HomeMy WebLinkAbout922 HELENA CIR - Building Permits�l�.
Pfl0.1ECT ROUFESS: (3 'Z 'l HELENA C I
OWNEP'S NAME: �EL KHALIL
ROOPESS:�� �
���
RPCM/ENGINEEfl: 6 4 1 — 3 � z Z
FDOflE55:
HEG.NO.:
uxir: z S CITY OF COSTA MESA — HUILDING PERMIT
M
1'EAMIT NOt H �60595 PLAN CHECK NO; N
uNiT:
PEflMITTEE: THREE D ROOFZNG ( 714 ) 598-1474
i nooeess:19532 GREENWILLOW LANE
ROWLAND HTGS. CA 91748
LICENSEU CONTBACTON DECLAAATION: I hereby allirm �hal I am licensetl untler provisions o� C�apter 9(commencing wilh Section
7000) ol Oivisian 3 ol Ihe Business and Pmlessiuns Co�e, antl my license is in full �arce and ef�ec�.
CITY LIC.: S S� I d� � STATE LIC.6174 6(% p �,`"�C(���
�a�e'. � � � SignaWre.�� �
WONNENS' COMPENSpTION UECLAXBTION: I hereby al�irm ��a� I have a ce�ifica�e o� consen� �o sel4insure or a rer�ificaie of WorkeK
Compensalion Insurance. or a cernhea copy thereo� (Section 380U. La�. C).
voucvxo.:1264251-92 E%P.ORTE:O9IOSI93
comraxv:STATE FUND p
� Ce�ilietl copy rs �ereGy �umis�etl. �( Cetlifietl capy is file0 wilh Ihe ciry Buil g Oivisi n.
/^� ' o'p n /1_
y 11 � �y✓�^K� �O��is%
Oale � ApPlicani:
E%EMPTION fBOM W�PKEPS' COMPENSRTION UEQABRTION: (This sec�ion need nai �e compleleA if Ihe permi� is forone huntlretl (31Ltl) or less).
I cetlify tha� m Ihe petlormance ol �he work for which Ihis permil is issued I shall nol employ any person in any manner 5o as Io become
Subleci to Ihe WorkeK Compensation Laws ol Galitamia.
Date SignaNre:
NOTICE: Ii, afler making Ihis aeclaraiion, you shoultl Eecome sublect �o Ihe Workers' Compensa�ion pmvisions ot ��e Lahor
Coae. you mu5i forihwith comply with SucA pmvisions or ihis permii shall be deemetl revokea.
CONSTflUCT10N LEN�ING AGENCY: I �ereby allirm �Aa� ��ere is a cons�mc�ian lending agency for �he performance ol ��e work br
wnich inis permn is issued �Seclian 3097, Civ. C�.
