HomeMy WebLinkAbout658 JOANN ST - Building Permits� I
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(714)754-5273 • Fax(714)754•4856
JobAddress: 658 JOANN ST
Suite:
Viciniry:
Parcel Nunmber: 42215108
Applicant: CROWLEY,KEVIN
Address: 01016 E. FIRST ST
SANTA ANA CA
Owner: VARLEY, JOHN W
Address 658 JOANN ST
CfTY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
COSTA MESA,CA
Contractor: GREATER PACIFIC ROOFING
Address: 01016 E. FIRST ST
SANTA ANA CA
Zip: 92701
Arch :
Address:
Zip:
Zoning:
Phone: 774I83E7966
Zip: 92701
Phone:
Zip: 92627
Phone: 714/836-1966
License: 621368
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXIST. COMP. SHINGLES 8 REROOF WITH CLASS A 25YR. COMP.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other.
Inspection:
Total:
$0.00
$87.25
$0.50
$0.00
$0.00
$0.00
$87.75
SETBACKS
MAIN STRUC7URE Front 0- 0
ACCESSORY Front � 0. 0
PARKING Existinq: 0
NOTES:
Rear 0-0
Rear 4 0
Required: 0
PLANNING & ZONING
LeR 0- 0
Lefi 0- 0
Pro osed: 0
. PERMI� MBER
B98-02303 �
77 FAIR DRNE, COSTA MESA, CA 92626
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
Status: ISSUED
Applied: 1212411998
Issued: 12/2411998
Phone:
License:
53,775.00
53,775.00
EXPIRA710N: This permit shall automatically expire antl become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. . � �
INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work musl comply with all applicable cotles, and all
requlred Inapaetlone end flnal approval must be ob�ained. Failure to obtain inspections and linal approval will result in �he expira�ion of ihis permfl.
FOR INSPECTIONS CAIL: (714) 7545626
WORKERS' COMPENSA710N DECLARATION:
1 here6y etlirm untler penalry of perjury one of t�e fWlowinq tleclaretions:
❑ I heve entl vrill maintain e certlficate ot consent to self-Insure for workers' compensaiion, es D��tled for by 5ection 3700 of ihe Lflbar Catle, tor the peAormance ot the
rk for which this permil is issuetl.
heve end will maintein workere' compensetion insurence, es requiretl hy sectlon 3700 ot Ihe Lebor Code, lor the peAortnance ot Ne work for which this pertnit is issueA.
My wo s' compenullon Insurence ceMer en0 poliry num6er are:
Cemer. _{ T.4X_ ��.[l� Policy Numbar: �7rf.s — 9�
(7hfs section neetl no! be canp/etetl i1 fhe Oermif is valued et one hundretl tlollars ($100) or /oss.)
❑ I certily Ihat in Ihe pertorma of the work for which this permit is issued, I shall not employ any pereon In eny manner so as Io become subject to the workers'
compensation laws ot Cal' Ia, entl agree thet If I shoulE become subject to the workers' compensation provisions ot Section 3700 ot the Labor Code, I shell torthwith
comply with these proN ns�. '' /
ApplicenlSlgneture: /vVV Deta: _�Z/s'y/y `
WARNINQ: FAILUfiE TO SECURE WORKERS' COMPENSATION WVERAGE IS UNUWFUL NND SHFLL SUBJECT AN EMPLOYER TO CRIMI PENAL IES ANO CIVIL FlNES UP TOONE MUNDRED
TIqUSANO DOLLARE (E100,000), IN �DDITION TO THE COST OF COMPENSATION, OAMAGES n5 PROVIUE� FOR IN SECTION 3�OB OF THE LABOR CODE, INTEREST, AND ATTORNE`f5 PEES.
LICENSED CONTRACTORS DECLARA710N:
I hereDy effirm Ihai I setl untler provisions of Chapter 9(commencing with Sectlon 7000j oi tiµhk�ess end Professions Code, entl my Iicense is in full
� . c. a 6— c�ess x_ C'-3 -�1
ntractors Signetura: �D iz � ✓ 9
CONSTRUCTION LENDING AGENCV:
❑ I hareby etlirtn that there is e construction lending egenq lor ihe peRormence ol the work for which this parmit Is Issued. (Sec. 3097, CIWI Code).
