HomeMy WebLinkAbout364 HAMILTON ST - Building PermitsQ
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PFOIEjTPD�flESS: �64 j��ij�'rQ(� ST
OWNEX'S NAME: PETERS, PAUL R
aooecss: pgTERS PAULA JEAN
1609 R{ITH iN
NEWPOR7' BEACH,CA 92660
(714)598-3063
APCHIENGINEEfl:
ADOflESS:
UNIT:
flEG.NO.: l
UNIT:
PEflMITTEE: GENE SWANSON ( 714 ) 642-8537
aooness: z619 REDLANDS
COSTA MESA CA 97.627
LICENSED CONTHPCTOfl OECUINATION: I hereby aifirm �ha� I am license� un0er pmvisions ot C�apler 9(commencfng wi�� Seclion
� 7000) ol Dimsion 9 o�ihe Business and Pmiessions Code, antl my license is in lull�arce and efleci.
c�Tvuc.:035209 sTareuc.:227546 � cuss:B
oaie: ,�'-3 `� si9�amre: �/��'p'� 1"ll"B„L�
WOBKEFS' COMPENSPTION OECLAflRTION: I hereby ailirm �ha� I have a cehifica�e ot consent m self�insure or a cenifica�e ot Workers'
Compensalion Insurance. or a cenilietl copV �hereof (Sec�ion 3800. Lab. C�.
POLICY NO.: EXP. �ATE:
COMPANV:
❑ Certi�ietl copy is hereby Wmishetl. ❑ Certified copy is liled with Ihe ci�y BUAtlmg Division.
Oate: Appiicani:
E%EMVTION FBOM WOflREPS' COMPENSATION OECLHBATION: Qhis sec�ion neeA nol be completetl i� the permit is �or one hundretl (3100) or less�.
I ceNty Iha� in ihe DeAormance ol Ne work tor which ��is permit isyssued, I shall not loy any per5on in any manner so as lo Oecome
su�letl to t�e Wo�kers' ComQpen5aiion laws ol Wlifomia. //,
�ale ���_T,� SignaWre: 1/`�""'�/ ��'�'�'H��
NOTICE: If, after making Ihis declaration, you 5hou10 become subjec� �o ihe Workers' Compensation pmvisions ol �he LaOor
Code. you must fotlhwilh comDly wiih such provisions or �his permi� shall be deemeU revoked.
CONSTflULT10N LENOING ACENCY: I here6y affirm I�ai there is a consimc�ion lending agency �ar Ihe pedormance ot the work for
whith Ihis permi� is issuetl (Sec�ion 3097. Civ. C�.
LENOEP:
aooeess:
OWNEB BUILOEfl oECIABATION: I hereby aftirm that I am exempt Imm the Contraclors' Slale License Law tor ine following reason
�Section 7031.5 Business and Pmie55ionai Cotle: Fny city of county which repuires a permi� to consimct, al�er, impmve, tlemolish, or
repair any simeNre, prior to its issuance, also reQuires Ihe applicanl br such permit to lile a signe� statement ihat he/she is licensed
pursuani la I�e pmvisions of Ihe Comracmrs' SIaIe License Law (Chapter 9(commencing wi�h Sec�ion 7000) ot Division 3 of �he Business
an0 Pmfessions Code) or Ihat he/she is exemp� �hereimm an0 lhe Uasis lor I�e allegetl exem0�ion. Fny violation o� Section 7031.5 �y
any applicanl lor a Dermi� sublecis Ihe aDPlicanl �o a civil penal�y ol not more ihan tive hwdretl tlollars (SSIq�.
