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HomeMy WebLinkAbout2998 BABB ST - Building Permits, . , (714) 754-5273 • Faz (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2998 BABB ST Suite: Vicinity�, HOUSE 8 ATTACHED GARAGE Parcel Number: 14123201 Applicant: MORA, DAGOBERTO Address: 217 LIDO DR SANTA ANA, CA Owner: WAGENER, DOYLE L Address 2998 BABB ST COSTA MESA, CA Contractor: O W N ER-BU I LDE R Address: Zip: Arch : Address: Zoning: Phone: (714)547-2293 2ip: 92703 Phone: Zip: 92626 Phone: License: 0 Eng: Address: Status: ISSUED Applied: 08/03/2001 Issued: 08/03/2001 ISSUED BY: � Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (21 SQ). TEAR OFF EXISTING ROOFING & REPLACE SHEATHING AS NEEDED. INSTALL 30# FELT UNDERLAYMENT & REROOF WITH 20 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $54.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $54.50 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 s�,soo.00 $1,500.00 NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 180 days, or if work Is suspended or abandoned for a period of 180 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 inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8 (B�OD) WORKERS' COMPENSATION DECLARATION: I hereby effirtn under penalty of perlury one of ihe tollowing declarations: ❑ I have and will malntein e cenificate of consent to self-Insure for workers' compensetion, es provided for by section 3700 of the Labor Cotle, for the peAortnance of the work for which this pertnit is issued. ❑ I have and will malntain woAcers' compensa�on insurence, as required by section 3700 of Ne Lebor Code, for Ne pertortnance of Ihe work tor which Ihis pertnit Is issued. My workers' compensation Insurence cerner end policy number ere: Carrier. Policy Number. (This secfion neetl not be completed i/ the permit is veluetl et ane huntlretl dollers ($100) or less.) ❑ I ceniy ihat in ihe pertormance of the work for which Ihis permit is issuetl, I shall not employ eny person in any menner so as to become subject to the workers' compansation lews of Celifornla, antl agree thet If I should become subject to t�e workere' compensation provisions oi Sectlon 3700 of ihe Labor Code, I shell fanhwith comply with these pravisians. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVEAAGE IS UNUW FUL PND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTES AND GVIL FINES UP TO ONE HUN�RED THOUSAND DOLLARE (E/00,OW), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIqJ 3]O60F THE UBOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn ihat I am licensed under provisions of Chepter 9(commencing wi�h Sectlon 7000) of Division 3 of the Business entl Professions Code, and my license Is in full torce end eltect. Lla a Class a ConirectoYs Signa�ure: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm t�et there is a construction lending egency for the peAormance of Ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle). LentleYS Name: Lenders Addre9s: Signature: Dete: OWNER•BUILDER DECLARATIONS: I hereby affirtn thet under penelry at perjury thet I em E%EMPT FROM TXE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7037.5, Business entl Protessions Code: Any ciry or counry which requires a parmit to construct, elter, improve, demolish, or repelr eny structure, pnor to its Issuence, also requires ihe epplicant for such pertnit to flle e signed statement ihet he or she is licensed pursuent to the provisions of the Contredore Licensa Lew (Chepter 9(commencing with Section 7000) oi Divlslon 3 of ihe Business antl Professlons Code) or that he or she Is exempt therefrom and Ihe besis for the ellegad exemption. Any violetlon of Section 7031.5 by any eOPlicant tor e pertMt subjecis ihe apD�lcant to a clvil penelry of not more then Nve �untlretl tlollers ($500).): I,�as owner of the property, or my employees with weges es ihelr sole compensation, WILL DO THE WOiiK, and ihe structure Is not intentled or oftered for sele (Sec. - 7044, Business and Professions Code: The Contractors