HomeMy WebLinkAbout3126 BARBADOS PL - Building Permits, -. . . _ . .
(714) 754-5273 •�Fax (714) 754-4856 • www.ci.costa-mesa.�U�LDING PERMIT n'FAIR DRIVE, COSTA MESA, GA 92626
Job Address: 3126 BARBADOS PL
Suite:
Vicinity: ROOF
Primary Occ: R3 Type of Construction: V-N
Parcel Number: 13915206 Zoning: R1
npp�icant: LAMBERT GEORGE J AND DEANNA L
Address: 3126 BARBAODOS PL
COSTA MESA, CA",
owner: LAMBERT GEORGE J AND DEANNA L
Address , � 3126 BARBAODOS PC: � .
� . � � COSTA MESA, CA��' � �
Contractor. O W N ER-BU I LD ER
Address: .
Zip:
Arch :
Address:
Phane: 714-641-4772
Zip: 92627 �
Phone: 714-641-4772
Zip: 92627
Phone:
� .License: 000000
, __ ,. . Eng:
" � ' � � � Address:
Status: ISSUED
Applied: 05/31/2005
Issued: OS/31/2005
ISSUED BY: ` �
', , , , � � �- Phane: . . Phone: -
Zip: . � License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING COMP SHINGLES ON ATTAHCED HOUSE AND GARAGE,'REROOF WITH 30 YEAR G.A.S. REPAIR AND REPLACE
SHEATHING AS NEEDED. -
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$111.25
$0.50
$0.00
$0.00
$0.00
$111.75
SETBACKS
MAINSTRUCTURE Front 0=0
ACCESSORY Front 0-0
PARKING Existinq: 0
PEE'SUMMARY
Calc Valuation: S5,000.00
Claim Valuation: ' S5,000.00
�;-,�_ .
PLANNING & ZONING ,. � 'v. - � ' �
Rear 0- 0 - Left � 0- 0- Right , 0- 0 '
Rear 0- 0 , Lefl � 0- 0 Right 0- 0
Required: 0 � Proposed: 0 � �
'NOTICE: 'The work�authorized by'this-permit shall comply with,all.applicable handicap.access requirements under Cali(ornia statutes and related
regulations. (Ord. No..92-28, § t, 12-21-92)
�EXPIRATION: This permit.shall �automatically��expire end�.become void if work is not commenced within 180�days, or it work is-suspended or abandoned
tor 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
�requlred.inapeetlona�end final approvel musPbe obtained..Failure to�obtain inspections and.final.approvabwill result in ihe ezpiration ot this permit.
�FOR:INSPECTIONS'CALL: (7�14)754-5826
taaass �smo�
WORKERS' COMPENSATION DECLARATION: ' . '
I hereby ettirm under penalty ot perjury one of the following tleclarations: - , , .
❑ I have and will maintain a cenificate of consent b self-Insure for workers: compensation, as provided for by section 3700 of the Labor Code, br the pertormance of the
work for which ihis permit is issued. . �� � '
❑ I have and will maintain workers' compensatlon insurence, as required by section 3700 ot ihe La6or Cotle, for ihe pertormance of ihe work for which Ihis pertnit Is Issued.
My workers' compensation Insurance carner antl policy number are:
Certier. Policy Number. '
(This section need not be camp/eted il the permit is velued at one hundred dallars ($100) or less.)
