HomeMy WebLinkAbout3078 PLATTE DR - Building Permits. .:�
t �
o,
> _
J��
(714)754-5273 • Fax(714)754-4856
CITY OF COSTA MESA
BUILDING D/VISION
DEVELOPMENT SERVICES DEPARTMENT.
PERMIT
BUILDING PERMIT
Job Address: 3078 PLATTE DR
Suite:
Vicinity: HOUSE & ATTACHED GARAGE
Parcel Number: 14151226
,4pp�icant: JEWELL, TODD R.
Address: 23532 EL TORO RD #21
LAKEFOREST.CA
Owner: SPURGEON, WILLIAM H 4TH
Address 3078 PLATTE OR �
COSTA MESA,CA
Contractor BIENEK ROOFING
Address: 23532 EL TORO RD #21
LAKE FOREST, CA
Zip: 92630
Arch :
Address:
Zoning: R1 R1
Phone: (B00)499-1340
Zip: 92630
Phone:
Zip: 92626
Phone: (800)499-1340
License: 651509
Eng:
Address:
PERMIJ NUMBER
�
��u00-00497
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 04/17/2000
Issued: 04/77/2000
, � Phone: Phone: .
� � Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (20 SQ). TEAR OFF EXISTING SHAKE ROOFING
& RESHEATH WITH 1/2" OSB PLYWOOD. INSTALL 30# FELT UNDERLAYMENT & REROOF WITH "ELK SHAKEWOOD "
COMPOSITION SHINGLES. - ,
Plan Check: $0.00
Permit ' $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: o
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
sa,000.00
sa,000:oo
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) .
EXPIRA710N: 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 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all
requlred inspectlona and final approvel must be obtained. Failure to obtain inspections and final approval will iesult in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 .
WORKERS' COMPENSATION DECLARATION: �
I hereby attirm untler penalry of per�ury one oi the following declarations: � '
❑ I have antl will maintain a certificate oi consent to self-Insure for workers' compensation, as provided for by section 3700 oi Ihe Wbor Cotle, for the partormance of the
wark for which this permit Is iuued.
❑ I have and will maintein workers' compensation insurance, as requiretl by seaion 3700 of the Labor Code, for ihe peAortnance ot the work for which ihis partnit is iuuetl.
My workers' com ensation Insurence carner ana policy number are: . � 7 y
Carner. ��� i��Q rn va Policy Number: �C 3'- �`" `�� � G 7i
(This secfion need nof be complered il (he permit is velued af one huntlred dollars (8f 00) o� less.)
❑ I certity that in Ihe pertormance of the work tor which ihis permit is issued, I shall not employ any person in eny manner so as to 6ecome su6ject to ihe workers'
compensation laws of Califomi , and egre that it I sho ecrome sublect b Ihe workers' compensation provisions of Section 3700 of ihe Labor Cotle, I shell forthwith
comply with ihese provisio �//�
Applicent Signawre: � � ' � . Date: � � � � — �
WARNINO: FAILURE TO SECURE WORKERS' C(kAPENSATION ER4GE IS UNL4WFlIL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND qViL FINES UP TOONE HUNDRED
TFIOUSANO DOWRE (Y100,000�, IN ADOITIIXJ TO iHE WST OF COMPENSATION, OAMAGES AS PROVIDED FOF IN SECTION 3]O6 OF THE LABOF WDE. IMEREST, AND ATiORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm ihat I am
torce and effect Lic. k_
Contractofs Signature:
ot Chapter 9(commencing with Section 7000) oi Division 3 of ihe Business and P�p fessions Cotle, antl my license is in full
oiass « C .3 v
c,/ Date: � — / � — U �
CONSTRUCTION LENDING AGENCV:
❑ I hereby ettirm lhai there is a construciion lending agency for Ihe pedormance of the work tor which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: . _ _ _ _ Lenders Address: _ _ _ ___ _ _ _ _ . _
Signalure:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby affirm that under penalry oi perjury �ha� I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions
Coda: Any ciry or counry which requires a parmit to construct, alter, improve, demolish, or repair any simcture, pnor to ils issuance, also requires Ihe epplicant tor such permit
to file e signetl stetement ihat he or she is licensed pursuant b the provisions of iha CoNractors License Lew (Chapter 9(commencinq wlth Sectlon 7000) of Division 3 oi ihe
Business and Proteuions CoOe) or that he or she is exempt thereFrom and the basis for the alleged exemption. Any violation of Section 703L5 by any epplicant for a permit
sub�ects Ihe applicant to e civil penalry of nol mora than five huntlretl tlollars ($500).):
❑ I, es owner of the proDerty, or my employees with wages as their sole compensation, WILL DO THE WORK, antl iha structure Is not intendad or otteretl lor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not epply to an owner oi property who builds or improves Ihereon, and who Does such work
himself or herself or t�rough his or her own employees, provided that such improvemenis are not intanded or oHered tor sale. If, however, the building or improvemenl is
soltl within one year of completion, lhe owner-builtler will have the burtlen ot proving that he or she did not huiltl or improve for purpose of sale.).
