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Home My WebLink About2857 BOA VISTA DR - Building PermitsPROJECT NO�NESS: z B S% BOA V ISTA DR u �. OWNEH'SNpME: P�RILL EUGENE R FLOOD: �eTE-46 aooness: COOL, P�IYLLIS S 2857 BOA VZSTA DR COSTA MESA,CA 92626 641-1339 PflCN/ENGINEEF: NEG.NO.: FDDNESS: UNIT: PENMITTEE: NOCK PLUMBING (714)895-1296 POONE55: 11610 SEAHOARD CIR STANTON CA 90680 LICENSEO CUNTFACTOP OECLABATION: I hereby atlirm tha� � licensetl un0er pmvisions oi C�apler 9(commencing wilh Seclion 7000) ol �i i usiness antl Proi s my cense is in f nd Y55' �� Sii� i�''— �Y�P: 02/95 CITY LIC.: TE LIC.: CNSS: te: " SignaNr`7�, EBS' OMPENS!�TIQN OECIABATION: I hereby aililm ��a� I have a cetlificaie of consen� to self�insure or a cerli�ica�e ol Workers' Campensation �sLrjpc�. $8 r2rNti� Q�DY �hereoi (Section 38W. La�.(Q)j / Q 1/ 9 rj voucr No.: 5TATE E%P. DPlE: COMPANY: X ❑ Cenitied co is her by Wmis tl. ❑ Ceni�ietl co s �il�a with �he city Builtling D ision. �'� 7 � qpplicant: _ � 710NFBOMWOBREHS'COMPENSATIONOECNFFTION: (T�i55ectionnee4no�becomplele0i�theDermili5laronehuntlre0�$100�or I cetlify iha� m the performance of �he work for which this permit is issuetl. I shall nol employ any person in any manner so a5 io become sub�ect to tAe Workers' Compensalion Laws o� Calitamia. Daie: Signa�ure: NOTICE: II. atler making this tleclaration. you should become suble�� o ihe Workers' Compensation pmvisions of �he Labor CoOe. you must btlhwi�h comply with suc� pmvisions or �his permit shall be 4eemeE revaked. CONSTflUCTION tENDING pGENCY: I �ereby allirm ��a� there is a consimc�ian lentling agency �or the Oertormance o� �he work lor which ihis Dermii is i=suetl (Section 3097. Civ. C). LENOEH: ADONESS: OWNEP BUILDEB DECLABpTION: I hereby allirm that I am exempt imm tAe Coniractors' Slate License Law br t�e following reason �Seciion 7031.5 Business ana Pwiessional Coee: Fny ciiy a� coun�y whic� requires a permit to consimct, alter, impmve, demolish, or repair any s�mclure. prior lo iis issuance. also requires IhC applican� for such permi� to �ile a signetl s�a�emen� �ha� he/she is licensetl pursuam Io Ihe pmvisions oi Ihe Contracmrs' S�a�e License �aw (C�ap�er 9(commencing wi�h Sectian 7W0) o� Oivision 3 of IAe Business an0 Prolessions Code) ar Ihal he/she is exempl Iherefrom and ��e Easis lor �he allege0 exemption. Any violation of $ec�ion 7031.5 by any applicant for a permi� subjecis the applicanl �o a civil penaliy oi no� more Ihan �ive huntlred tlallars �$500). I. as owner ol ��e pmperty or my employee5 wiih wages as their sole compensation, will do Ihe work, ana Ihe ❑ simcture is not intendetl or offeretl for sale (Section 70aa. Business antl Professional Code: The Coniractors' State License Law does no� apply �o an Owner Of a pmperty who builtls ar imDioves �hereon, antl who tloes SUCh wOrk himsell/hersel� or [hrough his or ner own employees. D�ovitled thal such improvements are not inten0ed or offere0 for sate. II, however the builtlinq or impmvemem is sol0 wilhin one year ol compleiion. the owner will have Ihe hurtlen ol pmving Ae/she Oitl not builtl ar improve �ar the purpose of sale�. I, as owner ol the pmperty, am excWsively contracling wiih licensetl conVacbrs �o consimci Ihe prole�� (Seclion 70a4, Business ❑ antl