HomeMy WebLinkAbout2827 FRANCIS LN - Building Permits: . .-
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESn, Gn s2s2s
BUILDING PERMIT
JobAddress: 2827 FRANCIS LN
Suite:
Vicinity: ROOF
Parcel Number: 14133104
Applicant: BONADONNA, DINO
Address: 2827 FRANCIS LN
COSTA MESA. CA
Owner: BONADONNA, DINO
Address 2827 FRANCIS LN
COSTA MESA, CA
Convactor: O W N ER-BU ILD ER
Address:
Zip:
Arch :
Address:
Zoning:
Phone: 714-434-7717
Zip: 92626
Phone:
Zip: 92626
Phone:
License: 0
Eng:
Address:
Status: ISSUED
Applied: 07/18/2002
Issued: 07/18/2002
ISSUED BY: C_�l�l'��
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL OSB BOARDS, 40 YR COMPOSITION SHINGLES, AND 30# FELT. 2700 S.F.
INCLUDES GARAGE. .
Plan Check: $0.00
Permit: $12525
SMIP Res: $0.54
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.79
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinp: o
NOTES:
Rear 0. 0
Rear 0. 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation: '
Claim Valuation:
Right 0- 0
Right 0- 0
$5,400.00
ss,aoo.00
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiraments under California statutes and related
regulations. (Ord. No. 92-28, § 7, 1241-92)
EXPIRATION: This permit shall au[omatically expire and 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 for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and (inal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7545626 ,
zaause �aroa>
WORKERS' COMPENSATION DECIARATION:
I �ereby aHirm untler penelry ol perjury one of the following tleclaretions: �
❑ I heve end will m�mtein e certificete ol cansent to selt-Insure tor workers' compensation, es proNtled for by section 3700 ot the Lebor Code, lor the peAormence of t�e
work for w�ich ih�l' permit is issuetl. . .
❑ I have antl wlll maint 'n workers' compensation Insurance, as required by section 3700 of the Lebor Code, tor t�e pertormance of ihe work for which Nis permit is issued.
My workers' compe�atlon Insurance carrier and policy number are:
Cartiec Polity Number:
(This section neetl nof be complete0 il fhe permif is velued a( are hundred dollars ($100) or less.)
;ulJ-fcertify that in the peRortnance oi Ihe work for which this pertnit is issued, I shall not employ eny person in eny mannar so es ro �acome subject to the workere'
compense�lon laws ol Galltomle, entl egree thei If I should become subject to ihe workers' compensetion provislons ot Saction 3700 oi the Labor Code, I shall torthwith
comply with these Orovisi . < �J
MWice�gnet�"- �re;. � i4/.� ��_�����/ pat�: /-" � -� Z
WARNING: FNLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWRIL AND SW1LL SUBJECT M! EMPLOYFA.TOCRIMINAL PENPLTIES AND GVIL FlNES UP TOONE HUNORED
TFKKISAND DOLURE (5100.OW), IN FDDfi1dJ TO TME CQST OF COMPENSATION, DNFUGES AS PROVIDEO FOR IN SECiION 31080F THE LABOR COOE, INTEREST, FND AiTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aHirtn that I em licensetl untler provislons of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full
torce end ettect Lic. a Cless q
Contrectors Signatura: . Date:
CONSTRUCTON LENDING AGENCY: •
❑ I hereby eHirm that ihere is a consiruction lending agency tor ihe performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Atltlress:
SignaWre: Date: ,
OWNER-BUILDER DECLARATIONS:
I hereby afflrtn Ihe� untler penelry of perjury Ihet I am E7(EMPT FROM TFIE CONTRACTORS LICENSE LAW for the lallowing reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counry which reQuires a permit to construct, elter, improve, demolish, or repair eny siructure, O�or to its issuance, also requires ihe epplicant tor such pertnit
ro file e signetl stetement thet �e or she Is Iicensetl pursuant to tha pmvisions ot ihe Gontrectors License Law (Chepter 9(commencing with Section 7000) of DlWsion 3 of the
Business end Professions Code) or �het he or she is ezempt ihereirom and ihe basis for the elleged exemption. Any violetion of Section 7031.5 by any epplicent for a permit
subjects the applicant to e civil penelty of not more Ihan five huntlred dollars ($500).):
❑ I, es ov.ner of the properry, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, and the siructure is not intended or oflered for sele (Sac.
