HomeMy WebLinkAbout247 HILL PL - Building Permits, �.
. .' . , � ' �'i��_'� DEl �9•SGP�u[saA621a �4.RAA)I�OO
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICAI�T O F LL IN APPLICATION FOR PERMIT
e���o��� . BUILDING
nooREss
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
I� RECEIPT NO. '�€� IJ�./�
OWNER O I7 V Q�� .V O`J
MAIL FECEIVE� BY OATE RECEIVEO DF?E ISSUyEO
AOORE55 an � G� -/ --s �Z� �''l_-J/
cirv TQ S�i �o�..�/-8'.S3:t nooae�ss �CX/ '
ARcniTecT � ua � COSTA MESA. CALIFORNIA
OR ENGINEER N/ i1 r ��� h0v1
FIRE
ADDRE55 ' ZONE
CITY L.IC �ONE pOp05 TYPE GROIIP
CONTFACTOR NJ' �r NO_ p � �(
ADORE55 NU. BPPRO o �C ( DATE /��/
"`"` ��T CORRECTIONS
oESCAiariorv NO. O BLOCK TRACT ���
A. P. N O. ! g� �� Q'
SIZE � � rvo.ore�o�s/-�Oq✓pD Ji �
OF LOT J O O now oN �or � �
use oF / j�� w�de .,10% de CIT •
ExisTiNc e�oc. uQyq o
serencn uNe Faom 1 q �/ �h 8U CT "O G. OEPT. REG.
cENiEn OF sinEer �— Q REAR YARD pl �� v �
/ 6' ` / / �
SIOE YARD y� �, IGHT � LEFT - � �
DESCRIPTION OF WORK � p�qN Te .
NEW ALTERATION I ADDITION
REPAIR MOVING OEMOLISH
BUILDING � 3 Q S � NO. OF
SIZE ROOMS STORIES' �
E%TERIOR WALL W � � ROOF � •
COVERING C O COVERING� O , D � /�
USE OF NEW y / N'// �S ��
BUILDING � �( �' V V
��/ a � .
The Amount pshown under valuation is for the
I HEREBY ACKNOWLEDGE TX4T I Hl�VE REFO THIS APPLICFTION ANO purpose o G� (1 is ing a permit fee onry.
STRTE THAT THE ABOVE IS CORRECT AND 4GREE TO COMPLY WITX ALL
CITT ORDINANCES FNO STATE lF�NS REGUL4TING 6VILOIN6 CONSTRUC�
nov. "' VALUATION
SIGNATURE OF PERMIT FEE S � �—
PERMITTEE �
� $/� /� �.� PLAN CHECK $ � � �
/�
AtITHORIZED AGENT TOTAL FEE 8 �S �'� �BMs
�
(714)754-5273 • Fax(714)754-4856
Job Address:
Suite:
Vicinity:
247 HILL PL
HOUSE & GARAGE
Parcel Nunmber: 43933103
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Zoning:
Applicant: COVER RIGHT ROOFING
Address: 14262ALLMANPL ..� i ��
' �" Phone: pi4)832-0113 '
� • ,
SANTAANA,CA:��_-� - - . Zip: 92705 -
� „ • �
Owner: SILV
Address ; 2/4�7 H
�t,%%�
��� COST
/
�/
�/ �
Contractor ��COV
%Addr�ess: 14262
i n /� �; =
/��� /� /� i
; ��1� ,' � ' % SANT,
i �; ''-Zip: 7 92705
OICVVHKI ' '
� ,
PL, � `-
1 SA, CA : '
_` '�ii;�� .
CA
.. Phone: ' - '
� Zip: 92627
Phone�, (714)832-0113
License: � 675852
,
PERMl7 NUMBER
99-01290
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 08/13/1999
Issued: 08/13/1999
ISSUED BV:
i ��
_ � ' �\��,\�.
> �A
���� `:�"� � / J A� ,��
�\ �\\�.
\ `\��C�` �/> / � �:'-.\
�\��A� � � `'\
\�\\��. � \ '�'���.
. �
..�-; , , �- ;,�.
��� .
- _.�. ; C" C� �
� �.�A,: ,
��
`
., Arch . '/'/'. � j' �> Eng: . ,. �v
���lAddr'ess� .,�,,�- �� _ _n�"`� Address:. � ' \,:,�. ,
.,. , � � �.
� `� '�Phone. � - � Phone:
1 ,� ' �. � � t ,� : � . . -
^ i A �
:1-; -. � �ti.,,,.- _ - „- A-.. �r:,., _. 'i �,�•-;
1 n,r Zip: � �1� � ;: 9 - License: ' � License: , . . '
� \
�� \ I .% � / `- \ 4'.
� �� ' � ✓� ' % SCOPE OF PERMIT �. , � • '.-
� �REROOF - T/O, USING EXISTING SHTG� 7�LAYER OF 30# FELT & NEW 25 YEAR OWENS 8 CORNING COMPOSITION - �e �
SHINGLE ROOF. _ _ ' � t i
� , �
�, `,�� � � '�� ` FEE SUMMARY � � '
' `�'�, Plan Clieck;'"�-" $0.00 -r• � � _' ` � ' f Calc Valuation: ; -�Sa,2so'oo.
