HomeMy WebLinkAbout3327 FLORIDA CIR - Building Permitsil.I
raaecraooeess: 3327 FLORIDA CI
• 01ANEP'S N�ME: HERB NEIMAN
nooxess: SAME AS AI30VE
ppLMIENCINEER:
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PEflMITTEE:ACTION 1ST ROOF CAF2E � (714J841-7�663
nooxess:lA352 GOTIiAl2D •
HUNTINGTON BEACH CA 92647 '
UCENSEO CONTMC70fl DECUMTION: I �ereby attirm IAat I am licensetl unUer pmNsions of Chapter 9(commencinp w11� Section
7000) oi �ivislon 3 ot ihe 9usiness an0 Pmfessions Code, an0 my Ilcense Is in full foae and eflect.
cmu�. 1q35 sTaTeuc.:502900 fl"S� 39
�ate: �a��— SiOnatum: �`
WOH ENS' COMPENSATION OFClAW1TI0N: I hereby affirm that I have a certi/icate oi consent ro selFinsure or a cMifkata oi WorkeK
Compensation Insurance, ar a cetlifie0 coDY Nereal (SecUon 3800, LaU. C). '
roucrxo.:104200089 exr.onre:09/01/90
LOMPRNY:STATE FUND
❑ CerliGetl rnpy is hereby tumis�ed. � CenifeE wpy is � wrt� tne (d�ry �BuilEinq �ivision.
Date: �IG ' qpplicam: -- I ���—�^3
F%FMVfION FHOM WOBI(FA ' LOMPEN&1TIOX DECUM710N: (ihis uctlon nee0 not be wmpkted ii ihe pertnit is lor ona hunEreE (5100) or lew�.
I certity that in t�e pedormance of the work for wAich Ihis permit is issued, I shall not employ any De«n in any manner so as to becoma
sublecl Io t�e Workers' Compensation Laws al California.
Dai9: SipnaluR: '
NOTICE: If, atler makinp t�is Ueclaration, yau SAoul4 Cecome SuDlect ta t�e Workers' ComDensation Drovisions ol iha Lahor
CoOe, you must forthwith comDly wii� such Dmvisions ar this permit s�all Oa GeemeA revoked.
CONSTNUCTION IFNDING �GENCY: I here0y aflirm tAat ihere is a construction lentling agency for ihe peAormance al f�e xrork for
whith I�iS pefmit is issueE (SeCtion 3097, Gv. C�. .
lENOEfl: '
ROOflE55: . ' -
OWNEB BUIIDEB OECLANIITION: I hereGy aflirm tlut I am exempt Irom Ihe Coniractors State Licenu law lor Iha lollowinp reasan
(Section 7031.5 Business anC Pmhssional Cotle: My ciry of caunry wMc� reQuias a DermiLro consiruct, alter, imDmve, OemolisR or
rt0air any sWCNre, D�or ro its issuance. also reQuires [he appliwnt far sucA Dermit to iJe a signeA statement tAat he/she Is IicenseU
pursuam to t�a D�sions ol tne Coniactors' Staro license Law (Cnapter 9lwmmencinp wit� Sectlon 700U) ot �ivision 3 of the Business
anE Pmtessions COGe) ar Ihat he/s�e is exemD� t�eretmm anG the Easis lar tice allepeE exemptian. My vialation of Section 7031.5 by
any aODlicant tar a permit su6jects the apWiunt ta a dvil penalry ol nat rtwre ihan frve nunEreO OWlars (f500�.
I, az owner of the DmDeM or my em loyees with wa0es as t�eir mle campensation, wiil Go I�e woM, anE t�a
i❑ stmcNm is not intenaeG ar offereE lar ule I�ction 70dd. Busineu anE Pmlessional Cotle: The Contractors' State Licensa Law
Oces nol apDly to an ovmenoi a pmOeM w� �uilGs ar imDmves t�ereon, antl who Oaes such work himull/herself or t�roug�
his or her awn em0�oyees. DmviAetl ihat sucA improvemenis are not imendetl ar ofleretl for sale. Ii, �owever ihe builCinp or
impmvement is soltl wit�in one year al campletion, the owner will hava tha DurOemof provinq he/she Aitl not 6uild or improve
for Ihe puryose of sal9). -
I, as owner at ihe pmDehv. am exclusively contractlnp with Ilcensed contractars to consimct [he pmle�t (Section 7044, Business
❑ an0 Professions CoOe: The Comramors' sWte License Law tloes nat aDVly Io an owner ot D�apetly who hmlAs or imDraves [hereon
an0 w�o contracis for suc� prol��s vAN a caniractor�s) lic¢nse Oursuanl to the Contracrors' Stare licenu Law�. I am aware
that Droof of their Worker's Compensation insurance s�oulE Ee OmviUetl to me.
