HomeMy WebLinkAbout3103 CASSIA AVE - Building Permits•
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3103 CASSIA AV
Suite:
Viciniry:
Parcel Number: 13956207
Applicant HOVEY, GLEN
Address: 11444 TERRACINA
REDLANDS.CA
Owner: SANDBERG, ROBERT W TR
Address 18832 WINWOOD LN
SANTA ANA, CA
Contractor: HOVEY ROOFING
Address: 11444 TERRACINA
REDLANDS,CA
Zip: 92373
Arch :
Address:
Zoning: R3 R3
Phone: 909-798-0807
Zip: 92373
Phone:
Zip: 92705-1233
Phone: 90&79&0807
License: 538667
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 10/03/2002
Issued: 10/03I2002
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF AND INSTALL 1-15LB FELT WITH 30 COMP. SHINGLES .
Plan Check: $0.00
Permit: $167.25
SMIP Res: $0.84
SM�P Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.09
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
58,350.00
$8,350.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
�I EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
�� for a period of 180 days.
'�, INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
, requlred Inspections and final epproval must be obtained. FaiWre to obtain inspections and final approval will resuH in the expiration of this permit.
I, FOR INSPECTIONS CALL: (714) 7545626
2446d6 (8N0)
WORKERS`COMYENSATIONDECLARA710N: ' � ,
I hereby eHirtn untler penalty of perjury one of the following declarations:
r
❑ I heve entl wlll maimain e certiticete oi consent to self-Insure for workers' compensation, as provided �or by section 3700 0l the Lebor Cotle, tor Ihe pertormance ot Iha
work tor which t�is pe�i� is issuetl.
have antl wlil maintain woAcers' compensation insurance, es required by section 3700 of Ihe Lebor Code, for Ihe peAortnance ol Ihe work for whlch this permit is issuetl.
rkers' compensa�ion I rance carner antl policy number are:
�grner �fi�� �✓i17 li N� _a sr��r � � s�
secfion neetl not be cOmpleted U fhe permit is valueAat ane AuntlreO dollars ($100J oNess.)
e' t t in the edorm af the rk for w'ch this rmit is' d, I I not e any pers ny�mennm�soeeiobecome su��ect to ihe workers'
a4 s o1 it ia, e 6 e sub�e to th ers' co nsa�s ot Seclion 3700 0l the labor Code, i s�all forthwlih
es rovision . �
� nt Sig re: ��%_�' V Z
AR . AILURE TO SECURE WORKERS COMPENSATION COVERPGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVII FlNES UP TOONE HUNDRED
USAND DOLLARE (5100.00OL iN ADDITION TO THE COST OF COMPENSATION, DAMAGES A$ PROVI�ED FOR IN SEGI�OM 3]O60F THE LABOR CODE, IMEREST. AND ATTOPNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
of Chapter 9(commancing with Section 7000) of Oivislon 3 of the _By�oess antl Professions Code, and my license is in tull
naav�y ' C-7S
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that the�e is e construction lending agency for the peAormance ol ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lentler's Address:
Signature:
OWNER-BUILDER DECLAPATIONS:
Date:
I hereby atlirtn thet untler penelry ol perjury thet I em E%EMPT FROM TNE CON7RACTOFiS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business and Protesslons
Code: Any ciry or counry whic� repuires a permit to consiruct, elter, improve, tlemolish, or repair any sWCNre, pnor to its Issuance, elso requires ihe applicant for such permit
to lile a signed statemem t�a� he or she is Ilcensed pursuant to Ihe provisions of the CONractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the
Business and Professions Code) ar Ihat he or she is exempt therefrom and Ihe basis for the alleged eremptian. Any violetion at SecUon 7031.5 6y any flpplicant for a Dertnit
subjects Ihe epplicaN to e ci��� penalty of not more t�an five hundred tlollars (5500).):
❑ I, as owner of ihe properry, or my employees with wages as Iheir sole compensation, WILL DO TME WORK, and Ihe structure is not inientled or otfered for sale (Sec.
7044, Business entl Professions Coda: The Contraciors License Law does no� apply to an owner ol Oroperty who builtls or improves thereon, flnd who does such work
himself ar herself or Ihrough his or her awn employees, provided Ihat suc� improvements ere not Inte�tled or offered tor sele. It, however, the building or improvement is
sold within one year ol completion, the owneo-builtler will have �he burden of proving ihat he or she tlitl no� build or improve tor Durpose of sale.).
❑ I, es owner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business end Profeuions
Code: The coniractors License Law does not epply to an owner ol pmpeny who builtls or impmves Ihereon, antl who comrects for such project wit� e contractor(s)
licanse pursuant to Ihe Conireclors License Laws.).
