The URL can be used to link to this page

Home My WebLink About3096 PLATTE DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3096 PLATTE DR Suite: Vicinity: ROOF Parcel Number: 14151222 Zoning: R1 R1 Applicant: CURTIS, JIM Address: 23891 VIA FABRICANTE � - � SUITE 627 - � Phone: (949)206-9963 MISSION VIEJO, CA Zip: 92691 � Owner. SANDZIMIER, MARK AND TAMMY Address ; 3096 PLATTEDR' � . . " �� , . . � . . - _ Phone: - . . _ , _ � ,��GOSTA MESA, CA . - Zip: 92626 � Contractor: ��CURTIS"ROOFING � Address: 23897 VIA�FABRICANTE " SUITE 627� Phone: (949)206-9963 � , � MISSION VIEJO, CA Zip:.,' 92691 " License: 647204 Arch : � ' Eng:� Address: , , � � . ' Address: - � ' . Phone: Zip: License: x Status: ISSUED Applied: 04/19/2004 Issued: 04/19/2004 ISSUED BY: ' �• �� , . Phone: License: , � ' -- - - , r - SCOPE OF P_ERMIT _ � ' : TEAR OFF EXISTING ROOF. INSTALL 1/2" OSB SHEATHING; 30# ASTM F.ELT, AND 40 YEAR ELK COMPOSITION SHWGLES. 25 SDUARES INCLUDES ATTACHED GARAGE. �" � " ' ` `" ' " �"" " -- - - " � � ' ' � � .. , � � FEE SUMMARY � Plan Check: $0.00 -- _ __ -- ' -- - Calc Valuation: S6,000.00 Permit $125.25 � Claim Valuation: Ss,000.00 : SMIP Res: � ' $0.60 , � , � SMIP Com: $0.00 , Other.' $0.00 � • �Inspection: � $0.00 . ,, ' � � _ , Total: � �$125.85 � � ..� �.� . � , � � . .. - `,.., ' � ; PLANNING�& ZONING � . �'% ` � SETBACKS� �` �� " � . � � MAIN STRUCTURE� Front " 0- 0 , Rear � �0-�0 �� `�, - �� Left 0 0 _- �� Right , 0- 0� " % j �� .� ' ACCESSORY Front � 0. 0 - Rear . 0- 0 Left 0- 0 - �, � Right �� 0- 0., ;'� PARKWG Exlstinq: 0' Reauired: ,0 Proposed: 0-' � ' . . ,. . . -- � _ . ' � NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) �� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of /80 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 246fi<fi (fi/00) WORKERS'COMPENSAnON DECLARAnON: I hereby eHirm undar penalry oi perjury one oi the tollowing decleretions: ❑ I heve end will maintain a certificate of wnsent to self-Insure tor workers' compensation, as pmdded tor by saction 3700 of the Labor Coda, for the pertortnance of the �/ work for which tl�s pertnit is issued. �7 �Phave and will maint in workers' compensation insurance, as requiretl by sectlon 3700 0l the Le6or Code, for Ne perfortnance oi Ihe work tor which this pertnit Is issuetl. �My workers' comp�sation Insurance carner enE policy number are: �� Cenie�- 2 8's- oo• 2/ 7 g � 7' �a—r ��`11� Policy Numtier: (7ffis sectlon need nof be complefed i/ the pelmif Is velued e one hundred dollars ($f 00J oNess J � � I certity �hat in Ihe DeAortnanca at Ihe work tor whic s pertnit is issued, I shall not employ any person in any manner so as ro become subject to the workers' compensetlon laws of Califomia� nd agr� tly�t it I uld become subject to tha workere' wmpensatlon provisions oi Section 3700 of the Wbor Coda, I shall forthwith comply with Ihese Dmvisions. �� jJ FAILURE TO LICENSED CONTRACI I herebv eNirm Ihat I em K / i„��—` �1e=� CAMPENSATION COVERAQE IS UNLAWFUL PND SHP1L SUBIECT AN EMMOYER TO CRIMINAL PENALTIES PND CIVIL FlNES UP TOONE MUNORED i TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 31O60F THE IABOR WDE, IMEREST, AND ATiORNEYS FEES. of Chapter 9(��mmencing with Section 7000) of Division 3 oi iha Date: Cade, en�! my license Is In full CONSTRUCTION LENDING AGENqY� ❑ I hereby ettirm ihat thare is e conslruction lending egency tor the peAormance of ihe work for which Ihis Oermit is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lentler's Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby eHirtn Ihet under penalry ot perjury Ihet I em EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professions Code: Any city or counry which requires e pertnit b consWct, alter, improve, tlemolis�, or repair any siruaure, pnor to its issuance, elso requires ihe applicant for such permit to file e signetl stetement that he or she is licensed pursuant to the provisions ot the Conirectors License Lew (Chapter 9(commencinq with Section 7000) oi Dlvision 3 of t�e Business and Prote551ons Code) or lhat he or 5he is ezempt therefrom and the hesis for the alleged e:emplion. Any violation of Section 7031.5 6y eny epplicant for e permil sublects t�e epplicant to e civil penalry ot not more ihan five huntlred tlollars ($500).): ❑ I, es owner oi the properry, or my employees with weges as their sole compensation, WILL DO THE WORK, and the structure Is not iniended or