HomeMy WebLinkAbout3121 PIERCE AVE - Building Permits�"'°`"' """"""" 3121 PIERCE AV
OWNEfl'$NAME: �IMURA TED TADASHZ
noosess: 3121 PI�RCE AVE
COSTA MESA,CA 92626
��CNIENCINEEfl: 9 6 z— O S 6 S BEG.NO.:
' PUOPESS:
UNIT:
UNIT:
PEPMITTEE: G & G ROUFING CO. INC, ( 213 ) 547-5455
aooeess: 1941 N, GAFFEY A
SAN PEDRO CA,90734
UCENSEO CONTPACT08 OECLAPATION: I �er¢Oy aHirm Ihal I am licensetl un0er O�onsions o� Chapt¢r 9([ommencing wii� Seciion
7000� ol Division 3 0l I�e Business antl Pmlessions Coae. ana my license is in full lorce antl eifeq.
CITYLIL.:OS4H41 s'a'Euc:615286 cuss: �`�
J �y
�'pZe; �/"I J —`t / Signamre: /�—� �
WOBKEflS' COMPENSATION OECIABRTION: I �ere6y atiirm Ihat 1 have5 cenilicate oi consent �o selbinmre or a cenilica�e of Workers'
ComOensalion Insurance. or a cetldietl copy ��ereof (Seciion 3800, Lab. C).
roucrno.: 1247253-91 E%P.OATE: O�IIOlI9Z
carnraNv: STATE FUND
� Cenilietl cooY �s hereUy furnishetl. ❑ CeNIieO cooY a filed wit� tne city BuilUing Oivision.
,..Qata /!— z � — 5 / AnP�ieane �� /��I�� �
E%EMFfION fNOM WONKEPS' COMPENSRTION OECLAflPTION: (ittis secODn need no� Oe mmpleteG i� Ne perrtul6 ior ane hmMreC �5100) or less�.
I certify �hat in ihe �etlorman[e ol Ihe work �or w�i[h Ihis permi� is i55ue0. I shall noi employ any person in any manner so as �o become
su��ect to t�e Workers' CAmpensalion laws ol Califomia.
Oa�e: Sg�ature:
NO710E: II. alier makinA �his Ueclaration. yrou shoula bewme suGl� �o tM Warkers' Compensatron o�wisions ol the Laoor
. Coae. you musl Iannwiin comv�y witn suc� D�ovisions or iNs permit Sliall oe UeemeA revoke0.
� CONSTHUCTION LENOING RGENCY: I hereby atlirm Oui IOere a a con5rtucli0n lending ag¢My lor Ihe DetlOfmante 0� �he vrork IOr
which Ihis permi� i5 i55uea (Section 3097. Civ. C�.
LENOEN:
RDOflESS:
OWNEB BUILOEfl OFCLAMTION: I 11ere0y atlirm Ihai 1 am ¢KemO� «om t�e CAntradOrs' State L"¢ense Law tor tAe tdlowing reawn
ISeclion 70.31.5 Business an0 PmIeSSional COtle: Any tity of wuniy w�ic� repuires a permil ta cons�mcl. aller, improve, demolis0. or
repair any slNtlure. prior to i6 65uance. also �¢Quires t�e appliWnt Iw sut� Derrttit to lile a 5ipn¢G statement tlldt Odshe 6 licensetl
pursuam to ine o�ovisims at ine Contracrors' 9ate Lkense Law (Clwpter 9(wmmenrinp xitn Section 7000) ol OWision 3 0l tne Business
anU Pioles5ions Coee) o� IAat 1le/she rs eAempt I�erefmm anG ihe Gdsis �or the alleqe0 eeempti0n. My viWatiOn of $Ettion 7031.5 by
any aoWrcanl lor a pGrmt suDiats ihe aD7���nt to a Gvtl pendlty o1 tqt more Ihdn Iive nunarCd eWWrs (55110�.
