HomeMy WebLinkAbout921 HELENA CIR - Building PermitsPqOJEtT ADOflE55: 9 Z 1 HELENA C I
OWNEH'SNAME: KHALIL, EDEL L
•— --�ooeess: 1351 S HIGHLAND AVE
APT N
FULLERTON,CA 92632
AXCH/ENGINEEfl: 6 4 1— 3� z z
ROONESS:
NEG.NU.:
UNIT:
UNIT:
PEHMITTEE: FINOCCHIARO CONSTRUCTION ( 714 ) 633-9354
aooeess: 1403 N. HATAVIA 110
ORANGE CA 92667
UCENSED LONTNACTOB DECLAflATION: i hereUy alfirm �Aa� I am Iicen5e0 unaer provisions ot ChaOler 9(commencinA wilh Sec[ion
7000) of �ivision 3 o� I�e Business and Protessions Code. and my I¢e se is in full force an0 efieq.
cirvuc.�537�5 sT"TEuc.:558203 ��� B
�ie. �� �� Signa�ure:� ��-��'
WONREP$' COMPENSRTION OECNRFTION: I �ere�y attirm �ha14'have a rti�ica�e ol consent m sel4insure or a cetlifica�e o� Workers'
Compensalion Insurance. or a cenilied copy ihereaf (Seclion 3800, lab. C).
voucrxo.:1091577-91 exe.oare: 03/O1/93
comraxr: STATE FUND
� CeN�ied copy is hereby tumishe�. [� Ce�i�ietl copy is file w �he i�y Builtling Division.
�Ie. �� �� —� AODlicanf
E%EMP710N FNOM WOBKEBS' COMPENSATION OECUflRTION: Qhis seclion neeU noi 6e completed if ihe Dermit is tar ane hunareA (d100) or less�.
I c¢rtily ihat in ihe petlormance of Ihe work lor w�ich Ihis permit is issuetl, I shall not employ any person in any manner sa as �a become
subjen m the Workers' Compensation Laws ot Calilomia.
Date: Signaiure:
NOTICE: If, aiter making ��is tleclaration, you shoultl hetome suhle�� m the Workers' Compensation pmvisions of Ihe Labor
Cotle, you must lorthwil� comply wi�h such provisions or �his permit shall he deemeU revoke�.
. CONS7PUCTION LENOING FCENCV: I hereby aflirm that ehere is a consiruclion lentling agency forihe pedormance of the work for
��, which Ihis permit is issued (Section 3097. Civ. C).
� LENOEfl:
I ROUBESS:
OWNEfl BUILOEfl DECLABATION: I hereby a�hrm t�ai I am exemp� Imm the ConVacmrs' State License Law for ��e following reason
(Section 70315 Business antl PmfesSional CoOe'. Any city oi coun�y w�ich requires a permi� to construc�, alter, improve, tlemolish, or
. repair any s�mclure, prior lo ils issuance. also requires t�e ap0licant for such Oermit ta �ile a signed 5tatemeni �hat helshe is Iicense0
��i pursuam Io Ihe provisions o� �he Cantracrors' State License Law �Chap�er 9(commencing with Section 7000) ol DiNsion 3 af the Business
and Pmlessions CoOe) or ��at he/s�e is exempt Iherefrom antl the Dasis for the allegetl exem0�ion. Nny violation o� Section 7031.5 6y
any applicanl for a permit SUCle��S Ihe applicant to a civil penalty of na� mare Ihan �ive huntlretl tlollars (5500).
I, as owner ot Ihe pmperty or my employees with wages as their sale compensa[ion, will tlo Ihe work. antl the
❑ s�mc�ure is nol imentletl or o��ered �or sa@ (Section 704a, Business an0 Pmfessional Catle: The ConVacmrs' Siate License Law
Ooes no� apDly Io an owner of a DmpeRy who builds or impmves �hereon, and who does such work himsel�/hersel� or lhmugh
his or Aer own emDloyees, proviUetl ihat such improvements are not intenaee or ottere0lor sale. II, hawever ihe building or
impmvement is solA vnihin one year of completion, tAe owner will have Ihe burtlen of proving he/she tlid not builtl or impmve
for Ihe purpose o� sale�.
I, as owner oi �he property, am e�clusively contracting with Iicense0 contracmrs m constmci the pmie�� (Section 7044, Business
❑ and Pmfessions Cotle�. The Conlracrors' Slate License Law tloes not appry ro an owner of pro0erry who bUiltls or impmves �her¢on
antl who comracts for such pmjects with a coniracmqs) license pursuant to Ihe Contmctors' State License Law�. I am aware
�ha� pmaf o� Iheir WorkeYs Compensatian insurance shoWJ he D�a�iAed �o me.