Professions Catle: The Coniractors' State License Law aoes not apDly to an owner of Dropetly who bwltls or impmves ihereon and who contracts tor such D�olects with a contra��oqs) license pursuant to ihe Contracrors' Stale License Law),I am aware that prool of iheir Worker's Campensation insurance snaute be pmvidea lo me. � I am exempt under Section�. B. 8 P. C. lar this reason: CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: P 070661 PLAN CHECK NO; N CONSTAUCTION TYPE: V—N PERMIT TYPE: PLU � • � • � t4q�/ii\�.Zq:/'ii\� PURPOSE: OTH JOH DESCRIPTION ; C/ OF WATER HEATER SQ FT; CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 / COMMENTS: NO OTHER WORK AUTiIORIZED BY THIS PERMIT **�r*****+r*+�**+��t********�rr**r+r***�c****�**�*****�x**+r**********�c***********�***** Z O N I N G R E Q U I R E M E N T S S E T 8 A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ; PROV: PARCEL: 13944214 ZNE: REF NO: PLANNING NOTES> � if if jt if if if if if �t if it �f �! if 1f N!f iF iM �f if 1f k if �f 1F 1f 1f iEif !f �f 1f iF 1E iF 1Flf iF k 4 �f 7! fF 1f 1f if kit ff iE if 1F if fF k 1f if iE 1F M if iE 1t iF ff �f M iE iklF iE iF 1F if 1f 3f iF if D E V E L O P M E N T S E R V I C E S,, R E Q U Z R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED HY : DATE; APPLICATION ISSUED BY: �� Y1 ***i�*it*�rfr�r*r*******�t*�r*�t**�rr**** 3F r �F* �r*�r *■ �*�******r*D*****r* * * �-�r if iF 1f If if it ik aE if iE if iF it i! jt if 1E ff iP �f jt if iF if i! if i! it iF it it 3t if if IE %iE if if if if iE if if iE 3f if !f 1F iE iF r if if fF 1f if if i: if 1E iE if if iF 1f iF 1f �f 1t iR if iF if 1f a: �E it it LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMSING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 25R , SMIP/NON—RES PLAN ZSSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 7,00 20,00 0.00 27,00 27,00 .00 REVENUE DIVISZON TOTALS--> COLLECTED: 27,00 OVER/SAORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIA£ SMZP/TOT GRADING PLAN—CHECK 2%,�� if iF if if iF if iE if �! 1F iE at if if M IF if it if if if iE iE if it if k if jf if iF iE i! iE iE if iE i! %M if 4 if if if if i6 �E ik iF if r iF 3f it iE * M if M it if iF if 1f i4 if iE iF if ih if if 1f iF * iE if iE Z N D I V I D U A L �F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Daie: Ownec I PLU 7.00 7.00 I do �ereby cenity thai 1 am aware of antl undersland ihe reQuirements of Califomia Health antl Safery Cotle Sections 25505, 25533, ana 25534 anOlhal I or any lulure builAing occupam willlwill n �(circle one) neetl Io comply wi�h 5ai0 s�ate co0e5 and �he requiremems �or a permi� for cons�mclion or modilica�ion imm ihe Air �ualiry Management OistricL Residenlial cons�mclion applica�ions are exempt hom IIICSC O�Ovf510�5. Date: PpDlicanP. Y I hereGy certily Iha I have read this application and s�a�e Ip� ortlinances antl sla laws re Iing to bwltling consimctlon apd pmpetly for inspe tion Du OSPS. � � � at� � � ' � I agree to comply wi�h all ciry antl counry �his Ci�y �o enfer upon ihe above-menlione0 i641-a6 Wbue—BuilOing; Green—Cotle Enlorcemem: Canary—ApplicanL Rnk—Revenue; GoltlenroE—Assassor 1 WATER HEATER AND/OR VENT END OF FEES �i �an4�sf-e��<<�s� -r� �,- ��.cc: oAre: o�iii�vs rtnE: ti:_� CONSTRUCTION AND PIANNiNG �� POOL & SPA APPROVALS Permit# .Date Inspecmr APPROVAIS Permit .