7044, Business and Professions Cotle: The Coniractors License Law tloes not apO�Y �a an owner of properry who builds or improves thereon, and who does such work
himsetl or herselt or Ihmugh his or her own employees, provided ihat such improvements ere nol Intendetl or oMeretl lor sele. It, however, ihe building or improvement Is
sold within one year oi wmpletion, �he owner-builtler will heve the burden of proving that he or she did not build or improve for purpose ot sale.).
� I, as owner of the properry. am E%CLUSIVELY CONTRACTINC WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Protessions
Catle: 71�e contractors License Lew tloes not appty to an owner of property who bulltls or improves thereon, and who wntracis for suc� projed with a contrector(s)
license pursuem to the Comrectors License Lews.).
sec.
ID venfied by drivers Iicense. ❑ Ves ❑ No
Business and Professions Code for this reason:
Verilicetion of Ownership by (type of documant, i.e. � property taa bill
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certlly thet no excevation flve (5) or more teet in dep�h into w�ich a person is requiratl to tlescend, wlll be made In connection with work authonzed by ihis
pertnit, and thel no building siructure, scaflolding, falsework, or demolition or tlismantling thereol, wiil De more ihan thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Celifornla Atlminisiretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permil irom the Division ol Intlustrial Salery, es noted ebove, unless such person hes e
permit to do such work irom Ne tlivision.
Signeture: Date:
Division ot Indusirial Safety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiry under penelry of perjury that I have read this application end state that the intormetion given Is
correct. I egree to comply with all state laws and ciry orainances relating to bulltling construction, end authorize representetives of the Ciry of Costa Mesa to enter upon �he
ebove-de p�peRy for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by this permit until fina2 nspection.
�� ����-. / -d
`SlgnatureAt.LeBal.Owner(s) � �4._Date - - }
And/Or Authorized Applicant Date
COOE I. INSPECTONTYPE
7616 Fixe� System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
7� IMRIALS
_,2Z"p'L �
COOE 1 INSPECTION TYGE
206 Finel Mechanical
208 Finel Plumbing
210 Finel Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�Occupency
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COSTA MESA BUILOING-SAFETY DEPARTMENT �4� �EC 9)
�
P. O. BOX 917 C08TA MBBA. CALIPORNIA �D � �!� pL � N� •' 1�1 �/ C,wJ�
y �
For A lican� fo Fill In Com lefel �' r��' ����:•
PP P Y APPLICATION FOR PERMIT '
TYPE OR PRINT g���DING
aooRess 2827 Ftancis Lane
COSTA MESA. CALIFORNIA Fo� Offite Use Only
HECEIPT NO. PlPM�T NO.
OWNER p �D
MAIL ��QO p. Coast Highvay RECCI ED OY DATB qQCE1V8D�" qrT! IB§ EO�
ADORE55 � I �' -'�—�^c> DE1.2 (J I�J'��
TEL. BUILDING
cirr NO. ADDRESS 2827 Francis I.ane
oR ENGINEEe �CCO Corporation NEOR 34220 COSTA MESA. CALIFORNIA
ADDRE56 FIRE �
ZONE TYPE GFlOUP
CONTRACTOR �CCO COlj10L8C�0II APPROVED
BY DATE
ADDRE6S ZO N I N G
ZONE NO.OP U6H OP N!W �
cirr Corona del Mar • g_1 I•u�a 2 a������� 8tt ai
BTATE /J TEL. �eaw� � J. �. _ / ./� a _ �
LIC. NO. Q NO.
612E /� NO. 04 BLp08.
