+Fr*acf��c+c*aFa�*�r�*ic***T.��+���cTE�SF�rTriFwr�- +r. �+F�����F+�**�c**;�*** � *r
iF'lf'N--V' Y 1f Y-1F i4 iE iE if if if 1M1 1f iF if if aE iR if iF if'X' i�' AF {("N"M"K' iF Y' iF'N' iF aE iF if'M' iF if �f JF iF iF iF if iF i4 A4'L'N' iF %if iF'%if iR if iR 1f if'/F IF i1�'N"M' 4 iE iR if j: JF Y'K iE a4
LEGALIZATION:N F E E S II M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 29,00 ,50
SMIP/NON—RES
PL�r�
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 29.50 0.00 � 0.00 29.50 29.50 ,00
REVENUE DIL'ISION TOTALS--> COLLECTED: 29,50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECY,
29,40 .50
1f i!� M-)f iF if'N- iF'4'+E �F if'�f M 4 iF if')f 1f V� if'i af iE if'M� �'M' if if it iE 1f'1(-.'lE'If iF af iE iF 14 V� Y M 1f -M'If if 1F T'�+F }!F il�?F iF'If �1FV Y� iF 1E'1f +F Y M' iF af. af ir-1f �lE if f'IF if 1R iF M�
I N D I C' I D U A L F E E H R E A K D O FI C7
TYPE QTY D E S C R I P T I'U N pNIT COST TOTAL COST
SFR 1i25 REROOF BY VALUE RESIDENTIAL A70ZOTlE 1.00 1,125.00
EP]D OF FEES
01 OOt72S32-0017?. 2 T�7T
DATE: IS/2S/44 TIIt�' 1i=42
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2?.50
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CONSTRUCTION AND PLANNING POO� a SPA
APPROVAIS Permit# Date Inspector qppROVAIS Permit# Date Inspector
1. Temporary Electriwl Service o� Pola 52. Pool & Equipment Location �'
2, $ail Pipe�Undrgrnd. 53. Steel Reinforceme�t ;�:
3. Electrical Conduit Uiility-Undrgrnd. 5A. Forms �. �
4. Electrical Conduit�Undrgmd',• 55. Elecirical Bonding ��
5. S[eel Reinforcement 56. Rough P�umbing & Pressure Test `
6. EfectricalUFERGrnd. 57. APPROVALTOCOVER�GUNITE
7. Footings 58. Electrical Conduit�Undrymd.
8, Poundation 59. Gas Pipe, O Undrymtl., 7est �
'-6
9. Wates Pipe�Undrgrnd. • fi0. 8ackwash Lines, P-Trap, l7 U�drgrnd. /
70. Structural Floor System . 61. APPROVAL TO DECK '
11. Property Sewer Line & Hovse Connection �; 62. Backwash & Recepror•Pinal �
12. Se�ver Cap 63. Heaxer & Vent-Final ' �
i'
13. Roof Drains 64. Plumbing System - Final
14. Rough Piumbing � 65. Electrical-Final
75. Rough Electrical-Conduft 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLAS7ERING
18. Rough Electricai•T Bar Celling 69. POQLlSPASYSTEMS FtNAL
19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory �ireplace APPROVALS Permit #
21. Ducts, in Structure 70. Under9round FIYd�o
22. Ducts, Ventilating 71. Product Piping OGas ❑Otl
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil
��/f
25. Roof Sheathing jt��y j//(� 74. Overhead Hydro
� �w
26. T-9ar Ceilin9 (Structural) & AAonocoat 75. Dry Chemical I
27. Frame and Flashing 76. Ory Standpipe
28. Lathing & Siding 77. FIXED SYSTEh1 FINf1L
29. Insulation 78. FIRE PREV. FINAL
30. Dry�vali Nailing HEALTH DEPT. REQUIREh+7ENT
31. Plaster Brov�m Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. OOD CERTIFICATE ISSUED
33. Final Eiectric N� tes'��s'��' Qy�
34. Final Heating & Air Conditioning � �/
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Fina� Factory Fireplace
38. Final Plumbin9
39. Waier Service�Final
40. Gas Service-Final
47. Solar pomestic•Final
42. Backf�ow Prevenier
43. Backflow Irrigation
44. Landscape irriqation System
45. Sound Atienuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �f� y
48. FINAL PLANNING
49. Electric Release xo Edison
50. Gas Release to Southern California Gas Co
57. CERTIFICATE OP OCCUPANCY
No. Date