lFNOEH:
AUOflE55:
PERM NO: B 060595
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF REROOF W/ FIBERGLASS SHINGLES SQ FT; 1,800
CLAIM VALUE: 1,800.00 CALC—VALUE: 1,800.00 GROUP OCC; R-3 /
COMMENTS• SMOKE DETECTOR RE�UIRED PRIOR TO FINAL
���r�rxx**it�r*�r*��*�r*�r�******* *****�r�r�r**�e�****�r*�r�*�***�r�*�r*�+��rx��**�r***�r***�*�r+t�r
Z O N I A1 GS ERTEB�AUCIKRSE M E N T'S
------------ MAIN BUILDING ---------- --------- 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 REQ• PROV: PARCEL; 00000000 ZNE; REF NO;
PLANNING NOTES>
i
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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
ZONING APPROVED BY � / DATE: ����'
BUILDING APPROVED BY : DATE; 1
APPLICATION ISSUED BY; � DATE: �'�' i�
lf3tifif�FiFikifiFklkiF�lliEifffiflEiEifit�F F�3FiF3kifjfiF3fiFifiFikiE if3E
ififif�lkklfiFitiFikiFikiFifififklEifififiFitifiti!ltif�F�k�f3k3f kififiFiFkitfFjFitit�fifkkiFiFaFiFiliF3FiE3f�klfiFiFifif.ik'iF�fiflFitlfkitiEit
LEGALIZATION;N F E E S U M M A R Y STRUCTLiRP,L%SEGMENT;Y
.;. ,t
OwxEx eU�toen oectnnni�ON: � hereby a��irm �ha� � am exemp� �mm �he Comrac�orY S�a�e License Law br ihe to��owing reason BLDi�i PMT PLUMB INi�i ELECTRIC MECHANIC FIRE SI�IP /RES ('iFi� ING
(Seclion 7031.5 Business antl Prolessional Cotle: Any tiiy ol coUn�y whith repWres a permit �o cons�mCt, allef, impmve. Oemolish, or pERM I T 4 1, � 0 ' , 5 �
repair any stmcWre, prior to its issuance, also requires �he applitani lor such Dermil to tile a signe0 slatement �hat helshe is licensed ,�
pursuanl �o t�e provisions al Ihe Coniractors' S�a�e License Law (Chap�er 9(commencing with Section 7000) o� Division 3 oi Ihe Business SM I P/NON-RES
and Pm�essions Cotle) ar �ha� he/she is exemD� Ihere�mm antl ��e Dasis for the alleged exemp�ion. Any viola�ion of Sectian 7031.5 by Pj��.j �� .�
any applicant tor a permii sublec�s lhe applican� to a civil penalty o� no� more than �ive huntlretl tlollars (5500). ISSUE FEE �� `�
�, as owner o� �he propeny or my emp�ayees wi�h wages as meir sole comDensaiion, will Ao �he work, and ine HUILDING—DIV—> PERMIT I$$�7E pL1iN�� CHECK 'rOT� PI�ID '� DUE
❑ simcWre is noi in�en0e0 or offere0 for sale (Seclian 7044, Busmess ana Pm�essional CoOe: The Contrac�ors' Sta�e License Law TOTALS----> 9 1. 5 � �. 0 � (� %% �. � � 4 1. 5� �i i. 5 � �f . 0 �
tloes not app Y �o an owner o� a pmperiy w�o Oui105 or improves �hereon, and who aoe5 such wod himseli/herself or [hwug� � f
his or her awn emDloyees, pmvitle� Iha� SucA impmvemenis are no� in�entletl or o��eretl �or sale. Ii. Aowever Ihe building or / r�'
improvement is som within one year o� comple�ion, the owner wiu have �he bumen of pmving ne/she did not 6ui�0 or impmve REVENUE DIVIS ION TOTALS--> COLLECTED • 41 , 50 OVER /SHORT • :. 00
mrmeo�rposeo�saie�. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I, as owner ol ihe property. am exclusively coniracling with licensetl contractors to consimcl lhe Dmle�� (Sec�ion 7044, 6usiness 4 1, � � � y , S Q
❑ antl Profe55ions CoOe: The ConlractoK State License Law does na� apply [o an owner o� pmperry who Aui105 o� improves l�ereon � q
antl who conlracis for such prolects wi�h a conVactm�s� license pur5uani to ihe Cantrac�ors' Sia�e License Law). I am aware ***.K,*,*.�*�.,��,*,�,*,***.�.�*********.�*.**{�**.x.********..�******.**.***********.{��.*{�, *{�.*.**.*,K.*.K.*,
tha� pma� o� �heir Worker's Compensa�ion insurance shou�0 be pmvitled �o me. I N D I V I D U A � L;� ^/F E E B Ti E A K D O T'� N '��
� I am exemD� untler Section: B. 8 P. G ,
ior tnis reason: TYPE
i " J' /%i
oa�e� owner. SFR
I Oo hereby cenify Ihai I am aware o� antl un0ersiand Ihe requirements o� Califomia,Health and Safery Cotle Sec�ians 25505. 25533. antl
2553a antl thai I or any �ulure building occupan� willlwill no� �circle one) need la comply wilh SaiU s�ate cotles antl �he requiremenis for a
oermit for conslmction or motlJicaiion Imm �he Aii Ouality Managemen� DistricL Residenlial cons�mction applicalians are exempi fmm
IhCS¢ prOvi5i0ns.
