HomeMy WebLinkAbout320 BUCKNELL RD - Building Permits(714) 754-5273 • Fau (714) 75a-4856 • wvnv.ci.cos�a-mesa.�t �DING PERMIT �� FAIR DflIVE, COSTA MESA, CA 92626
JobAddress: 320 BUCKNELL RD
Suite:
Vicinity: ROOF
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Conslruction: V-N
Parcel Number: 14141108 Zoning:
Applicant: MAR71N ARROSAGARAYS
Address: 2508 BOWDOIN PL
COSTq MESA, CA
Owner: THOMS, WIL
Address 320 BUCKNELL RD
COSTq MESA, CA
Phone: 714-606-9252
Zip: 92626
Phone:
Zip: 92626
Contractor: MARTIN ARROSAGARAYS ALL SEASONS ROOFING
Address: 2508 60WDOIN PL
COSTq MESA, CA
2ip: 92626
Arch :
Address:
Zip:
Phone:
License:
Phone: 714-556-8867
License: 622480
Eng:
Address:
Status: ISSUED
Applied: 02/23/2006
Issued: 02/23/2006
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ISSUED BY: � �
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Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROQF. INSTALL 2 LAYERS OF 15# FELT, 40 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEETING AS
NEEDED. 2,300 S.F.
FEE SUMMARY
Plan Check: $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
PLANNING & ZONING
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
Calc Valuation: sa,eoo.00
Claim Valuation: Sa,eoo.00
Rear 0- 0 Lefl 0- 0 Right 0- 0
Rear 0- 0 Left 0- 0 Right 0- 0
Reauired: 0 Pr000sed: 0
NOTICE: The work authorizetl by this pertnit shall comply with all applicabla handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 7, 12-27-92)
�� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned
for a period of 1 BO days.
, INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
raqulred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (7y4) 7545626
ta5re Iarool
WORKEqS' COMPENSA710N DECLARATON:
1 hereby aHirm under penalry ot perjury one ot lhe tdlowing tleclaretions:
p I have antl will maintain a cenificate of consent b selGlnsure for workers' compensation, es providetl for by saction 3700 0l the Labor Cotle, tor the peAartnence of Ihe
work for which this permit is Issuetl.
1'b9ve and will mainWin workers' compansation insurance, as repuirea by secGiinr3700 of �he Lsbor Cotle, tor Ihe padoimence af �he woAc for which Ihis pertnii is issued.
'"'� y�wo e pens��/Yc.rc, Insurpnce wrrier and policy number ere: ^� P rn
Ca e��T-(�� '7��/✓��f Policy_Number._� /�UOD� �oY
�hls�sectiori neetl not be comp/eted i! (he permit is valued et one huntlred dollars ($100) ar IessJ ��-
C] I ceniry that in Ihe per
campensation laws of
comply with these pJp
'AICURE TO SEOURE:N
�OLIARE (5100,000�, IN
of Ihe work for whic is permit is issued, I shall not employ any person in any manner so es to become subjecl to Ihe workers'
i, end ree that' s ould become subject to the workers' cOmpensation provisions of Seclion 3700 of the Labor Code, I shall tortnwith
---- yz a�c'e:_. �a '� -� �
RS' MPENSATION COVERAGE WFUL AND SHALL SUBIELT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED
'IIXJTOTHECOSTOFCOMP ION,DAM4GESASPROVIDEOWRINSECTION3l060FTHELABORCODE,IYTEREST,ANDATTOFWEY'SFEES.
LICENSED CONTRACTORS DECLARATON:
CONSTRUC710N LENDING AGENCY:
d I horeby aHirtn Ihat there is a consWction lentling
Lgnder's Neme:
SigneNre:
ancing with Section 7000) ol Division 3 of the Busin�e5s end c�ssions Code, entl my license is in full
C as�—C�� /
qates•��� .� � ^ �
�-�,-'-�-�-� -
peAormance of �he work br which �his permit is issued. (Sec. 3097, Civil Cotle).
Leoder's Add�ess:
Date:
OWNER•BUILOER DECLARATIONS:
I PereDy aHirtn that uMfer penalry ot pe�jury that { am EXEMPT FROM TNE CONTHAC70R5 LICENSE LAW tor the following resson (Sec.7031.5, Business and Protessions
Code: Any ciry or county which requires e permit to conswct, elter, improve, tlemolish, or reDeir eny siructure, prior to ils issuance, elso requires the applicant tor suc� pertnil
to lile e signed slatement �het he or she is Iicensed pursuant to Ihe provisions of the Contractors Ucensa Law (Chapter 9(commencing with Section 7000) ol Division 3 ot the
Bosiness antl Professions Cale) or that �e or she is enempl Iherelrom antl the basis br the ellegetl eaemption. Any violetion of Section 7031.5 by any epplicant lor a permit
subjects �he applicant to a civil penelty of not more ihan fiva hundretl tlollars (5500).):
❑ I, as owner of Ihe pmperty, or my employees with wages as t�elr sole compensation, WILL DO TME WORK, and the stmcNre Is not inte�detl or ottered for sale (Sec.
