HomeMy WebLinkAbout3074 CEYLON RD - Building PermitsPN0.IECT ADOflE55: 3 O% 4 C EYLON RD
awNcn�s namc: PARKER, RENNETH L
.,, �.,00ness: 3074 CEYLON RD
COSTA MESA,CA 92626
714) 549-0433
pPCNIENGINEEP: flEG.NO.:
AOOflESS:
UNIT:
UNIT:
PEHMITTEE: HRENT OWENS ROOFING ( 714 ) 978-2075
aooxEss: 12901 BUUBBLING WELL ROAD
SANTA ANA CA 92705
LILENSED yONT IAPATION: I �ereEy aifirm tlwt I am Iicense0 unGe� provisions ol Chapter 9(commencing with Seclion
70001 0l f�s�i o� siness anC PrO�essions CaOe. an0 my license is in lull IOrcE ana eilect.
ci LIL.:. � STATE LIL.: 6OO Q O s: C _
a�e � / f 4 N Signa�ure: —_µ�
KEPS' COMPEN AiION DECLABATION: I nereoy atfirm tnat I nave a cenifiWte af coMent to set4insure or a certificate ai workers'
Camoensation 1f� a �j c ilieq^ c pY ��ereol 1��� �. LaO.
POUCVNO.: "��"���—J� E%P.ORTF. ZIOSI9S
comraxr: STATE EUNDL
❑ Cenilied co y is ne� ey lumisnetl. L'1 Cenitiea copy is file0 vritn tne city B ilain � ision.
� 2
att: S Apvlianl: �Q3!��
E% PTION FflOM W� KENS' COMPENSPTION OFLLAflNT10N: (II¢� secian nee0 mi Ue complete0 il Ne permi o iw one huMrM (5100) or less�.
ertiiy Ilw� in �he pedormance of t�e work lor wNc� th¢ permii is i5sue0. I sliall not ¢mplay any person in any manner so as to Eecome
suo�ect lo tne workers' Compensalion Laws ol Calilornia.
Oaie: Signalure:
NOTICE: II, ailer making t�i5 detlaraiion, you Sh0Ul4 �etOme SUGj¢CI Io Ille WOAefs' Campensalion pwvisions ot I�e LaOor
Catle, you mUS� lohhm�� cOmply vni� Sut� O�ovisi0n5 Or tN5 p¢rmii 5ha11 be deemed fevoked.
CONSTflUCTION LENDING pGENCY: I �ereby aflirm I�ai Ih¢re i5 a tOnslmtli0n lentlinp agency lOr Ihe pedDrmanCe 0� Ihe wOrk for
w�ic� Ihis Oermil is issuetl (Sec�ion 3W7. Civ. C�.
LENOEfl:
nooness:
W/TILE
OWNEfl BOIWEfl DECUBRTION: I hereby atlirm �Iui I am evem0� �mm I�e Can(rapars' State License law for the lollowinp reason
ISeclio� 7Q71.5 Busineu ana Pmles9onal CoOe: Any uty of wunly w0ic� rCpuires a permil lo fAnstmct, aller, improve, Aemolis�, or
re0au any sVucWre. Odor Io ns issuance. alw repuire5 i�e aDM���� �or suc� Oermii to file a siAneG statemem tlwt �rJshe is IicenseG
pursuam to ine D�oNsions ot t�e Comracmrs' State L'uense Law (Ctupter 9(commentinq vnt� Seaian 70W) of �hision 3 0l I�e Business
an0 Piofes9ons Cnae) o� I�al �¢/s�e is e+empt t�erelrom ana Ine Ldsis lot tne allepe0 eKemption. My violation af Seclion 703t.5 Oy
any appbtan� �or a Dermii su01��s I�e appliWnt to a civil Omaliy al noi mom Ihan live �ufMr¢E GOIWrs (55110�.
I. as owner ol ine D�ooenY or my employees wim waAes as iheir sMe compensation, will do tAe work, an0 ��e
❑ struClure a not intenaeE ar olle�e0 foi 5dle (SeCtron 70Ea, Bu5inC55 and Profe55iunal Co�e: fie fAntractoR' State License Law
Oces not apply Io an Own¢r o� a pmDehy wtn OuilOs or improves t�Br¢On, dnG w�o Ooes suc� wark himSelV�erS¢II or I�rouA�
nis or �er own empl0yee5. prWkeO IMI wc� imprwemenls are noi mlenEeG or otkrtE lar sale. It, tqwever t�e Ouilding or
im0�ovemenl is soltl wi�hin on¢ year ol compleiion, I�e axner vnll have Ihe OurGen oi prOvinA ��she Aitl not builtl or im0�ave
lor Ine ouroose ol salel.
