HomeMy WebLinkAbout3244 INDIANA AVE - Building Permits?HOJECI'AUOflE55: 3 z Q Q IND I ANA AV
, OWNEHSNRME: J.�]jP,MS ELOISE K
� ADDFE55: $BLACk, ELOISE T
6900 MARCONS ST
�, FIUNTINGTON HEACA,CA 90255
APCH/ENGINEEfl: NEG.NO.:
FUOflESS:
UNIT:
UNR:
V PEflMITTEE: DA SILVA ROOFING ( 714 ) 364-1826
aooness: z�325 NUBLES
MISSION VIFJU CA 92692
UCENSED CONTHACTOB �ECLAflPTION: I �ere6y alfirm I�al I am Iicense0 untler pmvisions al C�apter 91�ommencing wi�� Section
70001 ot Divsion 9 al Ihe Busine55 ana Pmiessions Cotle, an0 my license is in full lorce an0 eflect.
ciTvuc.: 0513[5j2�{ STFTELIL 03901 cuss: C— �
Dale: � ' �- i_/_I— - Signaiure', _ _ _
WOBKEXS' COMPENSRTION OECIAflATION: I hereAy allirm I�a� I �ave a ce hcate oi consenl m sell-insure or a cenilicate oi Workers'
ComDensalion Insurance. or a t¢rtilied copy Ihereol (Section 3800, lab. CI.
POLICY NO.: E%P. OATE:
COMPANY:
❑ Cenifiea copy is neceby lumishee. ❑ Cerlilie0 copy is filea witn Ine ciry Builaing Uidsion.
�ate: Applicanl:
E%EMPTION FPOM WOPKEBS'COMPENSPTION OEClA�6TI0N: Qhissection neetl no�becompleteEi�thepermtisiw o� hu�Mretl(S11q�orle55)
1 ceNty Ihal in ine periormance oi ihe work for aMfch this permil is issued. I shall employ an^ � son in any anner so as to became
subleci to Ih`e WO'MeyrS' [C�omDe�ns{alion Laws � CalAomia. '
Date: �/ � I I � SignaWre:
NOTICE: II, aM1er making Ihis aeclaralion, you should �eco e su�lem to ihe Workers' Compensation pmvisi ns oi ihe Lahar
Coae. you must lonhwiln comDly witn such pmvisions or t s Dermit shall be tleemetl revokee.
CONS7PUCTION LENOING RGENLV: I hereby ailirm that ihere is a constmction lending aAency for the perlormance of �he waB for
wnich this permn is issuee (Section 3097. Civ. CL
IENOEP:
nooness:
OWNEB BUILOEfl OELIANATION: I hereby allirm �Aat I am eKempl Imm I�e Contrac�ors' S�ate lic¢n50 Law lar I�e following reason
�Seclion 70.37.5 Business aM Professional CoOe'. Any cily ol county w�ic� repuires a permit ta constmct. alter, im0�ove, Oemolis�, or
reDair any sim[Iure. Orior �o ils i55uance. a150 reQuires ihe apDlicant for suc� permil Io lile a SiBneE Siat¢meni �ha� he/she IS Iicense0
pursuant io me provisions of ine Comraaars' Slate License Law �Chapter 9(cammencing wit� Seclion 7000) ol �iNsion 3 0l ihe 8usiness
ana Pmlessions CoOe) or �hai he/s�e is eKempt therefmm antl the basis for l�e ali¢ged exemptian. Any Nalaiion ol Section 7031.5 by
any applicani lor a permit su0jects the aD0licani Io a civil penalry o� nol more t�an five �unAreO dallars (5500).
I, as awner of ihe o�openy or my em0layees with wages as Iheir Sale compen5ation, will tlo ihe work, antl the
❑ stmcwre is noi intenUetl ar oilereG for sale (Section 7044, Business and Pwiessional Code: The Coniractors' State License Law
does not apPN �o an owner ol a propeny who �uilds or impmves Ihereon, anA who tloes such wark himsell/herself or thmugh
�is or her own employees. D�ovi0e0 lhat such impmvements are not imended or offered br sale. Ii, �owever Ihe huil4inB or
impmvement is sola wit�in one year ot comDleiion, ihe owner will have the �u�den ol Dmving he/she aia no� build or impmve
• �or �he Ourpose of sale).
