HomeMy WebLinkAbout971 PAULARINO AVE - Building PermitsPflOJECTA00flESS: 9'�� FAULARINO AV
OWNEn'SNAME: BAILEY K BROCE
r.�A'DOXE55: Cj'71 PA�ILARINO A��E
COSTA MESA.CA 92626
(714) 545-8576
PRCMIENGINEEH:
PDOflESS:
flEC.NO.:
UNIT:
UNIT:
PEpmiTTEE: BILT—WELL ROOFING ( 719 ) 758-3501
aooness: 3310 VERDUGO
LOS ANGELES CA 90065
LICENSE� CONTNACTOp OELLAPATION: I �ereby al�irm Ihat I am li[enSeA untler D�ovisions u� C�apt¢r 9(commencinp wit� S¢[lion
7000) of Olvision 3 of ��e Business antl Professions CoOe. antl my license i5 In tull lorce an0 eHetl.
ciTruc.: 034076 STRTELIC.:qSSOOS cuss: C-39
�ate: SignaNre:
WOflKEflS' COMPENSATION OECIANATION: I �er¢Gy a0irm �hat I hav¢ a cenilicate 01 consent �o S¢Il�insure or a certitica�e of WOBe�s'
Compensation Insurance. or a certifiee cooY �hereol (5eclion 3800, Lab. C1.
raucr no.: W 9 3 31 � 1 3 2 2 ezr. onrE: 0 3/ 31 f 9 4
comraNr: CAL COMP INS.
❑ Certili¢0 copy is ner¢Oy lumishea. Q Cenilied coDY is Iiied with IAe ciry BuilOing Oivis�an.
Dale: ADPlicant
E%EMPTION FROM WOPNEBS' COM7ENSpTION OECIAPRTION: Qhis s¢ciion neeU n0� be completeA il ibe permit is lor ane �unOreO �d100) or Ie55).
I certily �hat in Ihe petl0�mance ol �he work lor whic� t�is p¢rmil is issuea. I shall not employ any person in any manner so as to become
Su�leti lo I�e WorkeR Compen5aiion LawS o� Calilomia.
�ate: Signalure:
NOTICE: If. aller making ihis tleclaration, you sAOWd Decome suDlett to ihe WOAerS' ComDensation pmvisions ol tAe La6or
Cotle. you mus� IO�hvnih compN wi�� such O�ovision5 or lNs Oermi� Shall be tleeme0 revoke0.
. CONSTNUC710N LENOING RGENCY: I here�y atfirm tha� ihere is a cansimction lentling aAency tor ��e pedormance oi �he work br
�I w�ic� Ihis oermil is is4ue0 (Seciion 3097, Civ. C�.
LENOEfl:
AOOflE55:
OWNEB BUILOEP DEC�ppTION: I hereby aHirm �hat I am exempt Imm ihe Camracmrs' State Licenu Law lor ihe followinA �eason
(Seciion 7031.5 Business an0 Pm�essi0nal Coae: Any city ot counry w�ich repuires a permit �o consirucl. alter, improve, tlemolisR or
repair any slmcWre. pfior to iis issuante. also reQuires I�e aOW��ant for suCh Oermit to lile a siA�� statement thdt APlshe is IicenS¢G
pursuani to Ihe pmvisions of IAe Comracmrs' S�ate license Law (C�apter 9(commencing vnl� Section 7000) ol 0ivision J oi lhe Business
anG Pmte55ion5 Catle) ar Ihai he/She is exemD� ��etetmm an0 �he basis fo� Ihe allepeJ ezempli0n. Any viola�ion o� Setiion 7031.5 Ey
any applicant lor a permil subjecis ihe apptican� Io a civil Oenalty ol no� more �han live hundr¢0 Oallars (5500).
I. as owner o� t�e pmpetly or my employees with waAes as Iheir sole com0ensation, will Oo the work, anE Ihe
❑ simcture is no� inten0etl or olferetl for sale (Section 70a4. Business anU Pmlessional CoOe: TAe Coniracmrs' State License Law
tloes no� aOVly lo an owner oi a pmDeny who �uilds ar impmves ihereon, antl who does 5uth work himsel�/�ersel� or ihr0uqh
his or ner own employees, provi�eJ inal suctl impmvemenls art not intenAEE or otter¢a lor Sale. If, however the Guilainp ar
impmvemenl i5 SoIA wiihin one year oi com0lelion. �he owner will �ave I�e Eurden a� pmvinp �E/she Gitl nol builG or imprOve
Ior the ouroose ol saie).