I. as owner of ine pm0eny, am exclusively contractin0 ��� iicensetl comraclors to cansiruct I�e Orolec� (Section 7044, Business
❑ ana Prolessims CaGe: TAe Comraclors' State L¢ense Law Gces no� appty to an o-xner ol DmceM �a bwltls ar im0�oves ihemon
antl who conlratis lor Su[� pmletls wi(h a conVaCtor�s�liten5¢ pur5uaniln l�¢ ConlfaCi0r5' Slaie License Law�.l am aware
i�a� pmol ol ��eir Worker's f,nmpensalion insurance S�oNG Oe pmNGed Ia me.
� I am esempl under Seciion: B. 8 P. C.
lor �nis mason:
Ua�e. Ownec
I tlo here0y certdy I�al I am aware of and un0er5tan0 Ihe repuir¢m¢n15 0l Calilornu Healih antl Saleiy CoOe Seclions 25505, 2553J, antl
2559a antl I�at I or any lulure 6uilemg acupant wi0/will nol (drele ane) nee0 to compty wit� saia state [aEes and tAe ieQuiremenls lor a
pe�mil lo� conslmtlion or moddicalion trom ��e Air Ouabty Managemeni USlritl. fle5i0ential con5lruciion appliwtions are eKempl imm
I�CSC D�ovision5.
Oa�e: ApDlicam:
I �ere0y certily Itut I liave rea0lNs application anE state tlWt t�e a�ove inlarmatian 6 fArrecL 1 apree to compty with all tity anE munty
or0inances an0 stale laws rela�inq to OUJOinq consvuclian an0 h�autMr¢e re resen�atiues. ol Iltis dry Io emer upon t�e above�memionea
pr erty lor inspeciion pu oses. (�i ;
�Date J � • � SignaW�e: l �}JCf
+er's �ae�se o� Saui S%
i6<LGfi W�ile—Bmlaing: Green—Coa2 Enbrtemanl: Canary—AOOIiCanL PinF—Revanue; GOldenrod—Asse55or
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067218
PERMIT NO: B 067218 PLAN CI-IECK NO: N GOVT; N SUPP: N
CONSTR[JCTION TYPE; V—N PERMZT TYPE: STR PURPOSE: ALT
JOB DESCAIPTION ; T/OFF RESHT. REROOF W/COMP SQ FT: 6,500
CLAIM VALUE; 6,500.00 CALC—VALUE: 6,500,00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN BEDROOMS 6 HALLWAYS " 1991 UBC "
***x�*�r�r�c*****�**�r*+t�*r*****+r*+���r**�r********�r�r�c**�c***�e*+�+r*x�*,t�***��+��t**i��*****�r*
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
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG ---------
FRNT: FT IN REAR: FT ZN FANT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 13916511 ZNE: REF NO;
PLANNING NOTES>
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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 APPROVED BY DATE;
BUILDING APPROVED BY : DATE: p
APPLICATION ISSUED HY: DATE: ��`�
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LEGALIZATION:N F E E S U M M A R Y � STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING
PEAMIT 90,00 65
�' SMIP/NON—RES
PLAN �
ISSUE FEE �
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL � PAID DUE
TOTALS----> 90.65 0.00 0.00 90,65� 90.65 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 90.65 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 :65
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I N D I V I D U A L F E E B R E A K I�' O W N
TYPE QTY D E S C R I P T I O N �+ UNkT COST TOTAL COST
SFR 6500 REAOOF BY VALUE RESIDENTIA�M��E 1,00 6,SOU.UO
END OF FEES ���� �i�r�O
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owrr�x DOWDY, R. B.
dOB ADDRESS 307I� Cevlon Road
GENERAL CONTRACTOR �C
nP No.113-553-11 LOT
INSPPCTIONS
BUILDING PERb4IT NO.
VALUE S 7.7(1 _ fA(1
TRACT FIR� ZONE DESCRIPTION OF WORK�
Signaturel DATE GROUP TYPE 7,ONE
SUBCONTRACTOR pr�
nnmr.
.W811
r �
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• 1�'`a f�•'.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% St7 CABTA MEBA. GLIPORNIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRESS r%
COSTA MESA. C LIFORNIA
� MAIL
�
� ARCHITECT
� SIZE
TEL.
NO, OP BLDOB.