# Date in�e^ct��r l i. Temporary Electrical SeKvice or Po�e� 52. Pool & Equipment Location � 2. Spil Pipe-Undrgrnd. • " 53. Steel Reinforcement _ 1':: - .'tl L• ;��:�3;.,��ieicai Coi�Buit;Utliity-Undrgrnif�� 54. Forms " -+4: El�actrical Condaif�Undrgrnd. � 55. Electrical Bonding ��-� � i � �� ,�.!$�gP;j;Rei�for,c�,r'r}#' ent ' 56. Rough Plum6ing & Pressure Test rt� , r:,6;.:El�ctrcal UkE&'Gmd. � 53. APPftOVAt TO COVER-GUNiTE � �,i �7;��OOtings :i�� ' - 58. Eiectrical Conduit-Undrgrnd. � �. � � � ,;;;8; Foundation � 59. Gas Pipe, G' Undryrnd., Tesc ..� _, '�''9.�W9tes Pipe-UndZ�rnd. - 60. 6ackwash Lines, P�Trap, G' Undrgmd, ��• �' , 10. Structural Ploor SYstem .. 67. APPROVAL TO DECK 71, Praperty Sewer line & House Con�ectio� 62. Backwash & Receptor�Final l2. S�:yer Cap � c, fi3. Heaces & Vent�Final ' �7'3. Roof Dreins zi '� 64. Plumbing System � Final '� ',. ;�1�4. flough PIum41n9 ^'� .. 65. Electrical�Final �1�5. flougfi Electricai-Conduit; 66. So1ar SVstem�Final � � : �6. Rough Electr.ii Wiring „ 67. Fencing & Access Approvai ,].7. flpugh WiringSiyn �� 68. APPROVED POR PLASTERWG t8. Rough Eiectrical-T Bar Celiing � � 69. POOLJSPA SYSTEP:15 FIiVAI. � 79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT I � .. . �. . .� �.� -, .. ,-, , . ,.. . �� r,�-:�'qE' T1 F :-� !" ( 201 Roz:gh':Factpry!�i�epiace ��n '�'? ��' ��# ° � APPROVA'LS��f� Pe`rmit#�- n_ .n .5p� �;q. � � � ' .�, � S uctu e � ..� . � .: :.�. J`_� �•, .. � 2�, D�Cts,rin Er r ••• -� � � 70.`'UndergYotiPid HYdra � i� 22., O�ibts,`C/eni,(latf�� i ��.�� f r;.i � 77.^produi,PiRing`u'.�'ias (�Oi� 23. G�; PiP2�Rc,�y�' gh &.Test i i•j�7 �; c' U�* � 72. Undergr0,iind Eluih � �� 24: RSof FHaming � +' � "' � '�� ' " '� � ' �ti � `. -' 73� Undergrnd. Sttiiage Tank � Gas O�UiI 25. Raof Sheathin�:; � v o • � �'� � � ."� ^ � 741 Overhead NYdro + 26. T.Sar Ceiling (Sttuctural; ffi:Monocoat ' �� ' ^' ° 75. Dry Chemical -� �' ' ��' '� r . �'i �'i • - x ' �' 2T; Frameand Flas � ''� . . � L �� ,.....• � . �!!19 .,,u:u: c• ., .i:�' , 76. Dry StaraiP�Pe=.�r�.� .. i�t .: 28. Lathing & Sidiri�y � � r - ••� ••„ .� 77� FIXED 61`.STEK1EftNq� _ - � ' 29. Insulation ;,;. �� _i,.' .� ':. ` `�' � � �> > 78: FIRE:f?REV. FlMAL � � m'�. '' 30, Drrival$Nailing�,� � � '" ' 1 "` "•'� "'J-IEALTN DEPT.�REQUIf��MENT b = i '�vro r.�n.;. t , 31. Plester�rown Gpat �� ; �n�-n i � � f � �� ,� 79; `FI�NAL INSPECTrION � � � .� . ... ' i - I . -._-. . , � 33H.' Electri¢ai Po'.v2��Mefer,�Final� "''�' ' � '� `� 8QF; FOOD CERTIFICATE ISSUED, � -.7�. � r+ ['I i ,:; ., -i . * � 33� Fir�a� ElkcniF . �,� � �, . Notes: ur - � , � 3-L�- rS=T�'�_� �3z ��zo� '� 34:� Final Heatirig &>Air Condit'torilrtg f, n "� 1 � � .' . �� _ ' ' .: ' rr a: f.� i .�� ,�-i ZL �.5 F�IAC�.if.Z_�:i 35 � Final Gas P%pe-Tsi} f, .. � ' ' _ � � '::=. .r' i+' . . • H I �� L.� l,)Y� i -IM1� � � .• ' . .. . � : 36.� HOod or CanoPVJ + . � : P' "'f , ' � , { I ` I� : - i.., .! ' � r'� a' r- � 1 1! i+ x � :�l .� . ..� i �' � �^in Ci� t r;� ' � r ��i p � �. 37:. FiYldl Factory F;ir�eplace. i-'` �, ! �. ! ;�; ;,y -� 38. Fit21 Plum6ing<` r P; I +-i � ' , ��' .:� '.� �' --- . n 'LJ7- 91 �. .� � �-t c: � 39. Water Service-Firia9 ,�_ ! '. ; � � � " ; . ' '�:�� ; .. �' ; 40. Ges Servi , _ .