HomeMy WebLinkAbout3309 FLORIDA CIR - Building Permits(714)754-5273 • Fax(714)754-4856
JobAddress: 3309 FLORIDACI
Suite:
Vicinity:
Parcel Number: 13958146
CITY OF COSTA MESA
BlIILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
npplicant: MIGUEL ENRIQUEZ
Address:
Owner: KHORRAMSHAHI, VAHID
Address %KHORRAMSHAHI, MAJID
COSTA MESA, CA
3309 FLORIDA CIR
Contractor: BEST VALUE ROOFING
Address: 7420 E. EDINGER AV #117
SANTA ANA, CA
Zip: 92705
Arch :
Address:
BUILDING PERMIT
Zoning:
Phone: 714-542-5222
Zip:
Phone:
Zip: 92626
Phone: 714-542-5222
License: 715903
Eng:
Address:
r/ _
� PERMIT NUMBER
/ B00-00600
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 05/07/2000
Issued: OS/O7/2000
ISSUED BY: � �
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
T/OFF SHEATH AND REROOF 2000SF RESIDENCE W/COMP SHINGLES, SMOKE DETECTORS REQ PER 97UBC.
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 Froni 0-0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$4,300.00
$4,300.00
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 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 180 deys. �
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetione end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
WORKERS' COMPENSATION OECLARATION: �
I hereby eNirm untler penalry of perjury one of the following tleclaratlons:
❑ I have antl wlll mainWin a certilicate ol consent to self-Insure for workers' compensatlon, as provided for by sectlon 3700 of the Lebor Cotle, for the peAortnance ot the
work for which this pertnit is issued.
� I have and will meintain workers' compensation insurance, es requiretl by section 3700 o Labor Code, tor Ihe pedortnance ot the work tor which this pertnit Is issued.
My workere' compensation Insurance carner and policy number are: . , O�� �� n �
Certier. �—'� � �� �� `� PpliCy Number: o�
(This secfion need not be complefetl il (he permif is velued af one hundred dollers (5 f 00) or /ess.J
❑ I certify that in the peAortnance of ihe work for which this permit is Issued, I shell not employ any person in any manner so es to bewme subject to the workers'
compensatlon laws of California, and agree that II I should become subject to ihe workels' compensetion provislons of Sectlon 3700 ot the Lebor Coae, I shall forthwith
comply with these pravisions. ^
Applicani SlgnaWre: � 7 ��T Date: � — � '—Q� ,�
WARNING PAILURE TO SECURE RK S' COMPEN TION VERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYEF TO CRIMINAL PENALTIES AND qVIL FINES UP TOONE HIINDRE�
THOUSAND OOLIARE (5100,000). IN MDITION TO THE CQST OF COMPENSATION, OAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE L4BOR CADE. IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATON:
I hareby aNirm that I am licensatl untler provisions of Chapter 9(commencing with
force and eHect. Lic. N �i � J`—� �3
Q � ConiracbYs Signawre:
on�7000) of Division 3 of the Buslness and Professions Cotle, antl my license is in �
� Cless x �� �i �%
✓. Date: C— 1— FJ e'7 ,
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirm thet there is a construction lentling agency for the pedormence of ihe work tor which this permit is issuetl. (Sec. 3097, Civll Code).
Lender's Neme: Lender s Adtlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn ihat un0er penalry of perjury tha� I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any city or counry which requires a permit to consWci, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires ihe applicant for such pertnit
to file a signed statemem Iha� he or she is licensad pursuam to lhe pmvislons ot ihe ConVactors License Lew (Chapter 9(commencing with Seciion 7000) ot Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the allegetl exemptlon. Any violation of Sectlon 7031.5 by any applicant for a permil
subjects the applicant to a civil penalry of not more than five huntlretl tlollars ($500).):
❑ I, es owner oi ihe property, or my employees with wages es their sole compensation, WILL DO TME WORK, antl the siructure is not intentled or offered for sale (Sec.
7044, Business antl Professions Cotle: The Contracrors License Lew tloes not apply to an owner of propetly who builds or improves ihereon, antl who does such work
himself or hersalf or Ihrough his or her own employees, provided ihat such improvemenis are not intended or oNeretl For sale. It however, ihe building or improvement is
sold within one year oi completioq the owner-builder will have Ihe burden of pmving that he or she did not 6uiltl or improve for puryase of sale.).
❑ I, as owner of Ihe properry, am E%CLUSIVELY CONTRACTING WR}i LICENSED CONTRACTORS lo consiruct ihe project (Sec. 7044, Businass and Professions
Cotle: The contrectors License Law does not apply to an owner of pmperry w�o builtls or impmves thereon, antl who contracts for such pmject with a coniractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt untler sec. Business and Pmfessions Code for this reason:
Signature: Date:
Owner ID verifietl by dnvers license. ❑ Ves ❑ No Dnvefs License No.