License Law does not apply Io an owner of property who builtls or improves �hereon, antl who does such work himself or herself or Ihrough his or her own employees, provitled ihat such improvements ere not Intended or otfered for sele. If, however, ihe building oi improvemant is sold within one yeer of comple�ion, Ihe owner�builder will heve �he burden ot proving thet he or she did not build or improve for purpose ot sale.). ❑ I, as owner of Ihe proDerty. em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct the pwlect (Sac. 7044, Business and Professions Coda: The contrectors Llcense Lew does not epply to en owner of proparty who bulltls or improves ihereon, antl who con�racts for such project with e contrector(s) license pursuant to the Contractore License Laws.). ❑ I am e t nder se .� usiness and Protessions Code for this reason: P Signature: / r�l rL Date: � r " �/ Owner ID verified by ver's Ilcense. ❑ Yes ❑ No ��DriveCs LiCen9e No. �— / Expires: - Verification of Ownership by (type of tlocument, I.e. - property tex blll or deed): --��� DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATON: � I hereby certify ihet no exwvetion tive (5) or more feet In tlepih into which a person is requlred to descend, will be made In connection with work euthonzed by �his pertnit, and that no builtling structure, scaHolding, falsework, or demolition or tlismantling thareot, will be more than thlrty-six (36) leat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomle Administrative Gotle). ❑ As owner-builtler, I will not emplay anyone to do work which would require a pertnit iram t�e Division of Industnal Sefery, es notatl a6ove, unless such pereon hes a permit to do such work irom the division. Signature: Date: Divisian o� Industrial Sefety Permit Number: CERTIFlCATE OF COMPIJANCE AND AUTHORVJITION OF ENTAV: I certify undar penelty ot perjury �hat I have read this epplicetion end state that tha infortnation given is correct. I agree to ly wlth st laws end ciry ortlinances releting to building construction, end authonze representatives oi the Ciry of Costa Mesa to enter upon the ebove-descnb prope for i e I aAgre�e not lo a_cupy or allow occupency of eny building authonzed by th�is Ipermit until final inspection. _ � - !'�i./�-- T5 �� - � � Signeture�OlLegePOwner(s) - (iDate�_ __ AnNOr Authonzed Applicant COUE I. INSPECTIONTYPE 1616 Fiaed Sysiem Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Root 201 Final Block/Retaining Well 202 Final Fadory Fire Place 203 Finel Sign 204 Final Demolition PAIE I�ALi • � /,� Y /// // COOE� INSFECTIONTYPE 206 Final Mechanical 208 Flnal Plumbing 210 Final Elecirical 212 Flnel Flre Prevention 220 Flnal Planning Approval 222 Flnal Site 250 Finel Building/Occupancy DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Bldg. Pertnit # This Permit # StreetAddress: � ! / L) �Cl 11 � � I �ee-� APNumber: 1. I(we), 1 101.� IE- �Y ���L- \��Q'�-'��'-� , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: Name: �Q � f l/�--+L� ' w� � Telephone Number: � I % � y ��� / ) Street Address�� �� li� �� F/'` Ciry: � CA ��� vl �v�l State: `--a Zip: � ��� � to obtain pertnits in my behalf, as owner/builder, for �`l� � Ic�l � K J U � , at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division ot the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or o�cers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I deciare under the penalty of perjury Athat the foregoing is true and correct. �1 Executed this './ day of /l uG U� � 20v �, at LJL��� 1' l� �, California. . Print Name: �1 C�\1 E. `�`� C�� 'L'-�1 �-r Signature: ��Q� �CC.(���ri.