I, as owner ol Ihe DmDehY or my employees witM1 wages as Iheir sale compensation, will do the work, and Ihe
❑ slmc�ure is nai imentled or oiferea �or sale (Section 7044, Business anA Pmlessional Cade: The Contracmrs' Slate License Law
tloes no� apPly to an owner of a pmpetly wha builtls or impmves thereon. and who Does suc� woB himsel�/hersel� or ��mugh
his or he� own employees. pmvi0e0 Na� such impmvements are nol iniended or otlered lor sale. I�, however the building or
improvemenl is soltl wilhin one year ol completion. �he owner will have Ihe burden of proving he/she Oid no� build or impmve
lor ihe puNose of sale). '�
I, as owner ol I�e pmperty, am exclu5ively conVac�ing wiih licensed conVac�ors �o consimc� t�e pmlec� �Section 704A, Busines5
❑ a d P i C a' T� C t m s' Sla�e Licenre Law Ooes not a I lo an owner o� m en w�o builas or im mves ihereon
CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 061'1/
PERMIT NO: B 061217 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTZON ; REPAIR FIRE DA,MAGED ROOF STkUC & R60FING SQ FT: 9U0
CLAIM VALUE; 900,00 CALC—VALUE; 900.00 GROUP OCC; M-1 /
COMMENTS; DAMAGE TO GARAGE ONLY: NEW ROOFING IS COMPOSYTION MATERIAL,
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Z O N I N GS ERTEB�A�CIKRSE M E N T S
------------ MAZN BUILDING ---------- --------- ACCESSORY BIJILDING ---------
FRNT; FT IN REAR� FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN kGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ • PROV; PARCEL: 419177.37 ZNE: REF NO:
PLANNING NO'i'ES>
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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
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ZONING AYPROVED HY DATE: ="�
BUILDING APPROVED BY : DATE:
/
APPLICATION ISSUED HY; DATE•
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LEGALIZATION;N � F E E S U, M,A R Y S'PRIIGTL
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BLDG PMT PLUMBING ELECI'RIC MECA�NIC FIRE SMIPi
PERMIT 23.00
SMIPi
�iEiF
3F iF iF K 3F 1F if it dF
SEG,MENT; Y
GRADING
RES
PLAN
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR � TOTAL PAID DUE
TOTALS----> 23,50 0,00 0,00 � 23,50 23.SC1 ,00
REVENUE DIVISION TOT.�LS--> COLLECTED; 23.50 OVER/SHOkT; ,00
BLD23p00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO'OT GRADING PLAN—CHECK
n m essions o e. e on rac r PP Y P V Y P
anawhoconlrac�5br5uchprojectswilhaconlrac�or(5)IicenSepurSuan�ta�heContractor5'$IateLitenSeLaw�.lamaware %K�7E1f%iEif�lFlPifiEiE�1EiEN��)f�FiFlhlfdl�iFiE�]('i('i("kK"lFfF%it%'lE'%'K-it1E'1FKX'1('k'3(-#X'M'1E!}'1('"k'M'3h7('iE%'Ih'M'%jhiFiF��'lE"N'3F"!F'K"%"��CK"ff'j('lE�"�{E'}f
mat prooi oi ieeu worker's Compensa�ion insurance shau�a �e vmnded �o me. 1. N D I V I D �.T A L F E$ H R E T1 R D O W N
� I am exempi under Seaion: B. 8 P. C.
rormisrezson. TYPE QTY D E S C R I P T I O N C1NIT COST TOTAL COST
oaie. owner SFR 900 ALTER BY VALUE RESIDENTIAL NOZONB 1,00 900,00
1 tlo hereby certity thal I am aware ol antl untlerstantl t�e requiremenis ol Califomia Health and $a�ely Cotle Sec�ions 25505, 25533, and $jQn �F FEES
25534 an� ��a� I or any future building occupanl willlwill no� (circle one) neetl ta camply wiih said s�a1e codes antl �he requirements �or a
permi� for cons�mclion ar modificaiion imm t�e Air Ouality Management OiSiricl. Re5i0en�ial cons�mction applica�ions are exemD� ��om
Inese provisions.
