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HomeMy WebLinkAbout2908 PEMBA DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.�a��SLDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2908 PEMBA DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 13926220 npplicant GOODGAME, JACK Address: 16631 KETfLER LN HUNINGTON BEACH, CA Owner: . WALKER, ROBERT Address 2908 PEMBA DR COSTA MESA, CA Comractoc SIERRA ROOFING CO Address: 16631 KETTLER LN HUNINGTON BEACH, CA Zip: 92647 Arch : Address: Zoning: R1 R1 Phone: (714)847-1773 Zip: 92647 Phone: (714) 979-5958 Zip: 92626 Phone: (714)847-1773 License: 511172 Eng: Address: ISSUED BY: Status: ISSUED Applied: 11/29/2000 Issued: 11/29/2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (30 SQ). TEAR OFF EXISTING ROOFING 8 RESHEATH WITH 1/2" CDX PLYWOOD. INSTALL 1 LAYER OF 30# FELT UNDERLAYMENT & REROOF WITH 25 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.58 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.83 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ex�stinq: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 ss,�ao.00 $5,780.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abantloned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 2aas-as (eroo) WORKERS' COMPENSATION DECLARA710N: I hereby eHirm under penalty oi perjury one ot the following tleclarations: ❑ I heve and will maintain a certificate ol consent to selt-Insure tor workers' compensetion, as D�o�itled for by section 3700 of Ihe Labor Code, for the peAormence of Ihe wark for which Ihis pertnit is issued. � I have and will maintain woAcers' compensation insurance, as required by section 3700 of the Lebor Cotle, Por tha peRortnance of ihe work for which this partnit Is issuetl. My workenrs' �c7o-m ensatlon Insur^ance carrier entl policy number are: ��5--� O "OO6 p(�J�,S_ Carrier:- /I/��U�✓/J �oliCy.Number.� (This seci'on need not be complefe il fhe permit is veluetl e( one huntlred dollers ($ )00) or Iess.J ❑ I cenify that in Ihe pedormance of Ihe work tor which this permit is issued, I shall not employ any person in any manner so es to become su�jecl to the workers' compensation lev¢�of Calitomia,pnd egree lhat IfySfiould bewme subject to ihe workars' compensation provisions ot Section 3700 of the Labor Code, I shell forthwith comply with FAILURE T/ySECURE WORKERS' LICENSED CONTRACTORS DECLARATION: %�Y Date: ��—.' � %- O U GJVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND pVIL FlNES UP TO ONE HUNDRED ' COfAPENSAiION, DAMAGES AS PROVIOED WR IN SEGTIqJ 3106 OF THE UBOR COOE, IMEREST, AN� ATTORNEY'S FEES. I hereby ettirm that I.am license under rovisions of Chapter 9(commencing with Section 7000) of Division 3 oi.�he Business tl Pmfessions Cotle, and my license is in full _,_ � �� 3� force end ettect. Lic..p. h �� Z // Class n- I contractors.Signature: (� ��„ i.��_ oate: L� — e2 9—D n � z CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a construction lending agency for Ihe peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: Signature: OWNER-BUILDER DECLARATIONS: Dete: I hereby ettlrm �het under penelty of perjury that I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Professians Gotle: Any ciry or county which reQuires a permit to conswct, alter, improve, demoiish, or repair any strucWre, pnor to ils issuance, also requires ihe epplicaM for such pertnit ro tile a signed statement that he or she Is licensed pursuant to the proNsions of Ihe Contrectors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code) or ihat he or she is exempt Iherefrom and t�e basis tor Ihe elleged exemption. Any violation of Section 7031.5 by any applicant for e pertnit sublects the applicant to a civil penalty of not more than tive huntlred tlollars ($500).): ❑ I, as owner oi ihe property, or my employaes with wages as their sole compensation, WILL DO THE WORK, end the structure is not Intended or oHeretl for sele (Sac. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or hersetl or Ihrough his or her own employees, provided ihat such improvements are not intended or oHered lor sale. If, �owever, ihe building or improvemeni is sold within one year of completion, the owner-6uilder will �ave the burden ot proving ihat he or she ditl not buiid or improve for purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELV CONTRAC77NG WITH LICENSED CONTRACTORS to constmd tha prolect (Sec. 7044, Business and Protessions Code: The contracbrs License Law tloes not appty to an owner ol proparty who builtls or Impmves Ihereon, end who contracis tor such projed wlth a contrector(s) license pursuant to the Contradors License Laws.). ❑ I em ezempt under sec. Business and Professions Code br ihis reason: Signature: Date: Owner ID venfied by dnvefs license. ❑ Ves ❑ No Dnvers License No. Verification of Ownership by (type of document, i.e. � property tax bill or tleetl): Eapires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation live (5) or more feei in depih into which a person is required to descend, will be made in connection with work euthonzea by this permit, antl t�at no building siructure, scaHolding, talsework, or demolition or dismantling thereoi, wili be more ihan thitly-six (36) feet high. (Chap. 32, Gry 2, Ari 2, Sec. 341, TiHe B, California Aaministretive Code). ❑ As owner-builder, I will not employ anyone �o do work which would require a permit from Ihe Division of Indusirial Safery, as noted above, unless suc� person hfls e pertni� to tlo such work irom Ihe division. SiqnaNre: Da�a: Division oi Intlustnal Safety Permit Number: CER71FlCA7E OF COMPLIANCE IWD AUTHORIZATION OF ENTFiV: I cenity under penalty of Oeryury that I have read this epplication antl state that the infortnation given is wrrecL I agrea to comply with ell state laws and ciry ordinances relating to Duiiding constmction, end authonze representatives of ihe City of Coste Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by �his permit un�il final inspec�ion. COOE t. INSPECTIONTYPE 1616 Fixed Sys�em Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion UATE �NTRIALS � � //- �9"-00 �Date COOE 1 INSPECTION TVPE 206 Final Mechanical 208 Final Plumbing 270 Final Electncal 212 Final Fire Pravention 220 Final Planning Approval 222 Final Sita 250 FinalBuilding/Occupancy owxER BRADFIELD, V.L. DATE 1-19-61 AP. No. LOT 11}- THACT j7Ly FIRE ZONE DESCI2IYTION OF WORK tilOCK W811 INSPECTIONS DATE I GROUP TYPE ZONE R1 Z� 'Tgt'011[Id Soil U.G. Watei pERMITS ISSUED : ___,__...__ ---I SUBCONTRACTOR I OCCUPANCY Form 410—SM-11-59 5-B p 13731 � � _ 1�'731 .� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Applieanf to Fiii in Comptetely TYPE OR PRINT BUILDING �jCG � �� ADDRE55 O°'7 i COSYA MESA. CALIFORNIA � ■ 9ETBAGK LINB PROM �t�� BUILDING NO. ✓ qDDRE65 TEL. NO. FIRE ZONE APPROVEO BY ZON TEL. �cae� � NO. DEBCNIPTIOp INO. OF BLpG6. OF WORK E%TERIOR WALL ROOF GOVERING GOVERING USE OF BUILDING AND WORK TO BE PERFORMED I HH0.EBY ACNNOWL ANO 6TATE THAT TI PLY WITH ALL CIlY BU�LDINO CON6TIiUi SIGNATURE OF � PERMITTEF AUTHORIZED AGE! THAT 1 HAVE HGD TMIB APPLIGTION >V8 IB COPRECT �ND AGRE¢ TO COM- iANCEB ANO 9TATE LAWB REOULATING FEE RECEI�E:� ,� �aN � y �ss� �' fiNANCE DEPT, APPLICATICEN'FSR P�fF��TM�� BUILDING For Office Use Only PECEIPT NO. �GI(M�IJT N� S /q-yJ ii� � /_� I�CE�E/ I ��Te /`fE61 MESA. CALIFORNIA ZONING NO.OP uee or rvew PLANB BUILDIN6 YAROS APPROVED ICENTBP LINH 9TJ APPROVED t �� X�oi �(�/i ��X�� ���� THE �MOUNT BHOWN UNDER VALUAT PURPOBE OP 88TABLIBH�NG /� pER VAWATION PEftMIT FEE S /�% � PLAN CHECK TOTAL FEE I9 POq TH¢ FEE ONLY. � q Lv � 0 x BRADFIELD, ERATON L. DATE JOB ADDRESS 2908 Pemba Dr. BUILDING PERMIT N0. �(;�� GENERAL CONTRACTOR OWri2T-B1dT. VALUE SiK9_nn AP. No.11i-6S2-20 i.OT TRACT FIRF. ZONE DF,SCRIPTTON OF WORK �lOCk Y1311 IN�PEGTIONS DATE GROUP TYPE ZONE R]. 1 fgCpllfld $011 U.G. Walcr _I PERMITS ISSUED — SUBGONTRACTOR F L 21 , � ` �.��.�C62 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 WBTA MEBA. CALIR0�1U For Applican� to Fill In Compiefely � TYPE OR PR1NT BUILDING /i �O� /' �L ADDRESS -•L /f�L✓ COSTA MESA. CALIFORNIA . � MAIL � CITY �jQj� /i�[j,o G(,� NO. ARCHITECT TEL. � SIZE I NO. OP B1D08. ■ 88TBACK LINB DESCRIPTION OF WORK 'EXTBRIOR WALL IROOF COVERING COVERING � USE OF BUILDING AND WORK TO BE PERFORMED 1 HEREBY ACKNOWLEDGE THAT 1 HAVE R¢AD TH19 MPlJGT10N AND BTATE T{IAT TXE A9�VE 18 CORRECT AN� AGItEH TO COM- PLY WITH ALL OiY ORD�NANCEB AND eTATE UWB RBOULATIN6 BUIlDINO CON9TRUCTION� � SIGNATURB OF Yj ���� � PERMITTEG 6� AUTHORIZED AGENT FEE RECE6V�D �'� APR 18 �9 FINANCE OEPT. APPLICATION FOR���tJFI� COSTA MESA BUILDING For Offiee Use Only PHCEIPi NO. P¢RMIT NO. /S�a'a o7 ,gY DATE RECEIVlD �ATC 188U8D -d ll -/ � /il � I � -/.a / i BUILDING �GD J� �//.f� ADDRESS / v �-J COSTA MESA. CALIFORNIA FIRE ZONING zoyr � I xo. ov I uee ov'xew �{� — ruNe �}� euitou+o VE L80AL � //� � _ � EVES (c¢rmx uxa er.> / THE AMOUNT BHOWN UNOER VALUATION �! POR TXE PUfiPOBE OP E6TABLIeHING A PERMIT PEE ONLY. VALUATION OG �J � ��( PERMIT FEE $ �J( $ ��J ` _PLAN CHECK $ C 0 LL rr3 �-� � � • ��.��� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C06TA MEBA, CALIPORNIA For Applieani fo Fill In Complefely TYpE OR PRINT BUIL�ING 29 a� P�m Bb �� . ADDRESS COSTA MESA. CALIFORNIA OWNER V C'K�� � Ky ST L D . MAIL ��. �L,!„GL�1/ /"�G AODRE55 TEL. CITY i NO. ARGHITHCT TEL. �'.m 4l1¢��li�..'d,u� �� y-�.lse "i.li,i �II'1_ li�-�;.� �PPLICATION��FOn�I pERM'T"�,'.i�C� BUILDING For Offiee Use Only RBCEIPT NO. �PSjtNIT�NO� 1d�� � I DA�^C7 �C CI D�./''�u `r O � �% O e� . _�izl�s.,_ �� .. ZON¢ NO.OF U6E OP NEW • reS. c�n R_], I PLAN9 2 I em�nmc w 8tt. &g0 STA7E � TEL. LEGAL 1� ^ C UC. NO. ('' NO. DEBCRIPTION � 7 OF LOT � V � S �N D I NOWOONBLOTB A. P. NO. NONE USE OF YAROS EVES EXISTING B DG APPROVED ALLOWED 6fiTBACK LIN6 PROM ��7 [�NTeR YNe 9T.> cexrew ov srnear � D REAR YARD L FRONT FT. IN. SIDE YARD LEFT W I RIGHT (I � R. SIDE FT. IN. DESCRIPTION OF WORK L.SIDE FT. � IN. NEW I ALTERATION I IIADDITION I REAR FT. IN. • REPAIR MOV�NG I IIDEMOLI6H I B,,PROVED / 1 , DA� C� L/ BUILDING NO. OF /� .�� SIZE O ROOMS STORIES �9�� EXTERIOR WALL ROOF �/ .L COVHRING � � COVERING SI �\ �- USE OF BUILDING AND WORK TO BE PEBFORMED m G- ,e .. I HHReBY ACKNOWLEDOH THAT 1 HAVE READ THIB MPLIGTiON 7HE AMOUNT BHOWN UNOER VALUAiION 1! FOR TXe ANO BTAT¢ THA E ABOVe 19 COPRECT ANO I1GR86 TO CON- pURP08E OP EBTABLI8HIN6 A PEpMIT FEE ONLY. PLY WITH A CI OPDIN B AND BTAT U�WB R60ULATING BU�LnINa N8 CTION. VALUATION �j SIGNATU F PERMIT FEE S J�� PERMITTE L - Q e $ �i /�J � PLAN CHECK $ / / ' AUTHORIZED AGENT � � ,� � TOTAL FEE ,y