� I am exempt un0er Section: B. S P. C.
lor ihis reason:
Date: Ownec
I do hereby certify Iha� I am aware ol antl un0erstand ��e requiremems ol Califomia Health and Satery Code Sec�ians 25505, 25533, and
25534 antl ihal I or any fulure building occupanl will/will no� (circle one) nee0 to comply wi�h said s�a�e cotles antl ihe repuirements lor a
permit for conslmclion or motlificalion Imm Ihe Air Ouality Managemenl Dislnc�. Hesidential consimction aOPlicalions are ezempt irom
��ese pwvisions.
oale: Fpplicant
I here�y ter�ily Ihat I have r¢aA IhiS apPliCaiion anA Slale Ihal Ihe a�ove iniormation is correci. I agree �o tomply vnlh atl Ciry an0 CouNy ,
ordinance5antl5ia�elawsrelating�obuiltlingcans�mctionan rebyaulhorizereDreSen�a��ve5ait�iscilytoenierupantheabove-mentioned
pmpetly larinspectio/n puArposes.
�a�e� n �� ! `� Signafure:
� _ -,
-�riveYs License or Social Searily p:
t6<t�a6 W�ite-9uiltling; Green—Cotle Enlorcement; Canary—Applicanl: Pink—Revenue; Goldenrotl—Assessor
CITY OF COSTA MESA - HUILDZNG PERMIT PERM NO; B 05659
PERMIT NO: B 056593 PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE; 5-N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF REROOF W/MCA CLAY TILE 20SQ SQ FT; 5,500
CLAIM VALUE: 5,500.00 CALC-VALUE: 5,500.00 GROUP OCC; R-3 /
COMMENTS• SMORE DETECTOA(S) RE�UIRED IN HOME.
x�r�rx**�r*ir�r�t�t�r�t�t�t�r*�*�r*�t��r*�t�t�r* r�t�rrt�r�t*��r�r�t�r�r�t�t�t+t�t�t*�e+t�r�t+t�r�r�r�e+t�t�er�r�t�t**+t*�**�t****
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
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL: 91808146 2NE: REF NO;
PLANNING N 1'ES>,�
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D E V•E%L O P M E N T S E R V I C E S R E Q U I R E M E N T S
h.
20NING APPRO,VED� BY DATE:
BUILDING APPROVED BY ; DATE; �«�-S' Z
APPLICATION "/,ISSUED HY• ` DATE• �'�����Z'
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LEGALI2ATION:N F E E S II 14 M A R Y STRUCTURAL SEGMENT;Y
' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81,00 ,55
SMIP/NON-RES- -
ISSUE FEE `"l�r
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ^, DUE
TOTALS----> 81,55 0,00 0,00 81.55 81.55 j,J' ,00
REVENUE DIVISZON TOTALS--> COLLECTED; 81,55 OVER/SHORT: �'.00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
81.00 .55
J
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Z N D Z V I D U 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 5500 REROOF HY VALUE RESIDENTZAL NOZONE 1,00 5 500,00
`P END OF ;?�'EES �
j� ?
� EXPIR�D
Inconiplet� Inspectio�s
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LYdte --- $Ig -
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Y1 DU1��«J"�`)�:�Qi� � L� .T
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CONSTRUCTION ANDPLANNING ' - .
APPROVALS Permit# � Date Inspector AppqOVALS Permit# Date Inspe�•,tor�
.
1. Temporary Etectrical ServiCe or Pole„ , � - 52. Pool & Equipment Location �
2. Soil P�e•Undrgcnd;� "" _ � 53.:Stee1 Reinforcement - �
�'
- .� �^. .
� 3�;'EI"ectFital Conduitjlf��Jity-Undrgmd�tT ' 54. Forms � . .
- 4. EI'ectiicai Cond�rt•��drgrnd. . � 55. Electrical 8onding
�i•Cj r
n,5'.SteQ�ReinforceNe`qt ' 56. Rough Plumbing & Pressure Test
T 8:•'Electtical UFER �rnd. � 57. APPROVAC TO GOVER-GUNITE •r
_,,..
'rY��ootings �; `� 58. Electrical Conduit-Undrgrnd.
�.. .