�r� <: . ;,; � ::- . -". _, ' ce•Final . ,-; �. rr. i, r_>'�' �� 47. Solar pomesticFinai' � ' " ; '�' � ( ' "�`' -� ' _ - �:; � �r i_:, � . ' 42.' 8ackflow Preventer - �u � � �• i 'r, ,•�� _ --� Y� "l._ _ t I^ (S't� t =� � 43. Backflow I�tlgatioC �;- � ; r: ' ',' � -` `. . , , � , �; 44. Lendscapeifrri9ation SYstem.�� -i x �: , �7 a : '�. P1;.i * - C' • i i :1' _ -45-'Sound Attenuatio`n ��,�• � . _: `• „ . r, '�� •-:- ��'•: . � �. � r; . .. `�; rl ;rl' t+ . . 4.ri n - =:46� Handicap Regulations i`. � t R i j n: ._ _ •<t • t � n: f� x 47:' FI(�yAL STFtUCTURE & BUIGOING " I '° j� S '� , � -. x �.. � : i: � � 48jFIN.ALP�ANNING � �-.�_ ,-u j � - - ,�' •:; �� = 49?" Eledtric Release to'Edison � i ! � ' .• � `= � ` �,i �jk �e : ) �� s �,50;_GaS:Release to Southern Cafifornia GasCo � ! �� '� �� _ � � ort ':� � � � -� �: a51. CEAT�FICATE OF OCCUPANCY ' t� ,�- . - No. Date . ;� � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite: Vicinity: 2857 BOA VISTA DR HOUSE & ATTACHED GARAGE Parcel Number: 13944214 npplicant: NORLAND, RANDY Address: 29622 VIA CEBOLLA LAGUNA NIGUEL, CA Owner: PARRILL, EUGENE R Address 2857 BOA VISTA DR COSTA MESA, CA Contractor: NORLAND ROOFING Address: 29622 VIA CEBOLLA Arch : Address: Zip: LAGUNA NIGUEL, CA Zip: 92677 Phone: License: Zoning: R1 R1 Phone: (949) 495-2002 - _ Zip: 92677 � - ' Phone: Zip: 92626 Phone: (949)495-2002 License: 716788 Eng: Address: Status: ISSUED Applied: 05/08/2001 Issued: 05/OS/2001 ISSUED BY: � „Phone: �icense: � ,', `� SCO?E OF PERMIT , •--. - , REROOF EXISTING 2-STORY SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (27 SQ). TEAR OFF EXISTING ,, ._, ROOFING & RESHEATH WITH 1/2" CDX PLYWOOD. INSTALL 30q FELT UNDERLAYMENT & REROOF PITCHED AREA WITH �-, � �� 40 YEAR COMPOSITION.SHINGLES AND INSTALL NEW B.U.R: ON FLAT PORTION. � ;' -, ^, , � Plan Check: Permit: SMIP�Res: SMIP Com: ' Other: Inspection: — - ` FEE SUMMARY , - � _ " -' ' ; $0.00 � � � >�� Calc Valuation: f, �� g5,�oo;oo $139.25 � , Claim Valuation:;;; � $s,�oo.00 .. $0.67 _ - _ _. $0.00 � �;� �$0.00 �.�'��, ' %i%;" � ,�� $0.00� ;�S-� . ' ,�, � ;' ', `-; i'„� � , ' � i .,� . . c 2a ••^ �- . � � . $139 92 �� - . , � � � � . ; �� _ ; ,, � . , �, . �/ ' . �, � �'� /7 � � �-c� ,n �� ,. 'J �,:// r'i�//"' i . �� /j,r� �`�;� � : PLANNING&ZONING%% �^��;��v i�%/ SETBACKS ��'-� � i, � - �`% � " MAIN STRUCTURE Front ,�.0- 0�;� i; � Resr 0. 0 ACCESSORY Front 0-0 �� " �Rear 0-0 �_ PARKING Existinq: o Required: _ o, NOTES: . � \`.�. . � i�,�/ Left 0-0 ; �� Right. !0�0,�, �, �- �,. �� Left ' 0-�0 - '� R,ight �!�0. 0 Pr000sed:� ,:.,0-- �='. � " NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 780 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 I� required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 eaoa-ati �ww7 � � WORKERS' COMPENSATION DECLARATIOF: I hereby aHirm under penalry ot perjury one oi t�e following tleclarations: ❑ I heve and wlll meintain a certificete of consent lo self-Insure tor workers' compensation, as providetl tor Dy section 3700 of the Labor Cotle, for the pertortnence of the work tar which this permit is issuetl. �%�I have end will maintain workers' compensetion insurence, as required by saction 3700 of Ihe Labor Code, for the peAortnance of ihe work for which this permit is issued. ��"�Mv workers' comoensation Insurence cartier and oolicv number are: _ one Policy tJumber:��2�.