� I am ezempt under Section: B. d P. C. .
lor 1A15 reason:
Data: �'^e��
I Eo hereEy ceniTy tnat I am aware ol anE untlerstan0 the requirements al Califomia Health an0 Satery CaEe Secirons 25505. 25533, an0
25534 ana ttut I ar any fuNa huilaing occupant willhnll not (circle ane) need to comDly witA sai0 state coGes anE �Ae reQuiamenis lor a
permil far consimction ar madilication fram Ihe ar Oualiry Manapement Distncl. NesiOential constmctian aD0lications ara eKempt Irom
thes0 provi5ions. �
Da�e: Applican�:
I AereUy CeMity Ihai I have reaG IhiS applitaiion�antl Slaie �haf Ih0 a�ove in�ufma�ion is CoffeCL I agree lo tomply with all tiry and counry
Of0lfldflCES 20G SI2(C WWS lEIdIIpOI0C0�IE1110 COIIS�NClI011d CfCDy dU1MfR0l2p@SGIIl3IIVE5 Oi�h15 CIIyfO CfIIEfOpOfl�l18 db0V0�fI1CIlIl011CO
pmDeM br in�ctio� ryg es. .
0'
Date: � $i9naNre: �
onver's liunu or Socul Secunry x: � �
18a1�8 W�Ite—BuilEing; Green—CaCe Enlomemeni: Cenery—Applicanl; Pink—Revenue; GdtlenroE—Fssexaor
CI'TY OE COSTA MESA — BUILDING PERMIT PERM NO: D 045031
PERMIT NO: B 045071 , PLAN CHECK NO:. N GOVT: N SiJPP: N
CONSTRUCTION TYPF.: PERMIT TY�PE: STR PURPOS�: NEW
JOH DESCRZPTION : REROOF/307F FELT 6 23 SQ OF SHAKE SQ FT: 7,000 .
CLAIM VALUE: 7,000.00 CALC—VALUE: 7,000.00 GROUP OCC: R-3 /
COMMENTS:
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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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: � FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: ET IN RGIiT: FT IN
PARKING REO• PROV: PARCEL: 13958143 ZNE: REF NO:
PLANNING NCSTES> �
�
iE iF 3E iE 1E dE if iE if if iE iE iE 1f jk iE k if if iE iE iE itiE if !E it it if ib 3(-at iE �f if ik 1E k k 1E 1E 1E iE �f iF iE It iE 3f iE iE !E if if ik af iF 1F ik iE if iF 3f iE iF 3F iE iE if iE if ik dF iE if iF 1E iE iE
D E V E I� O P M E N T S E R V I C E 5 R E Q U I R:E M E N,,T' S.
ZONING APPROVED HY DATE: •
BUILDING APPROVED BY : DATE: �
APPLICATION ISSUED BY: ��� DATE: �
�E1f3EiE3Ek1EiE�)fiFfEihlfifiFifiF1F�(itiEiE�iF�3fiFiF7�F�if�F�f7FiF'iFiFiFiF iETE-i}-iFif��iEiflfiEiEiF3(�rtiEib iE �1E
iF iE i(� iF if ik if iE iE±i aE iE iE iF iF i(� i! i! k IF 1k �E iE iF iF iE iF if ik ik if if if ik iF if if 1f if iE iE �lf if if iF iE iE iF iE �IF iEl/� ik iE ik 1E dE 1k iE ik jE # iF iF iE 1E M 7E iE ih IF iE iF iE iE �� �Ik iF if
LEGALIZATION:N ' F E E S U M M A R'Y • STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANTC FIRE SMIP/RES GRADZNG
PERMIT 3�0.00 .50
SMIP/NON—RES
PLAN �
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID •DUE
TOTALS----> 90.50 0.00 0.00 90.50 90.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: • 9Q,50 OVER/SHORT: � 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CIdECK
90.OU , .50 ,
iE if 1E if if iF iF iF if it iE 3E �IE IE 1E iF if iE iE if iE iE # 3E iE 1f lE ik iE if ik iE iF iE IE iF iE iE iE if �f i! IE iF 3h iE iE if� if iE iE if iF �)E 1E iF iE �lE �)E 1E iE 3E iE jE 3E if ik if if if if if if iE if 1E iF iE iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
SFR 7000
D E S C R I P T I O N
REROOF BY VALUE RESIDED]IAL NOZONE
END OF FEES
UNIT COST
1.��
TOTAL COST
%.��0.��
,
.
