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Home My WebLink About2941 JACARANDA AVE - Building Permits(774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us - 77 FAIR �RIVE, COSTA MESA, GA 92626 BUILDING PERMIT ' Job nddress: 2941 JACARANDA AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 13921113 Applicant: HIGUERA, JOEL Address: 555W 182ND ST Zaning: R1 R1 Phone: 310-527-6770 GARDENA, CA Zip: 90248 Owner: JOHNSTON, GREGORY JOSEPH Address 2g41 JACARANDAAVE Phone: COSTA MESA, CA Zip: 92626 Contractor. CENTRAL ROOFING COMPANY Address: 555 W 182ND ST GARDENA,CA Zip: 90248 Arch : Address: Phone: (310) 527-6770 License: 684960 Eng: Address: Phone: (SSUED SY: Status: ISSUED Applied: 06/20/2002 Issued: O6/20/2002 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF AND COVER WITH 30 YEAR COMP. REPLACE ANY BAD SHEATHING AS NECESSARY. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 � '. Total: $111.75 SETBACKS MAIN STRUCTURE Front � 0- 0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Sa,soo.00 5a,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall 2utomatically expire and become void if work is �ot commenced within 180 days, or if work is suspended or abandonetl for a period of 180 days. C. . • - • INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and finel approval must be obtained: Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . 2d46-46(6/00) ` WORKERS' COMPENSATION DECLARA710N: I hereby affirm under penalry of perjury one of Ihe tollowing tleclarations: . ❑ I heve end will rAaintein e certificete af consent ro setl-Insure for workers' compansation, es provitled tor by section 3700 of the Lsbor Cotle, for ihe pertortnence of the work tor which this pertnit is Issued. 1 have antl will mel in workers' co ensation insurance, as required by sectlon 3700 of Ihe Wbor Code, for the perFortnence of the work tor which this pertnit is issue0. y workers' com satlon Insura '�''',' ie�r a�ntl� poli�cy%� m� r are: /` �[/� p /� Carrier. � �r�l��'�liL//-�� Policy Number. � 7 —�l �a 9l0 � � (This section need not be complered il (he permit /s valued at one hun e tlollars ($ibOJ or /esa) � ❑ I cartity that in tha peAormance of the work br which ihis pefmit is issued, I shall not employ eny person in any manner so as to 6ecoma subject m Ihe workere' compensatlon lews of Calitomia, entl egree ihat ii I should become subject to Ihe workers' compensation provisions of Secti 3700 of tIII�� Lebor Cotle, I shall tonhwith comply with ihese provision /�(—� � %n^ _ / ^ � Applicant Signature: � Date: � 0�� I V WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS IINLAWFUL AN� SHALL SU8IECT AN EMPLOVER TO CRIMINAL PENALTIES 0 CIVIL FlNES UP TOONE HUNDRED TFKK/SAND OOLLARE (5100,000�, IN ADOITION TO THE COST OF COMPENSATION, DAhUGES AS PROVIDED WR IN SEGTION 3/O60F THE LABOR CODE, INTEREST, ANO AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn thel I em licensetl under nfovici� r�.CI��fCCcnmencing with Section 7000) oi Division 3 of ihe Business and forca and ettect LIc. # lJ� b�� LJ Class a Contraaor's Signeture: z Date: end my license is in full CONSTRUCTION LENDING AGENCV: � ❑ I hereby eHirm Ihat Ihere is a construction lending egency for the performance ot Ihe work for which this permi� is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lender's AOdress: SigneWre: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or counry which requires a pertnit to construq. alter, improve, demolish, or repair any slrucNre, prior to its issuance, also requires the epplicant tor such pertnit to file a signed sretemem ihet he or she Is Ilcensetl pursuant to Ihe provlslons af the Contrectors License Lew (Chapter 9(wmmencing with Section 7000) of Division 3 of the Busineu end Prolessions Code) or thet he or she is exempt theretrom and the besls for the alleged exemption. Any violation of Section 7031.5 by eny appllcant for e pertnit subjecis ihe applicant to e civil