❑ I, as owner of ihe propeRy. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions
Code: The coniractors License Law does not apply to an owner of property who builds or improves Ihereon, end who contracts for such project with a contractor(s)
license pursuaN to Ihe Conlrectors License Laws.).
❑ I am exempt under sec. Businass and Professions Code for ihis reason:
SignaWre: Date:
Owner ID venfietl by dnvers license. ❑ Yes ❑ No Drivets License No.
Veritication of Ownership by (type of document, i.e. - property tax Dill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMITCERTIFICATION:
Eapires:
❑ I hereby cehlty that no excavation tive (5) or more teet in depth Into which a person is requiretl to descend, will be matle in connaction with work authorized by ihis
pertnit, and ihat no builtling stmcture, scaHolding, talsework, or demolition or dismamling thereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
347, Title e, Calitornia Administretive Code).
❑ As owner-builtlar, I will not employ anyone to tlo work which woultl require a pertnit from the Division ot Industrial Safery, as noted above, unless such person has a
permit to tlo such work from the division.
Signatura: Date:
Division of Industrial Safety Permit Number:
CER7IFICA7E OF COMPLIANCE AND Al7T}IORIZATION OF ENTAV: I certify under panelty of perjury that I have read this application and state that the intormation given is
wrrect I agrea to comply with all state laws and city ortlinances relating to building consiruc�ion, and authonze representatives ot ihe Ciry ot Cwta Mesa to enter upon the
abova-dascnbed properry for inspection purposes. I agrae not to occupy or allow occupancy of any builtling authorized Dy this pertnit until iinal inspection.
COOE t. INSPECTIONTYPE'
1616 Fixed System Finel Fire Prevention
1266 Pool Spa Final
200 Flnal Re-Roof
201 Final BIocWReteining Wall
202 Finel Fectary Fire Place
203
204
2aa&a6
Final Sign
Final Demolition
�F - i�'7 - a �
Date
� f[l�Jp�l$ �� INSPECTIONTYPE
206 Final Mechanical
� M 20B Final Plumhing
" GV � 210 Final ElecMcal
� �• 212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
o�
INTITIRLS
� �r�o � 2
` FEE RECQ�JE�,-IVED
COSTA MESA BUILDING-SAFEfY DEPARTMENT
' P.O. BOX 917 COHTA MHHA� CALIFORNIA .' .- tlU N Z. Q�9V�1'
For Applicant to Fill In Completely AP,P.4H�J,1(����'PERMR
TYPE OR PRINT 1�894�cµ t'IIV ��� -
BUILDIN6 �C�� �� I �� CIT'fo0Fo6�'eTl��E6Yb►y
AODRES$ � RECEIP� NO. PEflMIT NO.
' COSTA MESA. CALIFORNIA � 7n(� � 7
REC81 EO BY D 8 PE 61VEC ATj IBBUEU C
OWNER NOR:'HGATE �—%�`1-�63 J(R.:� ��5,�
MAIL � BUILDIN6
ADDRESS 1 1 Golden [dest �1DDRE59
TEL. 20NE TVPE ' • GROUP �
'�,r Westminster Gal. No. 897-782 l
APPROVEC
AP" 'TECT C� �llBT TEL535-2007 BY . DATE
O INEER NO.
ADDRESS BO7C 11 Anaheim Cal � ZONING �
, Z N I NO.OP � U OF /�
na PI.ANB 1
CONTRACTOR�OIISET l.�iLS�i1.lCV�.�71 TilC•
LEo�L /
ADDRE88 1 31t7. Golden West DEoceIrtlON � l�—`� � `-�
c�Tr Westminster Cal. A. P. NO.`
' NOTE: NO EAVE OVERHAN6 SHALL BE LE9S THAN '�
STATE T�L. p p^I� 80" TO SIDE B REAR P. L. '
LIC.NO. ZZ O NO. V �7VGµ
M EAVES
OFLOT 66 X ZvG� � . I rvO.OPeLDae. O ALLOWED (I1.B.C.REQUIREMENT)
HOw orv�oT YAROSAPPROVED YARDSAPPROVED
USEOF - ' ' MAINBUILDING ACCESSORYBUILDIN6
EX�STING BLD6. �
(FROMC/LSTREE7 � . � .
BETBACKLINfiFROM r �p S. �.
CENTEROP8TflE8T �O� REARYARD c�� FRONT FT.
