HomeMy WebLinkAbout2207 AMERICAN AVE - Building PermitsPPOJC�iA00flE55: �zO% AMERICAN AV
� OWNEN'S NRME: SSLYTTE, JORGEN b
aooness: SKYTTE BIRTHE B
10780 §AN LEON AVE
FOUA7TAIN VALLEY,CA 92708
AHCHIENGINEEfl: flEG.NO.:
nooness:
UNIT:
uxrt:
PEflMITTEE: YJHZTNEY ROOFING ( 714 ) 548-0769
aoonEss:15396 PO BOX
UCENSEO CONTHRCTOB bEBCI�iNATION: I hereby aifirm �hat I am hcensed undC vis9 2 (cammencing wi�h Section
7000� ol Division 3 of �he Business and PmIe55ions Gotle. and my 1¢ense is ii anG .
cirv uc.: 0 0 3 STATE LIC.:q O 6 O z z cu�ss: C 7/ 9 S
�,Oate: Sgnalure:
i WOHKEflS' COA ENSATIO DECLANATION: I hereby aifirm �hal l �ave a certificate o� consenl �o self-insur a cetlifica[e oi Workers'
. Compensaiion Insurance. or a ceriilietl copy Ihereol (Secuon 3800. LaO. C).
eoucrno.:Zg595UUNIT328 E%P.OATE: Q
comvaxv: STATE FUND
❑ Cenitietl copy is herebCy fumished. � Certified copy is filed wiih � e ci�y B�1 A �ivisio
oaie�. G J Ppplicani:
E%EMPTIONFRUMWOFHEBS'COMPENSl�TIONOECLANRTION: QhiSSetii nee0nol6ecomple�edillhepermili5foronehunGreC(311q�orle55�.
I cerlily Ihal in Ihe periormance af �he work br which this permi� is iss etl, I shall no� employ any person in any manner so as to 6ecome
sublecl to ��e VJorkers' ComDensa�ion Laws of Calitomia.
Oaie�, SignaNre'.
NOTICE: II. alier making Ihis tleclara�ion. you shoulA become sublec� to ��e Workers' Compensalion D�ovisions ot ��e Labor
Coee, you musl fonnwith compty with such pmvisions or tnis permit snall �e tleemetl revoked.
CONSTNUCTION LENUING RGENCY: I here�y aflirm that ihere is a consimction lentling agency tor the pedormance of t�e work lor
which Ihis permil is i<sueA (Sec�ion 3097. Civ. C�.
IENDEN:
RUDXESS:
OWNEfl BWLOEB OECIAflATION: I hereby attirm thai I am exempt �mm ��e Contracmrs' Slale license Law far Ihe tollowing reasan
(Seclion 7031.5 Business antl Pmfessional Code'. Nny city o� counry w�ich �equires a permi� to conSVuc�, al�er, improve, tlemolish, or
repair any 9mcWre. prior to its issuance. also reQuires Ihe applican� tor such permii to file a signetl statemen� thai helshe is Iicense0
pursuant Io t�e pmvisions ol ihe ConVaclors' S�ate License Law �Chap�er 9(commencing vnih Seclion 7000) af Oivision 3 oi �he Business
antl Pmiessions Cotle) ar �hal he/she is exemp� Iheretrom and the basis �or ihe allegetl exemption. Any violation o� Section 7031.5 by
any aDDlicani �ar a permi� sublec�s �he aDPlican� Io a civil penally of no� mare than five hunared Oollars (5500�.
I. as owner of the pwpeny or my employees wi�� wages as ��eir sole campensaiion, will do �he work, antl I�e
❑ slmcWre is not inten0etl or ofiereG for sale (Sec�ion 7M4, Business an0 Pmfessional Coae: The ConiractoK State License Law
does no� apply to an owner ol a propeny who huilOs or improves ��ereon, an0 who tloes such work himsel�/hersel� or IhrouAh
his or her own employees, pmvitled �ha� such impmvements are no� intende0 or oifere0 for sale. tl, �oweve� �he buil0inp or
imDrovemen� is saltl wiihin one year of completion. Ihe owner will have �he burden of Dmving he/she Cid not hui10 or improve
for Ihe purpose ol sale�_
I.as ownero�the pmpetly.am exclusively contracting with licensea conVactorslo constmci�he pmlect(Section 7044, Business
❑ and Pmfessions Code� The Coniractors' Slale License Law tloes not aDPty lo an owner af pmperry wha hutlas or impmves thereon
antl who wntracis for such pmlects wi�h a con�rac�or(5) license pur5uani �o Ihe Contractars' S�ate License Law). I am aware
�hal pmof 01 �heir Workei s COmDenSaiion insUrante ShOUItl �e pmviAed to me.