�ale: NpDlieant:
1 hereby cerlity Ihal I have read �his application and slale thal Ihe aboveinlormalion is correcL lagree lo comply wilh all ci�y and coun�y
or4mancesanes�alelaw5relalingiobuildingcons�mdionan ere�yaWharizerepresen �ive5oi�hi5ci�ytoenierupontheabove-meniianed
pmpetlY �orinspecuon purposes. ,� �
( �,/j�j� (
Da�e: � � `� SignaNre: � -""+-0
,�
Oriver's License ar Sociai Security a:
16<i�46 White—Buiitling-, Green—Cotle Enforcemem; Canary—Applicant; Pink—Revenue: Goldenrotl—Assessor
QTY D E S C R I P T I O NJ•� UNIT COST , TOTAL COST
,..
1800 REROOF BY VALUE RESSDENTIAL NOZONE 1.00 1,800,00'
ENDI F FEES :�
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CONSTRUCTION AND PLANNING � P� "�` SPA �
APPROVALS Permii # Date Inspector APpROVAIS Permit # Date Inspector
i. Temporary� Electrical SerwCe or Pole „ 52. Pool & Equipment Location •
2 Soil Pjpe-Undrgrn�.� �' -� � 53. Steel fieinforcement "
W, Electrical CondUit�UiilitY�UndrgrnU�� � � 54. Forms
4' Elecvical Conduit�-Uod�g�nd. �as: - 55. Eiectrical Bonding
e. 5: Steel Reinforcemrst � . 56. ,Pough Plumbing & Pressure Tast �
S6: ElectricalUFER�ind. �l - . 57. APPROVALTOCOVER�GUNITE '-
n �
`% Footings -. _". . . 58. EtectricalConduit�Undrgrnd. _
- 8. Foundation =" ` ' r 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Undrq nd. - 60. Backwash Lines, P�Trap, G� Undrgmd.
10. Strucwrol Floor �,ystem y' 61. APPROVAL TO DECK
71. Property Sewer l'f'ne & H�eConrt2ction 62. Backwash & Recep.or-Final �'
12. Sewer Cap ' c� 63. Heater & VenFFinal '
73. Roof Droins •. ` . 64. Piumbing SYstem � Final �
14. Rough Plum6ir+g 65. Elecirical-Final 1
15. Rough Electricat-Conduit 66. Solar System-Final
i 6. Rough Electrid4Viring 67. Fencing & Access Approval
17. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL
79. Rou9h Heati�g & Air Condicioning FIRE DEPT. �EQUIREMENT
� :r - x �r n: , . tisr . .t N
20..'p� ou Fa�cio�y F,ir�lace ' :c: `4'-- �' � - "' ' PPR�V S `- er.�it �`r :' '' r
S' � 'i' I ni" 1.'=L :T S J,�:'� �:.. �� -T'T-
21. Ducts, ia.Strsiccure� ' . .. "� j * � p •-� � -_ _ .
-.-. x n K,: 70. Vndergroan� HYf �a ,.
22. Duc[s, V'entilatin -,'. �`S r ^ s 4-x s�Y � s i -� ' .
9.., t' x� S :-:c :! � 77. Produc ;i?iPi�9 C) �s C-1.,�:Qil
23.Toas PiPe�Roc�h &'Fest teS :�, '� J# =; ^72. Underground flvs�� '.- �'?
.