�' �� �„ Permit:�:�,r; � $111.25 _— . � . Claim Valuation: , � �' Sa,zso:oo'
� ,� SMIP"Res:``,' �.: $0.50 , ' , ,
' ���SMIP Com: 1��`� �� $0.00 - � � -','' � � � 1" %
'\� Othec �,� $0.00 � i i �
�.
� Inspection: `� � �`$0.00 . � '
� .,� � �
�,'� �: ���� . � �� � ,: ,
,� �,Total: $111.75 . . . � '
,"
.,�` � . . � � .
� �
t:
V��. i`/, ' _
/ j"
SETBACKS' � � . ,
MAIN STRUCTURE Front " 0- 0 ., Rear 0= 0
ACCESSORY Fron�; -0-0 , . Rear 0-0
PARKING Existinq:� 0 ; Required: 0
NOTES:
� , LeR • 0- 0
Left 0- 0
Proposed: 0
Right - 0- 0. �
Right. 0- 0 � -
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not�commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: '
I hereby aXirtn under penalry oi perjury one ot tha tollowing tleUarations;.
❑ I ve end will maintain a certificate of consent ro self-Insure for workers' compensation, as provitletl br by section 3700 of ihe LaDor Code, tor the pertormance of Ihe
ork for which IhiS permi� i5 i55ued.
I hava and will meintflin workers' compensation insuranca, as required Dy seaion 3700 of tha Labor Code, for the peAormance of the work for which this permit is issuetl.
My workers' compensation Insurance carrier end policy number ere:
Cerner. Policy Number.
(This secNon need not be completetl i! fhe permifls velued et one hundretl tlollare ($ f 00J o� less.)
❑ I cenity that in the pedormance of the work for which Ihis permit is issued, I shell not employ any person in any manner so es to become subject to Ihe workers'
compensetlon laws oi Califomia, and agree Ihat ii I shoultl become subject to the workers' compensation provisions ot Section 3700 of the Labor Coda, I shall forthwith
comply with Ihese Orovisio
Applicant Signature: �/ Date: � � I �' � �
WARNING: FNLURE TO SECURE WORKE a COUBENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSANODOLLARE(3100,000),INAODI THEWSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3lO60FTHElABOROODE,IMEREST,ANDAiTORNEV'SFEES.
LICENSED CONTRAC70RS DECLARA710N:
I hereby attirm thal I am
lorce and etiect. Lic. a_
Contracrofs SignaWre:
CONSTRUCTON LENDING AGENCY:
ot Chapter 9(commencing with Section 7000) of Division 3 of �he Business and Professions Code, antl my Ilcense is in full
Ciass a C — 3�l
� Date: �C I I � �
❑ I hereby ettirtn that there is a conswction lending agency tor tha peAortnance of the work for which this Dertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lentlets Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aHirm ihat under penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5, Business end Professions
Code: My ciry or counry which requires a permit to consiruct, atler, improve, demolish, or repair any sirucNre, prior to its issuance, also requires t�e applicent tor such pertnit
to file a signe0 statement ihat he or she is licensed pursuant to iha provisions of the Contractors License law (Chapter 9(wmmendng with Sectlon 7000) of DiNsion 3 ot the
Business ana Protessions Cotle) or that he or she is ezempt therefmm end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicent for a permit
sub�ecis the applicant to e civil penelry ot not more Ihan tive huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and Ihe structure is not intentletl or oHerad for sale (Sec.
7044, Business and Protessions Code: The Contractors License Lew tloes not epply to an owner of properry who builds or improves Ihereon, antl who does such work
himselt or herself or Ihrough his or her own employees, provitletl that such improvements are not iniended or oHered tor sale. If, however, the building or improvement is
sold within one year of completion, Ihe owner-builder will have the burtlen of provinq that he or she did noi build or improve tor purpose of sele.).
❑ I, es owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Protessions
Code: 7Te contractors Licensa Law tloes not apply to en owner of property who Duiltls or Improves lheraon, antl who contracis tor such project with e coniractor(s)
license pursuant lo the Contrectors License Laws.).
❑ I am exempt under sec. Business end Protessions Code for this reason:
Signature: Date:
Owner ID venfietl by dnvers license. ❑ Yes � No Drivets License No. Expires:
Verification ot Ownership by (rype of dxument, i.e. � property ta�c bill or deetlJ:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certiy that no excavation tive (5) or more faet in tlepth into which a person is required to descend, will be made in connection wlih work authodzed by this
pertnit, antl that no builtling structure, scattoltling, Falsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Celifomia Adminisiretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would raquire a pertnit irom the Division of Indusirial Safery, as notetl above, unless such person has a
permit to do such work irom ihe division.
Signature: Date:
Division oi lntlustrial Satery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUiHORVJ1T10N OF EMAY: I certity under penalry of perjury that I have read this epplication antl state ihat the intormation given is
correct I agree to comply with all state laws and ciry ortlinances relating to building conswction, and authorize representatives of tha City ot Coste Mesa to enter upon the
above-described properry tor inspection purpases. I agree not to occupy or allow occupancy of any builtling aut�onzed by this pertnil until final inspaction.
LODE t, INSPECTIONTYPE
1616 FIxeC System Final Fire Prevention
1266
200
201
202
203
204
2a4618
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Finel Fectory Fire Place
Flnal Sign
Final Demolition
PLff. INTITIRLS
CODE� INSPECTIONTYPE
20fi Final Mechenical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Date
qS
Date
QBg INTITIALS