��- d Date: C) � � ' � � Note: This autFror¢a6on does not grant authorization to perfortn the work as owner, it solely provides for limited power of attomey to secure this pertnd in any behalf. W ]9d6 (rev.11/00) Applicant to fill in all s0aces except those wit�in heavy GorEer Iines anC s{gn alt aDD�oDriate tleelarations. CITY OF coS7a MESa CONSTRUCTION PERMIT . Prolect i ddress �'9 �% � �%�"�� S%. � S�}/YI� Appl icc��a i ling.Address Own�.r's'Name�OYLL L W/i6ENEJt Phone�`�'S-Q�i� Address 2`% � � %3g�g •� � � Arch/Eng. — License No. Address Controctor's Name_ Phone Address (mailing) City License No_ LICENSED CONTRFCTOR DECLARATION I hereby affirm that I am licensetl untler Orovisions of Charter 9(commencing with zection ]000) ot Divislon 3 of the Business antl Ptofes5ion5 Cotle, antl my license is in tull force antl efiect. License Class License No. . Date Signatwe WORKERS' COMPENSATION �ECLARATION hereby affirm that I have a certificate of consent to selt-insure or a certiticate Workers' Compensa[ion Insurante, or a certifietl copy thereot (Section 00, Lab. C.) Policy No. Company e� Certifietl mpy is hereby furnishetl. Certitietl wpy is (iletl witb [he city Builtling Division. oate Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the permit is for one huntlretl ($100) or less). I cerlify tha[ in the petfoimance of the work fo� wM1ich this perm�t is issuetl, I shall mt employ any per5on in any ma e� so as to be ome subject to Ihe Workers' C mpe d n Laws of CalifoGh . il �� � . Date Si9nature �� -� 'NOTICE: It, a ter.making this tleclaration, u shoultl be me subject to the Workers' Compensation provision5 of the Labor Cotle, you must forthwlth compty wiiM1 SUCh provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that there is a construction lentling a9ency for tne pertormance of the work for which this permit is issuetl (Section 309�, Giv. CJ Lentler's Name LenOer's AGtlress OWNER BUILOEN DECLARATION I hereby atiirm that I am exempt irom the Contractor's License Law for the following reason (S¢ction 7031.5 Business antl Professianal Cotle: Any city ar county which r¢quires a permit to const�uct, alter, improve, Eemolish or re0ai� any structure, prio� to its issuance, al5o requires the applicant tor such pe�mit to (ile a signetl slafement tM1at he/she is licensetl pur5uant to the p�ovision5 of � the Contractor'S License Law (ChaDter 9(commencin9 with Section �000) of ''�ivision 3 of the Business antl Professions Cotle) or that ne/she is exempt erefrom antl the basis for the allegetl exemption. Any violation of Sectlon 31,5 by any applicant fo� a permit subjects the appli<ant to a civil •palty of not more Ihan five huntlretl tlollars ($500). �I, a5 owner ot the pvoperty or my employees witb wages as their sole mpensation, will tlo the wo�k, antl the structwe is not intentletl o� of(e�ed for sale (Section ]044, Busine55 antl Professional Cotle: The Contrac[or'S LiGense Law tlaes not apply to an ownEr of a prop¢rty who builtls o� improve5 thereon, and who tloes such work himself/herselt or throu9h his or her own employoes, provitletl [hat such improvement5 are not intentletl or ofteretl for sale. It, however, the builtling or improvement is soltl within one year of com- pletion, tne owner will have tne burtlen of provin9 he/she tlitl not builtl ar im- �rove for the purpose of sale). ' I, as owne� of the property, am exclusivety ron[raciing wi[h IlcenSetl Con- tractorsto construct the pro)ect (Section 7046, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(5 license pur5uant to the Con[ractor's License Law). I am aware that proof o� tM1eir Wo�ker'S Compensation insurance Shoultl be provitletl to me. ❑ 1 am exempt unaer Section B. & P. C. for this reason Date Owner 1 hereby certify that I have reatl this application antl state that the above intormation is co�rect. I agree to comply with all tlty antl county artlinanGes antl state laws relatin9 to builtlip q construction antl hereby authorize repre- sentafives ot t s city to ent Y upon the above-mentionetl pro erty tor in5pection pu p es. y� �7 � Signature J�!