� I am exemp� under Sec�ian�. B. 8 P. C.
for ihis reason'
Dale'. Ownec
I tlo hereby cenity t�a1 I am aware of an0 undersland ihe requiremenls ol Califamia Health antl Safety Cotle Sections 25505, 25533, an�
2553a an0 �hai I or any fuWre building accupant willlwill noi (circle one) nee0 to comply wi�� saitl s�a�e co0es antl �he requiremen�s tor a
permit lar wnslmclion or moailicalion �mm the Air Oualiry Management DislricL Resitlen�ial constmction aDDlica�ions are exempt irom
these provisions �+
Oale'. Npplicani: _
I hereby cei�ity ��at I have read ihis aDDlication antl sta�e Ihai �he
or�inancesantlstatelawsrelatingto�uiltlingconslmtliona 3p�ue!
pmperry for inspeclion py� .
� Oale'. � � Signa�ure: �
OriverS License or Social Securily 4: � �
with all ci�y and county
ontheabove�mentionetl
164i�a6 Whne—Builaing', Green—GoEe Enlorcemen�; Canary—Applicanl', Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PEP.M NO; B 070934
PERMIT NO; B 070934 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTIOD7 ; T/O REROOF W/COMP. SQ FT: 3,200
CLAIM VALUE; 3,200.00 CALC—VALUE: 3,200,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS ARE REQUSRED IN EVERY BEDROOM E HALLWAY
iE jE 1E i! if iE iE i! 1E?k �f aE Y if if jf if if if if iE if i: af %iF if iE if iE at if iE if if 1E jf M it if #-It if iF iF if �li if if if iM iF aF iE')F iF if iE if if jf if �IE if +f ic ac if if if * if if jR iF iE iF iF ic
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FP.NT; FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PAOV; PARCEL: 42207216 ZNE: REF NO:
PLANNING NOTES'>
>
*it*at***�tir*�t*rr�r�t+t�t*�t+t�t�t�*�t*it�rw*ar+ti�**�at*+t+tit+r***�frsc*********�t***+t�t+�**rrr+rr**�rt***iF+o-ic
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
ZONING APPROVED BY DATE:
BUILDING APPROVED HY : DATE;
APPLICATION ISSUED BY; � r
�� ******�r��r*�+r*+r********�F�F�F±FiFTriF�FiF�F;F�F�FiF � �iF 1��'�i��r�Fs�ii3r*�**D��*�* 3 U
iE r+f aF it �f iE if if ih it iE it 1E 1f if if if ip iE if it if if iE it i! if it if if jt if it if if �f if iE if iF 1F i! ir M af iE iF fF if if �M i! iF 3f if iF iE iF iE �1F iF iE fi iF �M jf if iF 1E±f �f if if fE if 3f if jE
LEGALZZATION:N F E E S II M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 S�OKE DE7"ECTOf�
PLAN
ISSUE FEE Q���pCn '
�1 1-�j�QS!
5�
SMIP/NON—RES
BUILDING—DIC'—> PERMIT ISSU TOTAL PAID DUE
TOTALS----> 63,50 0,00 0,00 63.SQ 63,SU .00
REVENUE DIVISION TOTALS--> COLLECTED: -- 63.50 OVER/SHC�RT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63,00 .50
if * if Y if ?f iF 1f 1E iE jf 1E iF if if iElf 4 k 9E iE 1ElE if if 1f if iE if jf if it iE if iF K!f iE iP if 1! jf 1F 1E if iE if if ic jE 1t iF if �f ii iE if iE �)f 1E iE 1f if iE k� N iR iE iE iF i� �f �f iF iE # 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 Z O N UNIT COST TOTAL COST
SFR 3�00 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
1'.00 3,200,00
�
� � � .