�I;ce�tity ihat in the pertorrnance of the work for wfiichlhis pertnit is issued, I shall not employ any person in eny manner so as to.become subjec� �o ihe workers'
V compensatlon laws of Califomia, and egree that if I should become subject to Ihe workars' compensetion provisions of Section 3700 of ihe Lebor Code, I shall fotlhwith
comply with ihese p 5 on# /
�plicanl.Signetui '§.'r1 � (�,� � DS�{ele:--.. S - �J i ' (� S
'WARNINOfFAILU E TR O SECU E WOFKERS' CAMP SATION CAVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOY R�TO CRIMINAL PENALTIES AND CIVIL FWES UP TOIXJE HUNDRED
TMOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy attirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of �ivision 3 of Ihe Business and Professions Code, antl my licanse is in tull
force and eHecL Lic. a Class u
Contractols Signature: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirm that there is e consimction lending agency for ihe performance of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lenders Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrm the� untler penalry of perjury that I em E%EMPT FFiOM TXE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business an0 Professlons
Cotle: Any city or county which requires e pertnit to construct, alter, improve, demolish, or repair any siructure, prior to its issuanca, also requires the applicant for such permit
to file e signetl statement that he or she Is licensed pureuent to the provisions of the Conirectors License Lew (Chapter 9(commencing with Sectlon 7000) of �Ivision 3 of the
Busineu and Professions Code) or that he or she is exempt ihereirom end the basis for Ihe alleged axemption. Any violetion ol Section 7031.5 by any applicant for a permit
sublects Iha applicant to e civil penalry ot not more ihan five hundred dollars ($500).):
(�y—,,I�,.eS �'ner of the proparty, or my emplayees with wages es their sole compensetion, WILL DO THE WORK, end ihe stmcture is not intended or oflered tar sale (Sec.
7044, Business and Protessions Code: The Contractors License Ww does not apDly to an owner oi property who builds or improves ihereon, and who does such work
himself or herself or ihrough his or her own employees, provided iha� such improvements are not intended or oHered for sale. If, however, the building or improvemant is
sold within one year ot completion, iha owner-builder will heve ihe burtlen of Oroving �hat he or she ditl not builtl or improve for Ourpose ot sale.). �
❑ I, as owner oi tha properly, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS lo construct ihe project (Sec. 70dd, Business and Professions
Code: The contractors License Law does not apply to an owner of properry who builds or impmves thereon, and who coniracts tor such prolect with a contractor(s)
license pursuant to iha Coniraclors License Lew�Sd:�
❑ I em exep+pt�naer sec.
Own"er'ID verified by dnver's license.
Venfication of Ownership by (type of
� BuSineu end Prof855i0n5 COde tor ihis re05on: _
�
s ❑ No D7iver s License No.`�••_
i.e. - properly tax bill or Ceea):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I herehy certify ihat no excavetion tive (5) or more feet in depth into which a person is requirad to dascend, will be mede in connection with work authorized by Ihis
pertnit, and that no builtling strucNre, scaffolding, falsework, or demolition or tlismantling thereof, will be more ihan thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Celrfomie Atlministrative Code).
❑ As owneo-builder, I will not employ anyone to do work which would require e pertnit from ihe Division ol Indusirial Sefery, es notetl above, unless such person hes e
permit to do such work From the division.
Signature: Date:
Division ot Indusiriel Safery Permit Number:
CERTFlCATE OF COMPLIANCE AND AUTHORIIATON OF EMRY: I certity under penalry of perjury �ha� I have read this application and stata that the information given is
correct. I egrae to comply with all state lews and clty ordinences relating to building constmction, and authorize represen�atives of Me Gty of Casta Mesa ro enter upon Ihe
abov�es�cnbed property tor i pection pur ses. I aqree not to occupy or ellav occupancy oi any building authorized by this permit until tinel inspection.
U�K'J�"tti_VU-�L�� s� 3 �' vs`
�::<Sig"netura0f Legal�wne� -,Date
And/Or Authorized Applicant Date
CODE �. INSVECTIONTYPE ' " "
7616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
200
201
202
203
204
Final Re-Robt
Final Block/Retaining Well
Final Factory Fire Place ' '
Finel Sign
Final Demolition
. . QdIE ' IMRIRLS
� Giil � _ " i i
� • ��1
CO�EX INSPECTIONTYGE
206 Final Mechanical '
20B Finel Plumbing
210 Final Eledrical
212 Final Fire Prevention
220 - Final Planning Approval
222 Finai Site
250 FinalBuilding/Occupancy
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�UNS MUST Bf ON JOB�AT ALL
'G=i:N�6V'�fRf+�'�n1'E£S��i! PRO& API
NND SFfCIFICFTIONS SHALL N0T BE COt RUED
�M1T_F�.R.-D@-.P.L.A��w9! ��_..P,Nv�i V"" .
