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1126 AUSTIN ST - Building Permits
D OdLCT ADDRESS: 1126 AUSTIN ST UNIT: OWNER'S NAME: DOTY, ROSS TR FLOOD: X 47 ADD"" 33 LAKEVIEW IRVINE,CA 92714 559-5584 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: CENTURY ROOFING COMPANY (714)722-1984 ADDRESS: 2531 ALDER LN C.M. CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) at Division 3 of the Business and Professions Code, and my license is in full force and effect. Cill 0r5�9104 STATE LIC.: 67401q CLASS: C39 EXP: 05/95 LU— ), Signature: "W RS' COMPENSATION DECLARATION: I hereby affirm that I have a Certificate of consent to self -insure or a certificate of Workers' mpensalion Insurance, or a certified copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become sud W the WorkersCompensation Laws ofCalifornia. / ate: ) Signature: OTICE: If. alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Slate License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve. demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that heishe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the Elstructure is not intended or offered tar sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will nave the burden of proving he/she did not build or improve for the purpose of sale). ❑ I,as owner of the property. am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractgrs' Stale License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. for this reason'. nr,. Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future buiMmg occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propert lot ins11pection purposes. 6 �0ate: Y T Signature wer's L¢ense or Social Security x: IhO 1641 46 White—Building, Green—Code Enforcement, Canary—Applicant: Pink—Revenue; Goldenrod—Assessi CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06930 PERMIT NO: B 069307 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: SIR PURPOSE; ALT JOB DESCRIPTION ; 1/0 & REROOF W/COMP. SHINGLES SQ FT: 3,500 CLAIM VALUE: 3,500.00 CALC-VALUE: 3,500.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC Z 0 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 FRNT; FT IN REAP.; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL; 14160311 ZNE; REF NO: PLANNING NOTES> D E V EL 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 BY DATE; Q`�$ APPLICATION ISSUED BY: DATE: \ LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE:S GRADING PERMIT 63,00 .50 SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 63.50 0.00 0,00 63.50 / 63,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 63,50 /OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 63.00 50 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 VALUE RESIDENTIAL NOZONE 1,00 3,500,00 END OF FEES 01 00164636-00169631 T f_E T DATE! 10/17/94 TIME: 10:26 ICONSTRUCTION AND PLANNING (- APPROVALS Permit # Date Inspector POG_ s SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '- 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54, Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57, APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. S. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9, Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap I 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 75. Rough Electrical -Conduit 66, Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68- APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70.- Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73, Undergrnd. Storage Tank O Gas 000 25. Roof Sheathing /�77 7 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79, FINAL INSPECTION 32. Electrical Power Meter -Final 80, FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34, Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39- Water Service -Final 40. Gas Service -Final i 41. Solar Domestic -Final 42. Backflow Preventer / 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING a L/ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date } f CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION r \\ L Permit No. J 3 O 1 Property Address 2, AUS1"tr ?A7- Owner Contractor State Contractor License Number lo�lt-111 Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner -Builder permittee only). —Z I further certify that I am: _`© Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: J % Initial ate 0990-4e White -Building Div.; Canary -Contractor, Pink -Owner Printed or typed/game -Company or Corporate Name z531 A��ea„ Address / 1^^ Signature R1c.k Date '0 � Vr�It" c Printed or typed/game 17348 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYP OR PRINT BUILDING // Z6 u ITT. ADDRESS COSTA MESA. CALIFORNIA APPLICATION FOR PERMIT BUILDING For Office Use Only Homes, Inc. � RECEIPT NO. P[ OWNER Seaview /RIg3N MAIL RECEIV BY I OAT: `EC= E �[tATE�I88..%2 /�'_ ADDRESS W Almond / { TEL. Orange BUILDING CITY NO. ADDRESS COSTA MESA. CALIFORNIA ARCHITECT & Lowery -TEL. KI.7613 RRamberg OR ENGINEE NO. 2127 N. Main, Santa Ana FIRE ADDRESS ZONE APPROVED TYPE GROU Hunsaker & Sons CONTRACTOR S. V. DATE ADDRESS 15855 E. Edna P1. ZONE I R ZONING NO. OF USE OF NEW f� !L.- I f CITY Irwindale -c LEGALNO. PLANS BUILDING C S ucTNO. Im 164929 TEL. ED. 87361 DESCRIPTION SIZE �/ x NO. OF BLDGS. D OF LOT ((/V' NOW ON LOT A P NO. USE OF .�� YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM //)) Z (ENTER LINE ST.) .� CENTER OF STREET V REAR YARD FRONT '3'3 FT. IN. SIDE YARD ILEF7 �— RIGHT R.SIDE �FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NEW IXX (ALTERATION I ADDITION REAR Z- 7 FT. �— IN. REPAIR II MOVING I DEMOLISH APPROVED /� f� DATE BUILDING,/ NO. OF y� SIZE („� X y" ROOMS STORIES EXTERIOR W4L UCCOI ROOF C m COVERING COVERING . e USE OF BUILDING AND WORK TO BE PERFORMED Single famil dwelling with E _ attached garage Plan — j=_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOBE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUA710N BUILDING CONSTRUCTION. SIGNATURE OF PERMITTE IRM & SOW //^�) � '/ s // PERMIT FEE s d / PLAN CHECK S o25,,6 AUTHORIZED AGENT TOTAL FEE 0 OWNER SEAVIEW HOMES, INC. DATE 6-11-62 JOB ADDRESS 1110 AuStin St. BUILDING PERMIT NO. 1734ti GENERAL CONTRACTOR S.V. Hunsaker & Sons VALUE $ 15,411.00 AP No. LOT 57 TRACT4565 FIRE ZONE DESCRIPTION OF WORK Res .w/att.Gar. INSPECTIONS Signature DATE GROUP I&7 TYPE V ZONE Rl ' SUBCONTRACTOR PERMITS PERMITS ISSUED G NUMBER Water - _ Rough Com. Refrig. ❑ it Cond. ❑ Rough Heating S=1��/{�i_ r - _ MO ��,.....� �,,�+d{-- 7 /���---- f Rough Plumbin Miscellaneous Prop. Swr. Line E.i use Con -LI -St. Swr. ❑ � d'l Stlllrl(� Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wr � '/Vy - rn1, orms 11' Steel Reinf.> - Floor System _ Bond Beam ❑ Steel Reinforce ❑ Sheathing ( e& 0 —61 Frame and Flashing 2-1!1- !2 Lathing - In P9' Out Tt y Plaster, brown coat _ ,0 -;AQ y r - -G. ❑ Air Cond. ❑ Fina I ig —Final L --ping Fixtures, Final1117 U/r'Q— Final Gas Test p. i Electric Fixtures, Final Building, Final OCCUPANCY " runm eua - nm - nat 17142I 6 CITY OF COSTA MESA 1 SERVICE REQUEST & PUBLIC ASSISTANCE FORM�- Date Time Caller's Name �Q.IN/ Address—/fn r BQ'� -?o OL Phone D .. Nature of Request: (location, type, severity) P" W Referred to Person Receiving Call i a i Call back El 'Service Only Information Only El