otferetl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work himself or herself or through his or her own employees, Orovided that such improvements are not Intended or oRered tor sale. If, however, Ihe building or improvement is sold wit�in one year of completioq the ownerbuilder will heve �he burden of pmNng that he or she tlid not build or improve for purposa ot sale.). � ❑ 1, es owner ol the property, em EXGLUSIVELV CON7RAC71NG WI7H LICENSED CONTRACTORS to consiruct the pmject (Sec. 7044, Business end Protessions Coda: The coNrectors License Law does not appry to an owner oi propeny who builds or improves ihereon, and who contracis lor such project with a comractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt unaer sec. Business end Professions Code for this reason: Signature: Date: Owner ID venfietl by tlrivers licen5e. ❑ Y85 ❑ No Drivefs License No. Verification of Ownerehip by (Iype of document, i.e. - property tax bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certity ihet no exwvation five (5) or more feet in depth into which a person is required �o descend, will �e made in connection with work euthorized by this pertnit, and that no building swqure, scattolding, talsework, or demolition or dismantling thereoi, will Oe more then thirry-six (36) fee� high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, California Adminisirative Gode). ❑ As owner-builder, I will not employ enyone Io tlo work which would require a permit irom the Division of Indusinal Satety, as noted above, unless such person has e permi� to tla such work irom the division. Signature: Date: Division of Induslnel Safery Permit Numbar: CERTIFICATE OF COMPLIANCE AND A1lTHORVA710N OF EN7RV: I certify under penalry of perjury that I �ave read ihis application antl state that the information given is correct. I egree to wmply with all sta�e laws and ciry ordinances relating to building conswction, and authorize representatives ot the Ciry of Costa Mesa to enter upon the ebove-descnbed property for inspection pur➢oses. I agree not to occupy or allow occupancy ot any building authorizad by ihis permit until final inspedion. COUE I. 1616 ixea System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE 1—=i �— � �ODE11 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumhing 210 Final Electnwl 212 Final Fire Prevenlian 220 Final Planning Approval 222 Final Site 250 FinalBuildinyOccupancy Q� � JOB ADDRESS 3096 P. GRN�RAL CONTRACTOR : �. IA.,: ECTIONS DATE �UL 5 1963 BUILDING PERMIT NO. SiC. VALUE $ 1 � .00 FIRE 'LONE DESCRIPTION OF �VORKS: SUBCONI'RACTOR �a 8t. .. . �noo� COSTA MESA BUILDING-SAFETY DEPARTMENT �EE RECEiVED P.O. BOX 01] ' COHTA M6HA. CALIFOflN1A �� , O �^�� O For Applicant ►o Fill In Complefely f��P�IC�'jJO�R PERMIT TYPE OR PRINT 1�89��37 �� '� (�y BUILDINa 2 j� \�J CITYF�F �ifiFiFA �10 �Y ;(� n ADDRE59 ---?� L1� �� 1� T� ^ qecs�rT rvo. ��j'{i�� . COSTA MESA, CALIFORNIA ' � �(,',1��11Ui] RBCEIV�DBY yATBRg�31VE DAT6�59UED OWNER NOR HGATE � L�'/ - JUL 5 1963 BUILDIN6 ' ' MAIL .....�. ..._�.__ cr_� nnnwFea . ADDRESS Eox Ll Anaheim Calif. ZONING ; _ Z _ -I NO.OF O660R E Pcroser Construction Inc. PANB '�� CONTRACTOR ) (] � LEOAL 1—� r- ^�� li L ADDR6S9 7•3341 Golden West DE8<RIPTION 1 1 CITY YIOStiIIllTlStiP.1'� C�nl• � A. P. NO. � 57AT8 I�p TE�. 897-7824 30'rTOS�IDE@REARpHLN6SHALLBELE55THAN � LIC. NO. 215�47 NO. EAVES SIZE LL x lOZ� I No.oFOLDae. O ALI.OWED (U.B.C.REQUIREMENT) OF LOT �� nOW oN LOT YARDSAPPROVED YARDSAPPROVED USE OF ' MAIN BUILDINO ' ACGESSORY BUILDINCd EXISTIN66LD0. Y ' (FROMC L REET)/ 6ETBPCK LINE PROM (� � �/ cErvTEx oF BTxEEi Ot REAR YARO Z/ � FRONT � FT. SIDEYARDI LEFT �� I RIGHT � R.81D6 � Ff. FT. DESCRIPTION OF WORK. �. s�oe Fr. ✓/ F-r. ✓ M _�_ ALTERATION ADOITION REAR� •� �. OISTANCi ET. BET. MAIN Q REPAIR � MOVIN6 DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDIN6 NO.OP VAR.�C ' . DATE SIZE SO X 3� ROOMS 8T RIE9 1 G.U.P.SC APPROVED EXTERIORWALL - I ROOF APPROV 1' � GOVERING COVERINp .�SZ 18 BT N�Vb'i DATE � USE OF BUILDING AND WORK TO BE PERFORMED _ � e � ea Fr. C ,20I q/ o I HEFEBY ACKNOWL TX XAV EAO TN18 APPLICATION THE AMOUNT 9HOWN ONOER VFLUATI IB FOR TH8 . PURPOBE.OF EBTABLI8HIN0 A PERMIT FEE ONLY. F wN0 eiwie T// H¢ wB COpREC ANO AOREE TO COM. p PLY WITH A CITY OqO CH9 A BT T6 uwa ReauunNa, yqLUATION � J{� m aulto�rvo rvsTqucil pERMITFEE $ �iV(/ � . SIGNATU E �y � - � PERMITT . S ILi �p // — �m �� 11 v A G C � nJ • t AUTHORIZEDAGENT ' TOTALFEE $ %(��