�A
� �` � CONSTRUCTION AND PLANNING
� APPROVALS Permit # - �
1. Temporary Electrical Service o} Pole '�
,2.�,SoilPipe-Undrgrnd._ �'�
3..Electrical Conduit'Utility-Untligmd�`_
4,.�Electrical Conduit�Undrgmd. �_
5. Steel Reinforcement
" �6.=Electrical UFER Grnd. -
-� 7. Footings -'�
_; 8. Foundation � .-, �
9. Water Pipe-Undrgrnd. �
10. Structural Floor'System ;; '
11. Property Sewer Line & House Connection
12. Sewer Cap -
13. Roof Drains -
14. Rough Plumbing
15. Rough Electriwl-Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign
18. Rough Electrica6T Bar Ceiling
19.. Rough Heating &.Air Conditioning ,
20.. Rough FactotY Fireplace -,
21._Ducts, in StrUcture� " �
22.-Ducts, Ventilating: � � �
Date
�
�
t
23. �Gas"Pipe�Rough & Test , , , = I �
24. Roof Framing . � �
25. Foof Sheathing ^ �
26. T-Bai Ceiling (Structuraq &'Monocoat
27: Frame and Flashing - "
=28. Laihing & SiBing :. . =,�
29. Insulation ' .. . '
30. Drywall Nailing + .
31. Plas[er Brown Coac =� 'r
�32: Electrical Power Meter�Final
= 33.� Final Electriq ' �
^ -
,�34...Final Heating.& Air; Conditioning ��
35. Fina� Gas Pipe�Test' _ -
_36. Hood orCanOPY k `' •
_"37.�Final Factory Fireplace'� •- ^�
-�38. Fina�l Plu�mbing ; � ��
39. Water Se`rvice-Finali. �, �
J40. Gas Service-Final ' - -. �'
� 41. Solar pomesu��Finel� �
42. Backflow Preventer _
43. Backflow Irrigation
-.. i.
: 44.. Landscape Irrigation System_
� 45.'Sound �Attenuation J �
�46."Handicap Regulations -
47: FINAL STRUCTU(iE & BUILDING
48:�-FINALPLANNING '
� 49:�.Electric Fielease to~Edison
50.-Gas Release to Souihern California Gas G
51. CERTIFICA7E OF OCCUPANCY
Date
.
P,OOL oPA
Inspector ,4PpROVAIS Permit # Date
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
- 56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, � U�drgrnd., Test .
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing SYstem - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access ApP�oval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
� • .FIRE DEPT. REQUIREMENT
- � 'APPROVALS -Permit #
- _ � . 70. Underground Hydro
- ' -71. Product�PipingOGas ❑Oil
- �� .,72. Underground Flush ;'
� - - _
� i� �^73. 'Undergmd. Smrage Tank O Gas ❑ Oil
� �' �- '� 74. .Overhead Hydro � .
� _: 75: Dry Chemical -
;,;, . 76. Dry Standpipe ' _ :
. . .. � ,
. +� � 77: : FIXED SYSTEM� FINAL
' ` 78:,FIRE PREV. FINA�L ' �
k ,. HEALTH DEPT.: REQUIREMENT
,r �: ' 79. FINAL INSPECTION _:
- r ' �80: �FOOD CERTIFICATE ISSUED-
�.
' Notes: ' '- ' � ` `
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Inspector
CITY,OF COSTA MES� RE;QUEST FOR OCCUPANCY
TRACT NO , /,' 93 _ DATE� _ -yZ —C /
LOT NO . / �
ADDRESS ,3 •� �v�'
��
The developer of the above entitled tract desires to sell the
above set fortli lot prior to the time th�t the tract has been
completed and its streets accepted by the City oi Costa Mesa .
