HomeMy WebLinkAbout3151 BERMUDA DR - Building Permitsp�a) 75a-527s • Fax pta) 75a-aess • www.ci.costa-mesa.ca.us
BUILDING PERMIT
Job Address:
Suite:
Vicinity:
3151 BERMUDA DR
RESIDENCE AND GARAGE
Parcel Number: 13913212
Zoning: R1 R1
Applicant: JOHNSON, SCOTT
Address: 14503 GARFIELD . ' � '
.
- �. � �Phone: 562-529-8100 �
77 FAIF �FiIVE, GOSTA MESA, CA 92626
ISSUED BY:
PAR4MOUNT; CA�`� � Zip: ' � �
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Owner. ROBERTSON;,EMILY TR � ` =�� ��
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Address 3151-BERMUDADR� _ � - - � ' , �;�-��
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i�� �COSTA MESA, CA� " " Zip: 92626 � �
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Contracroc 'A-1 ALLAMERICAN ROOFING CO WEST LA INC
. Address: 1824 E CARNEGIE AVE
� , . Phone: . (949) 250-1221
" - � SANTA ANA, CA
� Zip._,;� 92705'� ' License:� 671922
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License:
Status: ISSUED
Applied: 02/05/2002
Issued: 02/05/2002
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' _ SCOPE OF PERMIT _ , , . _,
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� % TEAR OFF EXISITING ROOF AND COVER WITH 25 YEAR COMP SHINGLES. NO NEW-SHEATHING PROPOSED..INCLUDES ,.
ATTACHED GAR4GE. � � � � � � � ' �
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� � FEE SUMMARY �, ' ' � �
", Plan Check: $0.00 — � - - ' — - Calc Valuation: � / % ; � $a,000.00
Permit: � � $97.25 � " Claim Valuation: � -�-,' ;� $d,000bo
; �SMIP Res: � � � $0.50
SMIP Com: , , $0.00
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bther. $0.00
Inspection: i $0:00 ,
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�Total: ��;; $97 75�; , � � ..f , .
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SETBACKS ' � _
MAIN STRUCTURE Front 0- 0 Rear 0- 0
ACCESSORY Front � 0- 0 --Rear 0- 0
PARKING Existina: 0 . Required: 0
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Left 0- 0
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Right �. 0- 0� �
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Left 0- 0 . . Right
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Proposed: 0 � , , ,
NOTES: �='"' --
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
��. EXPIRATION: This permit shall automatically expira and become void it work is noLcommenced within 180 days, or if work is suspended or abandoned
tor a period of 1 BO days. . ' ' �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration o( this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
zauas �smo)
WORKERS' COMVENSATION OECLARATION: � . �
I hereby affirtn under penalry of perjury one ol ihe following declarations: -- � �
I have end will maintain a cenificate ot consent to seli-Insure for workers' compensation, as provitletl for 6y saction 3700 of lhe Labor Code, for t�e performance of the
w or whiCh lhis permii i5 iuued. ,
I have antl will m@@@intajn workers' compensation i(((III333���rance, as required by section 3700 of ��e LaDor Code, tor ihe pedortnance of the work for w ich Ihis pertnit is issued.
My wollcers, �Ortb� ioq InOs�nc�e c1yrrler a�licy�ber are: /, t''� /) � n ��/� /_� �
Carrier. (��!/\.. (/lA �� PolicyNumber: W��� �� � V�
(This section need not 6e completed illhe permif is va/ued af one hundred dollars ($f 00) or less.)
❑ I certify ihat in the peAormance oi the work for which t�is partnit is issued, I shall not employ any person in eny manner so as to become subjecl to the workers'
compensation laws oi Calito ia, end agre lhal It I should become subjeci to ihe workers' compensation provisions ot Sect�37p0 of th99 Labor Code, I shall forthwith
comply with these pm� a'�--� /�� ^
Applicent Signetur� � Date: ?
WARN WG FAI W RE TO SEW RE WORKERS' CAMPENSATION COVERAGE IS UNLAW FUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED
THOUSAND DOILARE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE L4BOR CADE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirm that I am licensetl nde�r {rovis}c
force antl eHect Lic. N�
Contractors Signature:
9(commencing with Section 7000) ot Division 3 of �he Business
Class # _
oate: _
and my license is in Full
CONSTPUCTION LENDING AGENCY:
❑ I hereby attirm that there is a construction lending agency for ihe pertormance ot the work tor which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Adtlress:
SigneNre: � Da�e:
OWNER-BUILDER DECLARATIONS:
I hereby affirm ihat under penalry of perjury thet I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professions
Code: Any ciry or counry which requires e permit to consimct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applican� for such permit
to file a signed statement ihat he or she is licensed pursuent to the provisions of ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) oi Divislon 3 of ihe
Business antl Professions Cotle) or ihat he or she is exempt therefrom and the besis for ihe alleged exemption. Any violation oi Section 7037.5 by eny applicent tor a permit
subjects lhe epplicant to a civil penalry ot not more than five huntlred dollars ($500).):
❑ I, as owner of ihe propeny, or my amployees with wages as Iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intendetl or ottered for sale (Sec.