� - �� 7 � oNess.) L^ .' —.� ❑ I certify Ihat in ihe pertormance of Ihe work for which this permit is issued, I shall not employ eny person in any manner so as Io 6ecome subject to the workers' compensation laws ot mia, entl agree Ihet If I shoultl become subject to ihe workers' compensatlon provislons ot Se�tion a700 ot the Labor Code, I shall forthwith comply with these provi ns �� 0 , /�1, / � 'ApPlicantSigneture: � U' ✓W \� �'Dete:-- S��( C%� _WARNINO: FNLURE�TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SNALL SUBJECT AN EMPLOVEii.TO CRIMINAL PENALTIES M1D GVIL FlNES UP TOONE HUN�RED THWSAND DIXAARE ($100,000), IN ADDITIqJ TO THE COST OF COMPENSATION, DAMAC+ES AS PPOVIDED FOR IN SECTION �O60F THE LABOR CADE, IMEREST, AND ATTORNE`f5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn t�at,l.am licensetl underp rovisions of Chapter 9(commancing with Section 7000) ot Divisian 3 of ihe Business and Professions Code, end my license is in full torce end effect Lic. p � %�.�% d�� Class A ii �3 c] ♦ CONS7RUC710N LENDING AGENCY: ❑ I here0y aflirtn that ihere is a conslruction lending agency for the pedormance of ihe work for w�ich ihis permit is issued. (Sea 3097, Civil Code). Lender's Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirm that unCer penalry oi perjury that 1 em EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl ProFessions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolis�, or repair eny sWCWre, prior to its issuance, also requires Ihe applicant for such permit to file a signetl statement thet he or she is licensed pursuent ta the pravisions of the Contredors Licanse Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) o� ihet he or she is eaempt therefrom end the basis for the allegetl e:emption. Any violation of Section 7031.5 by any applicant for e permit subjects the epplitent to a civil penalry of not more ihan five huntlrea tlollars ($500).): ❑ I, es owner of the propeny, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and ihe stmcture Is not Intendetl or oflered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply �o an owner ot property who builds or improves Ihereon, and who does such work himsetl or hersalt or ihrough his or her own employees, providetl that such improvements are not intended or oHeretl for sale. If, howevar, the building or improvement is sold within one year oi completion, the owner-builder will have tha burden of pmving Iha� he or she did not build or improve tor purposa of sale.). � I, es owner of the propeny, am EXCLUSIVELY CONTRACTING WI7H LICENSED CON7RACTORS to constmct the prqect (SecJ044, Business and Professions Cotle: The comractors License Lew does not epply to en owner ol propeny who bulltls or improves thereon, and who contracts for such project with a contractor(s) license pur5uent to ihe Contraclors LicenSe LawS.). ❑ 1 am ezempt under sec. Business and Professions Code for Ihis reason: Signature: Date: Owner ID venfied by tlnver's license. ❑ Ves ❑ No Drivefs License No. Varification of Ownership by (type of documem, i.e. - property taz bill or tlead): DIVISION OF INUUSTRIAL SAFETY PERMR CERTIFICATION: E:pires: ❑ I hereby certity thet no excevetion five (5) or more feet in depih Into which a person Is requiretl to tlescend, will be made in connec�ion with wark euthorized by Ihis pertnit, and that no building strucNre, scaXolding, falsework, or demolition or dismantling thereoi, wiil be more then ihirry-sis (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Celifomia Atlministrative CoOe). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industriel Safety, es noted ebove, unless such person has a permit to tlo such work Irom ihe tllvision. . Signature: Date: Division of Intlustrial Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUiHORVATION OF ENTTiV: I cetlify under penalty of perjury ihat I have read this application antl s[ate �hat Ihe information given is correct. I egree to wmply with all slate laws end ciry ordinances releting to building consiruction, and authonze representatives ot ihe City ot Cos�a Mesa to enter upon the ebove-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by ihis pertnit until final inspection. LOUE �. INSPECTIONTYPE 1616 Fixed System Final Fira Prevention 1266 200 201 202 203 Pool Spa Final Final Re�Roof Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolitian 2AIE nrtrtlA�S � � CO�E 1 INSGECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 272 Finel Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/OccupanCy DpTE INTRIALS : � (714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2853 BOA VISTA DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 13944215 Applicant: NORLAND, RANDY Address: 29622 VIA CEBOLLA LAGUNA NIGUEL, CA Owner: GREEN, BRYAN L Address 2853 BOA VISTA DR COSTA MESA,CA Contractor: NORLAND ROOFING Address: 29622 VIA CEBOLLA Arch : Address: Zip: LAGUNA NIGUEL, CA Zip: 92677 Phone: License: Zoning: R1 Rl Phone: (949)495-2002 -� � Zip: 92677 � Phone: Zip: 92626 ^ Phone: (949)495-2002 License: 716788� � ' Eng: Address: ISSUED BY: Status: ISSUED Applied: OS/OS/2001 Issued: OS/08/2001 Phone: License: , � , � . � SGVYt Vh YtKMII. �, ' � , REROOF EXISTING 2-STORY SINGCE�FAMILY RESIDENCE &'ATTACHED GARAGE��(29 SQ). TEAR OFF EXISTING . ., ROOFING, INSTALL 30# FELT UNDERLAYMENT, 8 REROOF WITH 40 YEAR COMPOSITION SHINGLES. ' �. ' - � � - =' FEE SUMMARY'r: ,�;_� . : ;,. Plan Check: $0.00 . - • - Calc Valuation: � ` ' - ss;000.00' Permit: . $111.25 ClaimValuation: t;r ' $s,000.00 �SMIP Res: $0.50 - � %;�� SMIP�Com: , '.,$0.00 - - — r � = ; Other: $0.00 .�.y . ,',;. ; Inspectiorr" $0.00 ,,; :-' � .' , '�% � . _ . . . : ..,�.... �r r � r V. �, . . � . � /� , . ' i Total: 5111 75 .� i �:, �, � ; ., . <� �- - !, , , � � � � �: � � � � ' .,, � G' �� i. �� / �f' . ��_:� � � "� PLAN SETBACKS �-/�:'�i�. �� ` � /; • MAINSTRUCTUREFronf 0=0� ,�Rear 0-0 � � . . ACCESSORY Front � 0�0`� = �iRea�r ,� �0-0� PARKING Existinq: 0 � -,� �� Reauired: �0 ' ` NOTES: VING & ZONING� �' '` /� ✓U / � � ��/,�J ''�'� � � --�i � / �� , ' _ . ��;' Left _ "0-0"� Right !`0-0 " V� - � i ., `�Left • 0-0 -,j )� Right, �0-:0 � .� ' �-- - .