/L Date Drivers'Licenseo 5� ' —����� TVPE OF CONSTRUCTION LJ NEW {tl ADD LJ ALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTH�jER p, p# �/ •� DESCRIPTION OF WORKNSE OF BLDG. /.L�Of�.f' (e1RC.L S Main Buildin9 TVPE OF PERMIT GRADING ❑ FOVNDATION ❑ STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A PRQIECT DESCRIPTION 9�G. FT. ��� OCCUPANC C Right K CONSTRUCTIONTVPE VALUATION$ ' Oe $ � ZONE GRA�ING CU. VDS. �G Q Ping. Ref. # Remarks: PldOning NOtES: Sink Preventer Irrigation king Fountains m Drains �r Sinks Service Outlets Kitchen Sink LdV3tOf125 P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Sttuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/fact. BIL ICBO # Heating System & Ducting ❑4100,000 BTU 0100,OOOBTi Reinspection Fee � . $15 CMF 0865-46, rev. ]0/84 Wnite - Builtling; Canary - qpplicant; Pink - Accounting; Goltlanrotl - Assessor Showers Service $ink $ewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0�100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑ElecVic Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator O0.5 KW O5�' 1023 9/27/B5 � Q Zone Accessory Building: % � � 1 Parking Req./Provided .��n I� 1 �'l.i\/1 .SI i'l� � � n. 'i1�1/ ELECTRICAL- Transformer ❑ 15-50 KW ❑ SO+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Momrs OO-1 HP O i'f. - 6 Inc.Solar �9-75 HP �16-15+ Microwave ' Pole Light Range Sinn .. 5KW � Reinspection.Fee ' � $15 � DEVELOPMENT SERVICES REQUIR Zoning Approved By Building Approved By FEES ; Standing Sections Trash Compacmr . Issue Fee $ 3 N , w� ' T��1L'�� Data � �-- Date A 1 — _ _ O—S'7_ Z O N I N G R E Q M T SUM EES BUILDING PERMIT $ � SMIP $ � S PLAN CHECK $ �. y� PERMIT � � PLUMBING $ ISSUANCE � $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GFiADING . $ PIAN CHECK 50% $ MICROFILM $�� MECHANICAL $ TOTAL FEE �'� PLAN CHECK 25% $ CONSTRUCTION AND PLANNING P�� 'P'0' APPRO�/ALS Permit# Date Inspector pppROVALS Permit# Date Inspector y 1. T porary Electrical Service or Pole 52. Pool & Equipment Location 2. So i 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-Undrgmd. � 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. , 10. Structural Floor System 61. APPROVAL TO DECK �' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. 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 � 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. .Frame and F,lashing � 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 1.1;. 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 41. Solar pomestic-Final . 42. Backflow Preventer . 43. Backflow Irrigation � . 44. Landscape Irrigation System � � 45. Sound Attenuation . , . 46. Handicap Regulations ' � , 47. FINAL STRUCTURE & BUILDING ��E� ��� .� .LC.701� C � 48. Special Requirements Completed , �0� EE� - �£ ,IJ�f 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � No. � Date ' ' y`. . ' * � r^, � . � � _ ' �- . �,. V QL �N`� A` AQPR� S����SUiI pPE4EnfE0 SEPARpSEPERP�p . P� G�`� D� R E�EG tilPS pR �NEARE P16E Aj10N K ..n GC FOR B�VE 1 YlE SU EMPlO 1A pN�S \�pl\F `ONS��Z PE�UIPEME/ p�COMP ANV REq�ES�S �' AR���� BE , iS tHAN�1A� SAFEtV OF �N��p���T10Np� FOA _ UJ/!�G � /i�� /v J� /G � � -�z �� —_ I Gi1c � _ _..._'_'_ - _^ ."^ �.. y�;; /✓,; E� _ 5, c%;v y✓�� U/� ���� �T ,' �4aod _ t/ a r�a"oc. �<< 2 �9�od �o.�t. . E 30 � ,I-I,1�}�—PLo�KCol�.,:,v iv"xic"sq. , I� � � ��vr� �a'x��,,,�.. �b/ '�L _ . II f° ,� ,, , µ' A '� t� �„ 1� ��� �n '� � � ii 7 i��. � � �✓( '�i�d V � � � V CtiY Of COSTA M� PLANNING DEPL t �,��.� � ��� . {i!l��c, Hr z/Io.� Fe,�cc �0 6 g /iC �C� � T �� _ ` � / � L � l -- �._ G ��/'/ / ----- ----3� ----- % /N/��7�,��d� �'>>c�r ce ' --'�° � ---I �_ Z 9 9� BrG�i 51� cas> �f�,`'1' „ ��� �� � ry� i:/0-� P � _ i� � � ,.�' �� � « � , �,�'' ,� �� � �°� � 3° � � OWNER �COME HOMES JOBADDHES$ � GENERALCONTRACTOR LV � 7�1 GROUP I & J INSPECTIONS Footing Trench Foundation Forms and Grade to G Rough Framing � Plumbing, Rough o a�ILe►; � Plumbing, Rough Complet y�f� Temporary Pole Wiring, Rough Heating, Rough Heating, Final_, t()p�/ q Sewer, House( ;0 Sewer, St. S � Tank or 6Esspool L, ng,ln ' Plastering Plumbing, Final, Fixtures Ptumbing, Fin,al Gas Test • Wiring,Final Occupancy FOflM 210 3M 10�95 � Street Welcome Homes rRncr2896 V ZONE � DATE I SUBCONTRACTOR BUILDING PERMIT NO. 3C VALUE $ 9,600,�� Single Res. w/att gar FIRE DISTRICT 31Z2 PERMITS ISSUED DATE I NUM9� /7— / �'�--•