J��3 Q 1995 �
CITy OF COSTA �JE�
r CONS7flUCTlON AND PLANNWG POO, oPA �
i
APPROVALS Permit # Oate Inspector qppROVALS Permit # Date Inspector
i. Temporary Eiectrical Service or Pole 52. Pool & Equipment �ocacion
2. Soil pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrital Co�duit UtilitY�Undrgrnd. 54. Forms
4. Electricai Conduit-Untlrgrnd. '_ 55. Electrical Bonding
.5. Steei Reinforcement 56. Rough Piumhing & Pressure Test
6. Electncai UFER Grnd. 57. APPROVAL TO COVER•GUN�TE
7. Foo4ings 58. Electricai Conduit�Undrgrnd.
8. Foundation 59. Gas P�pe, O Undrgrnd., Tesc
9. Water Pipe-Undrgmd. 60. Back�vash Lin2s, P-Trap, O Undrgrnd.
10. Structural Floor System 67. APPROVAL 70 DECK •
71, Properxy Sewer Line & House Connection 62. Backwash & Recep.or-Ffna�
72. Sewer Cap . 63, Neater & Ven;�Fi�al
73. Roof prains 64. Piumbing System - Finai
74. Rough Plumbing 65. Electrical�Finai
15. ftough Electrical-Condu�t ' 66. Solar System-Finai
16. Rough Electric Wi�ing 67. Fencing & Access ApProval �
1J. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough ElectricabT Bar Ceilirg 69. POdUSPA SYSTE^AS F(NA�
19. Rougn Heating & Air Conditfoning F1RE DEPT. REQUIREMENT j
1
20. Rough Pactory Firepiace � APPROVALS Permit # �
21. Qucu, �n Structure � � 70. Under9round Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas P�pe�Rough & Test � 72, Underground Fiush
24. Roof Framing' � . 73. Undergrnd.StorayeTank �Gas ❑OiI
25. Roof 5heathing f��� q�' �(�.��. 7q, pverhead Hydro
?.6. T�Bar Ceiling ($tructural! &�iAonocoat -. - 75. Dry Chemical
27. Frame and Flashing �.. � 76. Dry Standpipe ' �
28. Lathing & Siding � �� - 77. FIXED SYSTEM FINAL
29. Insulation• � 78. FIAE PREV. PINAL -
30. Drywail Nailing HEALTH DEPT, REQUIREMENT
31. Plaste! Brown Coat - . 79. FINAL INSPECTION
32. Electricai Pow2r MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final.Elec.ric Notes: . �
34. Final Heating & Air Cond(tioning �
35. Final Gas Pipe;Test ' � �
36. Hood or Canopy � � , .
37. Finai Factory Fireplace � �
38. Final Plumbing '
39. Water Service-Final �
40. Gas Sarvice-Final �
41. Solar PomesticFinal
42. Backfiow Preventer Z���Q� �� ,/J s�� � �
c �
�
43. Backflow Irrigation ' �.� ��Y - ��� ; . , -
44. Landscape Irripation System � , ' �
45. Sound Attenuation , .' - �
46. Handicap Regulations , ' ` � -
47. F�NAL STRUCTURE & BUILDING Z..�J�{�s �� . � �� • _
48. FINAL PI.ANNiNG � � �
49. Electric Retease to Edison - �...�.� �- �
50. Ga5 Refease to Southern California Gas Co �'::.�-"' �
51. CERTIFICATE OF OCCU?ANCY � _
No. Dace
m
� � ��
�_����
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA. CALIFORNIA
Fo� Applieanf fo Fill In Complefely
� TYPE OR PRINT
Bu'�°'N� -3.63f+ American Avenue Qf�
ADDRESS v
COSTA MESA CALIFORNIA
,,,.,N�e Columbia Homes, Inc.
TEL.
NO.
TEL.
Street
60 x 11� I NO;• OF
USE OF
EXISTING BLDG. nOne
98T0ACK YN8 FftOM
CeNieR oP eTReeT �� REAR YARD �S'
SIDE YARD I LE� f, I RIGHT S�
DESCRIPTION OF WORK
racw I� II a�tFaan�u I II aoo�rinu I
si"ze '"" 175�
EXTERIOR WAL4
COVERING
USE OF BUILDIN
R,i,
attached
•ft'ROOMS �-� STORIES �-
ROOF
P.CO COVERING COIRp. rock
J WORK TO BE PERFORMED -
i ��r ri+a�l ") i+lo Ln/'1'h}1
age (t��o living units)
BUILDING
FIRE
ZONE
APPROVED
LEGAL
,lu� � � , � r 4 ���.
` ��� 111960 �
FINAPiCE D�PT.
CITY OF COSTA MESA '
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
flECE1PT NO, PCRMIT NO.
COSTA MESA, CALIFORNfA
ZONING
NO. OF USE OF F
PLANB � OUILDING
YARDS �
APPROVED
(CCNTER LINB 6T.)
EVES
Gar. Q20 sq. ft.
1 HEHEBY ACKNOWLE00H TXAT 1 XAVE HEAD TN19 APPLIGTION THE AMOUNT BHOWN UNDER VALUATION IS FOR THE
AN� BTATE THAY TXE ABOVE 18 COHNECT AH� AGR2E TO COM- pUPP09E OF EBTABL�BH�NG A PERMIT FEE ONLY.
eLY WITX �u. e�*r ortu�nu�cee ANo STAT¢ LAWe R80ULATN6
BU1tLINa CONBY�1GTION �l 1 , VAWATION
SIGNATURE OF PERMIT FEE $ 37�00
PERMITfE
Dike & �o grove� InC. $ 17�926.� PLAN CHECK S lg•$0
AUTHORIZEDAGENT _,��,.. ___ � Si•S�
0
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