8ET6ACK LINE FpOM
CHNTLR OP BTRl61' REAR YARI
SIOE YARD ILEFT IRIGHT
DESCRIPTION OF WORK
WALL IROOF
GOVERING
I�,DING ANMD WORK �O BE PERFORMED
� i1 i� '�i L G N G
_ �!' 1a� .. \ � ..
„ � ' �l Q
1 HEREBY ACKNOWLEDGE TXAT HAK R6
AN� eTATE THAT THE ABOVE I8 COttRER
PLT win+ wu urr O INANCC6 IWD 8T '
BU�LDIN6 WN9�UCT1
SIGNATURE OF
PERMITTE
AUTHORIZED AGENT
FEE RECEIVED
NOV 3 �61
FiNANCE DEPT.
.��I��1��1�'r��RMIT
BUILDING
For Oifice Use Oniy
RECEIPT NO. PCRMIT /�
� � Y
N8 81V D BY I �TE RECEiVHD/ I DATC IB9U6[
(% � —
BUILDING ?O ,/
ADDRE6S 02 Y �
COSTA MESA. C IFORNIA
ZONING
OVl � I ( PLANe �/ I B ILDINO �
LHOAL 1�_ � i h 1- n
� �'.� ./ ^
EVES
<eeHrert uHe sr.>
APPROVED
/�S � X � �� X G � �2.u�'
7'� �" �,' �
SION T{{C AMOUNT BXOWN UNOER VAWATION IB IOR TX!
��� PUi@OBE OR EBTABLIBH�NG A PERMIT FH6 ONLY.
TINO
VALUATION ,� �
PERMIT FEE E
`_-�. )/�
S/ /O D O PLAN CHEGK $
�C. � /-O
TOTAL FE8
1 � `
,_ _ , '�i �# -� s�.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 31] COSTA MESA,CALIFORNIA
FOR APPL/CANT TO f/[L /N COMPL£TELY
TYPE OR PRINT
BUILDING 30��__-__-_C��%�
AODRESS
COSTA MESA ALIFORNIA
OWNER 5 camore Lanq. Co.
MAILf" lOH3S Santa Monica Blvd..
�ORCENGENEER L.C. MdjOZ'
b2
LEGAI LOT (�
oESCRIPTION NO. IJ BLOCK TRAC�3E
A. P. N O.
OFZ LOT 99 • 84 X 66 . 31 I NOW ON �o;�' 0
USE OF
EXISTING BLDG.
SETBACK LINE FFOM
ceN1Ea oF sraEEi �- � �] � REAR YARD 22 �
SIpE YARD I LEFT S� I RIGHT S�
DESCRIPTION OF WORK
REPAIR I IIMOVING I IIDEMOlISH I
SZIEDING �693 ROOMS (�j STORIES 1
EXTERIOR W%� LL ftOOF
COVERINC�'Lu(�`(„`0 ICOVERINGWOOC3 shinal
USE OF BUILDING AND WORK TO BE PERFORMED
Dwelling-new con�struction
%""B�� ./3,—r�G�nd
I HEREBY ACKNOWLE�GE TH/T I I�pyE READ THIS APPLICRTION
RNO STATE THAT TNE PBOVE IS COPRECT ANO PGREE TO COM-
PLY WITH hLL CITY OflDINANCES qNO STRTE LAWS REGULNTING
6UIL�ING CONSTRl1CT ON.
P RMAITTEE ��LL P ��
AUTHORIZED AGENT��� ��%�0���
'. : � ,� �r �:.. . . ..
� f �
t �Pd�F,CE DEPT.
`in ;l+' f'!?Cir. RiCc�
APPLICATION FOR PERMIT
BUILDING
fOR OFF/Cf USE ONL�'� ,a , �
IRECEIPT NO. I AENMIi O.
RECEIVED BY/ I OS +RE�C�ED� �1�.V15$�IQp
r+� a ��
COSTA MESA. CALIFORNIA
FIRE �e � Group�o%
ZONE � i
ZONING
ZONE INO.OF IUSE OF NEW
/ PLRNS BUIL�INC
APPROVED
BY /� �ATE S
YARDS � EVES
REOUIRED ALLOWED
(CENTER LINE ST.) T
FRONT i.— �/ FT.
R.SIDE \ FT.
L.SIDE t' FT.
R��
THE AMOfINT SHOWN UNDER VRLUTTION IS FOR THE
PURPOSE OF ESTRBLISXING A PERMIT FEE ONLY.
VALUATION /
PERMIT FEE $ ��l
$ // (��/ PLAN CHECK $ ��
� / (C !/
TOTAL FEE $ S j" '