I. as owner of ihe Ompetly, am exclusivety con�2ding with licensetl con[ractors to mnstm[t Ihe pmjec� (Sec�ion 7044, Business
❑ antl Pmfessions Cotle' T�e Comractors' State license Law Ooes not apPry to an ovmer of proceny who 6uil�s or impmves tAereon
an0 who comracts br suc� o�ojer.�s wit� a coniraclor(s)license pursuantlo t�e Contractors' S�aie License Law). I am aware
Ihai proof of I�eu Worker's Compensation insurance s�oulG be proNdetl to me.
� I am exem0� unaer Seclion: 8. 8 P, C.
for Uis reason:
Daie: Owner
I tlo here�y ceriily Inal I am aware ol ana untlers�ana Ihe requiremems o� Calilomia Health anE Salety Code Seclions 25505. 25533, and
2553C andthal Ioranyiulure huil0inp otcupaniwilllwill not (Circle one) nee0to compiy vn1A SaiU sla�e co0e5 anOtherequiremenls�or a
permit lor consimction or mo0ilicaiion Imm Ihe Air Oualily Manag¢men� DiSirici. fleSiJeniial cons�mction applica�ions are eKempt Iwm
these omvisions.
�ale: App/iicanL
I hereDy tenily Na� I have rea0lhi5 aOPliCalio� Slaie Ihal IAe above intormalion is cOrreti re¢ l0 wmply wilh all Ciiy antl Counry
or0inances an� Slalelawsrelatinglo�uilaing co Imclion antl �ere6y aul�oriterepre5eniative5 � . �•r uponthe abme�menfione� ,
pro0eriy fo� m5pecimn pu///rro���5e5. ( i
, Date: ��—y— Signa�ure. � �
�I o�i�ers �¢e�se o� saciai security r:
164La6 WM1ne-Bwleing; Green-CoEe EnlorcemenL Ganary-ApplicanC Pink-Revenue: Golaenrotl-Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B U522U
PERMSi NO: H 052209 PLAN CAECK NO: N GO�'T: N SJPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPt: STR PJRFOSE: ALT
JOB DESCRIPTION : REROOF 2100SF RESID 6 GARAGE W/CLASS A SQ FT: 3,200
CLAIM VAI.UE: 3,200,00 CALC—VALUE: 3,200.00 GROUP OCC: R-3 /M-1
COMMENTS: REROOF W/ FIBERGLASS SHNGLS �a'��������
�iFiEiEif�EiEjEiEiEiElfiF#EiE�ff#if�lfiE�%���9EitiEiFiEiFiE�fifiE��3EiElEifiEiFifif�lFiEiE3EN�kifiEiEiEkiE�fififiEifif3Eif ¢1�e
'L O N I N GS ERTEH�AUCIKRSE M E N T S �p}-��py-��Q/yy 1pyp..�qpr..
. . y LLI'-�`N.:6�0�0 6Ms�
..,....