The undersigned, by executing this agreernent, acknowledges
that (�a-they) � were) 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 protected by
s urety bondo
The undersigned agrees to indemnify and hold the city harmless
£rom any claim resultir.g in damage or personal i:,jury to the
undersigned by reason of the aforementioned uncompleted condition.
Developer and/'or au�thorized
representati�e
��� e r
.... . ^�•[uw� Li'.vuuvriu.
JOB ADDRESS q�7 Florid
GENERAL CONTRACTOR p�;
A o. LOT �
I\ CTIONS
so
GAS
WATER U. J- (� G% I%r_
ROUGH PLUMBING
PROP. SWR. LINE USE CON. [�]�
SPRINNLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARV SEftVICE OP POLE
UNOERGROl1ND � POWER �
ROUGH WIRING
TRENCHES � FORMS 11
FLOOR SVSTEM
BON� BEAM ❑ STEEL
SHEATHING
STEEL REINF.
FRAME AN� FLASHING
LATHING - IN OUT �
PLASTER,BROWN COAT
ST- "TURAL, FINAL
H .JG, VENT., REFRIG. AN� A.C.
PLUMBING, FINAL AND GAS TEST [
ELECTRIC, FINAL
BUILOiNG, FINAL
SPECIAL REOUIREMENTS
FIRE ZONE
DUP 2 & J TYPE
SUBCONTRACTOR
PERMIT N0.
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B_� �..,�y30 96
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For App/icant to Fill in Completely
AD�DRESS � 3 a � �-�._.�-.� �.c
OwNER Hermea DBV. (.'O.
MAIL 1,
ADORESS11OY E. 17th Street
TEL. �/,����
dTV Sante Ana No. �*
conisraucrioN united States National Bank
I FNl1FR
BRANCH lcp Hroaaway Avenue
ADDRESSS8T1 Triego, California
ARCHITECT T
�me�ooao�ea� K Dorius N
aooaess 2712 E. Coast Hwv. Cor�
ADDFESS
TEL.
CITV NO.
LIC. No. z5256o °���No.
OF LOT LOO 7C r I NOW ON LO 5 O
VSE OF
EX15TING BIDG.
SI2E OF NO. OF
NEWBLDG.1 O 9. Ft�ROOMS STORIES 1
EMERIOR WALL ROOF COIDIJO O�`
COVERING StUCCO COVERING WOOQ
VSE OF BUILDINQ !+ND WORK TO BE PEFFORMED
dPR 24-69PA10001290# �*� 137.25
CqSA
APPLICATION FOR BUILDING PERMIT
RECEIV � DP E CEIV DATE ISSUI
- .�- b � _ �
PEFiM1T(I'�
A.P. NO. JUUe
BVILDING
ADDRESS ��pZ � �
TR T �� LOT I� BLOC
OWNER
FIRE � �
ZONE `
APPROVED
FfiOM G� ST
DISTANCE I
MAIN BLDC
VAR. �
C.U.P. �'
APPROVED
VALUE
DATE
USE OF NEW� .-J�
BVILDING B/"'
YARDS APPFOV ED
� FT.
BET. MAIN &
ACCESS. BLDGS.
�,p OATE
O APPROVEO S'i-!}-�j
� ner� ���/ —V' �
i no.on� acknowled9e that I have reatl this applicetion antl state HOLD FOR SPECIA L REQUIP,EMENTS
Ihat the abOve info�metion is corract antl apree to comply with
all lews reBulating puiltling construcrion, antl I shell not employ
any person in violation af the warkman's campensation laws of
Me Stete ot Calitornia. T /� _L � .1 �
!J 1_/
I heraby certify tha� I am pro0erly licenutl as a contractor untler SQ. FT. o
Me State of CelitorNa Business antl Protassions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR '
Chapter 9, and thai such licanses are in full forcB entl effett, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLY: ¢
am exempt from the provisions o( the Stete o( Calltornie B�siness VALUATION
m
antl Protessions COtl Division 3, pter 9. PERMIT FEE 5 i�� C'
1 �
SiB^at�re of ,.S/ ��,/ m
Perminee 3��i�/a� PLAN CHECK S J U o
���
,C LL
Auffiorizetl Agent TOTAL FEE $� . �`J