I, as owner ol I�e pmpeny, am exclusively contracting with IicenreA coniractors m constmct t�e prole�� (Section 7044, Business
❑ anU Pmlessiong Cotle: T�e Contraciors' Staie License �aw dou noi appty to an owner of proceny wt�o bmltls ar impmves lher¢on
ana w�o coniricis lor such projec�s with a conlractoqs) license pursuant to the Contrac�ors' S�ale License Law). I am aware
Ihal pmol of ineir WOBer's Compensation insurance shoultl be pmvidetl �o me.
� I am exem0� under Seciion: B. 8 P. C.
tor ihis reason:
Oa�e: Ownec
I Ao here�y cenity Inal I am aware ol anE understantl t�e requiremenis ol Caii�omia Healt� anE Sa�ery CoUe Seclians 25505, 25533, ana
25534 and Ihai I ar any �uWre Ouilding occuDan� will/will noi Icircle one) neetl Io comDly wi�� said slale cotle5 antl the Bquir¢men�s fo� a
permn br constmc�ion or modilicaiion irom tM1e pir Ouality ManaAemem Oisvici. Residemial construction applications are e�empt Imm
ihese pmvisions.
Oate: Applicam:
I nereby certdy Ihatlnaveread Inis applicalion an0 statethatine abOveinlormation is correct. IaA�eeto tomply witn alicity ana wunty
ordinxnces anG slaielawsiela�ing ro Duil�ing consimc�ion and here0y authorrze represeniatives o��his ciryto enleruDonthe ahove�menlioneA
pwpeny lor insp¢Ction Ourposes.
�ale- Signamre:
��, �river's License or Sociai Securiry x:
16Ab<6 Whne—BwlJ�ng; Green—CoOe Enlorcemenl; Canary—Applicanl; Pink—Revenue; GolOenmtl—Assassor
CITY OF COSTA MESA - BUILDING PERMIT PERP9 NO: B 069675
PERMIT NO: B 064679 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTIOP7 TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OPF E REROOF WITH CEMWOOD SHAKES S4 FT: 5,000
CLAIM ��ALUE: 5,000.00 CALC-VALUE: 5,000,00 GROUP OCC: R-1 /D1-1
�COMMErITS: REROOF W/ LITEWOOD SHAKE 4.95PSF, ICBO 4312
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILPING ---------- --------- ACCESSORY BQILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT ZN AGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REp • PROV; PARCEL: 14130215 ZNE: REF NO:
PLANNZNG N6'I'ES>
i
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D E V E L O P M E 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: DATE: � ��(
***�t�t*it��rx-�r*+�x**�r*�r�r*+r*+r�r***x�* * **«�� *+�« *�r�� .*�r*+r*+r*r*+r�r**�*� ��`?.r +ri�
itifiElliFiliFiliFifififjFklfikifitititiliEititititiFklfitiflFlfiflfififitifMiEiElEifififiFifiFitffi:iENififlfiElEififiklfiFMiFifdFlE+FiE fEiEjkif jf1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL 5EGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/Rfi5 GRADZNG
PERMZT 72,00 ',50
PLAN SMIP/jdON-RES
ISSUE FEE �
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL' ��PAID DUE
TOTALS----> 72,�Oo, 0.00 0,00 72,50 72�.•50 .00
]r r-• '�
REVENUE DIVISION TOTA���°i> COLLECTED; 72,50 OVER/SHORTt � 00
HLDG PMT PLUMBIDit�'�LECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
72.00 ��-p .50
TYPE
SFR
I N D
QTY D E S
5000 REROO
�' "i.�
a�
o'�' m
� .� /�
m
N
�
�3
rJ
O �
i
1f�lE 9E it iF i! iE if !f iF if �liE iEjE 1f if if if iE 1E ifif if if if if iE if if N 1EiEit 1f ff 1F if u iF iE 9E iE if 1f iF if if iE df iki6it
I D U A L F E E B R E A K D O W N-
I P T I O N UNIT COST � TOTAL COST
VALUE AESIDENTIAL NOZDNE 1.00 5,000.00
END OF FEES GS 00149?93-00149794 T� �T 7?.