Lontler's Neme: Lendefs Address:
Signeture:
Date:
OWNER•BUILDER DECLARATIONS:
I hereDy eMirm that untler penaly ol pehury that I am EXEMPT PROM 7HE CONTRACTORS LICENSE LAW for iha lollowing reason (Sec. 7031.5, Business anA Professions
Code: Any ciry or counry which requires e pertnit to construct, alter, impmve, demolis�, or repeir any structure, pnor to IIs issuance, also requlres the ap0���nt tor such parmit
to lile e signetl statemem thal he or she is licensed Oursuam ro the provisians ol the Contractors License Lew (Chepter 9(commencing with Section 7000) of DMsfon 3 oi tha
Business end Protessions Cotle) or ihet he or she Is exempt therefrom end the 6asis lor the allegetl e:emptlon. Any violation ot Seciion 7031.5 by eny eppliwnt for e pertnit
subjecis Ihe epplicant to e civ,l penalry ot not more ihan Ove hundred dollars ($500).):
❑ I, es owner oi Ihe prapeny, or my employees with wages es cheir sole compensallon, WILL DO THE WORK, entl the strucNre is not Intended or oHeretl tor sale (Sec.
7044, eusiness entl Professions Cotle: 7Te Contrectors License Law does not epply to an owner of property who builds or Improves thereon, and who does such work
himself or hersatl or through his or her own employees, proWtled that suc� improvements are not Intendetl or oHered for sflle. It, however, the building or improvement Is
sold within one year of wmpleUon, ihe ownerbuilder wlll have the burden of pmving that he or she tlid not bulld or improva tor purpose of sale.).
❑ I, as owner af the property, am E%CLUSIVELY CONTFiACTNG WfTH LICENSED CONTRACTORS ta construci the project (Sec. 7044, Business entl Professions
Coda: Tha contractors LicenSe Law does not appty to an owner of propeM �'�0 6uilds or improves �hereon, and who contrecis for such pwject with e coniracior(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Prolesslons Code lor this reason:
Signeture: Date:
Owner ID venfietl by dnver's license. ❑ Yes ❑ No Driver's License No. E:pires:
Venfication at Ownership by (rype of dacument, i.e. - property tac bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
❑ I hereby ceniy that no excavation INe (5) ar more feet In tlepth inio whic� e person I5 requlred to descend, wlll be matle in connection with work euthorizetl by Ihis
permit, end thet no 6ulltling structure, scaNOltlinp, telsework, ar demolitlon or dismentling thereoi, wlll be mora then thirty-siz (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
3C7, Title B, Celllornla Atlministrative Catle).
❑ As owner-builder, I wlll not employ enyone to tlo work which would requlre e pertnit irom ihe Divislon of Indusirlei Sefery, es natetl eDove, unless such person hes e
permit to do such wark tmm ihe divislan.
Slgneture: Date:
Division of Indusirial Sefery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AIRHORQATION OF ENTRV: I certify under penelry of perjury ihe� I heve reetl this appliw�ion entl state ihai �he inlormation given is
correcl. I egree to comply wlth all state laws end clry ordlnances relatlng to builtling consimction, and euthorize representatives oi the City of Costa Mese to enter upon the
above-describeQ.�ro6Stly for inspaction purposes. I agree not ro occupy or ellow occupancy ot any builaing authorizetl by this permit until linal inspection.
COUE I' INSGECTIONTYVE —
1616 Fixod System Finel Fire Preventian
1266
200
201
202
203
Pool Spa Final
Flnel Re-Rool
FIne181ocWRetaining Well
Finel Fectory Fire Plece
Final Sign
204 Final Demalition
2446�d6
�.1 JIII.
Q�b1 �
LOOE I INSPELTION TYVE
206 Finel Mechenlcal
20B Flnel Plumbing
210 Final Electdcol
212 Final Fire Preventlan
220 Final Plenning Apprwel
222 Final Site
250 Final Bullding/Occupancy
�Tii�I'iiilnci
OWNER santa Ana Ranchos DATE 9-30-58
JOB ADDRESS 65$ W. JOan71 Street BUILDING PERMIT NO. T68S �
GHNHRAL CONTRACTOR D1kC & Colegrove VALUE S 1���526.00
AP. No. LOT 35 TRACT 2215 FIRE ZONE DESCRIPTION OF WORK Sirgle R.05. Att, Gaz'.