I. as owner ol ihe O�openy ot my emqoyea witn wapl5 ds Ih¢ir 5ole comper5dibn. witl Ao Itle waM, an0 Ine
❑ slmcture is not imenGeG or olferea lar sale �Section 70aa, 9usiness anE Prolessronal CoUe: ine Contracmrs' State License Law
Oces no1 aD�N �o an wmer ol a O�oDeny wM WtlCs w improves tAereon, an0 wlw dces suGi wod himsell/�erseti or I�rouOh
�i5 ar �er awn employces, pro�riG¢E Ilwi suc� imprmemems are noi int¢naea or oflered tor sale. II. �owever t�e builGinp ar
impmvement u Sd0 rninin one ylar ol fAmpleti0n, Ihe Pxner wi:l tNve tne Ourtlen ol provinp trcJshe tlie not ouila or impmva
loi Ine DWpose a1 Sale�.
I, as owner ot I�e pmDeny. am eaGusivery ContraclinA ��h Iicense0 contracmrs m conslmci I�e Dmjec� �Sec�ion 70G4, Business
❑ an0 Profusims CoEe: T�e Comractors Stare Licence Law tloes mt apqy m an ovmer ol properrywAo �m1Us or improves I�erew
and w�o contracis lor suc� pmjects wii� a coniractoqs) Gcense D�rswnl b the Conira[IorS' Siate License Law�. I am aware
IINI O�ao� al t�eir Wmkei 5 CAm0en5dibn it5urarrcE SMNd he 0��� 10 me.
� I am eaempl unaer Se[tion: 8. 8 P. C.
tor mis �eason:
Oate: �er.
I tlo hereby cenify ttut I am aware oi arb undeMantl the requiremen6 0l Calitornia Health ana Safety COEe 5¢cti0ns 25505, 255�3, antl
25574 and I�al I or any lulute bWlOing occupant wilUvnll noi (circle one) neetl to comply wilh sai0 slale cotles anA ihe reQuiremenls for a
permil br cansimctian ar modiliWtion Irom t�e Pir Ouahry Mandgemenl Gsincl. fle34entul cansimction aDDlications are e�em0� ��am
IMSe pwviSionS.
Date: AppliwnC
I �ereby ceitily thal I have rea0 i�is aOO���ion and slate lhal Ihe a0ov¢ intormation is carre[C I agree to [amply wi�� all ci�y antl Couniy
ortlinances ana siaie iaws relaiing to OuilOing constmction anE �ere�y amfnnze represematives ol ihis city to enter upan tAe a�ove�mentione�
P�aVetly for mspeclion purpose5.
� ��aie� ��—Z�-4� Signamre: ��1✓1°`
/�
Onver's License or Social Securiiy r:
t6nLafi Wbite—Bwitling: Green—Code Enlorcemem: Canary—ApPli<anl; Pink—Pevenue: Golaenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 055301
PERMIT NO; B 055301 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT
JOH DESCRIPTION : T/OFF RESHT, REROOF W/COMP. SQ FT; 3,500
CLAIM VALUE: 3,500.00 CALC—VALUE: 3,500,00 GROUP OCC: R-3 /
COMMENTS• SMOKE DETECTOR RE�UIRED IN THE HOME
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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 H 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; FT IN RGHT: FT .IN
PARKING REQ: PROV: PARCEL: 14165116 ZNE: REF NO: �
PLANNING N6TE5>
>
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D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N T S
20NING APPROVED BY , DATE:
HUILDING APPROVED BY : DATE: �
APPLICATION ISSUED HY: DATE: ��� O� /'
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LEGALIZATION:N F E E S U M M A R Y - STRUCTURAL SEGMENT:Y
,
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ' 63.00 50
SMSP/NON—RES
PLAN •
ISSUE FEE • ' '
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 63,50 O.UO 0,00 63.50 � 53.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHbRT: ,00
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63.00 ,50
if aE k iE Ik iE k 1t if If �f af iF iE iF if IF iF if iE 3f If if if k iF 3F iE iF if 3F iE af iF iE iE iE iF aE jf �E if * k IF IE iE # iE 1F if 3F iE iE iE it ik iE iF k iF if"�F )f � it iE k if if if 1E iE if iE ie If 1F if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3500
�
REROOF BY VAL�E RESIDENTIAL NOZONE 1.00
END OF FEES
txF'IKtU
Incomplete Inspections
Oate �_ ( ._ Sig ��(� ��
� J
�
3.500.00
�
� CO��TFtUCTION AND PLANNING .