penalry of not more ihan tive hundred tlollers ($500).): ❑ I, as owner of the property, or my employees with waqes as iheir sole compensation, WILL DO 7HE WORK, and ihe structure Is not intanded or oHeretl for sale (Sec. 7044, Business end Professions Cotle: The Contraclors License Law does not apply to an owner ot pmperty who builds or improves ihareon, and who tloes such work himseN or hereelf or ihrough his or her own employees, provided ihat such improvemenis are not Intended or oHered tor sale. If, however, Ihe 6uiltling or improvement is sold within one year of completion, the ownerbuilder will have ihe burden ot proving ihat he or s�e did not build or improve for puryose ol sale.). ❑ I, as ownar of the property, em E7(CLUSIVELY CONTRAC7ING WITM LICENSED CONTRACTORS to constmct the project (SecJ044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracis for such pro�ed with a contracbr(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Signature: Owner ID veritietl by tlriver's Ilcense. ❑ Yes ❑ No Business and P�ofessions Code for this reason: Verificetian ot Ownership by (type of document, i.e. - property taz hill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify Ihat no excavation tive (5) or more feet in depih into which e person is requlred to descend, will be made in connectlon with work authonzed by Ihis pertnit, and that no building siructure, sceflolding, talsework, or demolition or dismantiing thereof, will be more ihan ihirty-six (3fi) feet high. (Chep. 3.2, Grp 2, A� 2, Sec. 341, Titla 8, Celifamia Adminisirative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would requira a pertnit irom �he Oivision of Indusinal Satety, as notad ebove, unless such pereon has a pertnit to do such work irom the divisian. SignaWre: Date: Division af Industnel Sefery Permit Number: CER7IFICATE OF COMPLIANCE AND AUiHORIZATION OF ENTflV: I certify under penalty ot perjury that I have read this application end s�ate �hat the informa�ion given is correct. I agree to comply with all stete laws and ciry ordinances releting to 6uilding constmction, end authorize representatives uf the City oi Costa Mesa to entar upon ihe above-described property for inspection puryoses. I agree not m occupy or allow occupancy oi eny building authorized by Ihis permit unlil finel inspection. �/ � Signature Of Legal O � ��5�-�-�1 �`� And/Or Authonzed Applicant COOE I. INSPECTION TYiE tfi16 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final RB-Roof Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition DATE � v � —aZ �c�. - ��/ �°�-- Date CODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy pRTE INTRIRLS � OwNER COCORAN� MR. DATE 5_u_77 JOB ADDRESS 2941 Jaceranda Avenue BUILDING PERMIT N0. 43q(k r_cuco�i rnuro��tno _... _ _ . __ nce�eietinu _� wnov ... _ _. _.. No. 139-211-1� LOT 14F3 TRACT 2822 F GAS WATER ROUGM PWMBING PROP: SWN. LINE � NOUSE SPRINKIING SVSTEM ISCELLANEOUS ��NOUGN NEATING �N� AIR C0� TEMPORAqV SERVICE OR POl o UN�ERGROUNO � POWER 3 ROUGN WIRING �i TRENCMES FORMS � fL00R SVSTEM BOND BEAM � 'STEEL RE SNEATNING FqAME ANO FLASNING L�THING — IN rJ OUT � PLASTEA. 6ROWN COAT STRUCTURnL, FINAL HEATING, VENT., REFRIG. �I PLUMBING. FIN�L �NO GAS 1 ELECTRIC, FINRL BUILOING. FINRL GOFfICI � YGhIIICGMCNTG SUBCONTRACTOR � 43964 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fdl in Comple[ely — Use Ink Only BUILDING ^��/ A��d.✓�i% .�.pl - AODRF_SS !lf ✓ OWNER MAIL AODRE CITV BRANCH ADORESS ARCHITECT OR ENGINEER ADDRESS CONTRACTOR ADORESS CITV F STATE � LIC. NO. � {y SIZE G+ OF LOT a USE OF �.N. EXISTING BLDG. � TEL. NO. � — TEL. � NO. � / TEL. � NO. CITV LIC. NO. ,I Y NO. OF BLDGS. NOW ON LOT F Separate permits are required for Q electric, plumbing and heating work. [.