HomeMy WebLinkAbout2180 BOSQUE SPRINGS - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�aU1LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite:
Vicinity:
2180 BOSQUE SPRINGS
2180-2190
aarcel Number: 93786015
Applicant: BATIOFF,JOHN
Address: 17182 ARMSTRONG AV .
IRVINE, CA
Owner: BRIGHTON SPRINGS HOA
Address 412 BRIGHTO SPRINGS •
COSTA MESA,CXA
Contrecror. DAVEY ROOFING INC
Address: 17182 ARMSTRONG AV
IRV W E, CA
Zip: 92614
Arch :
Address:
Phone:
Zip: License:
Zoning:
Phone:. (949)852-9955
Zip: 92614
Phone:
Zip: 92627
Phone: (949)852-9955
License: 700710
_ - Eng:
Address:
. ,.. . � -
TEAR OFF EXIST. CEDAR WOOD'SHAKE AND BUICT
GAFA AND i6 SQ WI BUR. - � �
Plan Check: ,
Permit:
SMIP Res:
SMIP Com:
Other. �
I nspection:
Total:
$0.00 - — - -- =
$23725
$1.40
$0.00
$0.00
$0.00
$238 65 �; �. � _
��.,
Status: ISSUED
Applied: 04/23/2001
Issued: 04/23/2001
ISSUED BY: `�_
Phone: ,
License:
PE OF PERMIT. -'� � � ' - , -
)FING: INSTALC 30.LBS'ASTM AND REROOF 36 SQ W/ 40 YEAR ,
�-� FEESUMMARYi�'-�'">� �
� - � ,� �% � =- ��-CalcValuation: l
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Claim Valuation: '%r
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SETBACKS \� �/� �%'�� � \\��� � , ` PLANNING & ZONING��/%f \\, % ; �% /%
� ` � /i �/ �
MAIN STRUCTURE��Front� 0- 0' � i �'Rear �0- 0 -- Lek ' 0- 0`� _ Right i�0- 0, =���
�- . ,�, � � ' - . � . .. � � .:
ACCESSORY F�ont . 0-�0�.� �%��Rear � 0; 0 -Left �- 0-0-.�, ,�� Right _� 0 0,- �
'�.�.. -' � ' '� '� �i
��` -� " -.`-� , � ' i �.��'.. .:�/-.
PARKING Existinp: 0���� '�Re uired: 0- �'��� Proposed: o /
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NOTES �' ' ` ----��ic_!-:_��-
' $13,957.00
$13,957.00
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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, 7241-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for 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
required inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaas-as (�vao�
WORKERS'COMPENSArON DECLARArON: � �
I hereDy aRirm under Oenalry of perjury one of the following declaretions: ',
❑ I heve entl will maintain e certiticete of consent to self-Insure for workers' compensation, as provided tor by section 3700 oi the Labor Cotle, for ihe paAormance of the
work for which this permit is issued.
�� I have antl will maintain workers' compensation insurance, as requiretl Ey section 3700 of Ne labor Cotle, tor ihe pertormance of Ihe work for which Nis partnit is issued.
� My wa rs' compansg�q� Insurence wrder entl policy number ere: _ ^
Carner. �C/� W/1.aJ� Policy Num6er:�����n 2 �C I
(This secNon neetl not be completed i! the permit is valued et one hundred tlallers ($100) ar less.)
❑ I certity Ihat in Ihe pertortnance of ihe work for which this pertnil is issued, 1 shall not employ eny person in any manner so as to become subject to the workers'
compensetion laws oi Califomia, antl agree that ii I should become sub�ect ro the workere' compensatlon provisions ot Sectlon 3700 of the Labor Coda, I shall fotlhwith
comply.wiN.these provisio � �7�
{!' 4�-
ApPIlceniSigneWre:� � c�� � pat\i 27—� �
WARNINO: FAILURE TO SECURE WORKE ' COAIP SATIdJ COVERACaE I$ UNLAWFUL AND SHALL SUBIECT AN EMPLOVEF TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
T/IOUSAND DdlARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAA4IGES AS PROVI�ED FOR IN SECTION 3]OB OF THE IABOR COOE, INTEREST, ANO ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I.em.licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 oLthe�Business and Professions Code, and my license is in full
forca and ettect` {.p,_ � �%��� � /�CI sa s# �, ��/
Contractofs'Signature: AL- �:/Date: ,r � o�–i �.i
CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirm that there is e consWction lentling agency for the pedormance of ihe work for which Ihis pertnit is issuetl. (Sec. 3097, Civll Code).