7044, Business and Protassions Code: The Contractors License Law tloes not apply to an owner of pwperty who builds or improves thereon, antl who does such work
himselt or herself or through his or �er own employees, provitled that such improvemenis are not intended or oHered tor sale. If, however, ihe building or improvement is
soltl within one year of completion, ihe owner-builder will have ihe burden of proving that he or she tlitl not build or improve tor purpose of sale.).
❑ I, as ownar of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo construct ihe project (Sec. 7044, Business end Professions
Cotle: The contractors License Law does not eppty to an owner ot pmperty who builtls or improves Ihereon, antl who contracts tor such project wlih a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec.
SignaWre:
Owner ID verifietl by tlnveYs license. ❑ Ves ❑ No
Business antl Protessions Code br Ihis reason:
Verifica�ion of Ownership by (type of document, i.e. � propeny tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivels License No.
Date:
Expires:
❑ I hereby cetlity that no excavation five (5) or more feet in depih into which e person is required to descend, will be made in connection with work euthorized by this
permit, and ihat no building simcture, scattolding, falsework, or demolition or dismantling ihereof, will be more ihan thirty-sis (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Calitornia Administretive Cotle).
❑ As owner-Duiltler, I will not employ enyone to do work which wouid require a permit from t�e Division ot Intlustrial Safery, as noted ebove, unless such person has a
permit to do such work trom the division.
Signawre: Date:
Division of Intlusirial Safery Permit Number:
CER7IFICATE OF COMPLIANCE AND AUTHORIIATION OF ENTRV: I certity under penalty ot perjury ihat I have read this application and state that the infortnation given is
correct. I agree to comply with all s;ate laws antl city ordinances relating to building construction, and authorize representatives of lhe City ot Costa Mesa to enter upon ihe
ebove-described properry for inspedion purposes. I egree not to occupy or allow occupancy oi eny building authonzed by this permit umil tinal inspection.
Signature Ot LE
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An r Authori
COUE I. INSiECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Root
201 Finel BIocWRetaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Finel Demolition
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CODEt INSPECTONTYPE
206 Finel Mechenical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 . FinalBuilding/Occupancy
PdIE II�ALH
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COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
a""o'"� 315� Bermuda Dr.
AODRE55
COSTA MESA. CALIFORNIA
ADDRE55 1701 Gisler �
CITY COS�B Mesa
ORCNGENEER J• R� Sf1BII
ADDRE55 Lon Beach
co�vrRncroR L.G Robin
ADDRE55 �701 Gisler St.
LEGI�I LOT q
DESCRIPTION NO. L� BLOC
A.P. NO.
SIZE 70 X Ioo
OF LOT
TNO. KI 5-1751
NO.C=ZIio
�=�.� s��i�tl�Ei�
9EC 9 t�a8 ,
FIN,4NCE DEPT.�'"�
CltY OF COS!n r:�E$ti
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. , FMIj��fIC
RECEIVED BV
COSTA MESA. CALIFORNIA
6e 9-0908 ZONE
CITV LIC. �orvE �/
NO. C
� �vo: KI 5-1751 B�PRoveo
TRACTIIIS
rvo.ov e�ocs
NOW ON LOT nQnn
tt LIrvE FFOM
ccrvrErx oF srReEr SO�"f REAR VARD ZO�'f
SIDEVARD �RIGHT S�'f' LEFT 5�}
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING OEMOLISH
51=EOING�560 5.F}. ROOMS 6 STORIES
EXTERIOR WALL ROOF '
COVERING S�UCCO COVERING�
USEOFNEW Residence & Attached
euILOING
1 MEREBY ACHNOWLEDGE TMAT 1 HPYE REAO TMIS AP
STATE THAT THE T60VE IS CORRE �AND 4GREE TO�EO
CITV ORDINPNCES ANO ST�YPE j 5 FEGVLAT'NG BUIL['
TION. ,(�� � �
SIGNATl1RE OF .��( /l� i_.,. .f_`\y_�
I AUTHORIZED AGENT
e
WITH ALL /
CONSTRVC
/ VALLIFTION
CORRECTIONS
$ j 5 �/ �l�S -`.
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PERMIT FEE E � v
PLAN CHECK � % I.. 'S L'
TOTAL FEE $ 'S b �°'"�
,'7 ,-� -
oWxEa MESA VERDE ESTATES DATE . i�_9-5A
JOB ADDRESS 3151 Bermuda Drive BllILDING PERMIT NO. /�81C1i
GENERAL CONTRACTOR L. G. Robinsan VALIIE $-1S�49S.00 -
AP. No. LpT 2J TRACT 3115 FIRE ZONE DFSCRIPTION OF WORK Res. W�ett, gdl',
GROUP I& J TYPE V ZONE A1 PLAN NO.
INSPECTIONS I DATE I 3UBGONTRACTOR I DA7E
coat
Line
Final Gas