24. 'Roof Framin�' ; J;� �""- ";:� *� j � _ k Y 73 =Undergmci,'. Stora�iT.ank T�7 Gas ❑ CI
25. Roof-Sheathing ��� � Q v•.: �� .: j?)a r 7qf'„p�yerhead Hydro: v
26:�-BarCeiling(Stric{turall &$�coat �� ?�;J�, x 75SOi Chemi.cai _j x J t-' ��
Y
27.-Frame and Flashi�y; ja�• � v rt:�; s 76� Dry Stane?pi�e E-m =�� ..
28. t,aiRing"& Sif}ing� �: � ;�� � `�. F ..� ..� ..'�: � 77:: FIXED �SfE(y;,-1�,�,INAt,r. ^ �., �
29. Insulation V 3� �`� ;> � •� � 78FFIRE PREV. FINC[L �
� a a .; cr �
'30. DrywallNai(i�ng , ��,-js K S H�LTF�EPT�REQOIR�VIENT
^,: � � �'- '^ � �r .. . V r. v .
�.,37. Plastcr Biova,n Coat, y- � r.r = i I � r79. `F�NAL iN$P_ECTI�N .Y ^ •Y
_ , ' ' � L _ I ^ �. -�- .•
. 32. _Eiectrical,?otiyer fY�E42r-F,�nal� � , . '�0 _�000 CEPTIFfi��'�TE 13� �ED� ,� �
33 inal E�ctri { .r � � r; � t� . n, :� � -}� -
5 .�� G T. , , :( I� x� NQtes: E�(��' -±rr 5. ` i � n�
__ � . ' �G-% / -�
..34: Finai Heatin�& AirvCor.ditionrcfi �' � � � � r�'-. �� S "
1 r , � ,�:.�.f.�Tbr� �i�� Z_9�y� .-'- Hr,
35.;Final GAs Pipe�Test� - r._ j ; r: _' ;_ � =T- rc ` ir
� . . �_�:..�.. .. .
�L36. Hoo[7 or CanoPY�'r _ : �: -- '•. n � �:'c �� (lo :r: - d r
- ~'1 '�T;�» x � � 1=' • T�C at (T, rr
` • T; : S T S �t1 ( � I� ...( �� (' .
'37.-Finai f�ctory fifeptace- � �r-. t �z � ,i
F'
38. Finat PlUinbing " � �� ' ` �� � r '- �- �
t x �• �' F -i V.
��39. Water Secvice"FinaC � � � ` � '' �� ' ,� `' �• S
Y
-40. GasService-Final � r ��r-r .� � 1z.;. '�-, ��� t
� �'� S �
`�41. Solar pomest�cFin$I� `�J .. ��s � 4 . ., � � � - P
n +� .
� 42.�acktlow Preventer. ~ �1 +' i 1= �* � >�- • -•- J -
�' m rr. ^
43. Backflow Irrtgation; ` ;,�',•s � _ �E�� '�`" .i y:
-1
,44. Landscape icrigatian SVstem^'*.^ �z: * tn G C =�'• : �! .0 '�.C:. x� ` S .-
- r a y t" x� z-
._ `,• .. � � :n c 3: :. ._ � ,, . �. .-+ _^ cC <L
'45 ;Sound Attepuatior� - . .. �„ ,r , ;� _ - .,�`: _
�46. NandicapRegulationz - � > -�' cc •.S Co S K
tn,,•�, � :� �� �
i47. FINALSTRf1CTU�E&BWLDING Z��/G4' �� 'oSIIiZ��"-'�
/i
48: fINAL PLANNING: i - , ' � tr: r' �7 h3 �C + --�
; F:. +.- �-
=�19-Electric Re�ease to�Edison ° � �- `� `� x '' %' '�
ro � x -i� < � :c o
� 60 <Gas-Release to Southem Califo�ia Gas Co x .�= .`+ C. n•: V
- e
51. CERTIFICATE OF OCCUPANCY � Y y C r; �t �o
No. Pate