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT ZN 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: 13921121 ZNE: REF NO:
PLANNING NtST'ES>
i _
x+�**��,��,���***���,����**�****�r*�x****��**��***�*,������*+�***��***+�*********�****�«
- D E V E L O P M£ N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY; %k DATE• ���
iE3f�F1ffE3EifiEif3FiEiflFaElf3F#iF3F�FiFiE K1fiFif�Fl4afiEi4�F � 36if
if �F �F iE it if IE iE if iF iE IE iF iE �E iF if iE iF iF 1F iF iE 1E If if j!!f iE if �f k IE 1E if if if iF iE 3f iF 3F i(� N� IE if iE if If if if iE lE if �E if IE if 3f 1f iF if iE iF iF if jf N� iF af iF IE if if it if �F if 3f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 63.00 .50
SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63,50 0.00 0.00 63.50 63,50 .00
REVENUE DZVISION TOTALS--> COLLECTED; 63,50 OVER/SHORT; .00
HLDG PMT PLUM.HING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63.00 .50
�E �F 1E iE if iE 1f �1E iE �F if af 1f if fE iE Ik �E �f �f IE iE ik iF iE lE iE if iF aE if �7F if 3f 3E fE IE 3F I! 1f iF �E iE IE if iE if iE if if if jFjF �E �E iF iE 1E iE if iF iE iE iE If 1F if iE 3k iE if # iE iF 3E at af 3f jF
I N D I 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 UNZT COST TOTAL COST
SFR 3200 REROOF BY VALUE RESIDENIAi. NOZONE 1.00 3,200.U0
' END OF FEES
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'�'.ONSTRUCT�ON AND PLANNING PO . SPA
.APPRRVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical $ervice'or Pole ��• 52. Pool & Equipment Location �C �
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
7. Footings 58. Electrical Conduit-Undrgrnd. -
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �_ ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ��
10. Structural Fioor System �-- 67. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap . 63. Heater & Vent•Final �
13. Roof Dreins �� 64. Plumbing System � Final � I
14. Rough Plumbing 65. Electrical�Final
�
15. Rough Electrical-Conduit 66. Solar SYstem-Final �� �
i 6. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOIlSPA SYSTEMS FINAL
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � ' � APPROVALS -Permit # '
21. Dutts, in Structure � � 70. Undergcound Hydro
22. Ducts, Ventilating • • 71 . Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � _ 72. Underground Flush . �
24. Roof Framing - � 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing ' - _ -. . 7q, pverhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat ' � 75. Dry Chemical
27.. Frame and Flashing � 76. Dry Standpipe �
28. �athing.& Siding ' ti • � 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIFE PREV. FINAL .
30. Drywall Nailing � �' _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat j � 79. FINAL I(JSPECTION
32. Electrical Power Meter-Final� . �•�SO.�FOOD CERTIFICATE ISSUED
33. Final Electric '' , � '� � Notes:
� 34. Final Heating & Air Conditioning, ' � � - �
i
35. Final Gas Pipe-Test � i �� ' ' �
36. Hood or Canopy , .
37. Final Pactory Fireplace � �
38. Final Plum6ing
�39. Water Service-Final '
40. Gas Service�Final . . �
41. Solar pomestic-Final'
42. Backflow Preventer. , ; .
43. Batkflow Irrigation ' '
44. Landscape Irrigation System � � . � ,
45. Sound Attenuation� � '
46.,HandicapRegulations �, .
47. FINAL STRUCTURE & BUILDING �0 �
48. FINAL PLANNING � - .
49. EleMric Release to Edison i �
50. Gas Release to Southern California Gas Cn ' ' ' " .,
i
51. CERTIFICATE OF OCCUPANCY . - �.� � �
No. Date
. � � ��
COSTA MESA BUILDING-SAFETY DEPARTMENi
P. O. BD% 3tT COSTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complelely
TYPE OR PRINT
BUILDING
aooaess 2 Ind7.ana Ave.
GOSTA MESA CALIFORNIA
� MAIL
on &
APPROVED
IONE
R •
�caw
In�cE... Lnt .. tncl `��,.,����noe.
�EQ R MC�IVED
M FIKA�'CE DEPT.
�►T1f Of COSiA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
nece�rr Ho. �eP�t�!' Q
7[��
�- � OAT6 pEC�.FiVEO � �ATE IBSUED
COSTA MESA. CALIFORNIA
ZONING
NO. OP I U6E Oi NEW
PUNB /� BUILpING �
3 BLDG . YARDS
APPROVED
LINB FAOM (C6NT{R LINS BTJ
�R eiR66T SO� REAR YARD �n� FRONT
RD I LEFf � I RIGHT � � R. SIDE
DESCRIPTION OF WORK
OF
EXTERIOR
COVERINC
USE OF BI
I HHfi6BY �CKNOWLeD08 THAT 1 XAV6 pEAD TXIB APPLIGTION
AND 8TAT6 THAT TMB ABOV¢ IS CORPECT AND AOPBH M CON-
PLY WITH ALL GITY ORGINANCEB AND BTATH lAW6 IiHOULATNO
BUILDINO CON9TMUGTION.
SIGNATURE OP �/�� _
PERMITTE
AUTHORIZED AGENT Dike & Cole ove InC�
EVES
0
�
TXE AMOUM BHOWN UNDHR VALUATION 18 FOR TMe
PYRPO88 OP EBTABLI8MIN0 A PERMIT FE6 ONLY.
s 1Q,179.