Lentlers Name:
Signature: _
OWNER-BUILDER UECLAFiATIONS:
Lentlers Atltlress:
Date:
I hereby attirtn thal under penelry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollawing reason (Sec. 7031.5, Business end Protessions
Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant tor such permit
to file a signed stetement Ihet he or she Is Ilcensed pursuflnt to the provisions ol the Contractors License Lew (Chepter 9(commencing with Section 7000) of Divislon 3 of �ha
Business and Pmfeuions Code) or Ihet he or she is eaempt Iherefrom entl the Desis tor ihe elleged eaemption. Any violetion of Section 7W 1.5 by eny applicant for e partnit
subjecis Ihe epplicent to e civil penalry of not more ihan five huntlred dollars ($500).):
❑ I, as owner ol the property, or my amployees with wages as iheir sole compensation, WILL DO THE WORK, and the structure Is not intended or oXeretl for sale (Sec.
7044, Business antl Professions Code: The Contractors License Lew does not apply Io an owner of property who builds or improves Ihereon, antl who does such work
himseN or herselt or �hrough his or her own employees, provided tha� such improvements are not intended or oHeretl for sale. If, howavar, the building or improvement is
sold within one year of completion, ihe owner-builtler will have ihe burtlen of proving ihat he or she did not build or improve tor purpose ot sale.).
❑ I, as owner of the property, em EXCWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (SecJ044, Business antl Professions
Coda: The conirectors License Law does not apply to an owner oi pmperty who 6uilds or Improves thereon, and who conirams for such project wi�h e contractor(s)
licen58 pur5uent to ihe Coniractore Licensa Laws.).
❑ I am exempt under sac. Business and Professions Code lor Ihis reason:
Signature: Date:
Owner ID verified by driveYs license. ❑ Yes ❑ No Dnver's License No. Ezpires:
Veniication of Ownership by (rype of tlocument, i.e. - property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person Is require0 to tlescend, will be meda in connection with work authonzetl by this
permi�, and that no building sWcture, scaflolding, lalsawork, or demolition or dismantling Ihereof, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Celifomie Adminisiretive Code).
❑ As owner-builtler, 1 will not employ anyone to do work which would require e permit irom ihe Division of Indusinal Safery, as noted above, unless such person has a
permit to do such work irom tha division.
Signature: Date:
Division ot Industrial Satery Pertnit Number:
CER7IFICATE OF COMPLIANCE ANO AUTTIORIZATON OF EMAV: I certify under penalty ot perjury that I have read this application and sta�e �hat the information given is
correct I agree �o comply with all sta�e laws and ciry ordinances rela�ing to builtling construc�ion, antl authonze representatives oi the Ciry of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
yQOE I, INSPECTONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool SDa Final
200 Finel Re-Roof
201 Finel Block/Retaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
Q� INTRIALS
� Z�B �
. Date
CODE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Eledrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
�E INTff1�L5
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COSo eoxEtzao CIOSDTIA M SAFCALI ORNAIA 9ffi26 T APPLICATION F�'�TR[����J�., PERMI'F31 6• 84
RECEIVEDBV PERMIT ^
For Applicant to Fill in Completely — Use Ink Only
B���o�N� A.P. NO./IS a3- 2
ADDRE55 n
BUILDINGp�
°ENqry °R M.D. Janes Co. , IRC. ADDRE55
UNIT OR
ADDRE55 2950 Aix'way AVe. , D-9 SPACENO. �
TR.NO. LOT BLK.
c,T,. Costa rdesa 92626 No`979-337 � /s'" �
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION N/A
LENDER
BRANCH y� I
OWNE .t�. �
ADDRESS
ARCHITECT TEL US LUE$�/�. —
OFENGINEER Sam ieri I1 N.549-252
ADDflESSl%9�.Z Jli Park, Irvine 92714 ZONE C/ TVPE GROUP
APPROVED
CONTRACTOR Owner BV DATE
ADDRESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS �
IIC. NO. LIC. NO.
SIZE NO.OF BLIX'aS. /� (FROM C/L STREET)
OF LOT I rreg . NOW ON LOT Y' RONT FT.
USE OF (�
EXI5iING BLDG. Y' FT.
