HomeMy WebLinkAbout2823 FRANCIS LN - Building PermitsJobAddress: 2823 FRANCIS LN Status: �SSUED
Suile: Applied: 01/162007
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 01/16/2007
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construdion: V-N
Parcel Number: 14133105 Zoning:
App�icant: NEIL, TOM
Address: 1835 WHITTIER AV
UNIT F72
COSTA MESA CA
Phone: 949-645-:
, , . . Zip: - 92627
owner: LARKINS, GEORGE J TR
Address 1103 VIA CARILLO . �
� . - `_ �. � Phone: �
SAN MARCOS, CA� '� � �- _ Zip: 92069
,
Contractor: ''21ST CENTURY HOMEIMPROVEMENTS
,.
Address: ' '1835 WHIAIER AVE
, � � � UNIT F12, Phone: (949) 645�
� �COSTA MESA;CA�
� � Zip: g2627 �' � �, � License: 750385
Arch :" '
Address: � �
Phone:
Zip: . License: � ��
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXITING WOOD SHAKE, INSTALL 1/16" OSB, 1 LAYER 75# FELT, APPLY "30-YEAR
ASPHALT SHINGLESI' 2000 SQ FT PITCH�4:12 �
'. � - FEE SUMMARY
Plan Check: $0.00 -- - - �-% - -- - - Calc Valuation: ss,000.00
Permit: . $111.25 Claim Valuation: Ss,000.00
SMIP Res: $0.50 ,
SMIP Com: $0.00 � �- �
Other. $0.00 — Y ` _
Inspectioh: ' $0.00
,�� : i�
Total; $111.75 _ �
� PLANNING & ZONING
SETBACKS ��� � "` � " `
� \ '
MAINSTRUC7URE fronl�`0-0 � Rear`-,�•0-0 Left � 0-0 --.� . Right
ACCESSORY Front.- 0-0�.` � Rear 0-0 Left 0-0 Right
PARKING � Existina:� 0 `�,�Reaui�ed: � 0� "- Pr000sed: 0
�'� -' �� � , - - � � .
�
0- 0
0- 0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related I
regulations. (Ord. No. 92-20, § t, 12-27-92)
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 penod of 180 days. � '-�
INSPECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, antl all
required InspeetlOne and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
I FOR INSPECTIONS CALL: (714) 7545626
2446-46 (CV00)
WORKERS'COMPENSAnONDECLARArON: �
I �ereby affirtn under penalry ot perjury one ot the tollowing declarations:
❑ I have and wlll maintain a certifica�e of consent to selbinsure tor workers' compensation, as pmvidetl for by seclion 3700 0l �he Labor Gode, for ihe pertormance of ihe
work for which this permit is issued.
� I have flnd will maintain workers' compensation insurence, as required by section 3700 of ihe labor Code, for the peAortnance ot ihe work for w ich ihis pertnit is issued.
My wo���gJ Gpomp n�sation\�^[�_,,,� nce ca�r�/'pr antl policy number are: I�//� �
Cerrier: . 77�t 6�2���ij' � PoliCy Num�ec ( f!� �Y� ^ Q�_
(This secn n ed nof b��completed il the permit is valued et one hundred dollars ($100J or /ess.)
❑ 1 certify that iP ihe pedormance of ihe work For which ihis permit is issued, I shall not employ any person in any manner so as to become sublect to the workers'
compensation laws of Califomia, and agree f I hould become subject to the workers' compensation provisions of Saction 3700 0l ihe Labor Cotle, I shall Forthwith
comply with th§g0.p�e�isi
Applicant Signature: �/ ��L-. O � Date: _ � � ���
WARNING: FAILURE TO�WORKERS' CAMPEN ATI GE IS UNL4WFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNORED
T1/OUSAND OOLLARE (E100.000). IN AD�ITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3106 OF TME LABOR CADE, IPlrEREST, AND ATTORNEYS FEES.
LICENSED CONTPACTORS DECLARA710N:
I hereby aHirm ihat I am
force antl eHact. LiC. # _
Contractofs Signature:�
of Chapter 9(commencing with Section 7000) ot Division 3 of the Busin and Protessions Code, antl my license is in full
Classa (, I,G3-�
Ti n Date: �— ��=�_—f
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn ihat there is a consWction lending agency for the pedormance ot Ihe work for which this permit is issued. (Sec 3097, Civil Code).
Lendels Name: Lentler's Address:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS: :"� :,,�
I hereby aflirtn Ihet under penalry of perjury Ihat I�em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe toilowing reason (Sec. 7031.5, Business and Pmfessions
Code: Any ciry or county which requires a permit to consimc6 alter, improve, demolish, or repair any stmcture, pnor to its issuance, also requires ihe applicant for such permit
to file a signed siatemen� Ihat he or she is licensed.pursuant to Ihe provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
Business and Professions Code) or that he or she is enempt therefrom antl the hesis for the alleged exemption. Any violation o� Section 7037.5 by any applicant for a permit
subjects the applicbnt to a civil penalry of not more ihan fiva huntlred dollers ($500J.):
❑ I, as owner ot t�e properry, or my employees with wagas as their sole compensation, WILL DO THE WORK, and Ihe stmcture is not in�ended or oNered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves Ihereon, and who does such work
himself or hevself or through his or her own employees, provitled that such improvements are not intended or oflered for sale. If, however, the building or improvement is
soltl within one year ot complation, the owner-builder will have the burden oi proving that he or she tlid not boiltl or Improve for purpose of sale.).