C '.IP I& J'�'ypE V ZONE PLAN NO.
INSPECTIONS I DATE I I PERM1T81SSUED
SUBCONTRACTOR I DATE I NUMBER
coat
s
- ..
�, ..
� ` . � , �ii�AB��
COSTA MESA BUILDING DEPARTMENT
P. O. BOx 31�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
ADD E'S5 658 �Y. Joavn St.
COSTA MESA. CA�IFORNIA
OWNER 3anta Ana I�mchos
AODRE55 �9 E♦ 1/th St•
TEL.
CITY COPtA T+�PaA� CA�IY. NO. �
ARCHITECT C�.�a^� Q� LIC.
OR ENGINEER �f�& �ah„��U 1�10.
A�DRE55 Garden �OV�
CITY IIC.
CONTRACTOR eC0 -P.P'�PP.� It7C� N�� E
LEGRL LOT
OESCRIPTION NQ, 3
A.P. NO.
S�ZE 60 a l00
OF LOT
BLOCK
�� °F a�°°� none
NOW ON LOT
SETOACK LINE FFOM
ccNr[A oF siA[[i SO� REAR YARD
DESCRIPTION OF WORK
NEW 8 ALTERATION I ADDITION
REPAIft I MOVING DEMOLISH
5 ZI�LOING O$ ftqOOMS � STORIES 1
EXTEftIOR WALL ROOF
COVERING St11CCO COVERING CO�J
USE OF NEW Single fa�ly rosidence
BUILDING
with attached garage.
b��� ��CEi�ED
Q ��'�b
Fl�ANCE DEPI.
�lTY Of t�SiA IifSA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
BY
RECEIVfD BY
S
COSTA MESA. CALIFORNIA
CORRECTIONS
Plan 1309
I MEPEBY nCKNOWLE�GE TMdT I NAVE NEA� TNIS iPPLICnT10N PND
STf�TE TMRT TME /�BOVE I$ CORRECT wND RGFEE TO COMPLY WITN �LL
CITY OR�INANCE$ 4ND STATE REGULITING BUILDING CONSTFUC�
norv. VALUATION
SiGNATURE OF
PERMITTEE
�( � T' s14,526.00
AUTHORIZED AGENYy� & COZBgi'OPC� 113C�
PERMiT FEE 5 ���OO
PLAN GHECK $ ir���
TOTAL FEE S S�-��
,
■
v��
n
DATE
GENERAL CONTRACTOR
PERMIT N0.
OF WORK Patio Cover
DATE � GROUP � TYPE ZONE
SU6CONTRACTOR
OCCUPANCY
Form 410—SM-11-59 5-B P
ll Sld�
. . , ' gs�:�:��
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 9f7 COSTA M68A. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT� p
BUILDING � .�jQ ����y ,� S(.
ADDRESS � �� �! �/
COSTA MESA CALIFORNIA
■ MAIL
■ 86f9ACK
eio. OP atnce.
DESCRIPTION OF WORK
NEW I: II ALTERATION I� II ADDITIO
REPAIR I,. II MOVING I II DEMOLI:
BUILDING NO. OF /J
IL�ING
� � ,. � _ ;�IE�
,3/7/c�� v�.
FINNi�t,t .,; }"
CITY OF COSTA M_sA
APPLICATION fOR PERMIT
BUILDING
For Office Use Only
COSTA M�5A. CALIFORNIA
zo�5 NO. OF use or s
' {/ .� � ruxs �l/ eu�tou+a
tcj_._._ G!
�eaw� � � T ,!f'
IC6MHN LINH 9T.1
�
EVES
' o�.SO �IZ
� HEP88V ACKNOWLED6E �NAT I HAVE P6AD TH19 APVLIGTION {XE AMOUNT BXOWN UNOER VALUAiION IB FOR TXE
AND BT�TE THAT THE pBOVE IB CORRER AND AGR¢E TO COM-
PUPPO86 OF EBTA9L18XING A PERNIT FE8 ONLY.
PLV WITH ALL CITY ORI11 AND BTATfi T�NG
eu1LolNc CONBiAUCT1 VALUATION
SIGNATURE OF `� � Q� PERMIT FEE $�
PERMITTE // ' �
� $ ':/�t PLAN CHECK $ _
' AUTHORIZED AGENT
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