�/'
SI�E YARO I LEF7 � I RIOHT 21 � R. SID - FT FT.
' DESCRIPTION QF WORK �. ame —Fr.✓ �.
NI ' g ALTERATIpN ADDITION REAR �� FT. FT.
�ISTANCE ET. BET. MAIN R
MAIN BLD68.� ACCESS. BLDG9.
REPAIR MOVINO DEMOLI9H
BUILDIN6 NO.Ok � VAR.# DATE
SIZE O �' ROOMS STORIE9 Z C.U.P.7C APPftOVED
\
EXTERIOR WALL ROOp � APPR ' II ^ i/ ��
COVERING S IICCO I COVERINO SY11 e BY '�INI� DATE . «
USH OF BUILDIN6 AfiD WORK TO BE PERFORMHD
at ara e
f6.5'6
� � sc. Fr. � � �
� �iewEeY ACI(NO Oe THA Ayg D THIB APPLICATION THE AMOUNT 6XOWN UNDEF V LUATION IB FOR THE F
•N� 6TAT8 T THE 9 C R CT AND AGRE6 TO COM. PUPPOSE OF EBTABLIBHING P PENMIT F@E ONLY. �
PLY WITH L C�TY ORD CE8 A g{ 8 LAWH pfiOULATINO y,yLUAT1ON �
BUILO�NO N6TRYQ10 . �c N
SIGNATU OF PERMIT FEE $</ �/� j
PERMI7TE m
. s /����2 � _
0
�` .
AUTHORREDA6ENT �� TOTALFEE $ E��
OWNER NOR'.
JOB ADDRESS
GENERAL CO]
DATE �UL 5 1963
BUILDING PERMIT_NO.
VALUE Q 16, 332.T00
SUBCON'P1tACTOR
� 2308�
COSTA MESA BUILDING-SAFETY DEpARTMENT
P.O. BOX 91] COSTA M68A. CALIFORNIA
For Appllcvnt fo Fill In Completely
TYPE OR PRINT
�oiHa �G^�"1� 1�L.H�E= �'I'•
JRE55
COSTA MESA. CALIFORNIA
L`. C
�
� HETBNCN LINE FROM
.�.�'� ��
APPROVEO
„�, BY
/9
-�i
OCT 14 1964
FINANCE DEPT.
CITY OF CO3TA MESA
APPLICATION FOR PERMIT -
BUILDING
For Office Use Only
sr
ZONIN(i
/
U N� 1? �' � oEecrs�rn /- 1 U` • �/
A. P. NO.
' /-�'»--�(p
NOTE: NO EAVE OVERHANG BHALL BE LE89 THAN
'CA 'S"S�I S 1 90" TO SIOE @ REAR P. L
I EAVE9
No, op ai,noe. J ALLOWED (U. B. C. REQUIREMENT.
NOW ON LOT
, YARDSAPPROVED YAROSAPPROVED
MAIN BUILDING AGCESSORY BUILDINfb
EFf 'SU"i'� I RIGHT
DESCRIPTION OF WORK
. � � �
BUILDINO � O.OP, VAR.#
SIZE I L ROOMS O BTORIEB C. U. P.
EX7ERIOR WALL �/ ROOF �PR''
COVERING N��� COVERIN6 j'JA/� BY
USE OF BUILDING AND WORK TO BE PERFORMED
G l�/1Ii c � � ii �O C71= :�
BET. MAIN 8
ACCESS. BL[
OATE
a
SQ. FT. �
I HEREBY �CKNOWLEO08 TXAT 1 HAVH REAU TH18 APPLIGTION - TXE AMOUNT BXOWN UNGER V�I.UATION IB FOq THE F
inTE Ttl�T TM6 ABOVB !6 CORFECT AND AOREB TO COM- PIIRPOSE OF EBTABLIBHIN� A PERMIT FEE ONLY. �
PLY WITH ALL C�TY ORDINANCBB AND BTATB LAWB q80UlATINO �
eu��o�rvo corveraucnbrv. j . YALUATION /'m� n
ZED AGENT,
PERMIT FEH $ �
m
G
� g /��S%3� .� � a
/ � �.
TOTALFEE
� UWNER TINGLEY� MAX � _ DATE OCi 1 4
�JOB ADPRESS 307tt Platte I?T1YB $UILDING PERDIIT NO. .� 2
G�NERAL CON1'RACTOR Al�a. Kool Awning Co. VALUE $ �FS�.�
q#,,N, o^X 1-512-2E) LOT TAAC'P 1'IRE %ONE 3 DESCRIPTION OF WORKACIS3. .
; J:,
I�;� n�::-;CTIONS I SiQuaturc I DATE � GROUP J TYPE N ZONE R�
TeSC
Pinal
SUBCONT1iACTOR