THG PROVISIONS OF TnH9IS CODE NO PERF zr'2�=
� A�CU�A�V�IFA,I�U�/'IYIOIATE OR CAN( ]45�i
_.OF_SHL$_ C4➢.E.SHp46. BE_VAUD�EXCW Itiw1
W-O�RK OR U�YIHICH IT RUiHORIZFS IS I i�'S.'Q
�. ISJURNCtOOF A PfRt,71T B/SED tiFON PL �5 ANID
nns-spntrtaor vae�r�r-tm`stncornc � nfltan�
EAFfER REQU�RING THE CORRECTlON OF �itRCRS
ANS 11ND SPECIFlCAiIONS OR FROR7 PRP h�
PEfiRTfQfiS'BEfIGI'i'GFRiirD-61PTflE�ltliUF NEN
!� OF THIS CODE OR OF ANY OiNER NAN�_E
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�ircuCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE RE��',K�
FOR ELECTRICAL, p(,t)��iti�
N::i,TI �G, VENTILqTING�p2I
REFRIGERArinni WORK
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THiS NUi�BER MUST ACCONiPa1QY ��
ALL IRSPFCTIOV REQUEST� . . ��(}��-�
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� pLANNiNG D�PT.
„ ��d1EtT TO BLDG. DEPi. RE0.'
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COSTA�MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FEE h��EiVED
� � ��
FIN NCE DEPf' �
ns
FOR APPLICANT TO FILL IN APP'L'7�A�I��N FOR PERMIT
BUILDING BU I LD I NG
nooRess Z� 7� Rnrnn ' l a
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PF/I/1j�/-�
OWNER � �man aii L (` x�� i�
RECEIVEO BY OATE RECEIVED DATE ISSl1EO
ADDRE55 � APR 2 4 1
TEL. BUILOING
c�T� o Anae125 f'2lif NO. ADORE55
ARCHITECT � LIc. COSTA MESA. CALIFORNIA
OR ENGINEER yfilliams Na�
FIRE
ADORE55 ZONE �
ZpryE NO.OF TVpE GROUP
. SUITllttB?'l�nd Land cirv �ic. , r�.r+s , /
CONTRACTOR /'�n NO. ��� F}[ � (/
TEL. APPROVED
ADDRE55 T.na JYI[rP�PC ('A� NO. BV DATE
�E�A� �or CORRECTIONS
oescaiPnorv NO. � B�OCK TRACT � � �
A.P. NO.
SIZE rvo.ov e�ocs.
OF LOT O riow oN �01 O p
USE OF
EXISTING 9LDG.
SET6RCK IINE FFOM
cervrEw oF s1AE¢T ( REAR VAR� 2Q 1
S�DE YARD RIGHT f� LEFT � I
DESCRIPTION OF WORK .
NEW �' ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDiNG �f ROOMS STORIES
SIZE ZG'L
EXTERIOR WALL . ROOF Composition
COVERING r�itiUCCO COVERING Snina_ E'
USE OF NEW
Bt11LDING SinPle ramilv D��ael].in�-
l R
�
1 HERE9V FCKNOWLEDGE THPT I HAVE READ THI$ APPLICATION AND
ST�1TE TMAT THE RBOVE IS CORFECT ANO RGREE TO COMPLY W!TX tLL
CiTV OROIrvnNCES AND STATE LAWS REGULATING BUIIOING CONSTFlUU
TION. �� VALUATION
SIGNATURE OF PERMIT FEE $ 'J (�
PERMITTEE
L /f"�/�/� g PLAN CHECK S 13 � OO
C/..� /D G �G —
�a
AUTHORIZED AGENT � TOTAL FEE $ 39�00
OWNER SUMI'�ERLAND LAND CO. DATE. (1—Zµ-5%
JOBADDRESS jl2fi Barbados Plar.e BUILDINGPERMITNO. #Jy8'jf}
GENERAL CONTRACTOR Owner Bldr. VALUE $ �.�.686.��
LOT Q( BLOCK TRACT Q3�j3 Res. W,8'bt. gar.
