The URL can be used to link to this page

Home My WebLink About306 BROADWAY - Building PermitsPHOJECT AOUFESS: 3 O CJ B ROADWAY owe��ame: PEELE, JENNEFER C TR aooeess: P O BO;C 5914 �'�� INCLINE VILLAGE,NV 89450 702) 833-5190 AFCM/ENGINEEH: AOOflESS: flEG.NO.: UNIT: UNIT: PENMITTEE: KEITH RANDLE ( 714 ) 760-5000 aooaess: 5914 PO HOX INCLINE VILLAGE NV 84590 UCENSEO CONTPACTOB �ECIAflATION: I hereby allirm �hal I am licensea under pmvisions of C�apler 9(commencing wilA Sec�ion ]000) ol Drvlsion 3 0l t�e Business and �rolessiore Catle, antl my license is in full �orce and eitect. CITY LIC.: STATE LIC.: ClA$S: Da�e: SignaNre: WOBREHS' COMPENSpTION OECIAflFTION: I herebY a�lirm Iha� I have a cetlilicaie af consenl �o self-insure ar a cetli�ica�e o� Workers' Compensaiian Insurance. or a cenifietl copy Ihereof (Section 3800. Lab. C). �i POLICY NO.: E%P. ORTE: COMPFNY: ❑ Ceni�ied capy is here6y fumishe0. ❑ Certifietl capY is IileO wilh ��e ciiy Builaing Division. Daie: Applicanl: EXEMPTION FflOM WONREBS' COM7ENSRTION OFCLI�HATION: (This seclian need na� be comple�e0 if the permi� is �or ane �unOretl ($100) or less). I cetldy I�ai in �he peAormance of �he work for whic� ihis permi� is iss . uhall no� emplo any person in any manner so as lo become s q �o I�e �jWorkersc' /C�omDensation Laws ol Califomia. �ale' `� � ' T � � �' Signalure', _, NOTICE: If. a�ter making ��is Oeclara�ion. you 5hou10 become subjec� to �he Workers' Compensa�ion pmvisions oi �he LaOor Code. you must forthwii� comply with such pwvisions or �his permil shall be tleemed revoke0. CONSTBUCTION LENOING AGENCY: I hereby a�firm I�a� there is a cons�mciion lending aBency br �he pedarmance ol Ihe work �or which Ihis permit is issued (Section 3097. Civ. C). LENOEN: aooxEss: OWNEfl BUILOEP DECLAHRTION: I here0y afiirm �hat I am exempt tmm ihe Contractors' State License Law lor ihe �ollowing reason (Section 703L5 Business and Prolessional Caae: Any ciiy ol county which reQuires a permi� to consimc�, alter. impmve, tlemolish, or repair any slmcWre, prior to i�5 issuance. also requires �he applicant for such permi� Io lile a 5igne0 slalement Ihal he/ihe is licensea pursuam m �he pmvisions ol the CanVacmrs' State License Law �Chapier 9(commencing with Semian 7000) ol �ivision 3 a� �he Business ana Pmfessions Code) or ihat he/she is e�empt ihereimm ana ihe basis for ihe allegeA exemptian. Nny vialalion of Section 7031 5 by any ap0licant �or a permii Subleci5 ihe applican� Io a civil penal�y ol not more Ihan live huntlreC tlollars (5500�. I. as owner o� �he pmpeny ar my employees wrth wages as their sole compensation, will do Ihe work, antl the ❑ stmcture is not imen0ed or offeretl for sale ISection 7044, Business antl Pmtessional Code: The Contracmrs' State License Law ' Ooes nol apply lo an owner oi a pmperly who builds or impmves thereon, anA who does such work himsel�/hersel� or �hmuAh �is or Aer own employees, pmvitled Iha� such impmvemen�s are no� in�endetl or oflereA for sale. I�, �owever the building ar improvemen� is sola wit�in one year oi completion, the owner will have the burtlen ot pmving he/s�e Oitl not builtl or impmve lor Ihe purpose oi sale�. I, as owner ol �he pmpetly, am exclusively coniracling wi�� Iicense0 coniraclors lo cons�mcl tAe pmleol (Section 7044. Business ❑ and Pmtessions COUe: The Conlraclors' Slaie License Law Coes noi apDly lo an ownero� pmpehy w�o hmlAs or impmves �hereon antl who conirac�s �or such pmlects wiih a con�ractar�s�license pursuani �o IAe CONractors' S�ate License Law�. I am aware Ihat pmol oi Iheir Worker'S Campensa�ion inmmnce shoultl be pmvided �o me. � I am exempi untler Set�ion- B P% O A 4 g g v. C. � m� mis reason. OW N ER —B U I LD ER ate � � � � � L � Owner'. � hereDy ceNty Ihat I am aware ol antl untlerstantl ihe requiremen�s ol Calilomia Heallh and Sa�ely Cotle Sectians 25505, 25533, and 25534 antl tha� I or any Wmre �wldmg occupanl will/will not (circle one) nee4 io compty with said Slaie codes an0lhe requiremenis tor a permii for conslmclian or motlilicatian Imm Ihe Air Ouali�y Management Disirict. Resdenlial cons�mc�ion applications are exempt irom Ihese provisions. Oa�e: Applicani: I hereby cetlify Ihal I �ave iead this apPlicalion ana slaie that ihe above informa�ion is wr c�. I agree to comply with all ci�y antl caunry ardinancesands�atelawsrelalingio�uiltlingconstmctionandherebyauthoraereprese soithiscirytoemeruponiheabove�mentmnetl proper�y Iorin50eUion