�.i USE OF IfyQ_ OFiK TO BE PEFFOR� Q 0 a 7 r .a x w 0. I� BUILDING ADDRESS � Pa�o �1AY 11-77��,,,�0 566# *t**tr9.50 FOR STRUCI'URAL PERM[T DATE RECEIVED DATE ISSUED �� 7 ��//�/./ I .. � ��A�� B S��y Dh�✓ W�9L� VALUS 9OU FIFE J ZONE TVPE GROUP APPROVE r � BV L DATEJ� � ZONE NO.OF USE OF NEW �—I PU+� BUILDING YARDSAPPROVED VAROSAPPROVEO MAIN BUILDING ACCESSORV BUILDIN DISTANCE BET. MAIN BLDGS. VAR. ,� 0 I hefeby acknowletlpe ihai I have reatl thia appllcation entl state p4 that tha above Informetion is coneet and agree to comply wlth a ell lews repulatlnB building conrtructlon, and I shell not employ z eny person in vio�ation of ffie workman'c compensaHon laws of ` � the Siaie of Celifornle. 3 I hereby cartify thet I am properly Iicensed as a con�reetor untler the Siete ot Calitarnia Bualnecz and Profassions Code, Dlvision 3, THE AMOUNI Chapter 9, entl thet euch Iicence6 are In full torca entl effect, or I THE PURPOSE � em axampt from the Drovlaions ot e Stet f Cellfornia Buslnesa VALUATION end Profeulons Cotle, Dlvisl 3 �ep r 9 Sipneture of , � � Permlttee $ � Authorizad ABant FT OATE �• APPFOVED ner� J � �� h n m i m N VN UNDER VALUATION IS FOR m 'ABLISHING A PERMIT FEE ONLV: e PERMIT FEE § a N ro PLAN CHECK y ^� 0 TAX E �� LL f U TOTALPAID E � � oWNER HOIES, Glynn G. JOB AnDRESS 29Lt1 Jacaranda G�NERAL CONTRACTOA Owne nP rro.113-591-13 LOT INSPECTIONS OCCUPANCY � DATE �.i-19-F2 BUILDING PERMIT NO. •T3uilder vnLUE $ 1,100.00 TRACT PIRE ZONE DESCRIPTION OF WORK Add.Pat.COV.tO Signature DATE GROUP J TYPli V ZONE R_ Res. - SUI3CONTRACTOR �fITS ISSUED - DATF NUb4BER Fy' _ � 16918 COSTA MESA BUILDING-SAFEN DEPARTMENT P. O. BOX 9f7 C087A MEHA. GLIFORNIA For Applicanf io Fill In Complefely TYPE OR PRINT BUII.DING // / d� ADDRE63 0< r1� COSTA ME50. CALIFORNIA . �1 r-� � � ARCHIT8G7 � SIZE %Km �. .� --. I No, or e�oae. 6HTBACK LINH FROM cer�rsn or errscar REAR YAR[ SIDE YARD ILEF7 IRIGH7 DESCRIPTION OF WORK i � ii i ii BUILDING � � 2 Ntl� OF 61ZE /� ROOMS EXTERIOR WALL R�OF COVERING COVER USE OF BUILDING AND WORK TO 6 BU zoxe �eow� i-tk KtI;tlVtv � Fl��I�@ f�T. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only PHC8IPT NO. P COSTA MESA. CALIFORNIA �2�ONING ' �-��, NO.OP � I 119H OP NfiW PUNO � �� BUILDINO (�� r� �� I Y�� ` � / 3-�%/- / �'� YARDS EV65 APPROVED (CHNTBR LINH 6T.1 ��-�`� FRONT L�-% . R.SIDE �/ , �,.,� � APPROVED �� 1 HEPHBY ACNNOWLE008 THAT 1 HAVB R6AD THIB APPLIGTION THg AMOLINT 9HOWN UNDEP VALIIATION IB POR TXH AN� BTATE TNAT TH6 ABOVE IB COPRELT AND A6RE6 TO COM- PUIiP096 OP EBTABLIBHING A PBNMIT F8E ONLY. PLY WITH ALL CITV OFUINANCEB AND BTwTe LAWB RHOUL�TINO eut�.oirao eoHerx I � VALUAT ON M„ 81GNATURH OP PERMIT FEE $ � �^ PERMITTE �"(� $ �/�i PLAN CHECK $ � AUTHORIZED AGENT TOTAL FE8 � t; (� p � V ��C7 � �, COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31� COSTA MESA, CALIFORNIA FOR APPI/CANT TO f/lL /N COMPLETEIY . TYPE OR PRINT BUILDING � � AD�RESS 2941 Jacaranda Avenue COSTq MESA, CALIFORNIA ARCH OR EI LEGAL Adams Acres Inc. 419 E. 17th St. Costa Mesa Carlson & �!� Dike & Colegrove, Inc�STATE 16729: 2ACTOR LIC.NO. :ss �+19 E. l�th St. � Costa riesa ZONlNG __..._. I`�T �J� I......-.. I�......� �ONE NO.OF IlSE OF NEW � IPLANS �_ IBUIL�ING APPROVE� � BV ne YARDS REOUIRED (CENTER LINE ST.) FRONT I ( _ R.SIDE _.. -.l� °1.�•.�JI•. - � AUG 7 1959 ,'��,1?1•1nF ��L?�. APPLICATION �FOR rP.ERMIT BUILDING FOR OFF/CE USE ONLt' BY IBSUED COSTA MESA, CALIFORNIA � �i �1, —�� C� SIZE ?O X OF LOT NO.OF BLOG'. NOW ON LOT SET9RCK LINE fFOM CENTER OF STREET SO� REAR YARD SIOE YARD I LEFT S. S� I RIGHT S 1 DESCRIPTION OF WORK r.�r.�� SRIE DING lOOl EXTERIOR WALL COVERING St USE OF BUILDING Single farr attached e TO BE PERFORMED EVES , .._..__. .._...._..----� ...... . ....._ .._._ ...... .... _._...._.. pND 6TATE TM�1T THE ABOVE IS CORRELT NNO qGREE TO COM� THE AMOUNT BXOWN UNOEP VALUATION IS FOR TME PLV WITH ALL CITY OFbINANCEb ANO BThTE LAW9 NEGIILATIN PURPO6E OP ESTABLISHINO A P[FMIT FEE ONLY. BUILOING CON6TRll IOry VALUATION SIGNATURE OF � �� PERMIT FEE s 35�00 PERMITTEE p ` $ PLAN CHECK $ 17 � JO AUTHORIZEO AGENT �� & Colegrove, Inc. 15'9� TOTAL FEE $ 52�"O V,