HomeMy WebLinkAbout3020 JAVA RD - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us
BUILDING PERMIT
Job Address: 3020 JAVA RD
Suite:
Vicinity.
Parcel Number: 13924112
Applicant ZIGLAR, WALTER
Address:
Owner: WONG, JUDY
Address 3020�JAVA RD
Zoning: R1 R1
Phone: 949366-6597
Zip:
Phone: 774-832-7013
COSTA MESA, CA Zip: 92626
Contractor: OZONE NETWORKING TECHNOLOGIES
Address: 63 CALLE DE INDUSTRIAS
Phone: (949)366-6597
SAN CLEMENTE, CA
Zip: 92672 License: 758431
Arch :
Address:
Phone:
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 09/25/2001
Issued: 09/25/2001
ISSUED BY: �
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF, INSTALL SHEATHING AND APPLY 40 YEAR PRESIDENTIAL SHAKE COMP ROOFING.
Plan Check: $0.00
Permit: $223.25
SMIP Res: $1.27
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $224.52
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING 8 ZONING
Rear 0- 0 Left 0- 0 Right 0- 0
Rear 0- 0 Left 0- 0 Right 0- 0
Required: 0 Proposed: 0
s�2aoo.00
s�z,�oo.00
NO710E: The work authorized by ihis 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 expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inepeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permi�.
FOR INSPECTIONS CALL: (714) 7545626
244646 (8/00)
WORKERS'COMPENSAnON DECLARAnON: "
I hereby eHirtn under penalty oi perjury one ol the following tleclaratlons: '
❑ I heve entl wlll maintain e certificate of consent to self-Insure for workere' compensation, as provided br by section 3700 of ihe Lebor Cotle, for the peAortnance of the
wo tor which Ihis pertnit Is issuetl.
and will maintain workers' compensa�ion insurenca, es required by section 3700 ot ��e Lebor Code, for the peAortnance of the work for which this permit is issuetl.
My workers' compeqsatyon Insurence casrler end policy number ere:
Carner:
(Thls sect/on
or less.)
Policy Number:
❑ I certily thet in the pertortnance ol tlie work for which Ihis pertnit is issued, I shall not employ any person in eny manner so es to Decome sub�ect to the workers'
compensatlon laws of Calitomia, rea t�ei If I should become subject to the workers' compensetion provisions at Sectlon 3700 t the Lebor Code, I s�all forihwith
Comply with lhesa pro sions. �j% ^
Applicant Signeture: � Date: " 1 O` �� � �
WARNINO: FAILURE TO SECURE WORKERS' C SA N WVERAGE IS UMAV/FUL AND SWLLL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED
T/IOUSAND DOl1ARE (5100,000). IN ADpfT10N T E COST OF COMPENSATION, OAMAGES AS PqOVIDED FOR IN SECiION 3lO60F THE IABOq CODE, IMEREST, AND ATTORNEI^S FEES.
I�Cd�2F97�Zd�7�i1:7S�5ii]:L--7 �] ��
I hereby aflirm ihat I am licansed under provisians of Chepter 9(commencing with Section 7000) ot Dlvision 3 oi Ihe Business entl Professioni Cotle, end my license is in full
torce end etlect. Lic. # r' Class q_ I �_
r
Contrector's Signawre: �� �. Date: i �
I
CONSTRUCTION LENDING AGENCV: �
❑ I hereby aftirtn that there is e construction lending agency tor the peAormance ol the work lor which this permit is issued. (Sec. 3097, Civil CoCe).
Lenders Name: Lender's Address:
SignaNre:
oate:
OWNER-BUILDER DECLARATIONS:
I hereby etfirtn thet under penalry of perjury thet 1 am EXEMP? FROM 7HE CON7RACTORS LICENSE LAW for the following reeson (Sec. 7037.5, Business and Prafessions
Code: Any ciry or county which requires e pertnit to construct, elter, improve, tlemolish, or repelr eny structure, pnor to its issuance, elso requires the eDPlicant for such pertnit
to tile a signed statemeN t�et he ar she Is licensetl pursuent to Ihe provisions oi ihe Contrectors Llcense Lew (Chapter 9(cammencing with Sectlon 7000) of Division 3 ot t�e
Business end Professions Code) ar Ihet he or she is exempl therelrom and tha �asis for ihe alleged exemption. Any violatlon of Section 7031.5 by eny epplicant tor e pemi.
sub�ects the applicant ta a civil penelry ol not more then tive hundred dollars ($500).):
❑ I, es owner of the propeny, or my employees with weges es thelr sole compensatlon, WILL DO THE WORK, and ihe sirucfure Is not Intended or ottere0 for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to en owner of properry who 6uilds or improves thereon, and who does such work
himself or herself or ihrough his or her own employees, providad ihat such improvemen�s ere not Intended or oHeretl tor sale. If, however, iha building or improvement is
soltl within one year ot completion, ihe owner-buildar will have the burden ot proving that he or she did not builtl or improve for puryosa oi sale.�.
❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Professions
Cotle: The contrectors License Law does not epply to an owner of property wha builtls or Improves thereon, antl who contracis br such pro�ec� with e contracior(s)
license pursuanl lo ihe Contwclors License Laws.).
❑ I em exempt under sec. Business and Pmfessions Code for Ihis reason:
Signature: Date:
Owner ID venfietl by drivels license. ❑ Yes ❑ No Orivers License No. Expires:
Vedflcation af Ownarship Dy (type ol dwument, i.e. - propeny tex bill or tleatl):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
❑ I hereby catlify ihat no excavetlon ilve (5) or more feet in depih into which e person Is requirea to tlescend, will be made in connection wl(h work euthorizetl hy this
permit, and �hat no building strucWre, sceHolding, talsework, or demolition or disman�ling Ihereof, will be more than thirty-six (3fi) feet high. (Chep. 32, Gry 2, Ah 2, Sec.
341, Title B, Califamia Adminisiretive Coda).
❑ As awner-builder, 1 will not employ enyone to tlo work which would require a permit Irom the Division of Indusirial Sefery, as noted ebove, unless such person has e
permit to do such work irom tha division.
Signeture: Date:
Division ot Industnal Safery Pertnit Number:
CERTiFlCATE OF COMPIIANCE AN� AlfTF10RIZA710N OF EHTAV: I certily under penalry ol perjury that I have read this applicaUon end sWte tha� Ihe infortnation given is
correcL I egree lo comply with all state laws enG ciry orUinances relating to building construction, and authorize representatives ot the Ciry of Coste Mesa to entar upon the
ebove-descnbed properry for inspection puryoses. I egree not to wcupy or allow occupency ol eny building authorized by this permit until finel inspection.
CQOE 1. INSPECTIONTYPE
1618 Fixetl System Final Fire Prevention
1268 Pool Spa Final
200 Finel Re-Roof
201 Finel BIocWRetaining Wall
202 Final Faciory Fire Place
203 Finel Sign
204 Final Demolition
QLIE I[�Akff
_/f��/L'D/ �
� ��"%�/
—oa�
COOE I INSPECTION TYPE
206 Final Mechaniwl
20B Final Plumbin9
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Apprwal
222 Final Site
250 Final Building/Occupenty
QAIE I[�4$
B J & H CORP.
JOB ADDRESS .
owner
Service or Pole
nn� 4-13-65
BUILDING PERMIT NO.
�:PTION OF WORK res. w 3'tt.
:ON�: 3 Vai,UE $ 2, 5• 00
JUP I&JTYPE V ZONE
SUBCONTAACTOR I P�AMLT:
n�ro i iv,.,,
� 2385�
` COSTA MESA BUILDING-SnfETY DEPARTMEM'
P.O. BOX 21] COBTl1 M68A. CALIFORNIA
For Applicanf to Fill In Comple►ely
TYPE OR PRINT
COSTA MESA, �CALIFORNIA
■ ARGHITEGT A 94 L\� . . T6L.
LeOAL
�,eor s,�� �;���t� 6�it�N
� 7 1965
BUILDING
for Offica Use Only
R6C61M NO.
NO.OP �
PLAXD
GITY ��, A. P. NO. ' '— Y
STATE '`✓ I TBL. �—' 90T TO SIDfi 8 REAR pHANG SHALL BE LE9fi THAN
LIC. NO. J l N.
EAVE3
SIZE I No.OseLnas. D ALLOWEO /U.B.C.RE�UIREMENT'.
OF LOT Q Now oH WT
YAi2DSAPPROVEO YAROSAPPROVED
USE OF __ __ ,__ _ MAIN BUIL�INO ACCESSORY BUILDIN6
� 9ETpACN LIN[ PROM
1#ii �7 l'i i[•1: t•I 3: L•13 3
BUILDINC AfID WqRK TO B6
1 HER6BY �CKNOWLeDOe TMAT 1 HAVB pBAD TH16 APPLICAT�ON
AND BT�TB TNAT TMH ABOVH IB CONPHCT ANO AOREfi TO COM�
PLY WITH ALL CITY ORDINANC80 ANO BTATH LAW/ RHOULATINO
BOILOINO WNeTRUCT�QN� p
PERMITTEF OF � L��l� C� VM"
AUTHORIZHD A6QPoT
VAR. � DATE
C.U.P.iC APPR
APPROVED / . .i .1�
'� � o
60. FT. 7 ^Gtl�i
THE AMOUNT lNOWN IINOER VALUATION 19 POH TN2 F
PUHPOSfi OF 86TABL18NIN0 A PERMIT FEE ONLT. 0
VALUATION pd �7 'j m
PERMITFEE p �7 �
/� � / �/� m
� J / � $S PLAN CHEClC $ '(F �
✓YJ/ l0
_ /7t' a
JOB ADDRESS
oi
SUBCONTRACTOR I Da[e
NO.
� 24' ? � CiTY +�F �"' ' � �:� �iS
,• COSTA MESA BUILDING-SAFETY DEPARTMENi SEP 27 1965 �
P.O. BOX 1T00 GOSTA MESA, CALIFORNIA 92626 I