❑ I em exempt untler seG. Business and Professions Code br this reeson:
Signature: Date:
Owner ID venfied by tlriver's Ilcense. ❑ Yes ❑ No Orivefs License Na. E:pires:
Venfication of Ownership by (type oi tlaument, i.a. - property tax 6ill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMIT CER7IFIGA710N:
❑ I here6y cartlfy t�a� no excavatlon five (5) or more feet in dep�h into which e person is required to descend, will be mede in connection with work authodzed by this
pertnit, end Iha� no building simcture, sceHolding, falsework, or tlemolition or dismentling �hereo�, will be more then �hiAy-six (36) teet high. (G�ep. 3.2, Grp 2, Art 2, Sec.
341, Tltle 8, CalNomia Administretive Cotle).
❑ As ownervbuilder, I wlil not employ anyone to tlo work which would require a permit from the Dlvlslon of Industriel Sefety, es noted above, unless such person hes e
pertnit ta da such work trom ihe tlivision.
Signature: Date:
Division ot IndusMal Safe�y Permit Number:
CERIIFlCATE OF COM CE AND AIITHORIZA710N OF ENTRY: I cenify un0er penalry of perjury that I heve read Ihis application antl state that the information given is
correa. I egree ro co h tate lews and ciry ordinances relating to builtling construction, and euthorize representatives of �ha Clry of Costa Mese to enter upon Iha
abova-descdbed pro� inspe ion purposes. I egree not to occupy or allow occupancy ol eny building authonzed by Ihis permit until tinel inspeciion.
COOE 1. INSiEL710NTYPE
1618 Flxetl System Final F re Prevention
1266 Paol Spe Finel
200
201
202
203
Finel Ra-Rooi
Final BIocWRetainln8 Wall
Final Factory Fire Place
Final Sign
204 Final Demoli�ion
��7\I�CIIII/.lb
�� �
Date
i/l,�t^uZ
COOE I INSiECTION TYPE
206 Finel Mechanical
20B Final Plumbing
210 Finel Eleclncal
212 Flnal Pire Prevention
220 Final Planning Approval
222 Final Si�e
250 FinalBuilding/Occupenry
u�
Applitdnt to fill in all
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Address SA I.n E
aces witnin heavy boraer lines antl sign all appropriate tleclarations.
TRACT NO. �.pT NO. BLDG. NO.
� �
� TVPE OF CONSTRUCTION
C Phon Ip" `iZ� ❑ NEW ❑ ADD C�ALTERATION
❑.REPAIR ❑CONVERSION ❑OEMOLISH
LiCense NO. ❑ OTHER
Address ►.f���
Contractor ()k�Q �L . C�vL Phone
Address �11 _. L� 1�1i(1Li.1 L]Q�IiHG_
am Ilcensetl untler provislons of Charter 9(com-
i]0001 of Dlvlsion 3 of tha Business antl
Ucense Class '�' Licen e No. �'r
oate S'�R—H2 signature
MWORKERS'COMPENSATION DECLARATIOQ
I her¢by affirm tbat 1 hav¢ d Cer[ificate of con5ent to self-Inwre or a
A_ certi(Iwte of Workers' Compensatlon Iniuranta, or a<ertifietl copy
'p •eot (Section 3 0 �_{,,ab. C.). i
� y No. /•v' � l comvanv i�i �LAAiiA.17- I 1.�5 .
u Certlfietl copy Is �areby furnishetl. . . _ . .
❑ Certifietl copy Is filetl with the city Bulltling Division.
� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This 5¢Ction nG¢tl nOt be cOmple[etl if the p¢rmit IS for onG huntlr¢tl
($1��� Of IE55). / "
I certiry thpt in lNe per(ormance of tp�work (or which this permit is
issuetl. I sl�all nat emolov anv oarsoA' m�anv manner so az,to becomr
NOT/CE: It/after making this tleclaratlon, you Shoultl become Subject
lo t/}e WorKers' Compensa[lon provislons ot Ihe Labor Cotle, you must
forChwith <omply with such provisions or this permi[ shall be tleemetl
revoketl. � .
CONSTRUCTION LENDING AGENCV
1 hereby aftirm [hat t�ere is a constructlon lentling agency for the per-
formance of tne work for which this permi[ is issuetl (Settlon 309�
Civ. C.I. ' . , _
LentleYs Name
LenEer'S Atltlress
OWNER BUILDER'DECLARATION
1 hereby afti�m lhat I am exempt from the Cont�acto�'S Llcense Law for
the following reason (Section 7031.5 Business antl �Proteszions Co�e:-
Any city or county which requlres a permil to construcq alter,
improve, tlemolish or repalr any ztructure, prior to I[s issuance, also re-
quires the apFli�nt br sucn permit to file a signetl statement that he
is licensea pursuant to the provislons of the Contractor'S License Law
(Chapter 9(commencing with Seclion �000) Of DlviSion 3 Of Ihe
'ness antl Prdessions Cotle) or that he Is exempt therefrom antl the
for tne allegetl exem0�ion. Any violallon ot Section 7031.5 by
applicant tor a p¢rmit sublects the applicant to a Givil penalty
or not more [han fivc huntlretl tlollars (E500).