purposes. �D�e: � ^' � ^ � � Signature: � �riy�er's �icense ar Sociai Secuniy x: t641�46 While—Bmltlmg', Green—Cotle Enbmemen�; Canary—ApplicanC Pink—Revenue: Goltlenrod—Hssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 066375 PERh1IT NO: B 066379 PLAN CHECK NO: N GO�'T: N SUPP: N CONSTRUCTION TYPE; V-5 PERMIT TYFE: STR PURPOSE: OTH JOB DESCRIPTION ; T/O 6 REROOF W/COMP, SHINGLES SQ FT: 1,200 CLAIM C'ALUE: 1,200,00 CALC—VALUE: 1,200.00 GROUP OCC: R-3 /M-1 COMMENTS: RE—ROOF W/COMP. OVER THE DETACHED GARAGE FOR 306 -1(� iE iE iE # if �f iE 3E it 1E iF iE ik �t if iF aE if iE iF if if iE k ,c 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 iE 9E iF if it iE if iE *� ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT; FT IN PARKING REQ: PROC�: PARCEL: 11725302 2NE: REF NO: PLANNING NOTES> �' . if if # iE iE iE iE 1! iE jE il� �E jF If iF iE iF ik ib iF iE 1!!F if iE 1f 7! if if iE iE if if 1E i!� �)t iE fE if �E if iE if iE �lE if it !f 1E if iE �f'�E 1f # 1E iE iE �1E 7f 1f fE �N-iE iF iE iElf #*�3E M 1F iE iE if ff jf !f 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 APPRO�'ED BY DATE: HUILDING APPROVED BY : DATE; APPLICATION ISSUED BY: DATE: iEiEiEifiEifiFiEiFiElfiEiEikifiEiEififiEifi! . iE iEiEiflfiEiEikifiEif +��k ic�E �E if i! i! ik it iE jF # iE 1E jE �Elf iFlE iE iF if �f 1E if �E 1E �E iE # 1f ic 1F 1t * iE 3E iE 9E dE if jf jf iE iE iE+E iF iE if jf fF �E 9E 1F 1E 1E iF if if �E 3E iF iE iE?F 3E �fE # if #iE iP iE iF iE 3E iR ia iE * iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PL[JMBING ELECTRIC MECHANIC FIRE SMIP/RES GAAn7nlr PERMIT 29.00 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 29,50 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC 29,00 .50 SMIP/NON—RES TOTAL PAID DUE 29.50 29,50 ,00 29.50 OVER/SHORT: .UO FIRE SMIP/TOT GRADING PLAN—CHECK .50 iE iE # iE if aE 1E jE if iE if iF if iFlE jE iF iE iE if �E 1E if 1f �lE iE iElE iE 1f 9E iE ��lE iE iE iF iE it-%� iE iE jE if iF 3E iE �)E if � dF iF+F if if iE 1E i:-iF iE fE fF if-ik iE �lE iE �If aE iE iE iE if 1F �1M1 iE?E-lf 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 I O N UPJIT COST TOTAL COST SFR 1200 REROOF HY Vr1LUE RESIDENTIAL NOZONE 1,00 1,200.00 END OF FEES �1 001570�8-00157059 T O T 29.`0 DATE: 03/14/94 TI19E: OE:46 � •S�ONSTRUCTION AND P�ANNING � PQ� S SPA APPROVALS Permit # Date Inspecior APPqOVALS Permit # Date inepector t �. Temporary Electrical Service or Pole 52. Pool & Equipment �ocation 2. Soil Pipe-Undrgrnd. 53. Stee� Reinforcemeni 3. Electricai Conduit Utiliry�Undrgrnd. 54. Forms � 4. E�ectrical Conduit-Undrgmd. 55. Electrical Bor.ding � 5. Steei Reinforcement 56. Rough Piumbing & Pressure Tzst � 6. Electrital UFER Grnd. 57. APPROVA� TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. $. Fo�ndation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. 8ackwash Lines, P�Trap, O U�drgrnd. 70. Structural Floor System 61. APPROVAL TO DEGK it. Property Sewer Line & HouseConnection 62. 6ackwash & Rece�tor�Final 12. Sewer Cap 63. Heater & VenFFi�ai 23. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Elecvical-Condurt 66. Solar System-Final � � 16. Rough Electric Wiring 67. fencing & Access App=oval � 1J. Rough Wiring Sign 68. APPROVED FOR PLASTERiNG S8. Rouyh Electrical-T Bar Ceiling 69. POOLISPA SYSTEMS FINA� 79. Rough Heati�g & Air Conditioning FIftE DEPT. REQUIREMENT 2�. Rough Factory Ficeptace APPROVAIS Pesmit �'-r 27. Ducts, in Structure 70. Underg:ound Hydro 22. Oucts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe�Raugh & Tes[ 72. Underground Fiush 24. Roof Framin9 73. Undergrnd. Stora9e Tank O Gas ❑ Oil 25. Roof Sheathing 3-��7 qC� 6 G/� 74. Overhead Hydro 26. T�Bar Ceiling (Structurall & Mpnocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTENt FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Dry�vali Naifing HEAITH DEPT. REQUIREfvtENT 31. Plaster Brosvn Coat 79. FINAL INSPECTION 32. Electrical Power MeterFlnal 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Fina! Gas Pipe�Test �� 36. Hood or Canopy 37. Finat Fattory Firepiace 38. Final Plumbing 39. Water Service-Final 4Q. Ges Service-Final � 47. Solar pomes2ic-Final . 42. Backflow Preve�ter � 43. Backflow lrrigation � 44. landscape irripauon SYstem 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 22-�L1 �j,�� 46. FINALPLANN�NG 49. Electric Release to Edison 50. Gas Release to Souihern Cali(ornia Gas Cn 51. CERTIFICATE OF OCCUPANCY No. Date