Separate permits are required for �, SIDE FT..
electriq plumbing and heating work: /
REAR � FT. 1
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
II11T11Ulll iiL '�� /V —��� DATE I/�I�'7
APPROVED
Attached Garages. A'��i � � O'or�''79
HOLD FOR SPECIAL REQUIREMENT�
I hareby acknowletlge thet I have reatl this application and state �
that the above information is cortect and agree to comply with
all laws reBulating building consiruction, antl I shall not employ - �
any person in violation of tha workman's compensation laws of d
the State ot Calitornia.
m
I hereby cartify that I em p�operly licensetl as a contractor untler SQ. FT. N
the State of California Business and P�ofessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl tha such licanses ara in full force and etfect, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � �
am exempt from e provisions ot the State ot California Business VALUATION PERMIT FEE E a
end Professions C e, Div' ' 3, Chapter 9. m
Slgnatura ot � PLAN CHECK E�l� �O o�
Permittee $ u7/ / Q� TAX y / LL
or � OJ � � �
Authorizatl A8 Da � TOTAL PAID $3 U
�3
�a�8o;e�,��, a �,es, s�� �6- `� =� O 916.84
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�,�� � � � 5690 10/29�79 464.0�
COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION.FOR STRUCTURAL PERMI•T�� '� �
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 '
R� PERMIT �0
For Applicant [o Fill in Completely — Use Ink Only
.BVILDING A,P, NO.
ADDRESS
BUILDING
OWNER OR /� ADDRE55
TENANT ��J
MAILING SVACE NO.
ADORE55 �
TR.NO. LOT BLK.
TELO��
CITY NO.
NEW ADD ALTER REPAIR MOVING DEMOLISH
CqNSfRUCTI
LENDEF
BRANCH
_ OWNER
ADDRESS VALUE
ARCHITECT TEL. USE S
OR ENGINEER N
ADDRESS ZONE VPE GiiOUP
A 6 �
CONTRACTOR � BV DATE
ADDRESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
LIC, NO. IIC. NO.
SIZE NO.OF BLOGS. (FROM C/L STREET
OF LOT NOW ON LOT FRONT F
USE OF �
EXISTING BLDG. I
Separate permits are required for �. sioe FT.
electric, plumbing and heating work:
REAR FT.
USE OF BUIIDING AND WORK TO BE PERFORMED PLANNING ACTION .
DATE
APPqOVED
APPROVEO
I hereby acknowletlga that I have reatl this application and state �
that tha above info�mation is cor�ect and agree to comply with
all laws reguleting builtling construction, antl I shall not employ
any person in violation of the workman's compensation laws of ,
the Stata of Californla.
6
I hereby certify chat I am properly licensetl es a convactor untler SQ. FT. �
the State of California Business and Protessions Cotle, �ivision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR [
Chapter 9, antl that ch licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV: �
am exempt fram th provisions of the Stata of California Business .
VALUATION PERMIT FEE �
and Professions Co , Division Chapte� 9. $ /
Signatura ot PLAN CHECK $ ^
c
Permittea $ TAX $ '
or �
Authorizetl Age <e TOTAL PAID $
TL
2/
�
, � COSTA ME�G-SAFETY DEPARTMENT APPL�
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
I
For Applicant to Fill in Completely — Use Ink Only
.BUILDING � � R A.P. NO. /�
ADDRESS �
BUILDING �
OWNER OR O ADDRE55
TENANT
VNITOR
ADDRE55 �� �� � SPACENO.
TR.NO.
TEL. y
��T� N� N� -33
. .__ _ _ . NEW ADD
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BRANCH
ADORESS
ADDRESS
CONTRACTOR
ADORESS
CITV
STATE
LIC. NO.
S12E
OF LOT
USE OF
TEL,
NO.
CITV
LIQ NO.
INO. O LF B�DGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work:
USE OF BUILDING AND WORK TO BE PERFORMEO
I hereby acknowled8e thet I hava reatl this application and state
that the above iniormation is correct and agree io comply wlth
all laws repulating builtling construction, antl I shall not amploy
any person in violation of the workman's compensation laws ot
the State ot California.
I hereby certify ihat I m ptope�ly licensed as a conttactor untler
the State of Californi Business antl Professions Cotle, Division 3,
Chapter 9, antl that ch licenses are In full force antl effect, or I
am exempt from th rovisions the Stete of California Business
and Profe55ions Co , Division , apier 9. .
SlBnatura ot
Permlttee
or
AuthoNzetl Aae i ate
ON,FUR,�TRh1�Y,�fiA
�*-:: .
PERMIT
, N�
- 23-6�-
LOT
ALTER REPAIR MOVI�
./ A VALUE
Z
APPROVEDSETBACKS
\
(FROMGL$_TREET) �
�,PERMIT 79�eFe� TL
49043 � --,
w� ��
PLANNING ACTION
� �/} � IS [ APPROVED II �
DEMOLISH
��/ O
� z"S 79
m
�
i
v
/30 2 SQ. FT. �
�
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE $ � a
/ m
PLAN CHECK $ Z-a m
$ �l/D o
/ � TAX $ � LL
/ �
U
TOTALPAID $ 7Q, "%`9