- i Pioposed:' �0 _ �-%��/`'../ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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. INSPEC710N5: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 eano-no �aw� WORKERS'COMPENSATON DECLARATION I hereby effirm untler penalry of perjury one oi tha following declaretions: . ❑ I heve and will maintain a ceniilcate ot consent to selt-Insure for workers' compensation, es provitled for by section 3700 of ihe Labor Code, for the pertortnance of the work far which this permit is issuatl. (��I have and will maintain workers' compensalion insurance, as required by section 3700 of ihe Labor Code, for Ihe peAortnance of the work tor which Nis peimit is issuetl. -� My workers' compensation Ins rance carner and policy num6er are: _ �Cerner` 7��7'Y�i'� %� nl'(i ,., .Policy Nu_mber:, � 2�.5 � cl 33 �(This"section need nof be com0�eted il the permit is ve/ued et one hundred dallars ($100J ar less.) ❑ I certity t�at in the performan e of Iha work for which Ihis pertnit is issued, 1 shall not employ eny person in eny manner so es to become sublect to the workers' compensatlon lews ot i o ia, entl agree that If I s�o bec sub�ect to the workere' compensation provisions of Sactl 37 0 ot Ihe Labor Cotla, I shall forthwi[h Comply wiih �h85B ' ' S. // y/°� /�G /9 ApplicemSignatu7e: � �i/�l�� /\� rDate:'- ' S! e ! � � �WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYERdObRIMINAL PENALTIES AND GIVIL FINES UP 700NE HUNDRED TIqUSAND DOLURE (5100,000), IN ADDITIqJ TO THE COST OF dJA1PENSATIqJ, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE UBOR CODE, INiEREST, M10 ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eXirtn thet I em licensed under provisions oi ChaO�er 9(commencing with Section 7000) ot Division 3 oblhe�Business and Pmfessions Code, and my license is in full rorce end enect uc, x`� '? l�i 8� Gess ad C 3`/� . CONSTRUCTION LENDING AGENCV: , ❑ I hereby affirtn that Ihere is a construction lending egency for ihe perfortnance ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: SlgnaWre: Oate: OWNER-BUILDER DECLARATIONS: I hereby aflirtn thet under penalry ot perjury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a pertnit to construcL alter, improve, demolish, or repair any structure, pnor to its issuance, also requires tha epplicant for such pertnit to lile e signed statement ihat he or she is Ilcensed Dursuent to ihe provlsions ol the Contractors License Law (Chapter 9(crommencing with Section 7000) at Division 3 at the Business antl Profeulons Cotle) or Ihet he or she is eaempt therefrom end the besis For the elleged exemption. Any violation oi Section 7031.5 6y any applicent for a permit subjecis the aD011cant fo e civil penalry of not more than five hunCretl tlollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages es iheir sole compensation, WILL DO THE WORK, and the siructure is not intentled or oHerad for sale (Sac. 7044, Business and Professions Code: Tha Coniractors License Law does no� apply to en owner ot property who builds or improves Ihereon, end who does such work himself or herself or through his or her own employees, providetl thai suc� improvements are nat intended or oNered for sale. If, hawever, Ihe building or improvement is soltl within one year of complation, the owner-builtler will have the burden of proving that he or she did not build or improve for purpose oi sale.). ❑ I, es owner ot the propeny, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business and Professions Cotle: Tlie contractors License Law does not apply to an ownar oi property who