�- 8.� � oundation -� - 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Undfgrnd. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
70. Structura� Floor System . 61. APPROVAL TO DECK
17. Property Sewe^Lin€& HoaseConnection 62. Backwash & Receptor-finat �
�
12. Se�yer Cap . ; 63. Heater & Vent-Final
13. floof Drains 1 64. Plumbing System - Final
14. Rough Piumbirtg � 65. Electricat-Final
75. Rough Electrical-Conduit 66. Solar SYstem-Final
76. flough Electric-Wiring 67. Pencing & Access.Approval
17. Rough Wiring Sjgn , 68. APPROVED FOR PLASTERING
18. Rough Electricai'-T Bar Ceiling 69. POOLISPA SYSTEMS FtNAL
19. Rough Heating & A�r Conditioning " PIRE DEPT. REQUIREMENT
T i]
20.:'Rough Factor� Fiieplace � -:.n 6 � =� � � 'APPROVALS, •�'-Permit # - -" r°
,� �. Cr !CT z - - .� .,� � �:
. z _. ' r..:. + : .�.� , � � .�
21. Aucts, irrStruciur,,.. � �•. . - �5 - �70. Underg[ound.Hydro s
22. Ducts, Ventiyting,'� �> p_ �? 'z� _�, f71, Productpiping OGas O;OiI
. , , �, "` u - ._ a: R r -r. • . .' _
23:;Gas:Pipe�io`gh $�3est ' � �.;s , . Z J; ;, -7y• Underground Flush?:x : ,"
24..�Roof Framing� '%a - �',`�-(7�2 �Ui � �i73: `Undergrndc Storage,Tank � Gas ❑ Oii
25. Roof $heathing .,��,: � v � !%✓ -�4.,-Overhead Hydro„ �� �
,3-�J-q�...�(a 6�
26: T-Bar Ceiling (Structurall & N}onocoat a ^ - ��:�• ` 75.spfry Chemical �'=� -• - - �
27. �Frame and Flashin9� �� x � '��. ,p : : 76. D"ry Standpipe ` � x �' " {� +
�.�28. Lathing;& Siding' - . �:d.-' �>' ^� • �• �F # 77.rFIXED SYSTEM�-F�INALy � • �
'29. Insulation ''. �. � �� ':. : '� � � �: s 78 �FIRE PREV. FINA! � •, r Y
!�30. Drywall.NailiTg ��� � � s � ' ti {�� r ; HEALTH�DEPT.�R�EQUIREMENT
:
�31. Plaster Brown Coatx ,: , r r � f' , F� _.. J9.`'FINAL INSPECTICjN ',' �'' ` .'
. 32.-Electrica�l Po�r`ier MeterFinal� ^ • N ! �* � .�80. �FOOD CERTIFICATE ISSUED � -
- i
33.,Final Electric, Y `- � - ,. I � '� 1 � ��Notes: _ . ` �7
p.+ r .t t <�f � nJ �r, .
'34.-Final He@tin �'& �r,;Conditioni ;. . � , �; '
9. 993 � i �;� � � '�r S c;-
� �,
35..Fina1 Gas Pip€-Tes4` ~ s ! ;� 'A �.� ` • . = � `'` ``,�' .
r � -�,+•
�36.�Hood or�CanoPY%j � ' - 4 . �� �i, � S - - 2t*'
... ,
37.-Fin'ak Factory FireqlacE � � s�" r ^`r j � �; " ` -
x
.y :. ,* .. ,. . ., J -
. 38. Finyt Plumbing � -- x � � ^' .n . •• - Q
.
�:39. Watei Ser�vice-final'- J � • . 't s , - -: •r - ,
. � r , tr, � -� S
40. Gas Servi ce-F�nal � ' ', {� � ~ � - `�
�� r Q} v r �F r - "" •
.�
�Ai. Solar pomesticFinal ^ � �� � • • _ ' �' ` � ' - ' ^
; • . r - x�s
42.-backflow Preventer; � .� , �. , - � . '
43. Backfiow Irrigation" ����ss " '�� " - '"
ti, �. .i7 .
i,44. Landscape Irr`igation Systemr�m:�; .� _ .:: � - - Y . � p !0 � " i .:
_ .;_� � " ' - � - -
`'�5 �Sound Attewa[ion�, ti�' • � >- �n 'n ��, �; ' " � ' _ " _ ' ^
-A6. Handicap.Regulatiops � � ���;i : � ."a • � � . i
_�
47.�FINAL STRUCTURE & BUYLDING ' � � � � '-.'= * ' : �':.s E X P I R E D .
��-� - . . � r . .. ' ft5� .
a8. FINAL PLANNING.. , ,.- ` j . . .� �r :' � HY f f t18R . -
�:49.=Elec[ric Re�ease to Edison � - - � '. .• (�tE+;,. _ � jg � - .
�. t*
. .. . ♦ _ I�_. A �. - L' 1' . ._
;50..Gas Release to Southem Califor.nia Gas Co � � ' .
,i'� �a - -
:51. CERTIFICATE OF:OCCUPANCY , -'. g' - ._ :n, • ' - . - -
No. Date
-- �