OF LOT -/ II �5 .� � Now oN LOT D
USE OF
EXIBTING BLDG
BHTBACK LINO PPOM � �
csMren oc errsaer S ftEAR YARD
I ( I ,
61DE YARD LEFT RIGHT
DESCRIP710N OF WORK
� BUILDING
ROOF
COVERII
KTOBE
HBReBY NNOWLEDGE '�HAT I NAVB RBAD TH�e M C
ND BTAT HAT TXE AB V6 19 COPPECT ANC AOq TO
PLY WITH �LL CIiY ORDI AN AND 8T LAW R80UL
BUILDINO CONBTRUCTO
BIGNATURE OF ` �
PERMITTE
\ IAUTHORIZED AGENT
BT.1
i
�
�/
rxe AMOUNT BXOWN UNOEH VALUATION 16 POq THC
PURPOBE OF 88TABLIBHIN6 A PBRMIT Y88 ONLY.
VALUATION �/
PERMIT FEE S . �'F. �"�
S��%� G[y O• PO PLAN CHECK $�% p�[
�
�
~ ' 16848
�OSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MBHA, CALIFORNIA
For Applicant fio Fill In Comple+ely
TYPE OR PRINT
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA ,�
TEL.
NO.
� ARGHITEGT
BTATE �i � �(I NO.
LIG. NO. T
61ZE li h. Q� �3 � NO. OP BIDOB.
OF LOT �� � X NOW ON LOT
USE OF
EXIS7ING BLDG. C /"4�1.�✓L't
B8T8AGK LIN! FROM
cexrea ov arneer REAR YARD
SIDE YARD ILEFT IRIGHT
DESCRIPTION OF WORK
BUILDING NO. OF
81ZE ROOMS
EXTERIOR WALL ROOF
COVERI G COVERII
U6E OF' BUILRING AND WORK;�Q BE
FEE RECEIVkU
�MAR 301962
FINANCE OEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIi
BUILDING
For Office Use Only
RlCEIVT NO. /G$RI.�IT jiO�y
/- CJ / L Y
IC p 7 p
aeceAveg er I .S'3�7"'6gL I 5�"Z' n5� �—
GQ
BUILDING � f;27 ���CJ�I T�J
ADORE56 � 7S __ OI
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP
APPROVE .T. Z � � �
ZONING '
20N NO.OF '% UBH OR NE I��
� — � I PUN9 („�� BOILDINO r
LEGAL Lo� 9 9 T/r 3 ys 3
DEBCHIPTION
A.P.NO. II 3 � V�l —Q Y
YARDS EVES
APPROVED ALLOwED
(C6MHR LINB BT.) /
FRONT (� FT. IN.�
R. SIDE � �— FT. IN.
L.61DE /�/ FT. —�� IN. �
REAR " FT. IN.
APPROVED
ev �.�a _. onrF 3 3 0�(, "3-
I HHRBBY ACNNOWLEDOC THAT 1 H�VH 0.EAO THIB APPLIGTION TH8 AMOUNT BXOWN UNOlH VALUATION 18 FOR TH6
AND BTATE THAT TN6 ABOVB �8 C00.REGi AND AGPlE TO COM-
PURPOBH OF 88T�CLIBHINO A PERMIT F[6 ONLY.
PLY WITH ALL CITY ORDINAN�e AND HTATB UWB R¢OULATINO
auunte�a wnaitau or+. , YAIUATIGN �
SIGNATURE O PERMIT PEE S I� �
PERMI�/�'g c/ " ] �QO � / �
JI>� �C[ pi- %'L-�LGO�� S J� PLAN CHECK $ (� �
AUTHORIZE AGENT u �
TOTAL FEE O
. 2427� CiTY �` E;�STA �ES�
'� COSTA MESA BUILDING-SAFEfY DEPARTMENT �UN 11 1965
P.O. BOX 91] C06TA MHSA, CALIPORNIA