Da�e: Applicani:
I �ereby cetlity �hat I have reatl I�is applicalion and s�ale Iha� Ihe a�ove in�ormaiion is correc�. I agree lo wmply with all ciry and counry
or0inance5 antl stalelaws relaling�o builtling con5lmciion an0 hereb a�represenlalives o. "Ais ci1yio enierupanihe above�men�ionetl
pmpetly foi inspection puorposes. ��
J ,3�7 � 1.I����.,�
�a�e'. Signatura v - ` ��--•
oriver's license or Social Securily a:
t6<t a6 WhRe—Butleing�, Green—Cotle EnlorcemenC Canary—Apphcant: Pmk—Revenue: Goltlenrad—Assessor
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CONSTRUGTION AND PLANNING P60L � ..PA � ,
APPROVALS Permit# Date Inspector APpROVALS Permit# Date Inspector
1. Temporary Electrical Service o,r Pole � , 52. Pool & Equipment Location .
2, Soii Aipe-Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Utiliry-Undrgrnd. 54. Forms -
4. Electrica� Conduit�Undrgrnd' - 55. Electrical Qondin�
5. Steef Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electricai UFER Gmd. 57. APPROVAI SO COVER�GUNITE
7. Pootings 56. Electrical Conduit-Undrqrnd.
8. Poundatior, , - 59. Gas Pipe, O Undrgrnd., 7est � �
9. Water Pipe�Undrgmd. � 60. 8ackwash Lines, RTrap,',-J Undrgmd.
70. Structurai Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Recepmr�Final
12. Sewer Cap 63. Heater & Vent-Finai
73. Roof Drains �� 64. Plumbing SYscem - Final
14. Rough Pl�mbing � 65. Electrical�Final
15. Rough Eiectrical-Condu�t 66. So�ar System-Finai
16. Rough Eiectric 4Viring 67. Fencing 8; Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rouyh Electricai-T Bar Ceilirg 69. POOUSPA SYSTEMS FlNAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Facrory Firepiace APPROVALS Permit# �
21 . DuCtt, in Structure 70, Underground Hydro
22. Oucts, Ventilating 71. Product Piping O Gas U Oi�
23. Gas Pipe�Rough & Test 72. Underground Fiush
24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oii
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurali & Monocoat .' 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. lathing & Siding , � '�' 77, FIXED SYSTEM FINAL
29. Insulation I � 78. FIRE PREV. FINAL �
30. Drywall Nailing I . NEALTH DEPT. REQUIREMENT I
37. Piaster Brosvn Coa; I i 79. FINAL INSPECTION
32. Electrcal ?ower Meter-Final � �^' 80. FOGD CERTIFICATE ISSUED
33. Final Electric ' � - Notes: -{
34. Pinal Heating & Air Conditioning � � i
35. Finai Gas Pipe•Test ; ', �
. 36. Hood or Canopy I i
37. Final Factory Fireplace I (� �
38. Final Plumbing � I � ; ��_ .
39. 4Vater Service-final i ' I
t
40. Gas Service�Final . � �
4L Solar pomesTic-Final . � �
� I
42. Backflow Preventer , � ' �
�
43. Backflow Irrigatian ' j
44. tandscape irripation System
45. Sound Attenuation � �
46. Handicap Regulations �
� r- -�
A7. FINAL STRUC7URE & BUILDING 3�j,/��i '` � '�
./ �
48. FINALPLANNING �� '
i` •
49, Electric Release m Edison i I
50. Gas Reiease to Southem California Gas Cp i , �
51. CERTIFICATE OF OCCUPANCY
No. Date
, .
. .
JILDING AND SAFETY DI` _ �IOn
FIRE DAMAGE INSPECTION REPORT
(Required Prior To Permit Issuance)
�
Address:
�',= .%f �,i%�:ril ��'^
��/ /
Owner: ��/•4'r-' � l �r� ,, �>
Owner's Address (if different from above):
OJC%. i 0 X' �� � 37� �� /�
Stre
�,�/Structural permit required.
L�Repair or replace as necessary.
❑ Plans required.
Comments:
--���—
F F'./' :
City
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Unit: ��i° L�� �''� �i 1
( �� ��{�s87���,.
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9
ij'I ���c' •.'l C�' L i.i r'i /S, ¢/ i' t � i/'Y"r :.a %10'. I- ^/' �'
l�// Electrical permit required.
� Repair or replace as necessary.
Comments:
❑ Plumbing permit required.
� Fiepair or replace as necessary.
Comments:
❑ Mechanical permit required.
❑ Repair or replace as necessary.
Comments:
;�''� 3-z-�3
Date
1B]2-a6 Tripl¢a�e' OriginalAwner; Yellow-Conlraror pink-Builtling Diwsion
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Phone
State