GROUP I& J TYaE V ZONE Rl FIREDISTRICT LLJO6
PEft MITSISSUED
INSPECTIONS DATE � SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Grade to
Plumhi
aouahtos�ab�'��.'wth la<:T�1/> 171..�Ti..,/:..i i,V.,._, Iti=..2-57 I 5/o�H3 �/
Pole
Heating, Final �/,(G S %� �S7
YSrewer,House %y�C 5ewer,St. eS ��Q•y"] Q�
'Septic Tank or Cesspool '�
Lathing, 1 Out) � �� - '
Plumbing, Fin,al, Fixtur@<
Plumbing, Fin,al Gas Test
Wiring, Final
Occupancy
FOFM 210 3M 10-v5
i
� �
6971 II/19/79 23<00 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPL�CAT[ON FOR STRUCTURALPERMIT
r.�.ov.. ��oo �.w�..�.��o..,....� �..��.��+����� RECEIVEDBV PERMIT j�ip 49194
For Applicant to Fill in Comple[ely — Use Ink Only 1��
BUI�DING ^j/� ) aR�C�CJ/�{R/S PL . A.P.N�.k
ADDFESS J ld
BUILDING � OS I
T� NANT�R ���✓�n ADDRE55
/�
UNIT OR
MAILING 5��� SPACENO.
ADDRE55
,/ T LO BLK.
CITV /J � NOLSp9—.�ry3
CiOSTA �Ll�/9 NEW ADD A E REPAIR MOVINGDEMOLISH
L�ENDEp�ION �0��
BRANCH
OWNER �DQELV �• GOT
ADORESS � VALUE
ORENGINEER ONr NEL . USE � E'�Q�%
!
ADDRESS � ZONE TYPE ROUP
APP / •
CONTRACTOR OWNE � �/ BV DATE � r — �
�
ADDRESS , � - - •
' TEL. ' .
CITY NO.
STATE CITV APPROVED C
LIC. NO. LIC. NO.
SIZE NO.OF BLDCS. (FROM C 5T T
OF LOT NOW ON lOT FRONT F.
EXI5TING B�OG. R'C' S� DE G C / `/
/ t/
Separate permits are required for L SIDE FT.
electric, plumbing and heating work. � ��
REAR FT.
USE OF BUILDING AND WORK TO BE PERFOFiMED P�q�VNING ACTIO
Sc.RE�a�D PfrllO fo2 SGMA1£Q USE DATE
APPROVED
aa. FR��cY � i' ENT'E2 , iPP _ C
1 hereby acknowletl8e that I have reatl thls application and rtete �
that the above information is correct and apree to comply wlth
all laws regulatin8 builtling construction, and I shall not amploy �
any perwn in violation of Me workman's compensation laws of v
the Stata of Californla.
m
I hereby certity that I am properly licansetl as a contractor untler SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force snd effect, or I THE 7URPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am ezempt from the provisions of the State of California Business VALVATION PERMIT FEE 5((� q
antl Professions Code, Division 3, Chapier 9. S �
m
PLAN CHECK § "�
Siqnature o���D�� D � � �
Permittee ��� $ /� TAX $ LL
�. f
Authorizetl Agent Date tinv• i4F r� 79 ( TOTAL PAID $ U
�
i� l'. K. i`:= .. V
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���/7«/J .�it'Ce/�c�/ /.� i ¢ G�'z�! ./Gc �,�y/�f _
� /��"` ��// ?✓i �^iJ: G'( O"�J i(��Cr:L�(�'!i
/�C. ` /, / _ . ._ _ _ . . - � � .
/ �- � � /� G�.+�i`E G! �-C�//'�-G/2"lG( �+�'cun'y--J '; ,
f`�u.a, %��° �'�-..`,`�- ��.��'� %��'�"��
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OWNER
JOB AC
N o.
cas
W ATER
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH ME4TING �NO
TEMPOR/RY SEFVICE
UNDERGROUND �
AOUGM WIRING
FLOOR SVSTEM
BONC BEAM IJ ST
SHEATMING
FRAME ANO FLASHING
PLlSTER,BAOWN CO<
91NG. FIN4L RN�
L. SCOTT
CON.
STEEL REINF.
A.C.. F
DATE 1t-19-79
BUILDING PERMIT N0. 49194
�creene� a�tio
VALUEE 1500.00
SUBCONTRACTOR