Veritication ot Ownerehip by (type of tlocument, i.e. - propeM �� bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby cartify that no excavation five (5) or more feat in dapih into which e person is raquiretl to descantl, will be made in connection with work authonzetl by this
pertnii, antl that no Duiltling strucWre, scaMoltling, lalsawork, or tlemolition or dismamling thereot, will be more than t�irty-six (36) feet �ig�. (C�ap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Gelifomla AdmlNstrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of Industrial Safery, as notetl ebove, unless such person has e
permit ta do such wark fram the division.
Signeture: Dete:
Division of InduS�rial Sefely Perml� Number.
CERTIFICATE OF COMPW WCE AND Al7IHORVATION OF ENTAY: I certity under penelty of perjury �hat I have reatl ihis application flnd state thai the infortnation given is
correct. I agree to comply with ell state lews and ciry ordinances relating to building cons�ruction, antl auNoriza representatives ot the Ciry ot Casta Mesa to enter upon Ihe
abovo-tlescribatl property for Inspection purposes. I agrea not to occupy or allow occupancy of eny building authorizad by this permit un81 final Inspection.
40UE �. INSPECTIONTYPE
1616 Fixetl System Finel Fire Preven�ion
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Finel Fectory Fire Place
203 Finel Sign
204 Final Demolition
2446 46
DdIE UIIII1945
.!___.(!�� �
Date
� T'-/-O� �
Date
CODE� INSPECTIONTYVE
206 Finel Mechanicel
20B Finel Plumbing
210 Pinel Eledricel
212 Final Fire Preveniion
220 Finel Plenning Approval
222 Final Site
250 Finel Building/Occupancy
0!I& 1N�1B15
E
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TxAc�r no, g3
DATE 2 — 9' %O
LOT NO. �Z
ADDRL'SS 3309 ��j�r-�� C�rG�P
�.�v� .
The developer of the above entitled tract desires to sell the
above set forth lot prior to the time that ihe tract has been
completed and its streets accepted by the City oi Costa Mesa .
The undersigned, by executing this agreement, acknowledges
that (1�e-they) (�r wereZ advised
that this tract has not been given final inspection nor has
it been accepted by the City of Costa Mesa as having complied
with the conditions of approval which were imposed by the city
at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions ptotected by
s urety bond,
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
undersigned by reason of the aforementioned uncompleted condition.
BY- '�i,�l�,� �lu<re/�
"P' ur�aset
B&
Developer an or uthorized
representat've
Lender
JOB ADDRESSY�v3�09 Florida Circle __ BUILDING PERMIT N0._ 3_pp43
AP No. LOT
SOIL
ROUGH PL4MBING
PROP. SWR. LINE r�110U5E CON.
SPRINKLINI; SVSTEM
ROUGH MEATING AND AI
UNDERGROUNO U POWER
ROUGH WIR�NG
FLOOR SVSTI
BONO BEAM
SHEATMINC
FRAME ANbI
LATHING �
PLASTER, g{
STRUCTUFq�
HEATING, VE
PLUMBING, f
ELECTRIC, F
BUILOING, F
SPECIAL qE(
qT
REFF
AN�
NF.
FIRE
SUBCONTRACTOR
°"'{ .' �� �"""� 3(1093 i�PR 24-69�MSk007 287� �-•� 152.25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.p. BOX 1200 COSTA MESA, CALIFORNIA 92626
forApplicant to Fil1 in Complete�y APPLICATION FOR BUILDING PERMIT
ADIDRESS 33 0 ��V � �, _�% RECF�}iJEj�V DAT���EI�� .� /rg� Q
V Y
� L(..0
OWNEF xBT:➢C9 �V. �i0. A•P• N�.
MAIL I. BUILDING
ADORESS ZL�Y Ti'. 17th Street �+DORESS3� Q
Z
W W TEL. �j
d U CITY genta Ana NO. � Q� TRACT 7 G
F Z
Z Q CpP�$7pUCTION W �+
�� LENOER United States idational Bank
�� BRANCH 190 Broadwa Avenua
-� � OWNER
m � Aooaess San Me o Californi
J a ARCHITECT .0 TEL. C 1164 S �
V
ZQ FIRE �.
w� ADDRE55'Z LZ E. Coast Hw . Corona D M �ONE Tv
aw
APPROVED
J O CONTR'1CTOR Owner BV
m Z
J � ADDRESS
w w TEL. Z E/j NO.OF
Z� CITV NO. � � P��
w� STATE CITV VARDSAPPROVED
(pCL LIC. NO� Q Q LIC. NO. MqIN BWLDING
�� S12E NO.OFBLOGS. (FROMC/LSTREETIr,
OF LOY IOO X NOW ON LOT O flONT FT
VSE OF
EXISTING BLDG. O F
f" SIZE OF NO. OF �
Z NEWBLOG. OOMS STORIES 2 L SIDE 5 FT
U' EXTERIO%� WALL ROOF COIDDONOV�d
COVER�NG COVERING REAR d FT
J USE OF BUILDING AND WORK TO BE PERFORMED DISTA.NCE BET.