❑ I, as owner of tne pivperry, or my employees with wages as their
Sole mmpensation, will tlo the work, antl the sVucture is not Intentletl
or otferetl for sale. (Section 7044, Business and Prolessions Cotle: The
Contraclor's License Law tloes not apPly to an.owner of a property
who bulltls or improves thmcon, antl who tloes such work hlm5elt or
throu9h his own em0�oyee5, provltletl [hat such improvements a�e nol
intentletl or offeretl (Or sale. If, howeveq the builtling or improv¢men[
is soltl withln one year of completion, the owner will have the burtlen
of proving ne tlitl nol builtl or improve for tlte purpose ol sale).
❑ I, as �owner of the property,-am ezclusivaly-contracting with
IICenSetl contractors lo const�uct the project (Sectlon ]094, Business
antl� Professions Cotle: The Conlractor'S Licensa Law tloes not apply lo
an owne� of pro0erty who builtls o� Imp�Ov¢s ther00n, antl who Con-
tracts irom such projetts with a contractor(s) licesnetl oursuant lo�
the ContractorY L�cense Law).
❑ I am exempt untler Section - B. & P. C. �or this
reason
Date Owner
�I h¢reby certi(y [hat I have reatl thi5 applitation dntl StatG that the abovC
information is cyt[a�t. 1 agree to compty wi[h all city antl county
o�tlinances a IKlate IdWs rel tin9 to con5t�uction, antl hereby autho�ize
representati of thli c' � to EF the above mentionetl
p�operty f r_inspec On u�pQ
Signatur ate 5�����z'
OF WORK
TVPE OF PERMIT ' " "
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT�I ELECTRICAL OPLVMBING �OMECHAI
❑ OTHER
PROJECTDESCRIPTION_ _ . .
SQ. FT. . _
OCCUPANCV_CONSTRUCTION TYPE
VALUATION ZONE
GRADING CU: VDS. ACRES _
REMARKS:
PLUMBING � � , PLAN CHECK
BATHTV85 �- SHOWERS �
TOILETS • URINALS '
LAVATORIES DOUBLELAVS
'KIT. SINKS ' OISHWASHERS
SERVICESINKS. $UMP$ ' '-
FLOOR SINKS FLOOR DRAINS �
DRINKING FOUNTAINS' "- , -
INTERCEPTORS CLARIFIER$
WATER SERVICE - ACTERATION
GASSERVICE -� OUTLETS f
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS '" '
SOLAR TANK - COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE ' '
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-300,000 BTU
ANDDUCTING-' 100,000+BTU
iiEFRIGERATION 0-100,000 BTU
SVSTEM 100,000+BTV
BOILERS BTU
SVSTEM REPAIR, AI.TERATION
EXHAUSTSVSTEM MULTIPLE
Driver5' Litense or 55 � � , I �SSUE FEE
GMF 0865-46 White-Builtlin9; Canary-Applicanl: Pink-A<countinq; Goltlenrotl-Azsessor
��
6002 5/IB/82 '7.00 TL
A.P. 3
ZONE
PKG. SPACE REQ.
STREET WIDTH
ZONING AGPROVED BV
SPECIAL CONDITIONS:
PLNTGp.R�E/FL.p$
PROPE�RTYNLINE
PROVIDED�' ' -
PARK FEE E '
ELECTRICAL' - - PLAN CHECK
' GENEftATOR ' 0-1 KW_ 1-10 KW _
TRANSFORMER
` APPLIANCE ' 30-50 KW_50 + KW _
MOTORS ' 0-1 HP_]d0"HP _
(INC. SOLAR) 30-50 HP 50 + HP _
' F�XTURES 'OUTLETS SWITCHES
- GAS'TVBE SIGNS-" -
POLE LIGHTS
" ' PANELS MAIN ' SVB '
- ,SERVICE'" " ' AMP
� �r Z
' 155UE FEE ' '
- - APPLICATION APPROVED BV
SUMMAHV OF FEES .