DATE: 10/34/93 TIliE: tb:0i
SMOKE DETECTOR
r
REQUIRED ,
�'ONSTRUCTION AND PLANNING POOL & SPA
APPROVAIS Permit # Date Inspector APPROVALS Permit ,�' Date Inspector
i.' Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reiniorcement
3. Electrical Conduit Utiliry-Undrgmd. 54. Forms
4. Efectrical Conduit-Undrgrnd. 55. Electricai Bonding
5. Stee! Reinforcement 56. Rough Plum6ing & Pressure Tesi
6. Electricai UFER Grnd 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Condui,-Undrgmd.
8. Foundation 59. Gas PiRe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor SYstem 67. APPROVAL TO DECK
11. Property Sewer line & House Connection 62. Backwash & Recepior�Final
12. Sewer Cap 63, Heater & Vent�Final
73. Roof Drains 64. Plumbiny System - Final
14. Rough Piumbing 65. Electricai�Fina:
15. Rough Elecvira6Condurt 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wi�ing Sign 68. APPROVED FOR PLASTEflING
18. Rough Electrical-T Bar Ceiting 69. POOL/SPA $YSTEM1dS FINAL
19. Rough Heating & Air CondiLoning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilaung 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Tes; 72. Underground Flush
24. Roof Framing 73. Undergmd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM1A FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31.PlasterBrownCoat 79. FINALlNSPECTION
32. Electrical Power MeterF�nai 80, FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
�
34. Final Heating & Air Conditioning �,�
35. Final Gas Pipe�Test ,
36. Hood or CanopV \
37. Fi�al FactorY Fireplace �
38. Final Plumbing
39. Water Service�Pinal
40. Gas Service-Final •
47. Solar pomes[irFinal '-!
..�
42. Backflow Preventer ,�'.'
Jr-z 2-q2 _ k� �� � s
43. Backflow Irrigation �� �/� ` � � t •
44. Landscape Irripation SYstem �y �� / /J �" '
�s7lS� _ _�,�. _ o(F'-l.S�t
45. Sound Attenuation `-�
1 . �J .
G�lcr� Nd�l.r/Cl _� � ' . •, ,
46. Handicap Regulations _�/sQ qq ; •
47. FINAL STFiUCTURE & BUILDING ��a� (% � -F� t
i
48. FINAL PLANNING .
49. Electric Release to Edison
50. Gas Reiease to Southern Califor�ia Gas Co �
51. CERTIFICATE OF OCCUPANCv
No. Date � � �
- -. 23a� �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX �p C08TA MEBA, CALIPORNIA
For Applican► to Fill In Complately
TYPE OR PRINT
eui�ouuc � /A✓ • ✓
ADDRE88
COSTA MESA, CALIFORNIA
Te�.
ri7
LIC. NO, NO. S� . �5�.}.
SIZE_ �� 3�. �: �^/ S"V I NO. OP BLD06.
� BETBACK LINE PROM
e� Gfr 6
aictir �
DESCRIPiION OF WORK
eu��o�No n
SIZE FI
EXTERIOR WALL I
COVERING S✓� c o I
U5H OF BUILOIfYG AND WOR
� � / : �
wi.�� ��p�A�� n,�<<�.� e_�i
I HEREBy �CNNOWL6DOH TX�T 1{�AV6 ReAO iH�B APPI.ICATION
AND STATB TXAT THS ABOV6 IB COHRECT �ND AOqBH TO COM.
PLY WITq ALL CITY ORDINANCiB AMD ➢TAT[ UWB R[QU{Ai(NO
BUIL�INp CONBTqUCT10N. /y�
SIGNATUREOF ���� � ////��
PERM117E� �� ���
✓
AUTHOR�zgDA6HN7 .,
�EE RECEIVE!)
JAN 27 fg��
FINAhCE DEPT.
APPLICAS'ION �o�i�T�innMESA
BUILDING
For Office Use Only
ZON(NG
NO.OR UeeOP
�una � emtou
YARDBAPPROVEO
MAIN BUILDING
tOM WL 6TREET)
�NT �3�.
I�
�ioe t�r.�
VAR. 7i
��
SMALL BE L688 THAN
fU.B.G.RECUIREMENTI
YARDSAPPROVED
ACGESSORV BUILDING
BET. MAlfi 8
ACCE55. BL[
DATE
.% 'b
� %G7 3 �%o. Fr,��Y' `1 d -� �
TM8 AMOYNT 9HOWN UNGBR VALUATION 18 ROR THE F
PURP098 OR eeTA0L19H�N0 � PEHMIT FE8 ONLY. p
VA W ATION �
PERMIT FEE $ S j�
� v � ��� L C EC ¢