� MAIN BLDGS.
a
0 Residanca w/attached garage C VRP.3W - S
F APPROVED
�
z
0
V1 hereby acknowledpo thet 1 have reatl this application and siata HOLD FOf
� that ffie above intormation is correct an0 agree to comply with
� all laws �egulating builtling co�sttuction, antl 1 shall not employ
F any Oer4on in vialatian of ihe workmen's eompensaiion laws of
y Ma State of California. ��/ n..t 4
zI hereby certify that I am proPerly Iicensetl as a eonttactor untler "'� �vv SQ. F
the Statd of Colifornio Businasa antl Profassions Cotla, oWisicn 3, THE AMOUNT
Chapter 9, antl thot sue� licensas are In full fareo entl attact, or I THE PURPOSE O
am ezan+P� trom the provhions of iha State of Calitornie Businesa �ALUATION
antl Profossions Cotl rvislo Pter 9.
1
sia�e��,. o, p��/, �a
Permitte 5
Authoriaed Agent
9
USE OF NEW�1i//�,".
BUILDING ��
VARDS APPROVED
ACCESSORY BUIIDI'
FT. � -�
BET. MAIN &
AOCESS. BLDGS.
DATE /
HPPROVED ,S ' itJ-p
� �6
AL REQUIREMENTS
m
r.`T 0�� o
SHOWN UNDER VALUATION IS FOR �
F E5fA8LI5HING A PERMIT FEE ONLV: m
¢
PERMIT FEE $ /D�•�D j
3 pV1N CHECK $ D. /� E
0
�-j/� LL
TOTAL FEE $ o��. G7�
JOB ADDRESS 3309 Florida C
GENERAL CONTRACTOR R. M.
AP No. LOT 1�
INSPECTIONS
SOIL
GAS
W AT ER
ROUGH P�UMBING
PROP. SWN. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEqTING ANO AIR CONDITIONING
TEMPORAFY SERVICE OR POLE
UNOERGftOUND � POWEH �
ROUGH WIRING
TFENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LATMING - IN ❑ OUT n
P�ASTER, 6ROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL ANO GAS TEST [-J
ELECTRIC. FINAL
DATE
FIRE ZONE VAL
SUBCONTRACTOR
0
�� ' :�2217
�UG 31-70�„sAO01306 ��+'�**�5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC V BV DATE RECEIVED DATE ISSUED
BUILDING 3's'a� r/Q H��(� ��.. _ D !,t' �J � Q
ADDRESS r� �� �
� � VI I�PY -• P�Rr�n12Nq.
OWNER 6 yY A.P. NO. /
MAIL BUILDING �- �
ADORESS v �+DORESS ,
W W TEL. TRACT y � LOT I v BLOCK
a U ciTv ��t�yC No. 73 9
Zz N W ADD P
Q CONSTRUCTION
ON LENDER ��'VNti/ �/
a m ��
J � BRANCH ' •
J � OWNER
m J ADDRESS VALUE
m ARCHITECT t/ TEL. S 5
J N OR ENGINEER C(y�'( SiLt t n
U Q FIRE T
W� ADORE55 ZONE TVPE Gf±OUP ��
J O CONTRACTOR �l �Ui IS�M. BYPR�VED pATE jj �J/' /
m z ( J
J� ADDRESS d ��D ��QiN/JIY V1
W w �..( n, ZO NO.OF USE OF W �
Z� CIT��'(V NOLS�I'�6L0 P�� BUILOI G
� STATE /� CITV �'ARDSAPPROVED VARDSAPPPOVED
y 2 LIC. NO. / S S��G LI0. NO. MAIN BUILDING ACCESSORV BUIIDING
_� SI2E NO.OFBLDGS. (FROMC/ISTREET]..�
OF LOT NOW ON LOT FRONT FT�, ��
USE OF %�
E%ISTING BLDG. /t " I T
H SI2E OF NO� OF �] �
Z NEWBLDG. ROOMS STORIES L.SIDE JO FT.
U EXTERIOR WAIL ROOF
COVERING COVERING REAR FT.
J US BUILDING ANO ORK TO BE PERFORMED DISTANCE BET.
a MAIN BIOCS.
a
o��nun� '�`` CURP #E
N �/ / APPROVED
J\
z
�
VI hereby acknowledpe Mat I have reatl this application antl state
_ [hat ffie ebova intarma[ion is corlaci antl agree to comply with
� all lewz ragulatinp builtlinB construction, antl 1 shall noi employ
� any person in violatlon ot the wtl�kman's compensation laws ot
y the State of Celifornia. n
ZI hereby cartify that I am prOperly licensetl as a contractor untler L SQ. FT.
the State of Californle Business entl Professions Cotla, Divisicn 3, THE AMOVNTSI
Chapter 9, antl thet nses ere In full forca antl etfect, or I THE PURPp6E OF
am exempt trom e provi ' ns of tha Stata ot California Business VALUATION
antl Protession otl is n 3, C a ter
/ a�
Signamre oi (�i�W �/ /
Permlttea $ / �
Authorized ABen[
BET. MAIN &
T - m
0
VN UNDER VALUATION IS FOR �
'ABLISHING A PERMIT FEE ON�Y: m
¢
� m
PERMIT FEE 5 �i �D �
�
m
PLAN CHECK $ E
0
�� LL
TOTAL FEE $