APFHOVALS Permit #
1. TemDorary Electriral Service or Pole
2. Soil Pipe•Undrgrnd. � �
3. ElGctriwl Conduit Utility-Undrgmdt`
4. Electrical Conduit-Undrgrnd. •
5`. Steel Reinforcement
6. Electrical UFER G�nd.
T. Footings �
� 8,'Foundation
9! Wa[er Pipe•Undrgrnd. _
10. Structural Floor.System
11 . Property Sewer Line & House Conneetion
12. Sewer Cap '
13. Roof Drains �
74. Rough Plumbirig
75. Rough Elec[riwl-Conduit
i6. Rough Electric Wiring
17. Ro�gh Wiring Si9n
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Fyctory Fireplace �. � �
�
21. Dutts,in StructurQ .'
22. Ducts, Ventilating
23. Gas Pipe�Rough & Test .
24. Rooi. Framing •
25. Roof Sheathinq .
26. T�Bar Ceiling (Structural) & Monocoat
27. �Frame and Flashing '
28. Laihing'& Siding .
29. Insulation �
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meier-Final
33. Final Electric .
�34. Fin31 Heating & l',ir.Condi[ioning
35. Final Gas Pipe;Test
,36. Hood or Canopy ,
37. Final Faaory Fireplace �
38. Final Plumbing . �
39. Water Service-Final -
40. Gas Service�Final .
�41. Solar pomesvcFinal - �
42. Backflow Preventer
43. Backflow Irrigation�
44. Landscape Irrigation System -
+45. Sound Attenuation '
46. Handicap Regulations
47. fINALSTRWCTURE&BUILDING
48. FINAL PLANNING � �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cc
51. CERTIFICATE OF OCCUPANCY
Vo. Date
Date
0
9
P00 SPA
Inspector qppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Condui[�Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Reteptor•Final
63. Heater & Vent-Final
64. Plumbing SYstem � Final
65. Electrical•Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
� APPROVALS� Permit #
�70. Underground Hydro �
' 71. ProductP�ing •Gas ❑Oil
� 72. Under� „und Flush- .
�Undergmd. Stora9e Tank � Gas ❑ Oit
74. Overhead Hydro
� 75. Dry Chemical • •
, 76. Ory Stand�ipe , • '
� 77.. FIXED SYSTEM FINAL �
' 76..FIRE PREV. FINAL
� -
, HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTIQN ' .
� � 80. :FOOD CERTIFICATE ISSUEO
.
. Notes:
�
X-P'�-R_E'{�-_
�lete Insoectiohs
�? Sig-�--
Date � Inspector
ii
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COSTA ME5A BUILDING-SAFEN DEPARTMENT
P. O. BOX 917 C08TA MBSA. CALIFORNIA
For Applieenf to Fill In Complefely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
Occ.�den.ta.L Loan Cvmpanu
.:2907 Qen.ecitc.t �anuon Qa�ve
� SIZE
� 88TBACK LINe PPOM
�Y��1
NO. OP BLDGe.
DESCRIPTION OF WORK
AND
I H6R8BY ACNNOWL8D68 TXAT 1 HAVE pBAD TH�e APPUGTION
AND BT�TB THAT TH6 A90V6 18 CORPECT �ND A6R88 TO COb-
PLY WITN ALL CITY OfiDINANCHB AN� 8i�T8 LAW RB6 IATN99
9UILDINO GON9TRUC�1������/� /�
81GNATURH OP// siJ �/�/N2sA
�AUTHORIZED
� � ����6�4�D
FEe i s issa
FINRP:CE DEPT.
C{TY OF C05TA MESA
APPLICATjON FOR PERMIT
BUILDING
For Office Use Only
CY � DATH
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP�
APPROVED
ZONING
xo. oF (1 I use or
runs J em�ou
LINB BTq
FT.
-1
m
. �� Jh S�� � l0 �f�s/7 ��A � o.
TH8 AMOUM DHOWN U D8R VALUATION 19 POR THE
PUMPOBB OR ¢9TABLIBHINO • PEq�e1T FH8 ONLY.
VALUATION
PERMIT FEE $ �(%� N
/� n
S J� C� (,�� PLAN CHECK $ ��(fr—
G` Z
C
TOTAL FEE � g' y