huilds or improves Ihereon, antl who contracis for such projact with a con�ractor(s) license pursuant to the Contractars License Laws.). ❑ I am exempt under sec. Signature: Owner ID venfied by driver's license. ❑ Ves ❑ No Business and Professions Code for Ihis reason: Verification oi Ownarship by (type ol document, i.e. - property taz bill or daetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereby certity Ihat no excavation five (5) or more feet in depth into which a person is required to descend, will ba mede in connection with work euthorized by ihis permit, and �hat no building siructure, scaflolding, falsework, or demolition or dismantling ihereot, will ba more than Ihirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminlstretive Code). ❑ As owner-builder, I will not employ anyone to do work whic� woultl require e permit from the Division of Industriel Setety, as noted above, unless such person has e permit to do such work trom the tlivision. Signature: Date: Division of Indusirial Safery Permit Number: CERTflCATE OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certify under penalty ot peryury that I have reatl this epplication and slate that the information given is correct. I egrae to comply with all stete laws and city ordinances relating to building construction, and authorize represeNatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed property tor inspection puryoses. I agree not to acupy or allow occupancy of any huilding authorized by ihis permit until linal inspection. GODE11, INSPECTIONTYPE 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Rateining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolition QLij� RL oate S � C9/ �� oate:—/ CO�E I INSPECTION TYPE 206 Final MeChaniCal 208 Final Plumbing 210 Final Elecirical 212 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �¢, INfITIALS JOB ADDRESS INSPECTIONS fVOV 4 VALUE DESCRIPTION OF WORK SUBCONTRAC'POR : • 0861 COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. 60X 91] C09TA MEBA. CALIFORNIA For Appltcanf to Fill ►n Complefely 'r. 4341 TYpE OR PRINT ��} 17Q IILDIN6 2857 Boa Vista Drive )DRES9 COSTA MESA, CALIFORNIA ]97838 NO.OP G BLD6. `-� uneveow " � � p eracnT Jr2 � REAR Y RDI LEFT ' H" ' " I RI6HT' DESCRIpT10N •OF WORK I X II ALTERATION I'. II AODI' NO. OF O IR�ROOR COVER WORK TO BE e I HEREBY ACKNOWLEOOE THAT I MAVB pEAO THIB ApPLIGTION ANO 6T�TE THAT iH6 ABOVE �8 CORF6CT AND A�REB TO COM- GLY WITH ALL C�TY OROINANCBB ANO BTATB LAWB P8011LATINO BOILDINO CON9TRUCTION� - � / . SIGNATUREOF- PERMITTE .� OA .n v� - AUTHORRED A6EN, FEE RECEIVED OCT.1 7 1963 FINANCE DEPT. CITY OF' COSTA MESA APPLICATION FOR PERMIT BUILDING For Offlce Use Only - P6CL�'T NO. PENMIT NO. " %%ii'ti�3 r� o-� ZONING ��{Z �uMe G BUILDNa4S�res.w/& teow� LOt �4 Tr. 43 1 ' DEBCRIPfIOry � A. P. NO. � NOTE: NO EAVE OV ERHAN6 SHALL'B6 LE58 THAN 90" TO SIDE @ REAR P. L. ' EAVES ALLOWED (U.B.C.REQIIIREMENT) � YARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING REAR �- ^F DISTANGE BET. MAIN BLDGS. VAR. # 1� . FT. � BET. MAIN @ AGCESS. BL�O8. � DATE APPROVED /� osre C�—��—(7 THH AMOUNT BXOWH UNOER VALUATION IB FOR TXE ,� PURP06E OP fi8TA8LI8XIN0 A PEPMIT FEe ONLY. � VALUATION L m PERMIT FEE $ �"�' � � �'f/ m $Q7 �! C EC! ��a O ' TOTAL FEE $ //�/S� 4