BUILDING-
PERMIT E ,.SMIP E
PLAN CHECK $ PERMIT
PLUMBING g � " '- ISSUANCE� E
. .GRFiDING _E
PLAN CHECK S , '
ELECTRICAL E � A1 '�
PLAN CHECK ' $ MICROFILM S
MECHHNICAL. S TOTAL FEE $
PLAN CHECK $ ' LE55 AD-
VANCEPC $
FINAL FEE E � w
CONSTRUCTION AND PLANNING POOL & SPA , � �
APPROVALS Permit # Date Inspector qppROVALS Permit # Datg Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -
2. Soi� ipe-Undrgrn � 44. Steel Reinforcement
3. Electrical Conduit UtilityUndrgrn 45. Forms
4. Electrical Conduit=Undrgrn • 46. Electrical Bonding �
. tee em orce �� 47. Rough Plumbin & Preesure Test
6.. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE
7. Footings � 49. Electrical Conduit-Undr rn � � -
8. . Foundation - 50. Gas Pipe, ❑ Undr rn, Test
.9. Water Pipe-Undrgm 51. Backwash Lines P-Tre ❑' ndr rn ` ' -
10. Structural Floor System 52. APPROVAL TO DECK -� "�-- -
17. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
72. Street Sewer Connection � 54. Heater & Vent-Final
13. Rough Plumbing � '
14. Rough ElectrioConduit --- - - �56. Electrical-Final
75. RoughElectric-Wiring 57. SolarSystem-Final
16. Rough Heating & Air Conditioning . . • encing & Access Approval
17. Ducts, in Structure - APPROVED FOR PL'ASTERING
18. Ducts, Ventilating . _ _ ,
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL - � �
� 20. Roof Framing . � ' � �
21. Roof Sheathin �
22. Frame artd Flashin - NOTES: � -
23. Insulation �
24. lathing & Siding - -
� 25. Drywall Nailing -
� 26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
29. �Final Heating& Air Conditioning . - � �
30. Final Gas Pipe-Test
31. Final Plumbing '
. 32�. Water Service-Final
� 33.'•�� Gas Service-Final
34. Solar pomestic-Final � • ' ' � � �
35. Landsca e S rinklin S stem �
36. Sound Attenuation '
37. Handicap Regulations
38. FINALSTRUCTURE&BUILDING �
39. Special Requirements Comp�eted �
40. Electric qelease to Edison
41. Gas Release to Southern �lifornia Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
City of Costa Mesa
B�ilding Safefy Department
P. O. gox 317
Cosfo Mata, Califarnio
CERTIFICATE OF OCCUPANCY N� 2590 C
The Building lomfed at�n� Cgggjp j�tiT&ii�'� �-Zi
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinance5 applicable thereto
for a Group $ $i �j Occupancy.
Use of Building tk{iA�t �L""�'"-t� �%sttpefif±fl anm�mao ef19 lauvAl7f
Legal Description �!''��'�i� �� �
(Sae revarse aide fm Metea ond Bo�nda}
Building Permit No._s�l Electrical Permit No.�.„i'�;L_ Plumbing Permit No. ��'��
Floor Load Signs have been installed as Room Capacify Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OGCUPANCY. (a) No apartment house, hotel, or lodging house shall be �sed or occupied
until the owner or operator has been issued o valid certificate of occupancy by the enforcement agency.
(b) A-new certificate of occupancy shall be obtained whenever there is o change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Otcupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartmenis � and/or g�est rooms
ISSUED TO: Building Official
dI?�)1? KbVAGR by �Cp �- ��
Date �TIyIICt ]��y.1�
This CeMificate of Occupancy SHALL BE posted in a conspicuous place' on fhe premises ond SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo� svs�iai—it-e�--s-s r
2_9501
COSTA MESA BUILDINGSAFETY DEPAKTMEM
P.O. BOX 1200 COSTA MESA, CALIFORNIA V2620
� For AppltmM to Fill In Comploroly
TYPE OR PRINT
/UILDINO � —
ADDRHDY 1 ' (I .
GOSTA M�SA �LIFORNIA. � _ _
8TAT8
LIG. NO. �
size .73
OF LOT
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no.or
OP WORK
53i - zae
7066 A no.o� ��' il-
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AND BTAT[ TMAT iN[ ABOV[.10 CORR[CT AND 110R[[ TO CAY•
PLY WITN ALL CIT' ORDINANCO 11�10 RAi� MY/� p[OVlATNO
OUILDINO CON�ULTION.
810NATUR! Or
PHRMITTQ
Al1THORIZ[DAO[NT � �
vato � *�*"
JAN -6-6 �.9 r�-:00 110 115.�`
AIPLICATION FOR PERMR
BUILDING,,
for Ofifc� U» Only
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MAIN BLDOY. ACCES9. B
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TX[ AYOUNi tNOWN UND6R VALUATION IB !OP TI�
►IlqroB[ OI f�TAGLIGHINO A 16pMIT IQi ONIx. �
YAWATION 5
PERMITF68 ����0 �
s �i, 93�°� �, �
TOTAL PiH i . a5