❑ I, as owner oi the property, am EXCLUSNELV CONTqACTING WITH LICENSED CONTRACTORS to consimct the project (Sec. 7046, Business antl Professions
Code: The coniractors License Law tloes not apply to an owner of pmpeny who builtls or improves ihereon, antl who contrects for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I em exempt �inder sec. Business and Profassions Cotle for this reason:
Signature: Date: _
Owner ID venfied 6y dnvers license. ❑ Yes ❑ No Driver'S License No. Expires:
Verifiwtion of OwnOrship by (rype of document, i.e. - property taz bill or deetl):
OIYISION OF lNOUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cetliry ihat no excavation five (5) or more teet in deplh into which a person is required to descen4 will be made in connection with work authorized by this
permit, and ihat no building siructure, scaHolding, falsework, or demolition or tlismantling ihereof, will be more than �hiny-sin (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, 7tle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone m do work which would require a permit from ihe Division ot Industrial Safety, as noted above, unless such person has a
pertnit to tlo such work trom Ihe division.
Signatura: Date:
Division oi Indusirial Safery Permit Number.
CERTIFICATE OF COMPLIANCE AND Al7THORIZA710N OF ENTRV: I cetlity under penalty of perjury that I have read this application and state tha� ihe intormation given is
correcL I agree to comply with all state laws and city ordinances relating �o building consfmction, and authorize representatives of Ihe Cily of Costa Mesa to enter upon ihe
ebove�described propetly for inspection purposes. I agree not to occupy or allow acupancy of any building authorized by Ihis permit until finel inspection.
�Sig f Legal Owner(s) Date
4 � /- /G -0 7
A Or A on pD����t ate
GODE �. N P I N11'FE
161fi Fixetl Syslem Final Fire Prevention
1266 Pool Spa Final
200 Final Re�R�� .
201' Final BIocIJRetaining Wall
202
203
204
Final Factory Fire Place
Finel Sign
Final Demtlli�ion
P�L INiITIRLS
� �� � �
CODE I INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildinyOccupancy
i�
�
INIIiIA
� $3��8�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 977 CO8TA MEBA. CALIFORNIA
For Applicanf to Fill In Completely
iYPE OR PRINT
BUILDING
ADORESS
COSTA MESA CALIFORNIA
MAIL
ADDRE55
c�r Corooa del Mar No`UR 34220
OR ENGEI EER o ioni+o: OR 3422
ADDRES6 3SOO $. C088C HS �fJB
,.,,.,.e.,-r„o Mecco Corporation
�in. Coi'On8 del Maz .
LIC. NO. D BD 'I NO.
BIZE /� / I NO. OP B1D08.
OF LOT /Q 7C 9_� Now oN wi
USE OF
EXISTING BLDG
98TBACK LINB FROM % p
C¢Ni¢w ov sT+asr REAF YARD
SIDE YARO I LEFf l ( I RIGHT /
DESCRIPTION OF WORK
NO. OF
EXTERIOR WALL
COVERING
USE OF BUILDING AN�
a�EC 9, 13611
�� 98, /,,"�::�-(��3;r)_=c ,2
r.� ' l{i N11s.�. �.I .
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
HECEIPT NO. �� {T� �`
�
RECESV6O BY DATB RECEIVHD OATH IBBUEO
/ : �—�7_ I s I C&f n n �oer
COSTA MESA. CALIFORNIA
FIRE I/
ZONE TYPE V GROU
APPROVED
ZONING
ZON[ NO. OP I U88 OP NEW
R�1 I PLAN9 2 BUILDINO �
LBGAL y .1. � �J . "� . .
) � lCBHTiP L�NB BTJ
�
�
i2-8
H6P6BY NNOWLetldH TNAT 1 HAV6 qBAD TN�B APPLIGTION }�{g AMOUNT BXOWN UNOEH VALU�TION IB FOR TH!
�ND 9TA TNAT THE �OV 19 CORPECT AN� AO 8 TO COM- pURP088 OP EBTABL�BN�NO A PeHMIT P88 ONLY.
PLY WITM ALL CIiY O��N C6 AND 8TA LA REOULATNO
eu��o�na coNeirtuciloN. VALUATION
81GNATURE OP PERMIT FEE S �O�
PERMITfB
� S' 1�., � 3 p � PLAN CHECK $ �. �
AUTHORIZED AGENT
TOTAL FEE ��
i
0
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