7044, Business and Pmlessions Cotle: 7he Comractors license Lew does not apply lo an owner of property who builds or Improves thereon, and who tloes such work
himsett ar herselt or Ihrough his or her own employees, pmvideC thet such improvements ere not intended or oNered for sale. If, however, ihe building ar improvement is
sold within one year of completion, Ne owner-builtler will have the burden of pmving that he or she tlid not build or improve for purpose oi sale.).
❑ I, as ownar of the property. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS ro constmct Ihe pmject (SecJ044, Business an0 Professions
Cotle: The contractore Ucense lew does not appty to an owner o� property who builtls or Improves thereon, and who conlrac�s for such project with a coNrector(s)
license pursuant to the Conirectors License Laws.).
❑ I am exempt untler sec. Business antl Professions Code for Ihis reason:
Signeture: Date:
OWner ID verifietl by driver's licensa. ❑ Ye5 ❑ No Driver's Litense No.
Verillcalion of Ownershlp by �type af tlocument, l.e. - pmperly lax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Eapires:
❑ I hereby cenify tha� no excavetion live (5) or more feel in tlepth in�o which a person is required to descend, will be matle in connection with work authonzetl by ihis
permii, and ihal no buiiding siruciure, 5cattolding, talsework, or tlbmolltion or tlisman111ng I�ereot, will be more than �hirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7itle B. Califomia Administrative Gode).
� As owner-Duilder, I will not employ enyone to do work which would require a permit from the Division of Indusirial Safety, es noted above, unless such person has a
pertni� to do such wark from Ihe tlivision.
Signeture: Date:
Division ot Indusinal Safery Permi� Number:
ICER7IFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTFiY: I cenify untler penalty of perjury that I have read this epplication and state that �he information given is I
correct I egree to comply with ell state lews and city ordinances reletin8 �o builtling consiruc�ion, and authonze represente�ives of ihe Ciry of Costa Mesa to enter upon Ihe
ebo�e-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by ihis permit until final inspection.
��, INSPECTIONTYGE
1676 Fixed System Final Fire Prevention
126fi Pool Spe Final
200
201
202
203
204
Finel Re-Roo�
Final BIocWRataining Well
Final Factory Fire Placa
Finel Sign
Final Demolition
QEg 11�19-�3
�-25'6 ��P,
COOE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecirical
212 Final Fire P�eventlon
220 Final Planning Apprwaf
222 Final Site
250 Final BuildinglOccupanry
I[IIII1L45
JV 8:'1
COSTA MESA BUILDING DEPARTMENT
P. O. e0x 31'/
COSTA MESA. GALIFORNIA
FOR APPLICANT TO FILL IN
J t3ucKnell Hci.
COSTA MESA. CALIFORNIA
AODRE55 1555 Placentia
aTv Ner ort Beach
ARCHITECT SSIIlB
OR ENGINEER
TEL.
No. MI fi-
LIC.
Koll Const. Co. c�T� No: 1217
LEGAL ILOT [ I
oescaivnorv NO. V BLOCK
A.P. NO.
OF LOT V< X l�/V.W+
... . .y� .Ilf.,..- ..1
• r��� �C����V���
L'�''''� APR 21 1959
FI{VANCE DEPT.�p
C�Ti Q� cOsrA mEJ/�
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
�-�--�I �'-/"z�--1 11-`�-- .1.,L '
BUIL9ING
AODRE55
COSTA MESA. CALIFORNIA
FIRE
TEI. /PPAOVED
NO. $IRB BV
TRACT �V�
MO.OF BlDGS. O
�IOW ON LOi
USE OF
ESISTING BLOG.
SEiBACR LINf FROM �(�
CENTER OF STREET JV REAR YARD 2S�-b"
SIDE YARD RIGHT {J LEFT 6
DESCRIPTION OF WORK
NEW g ALTERATION A�DITION
REPAIR MOVING DEMOLISH
SU�IEDING � �� O ROOMS
6 STORIE$ �
EXTERIOR WALL i ROOF
COVERiNG $buQCO GOVERING hot—m000ed
USE OF NEW
BUILDING residence and att. ara e
Plan 1-G
CORRECTIONS
The Amount shown under valuation is for the
I HEFEBV /.CNNOWLE�GE TMnT 1 MAVE READ TNIS IPPUCATION �NO Ui OS
$TATE TNRT TME A90VE I$ CORRECT /�NO �GNEE TO COMPLV WITH 4LL P P 8 Q e� � is mg a permi ee on y.
CITY ORDINANCE A STwTE LnWS NEGUL.�TING BVILDING C 5TRUG
rion. VALUATION
SIGNATURE OF �q� PERMiT FEE S
PERMITTEE �J � 17.50
15,967�00 p�qN CHECK g
s
AUTHORIZE GENT TOTAL FEE 5 S2�SO ,��