HomeMy WebLinkAbout3117 CORAL AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 3'I17 CORAL AV
Suite: A
Vicinity: UNIT q RESIDENCE ONLY
Parcel Number: 13949123
Zoning: R2 R2
Applicant: CHAVEZ, FRANKLIN
Address: 536 MC FARLAND � �
DBA qCE ROOFING SYSTEMS � Phone: 310-834-3900
WILMINGTON, CA Zip: 90744 .
Owner. EVERETT, CHARLES M
Address �TR' �
� '� CARPINTERIA, CA Phone: - ' , .
4925 � SANDYLAND RD Zip: 93013 - -
Contracror: ACE ROOFING SYSTEMS (MAPON INC.)
Address: 536 MC FARLAND
DBA ACE ROOFING SYSTEMS Phone: 310-834-3900
WILMINGTON, CA
Zip: 90744 License: 646787
Arch :
Address:
Zip:
Phone:
License:
Eng:
Address:
Status: ISSUED
Applied: 06/11/2002
Issued: 06/11/2002
ISSUED BY:
Phane:
License:
- • SCOPE OF PERMIT ,- -
�
REROOF UNIT A RESIDENCE ONLY: T/O, REPAIR SHTG AS NEEDED, 1'LAYER 30# FELT; APPLY "30-YEAR COMP
SHINGLES TO 25 SQUARES OF PI7CHED ROOF. 14 SQUARES OF FLAT ROOF TO BE TORCH DOWN (APP).
Plan Check: $p.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Fronf 0-0
ACCESSORY Fronf 0-0
PARKIMG Ezistina; o
NOTES:
Rear 0- 0
Rear 0- 0
Reouired: 0
FEE SUMMARY -
PLANIVING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$5,000.00
$5,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-g2)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. . •� . ,
INSPECTIONS: � In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable cotles, and all
requlred Inepections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (71q) 7545626 • .
2G46i6 (6�00)
WORKERS'COMPENSAnON DECLARAnON:
I hereDy eHirtn under penalry of perjury one ot the following declarations:
❑ I heve end wlll malntain e certificete oi consent to self-Insure tor workers' compensetion, es provitled for by section 3700 oi the Lebor Code, for the pedormence of Ihe
work tor which iNs pertnit is issued. .
�I have and vnll maintain workars' compensatlon Insurance, as required by section 3700 of the Labor Cade, for the peAortnance of Ne work for which [his pertnit is issued.
My wo ers' compeRsation Insurenca cartler an/E� p Iicy number are:
Carrier. ��.a�^- �G.Sa�n.X�� PolicyNumber:WC 2�-I'IBS'z1�137
(Thls sectlon need nat be comp/eted /l fhe permif is velue f one huntlretl tlollers ($100) ar less.)
❑ I certify Ihat in Ihe Derfortnanca oi Ihe rk for ich this pertnil is issued, I shell not employ any person in any manner so es to become subjact to the workers'
compensatlon laws ot Califomi � nC egree il should hecome subjad to the workars' compensation provisions of Secilon 3700 of ihe Lebor Code, I shell forthwith
comply with these O��sions �/j��J
AppllceN Signature: Data: I I J���Yl `
WARNINO: FNLUPE TO SECURE RKEfiS' MPEN TIIXJ COVERAGE IS UNIAWFUL AND SW1LL SUBJECT AN EMPLOYER TO CRIMIW�L PENALTIES AND CML FlNES UP TO IXJE HUNDRED
T}IIXISPNDDOLLARE(5100,OW),IN DDITI9 OD TORI COSTOF00�.1PENSATION,DMMGESASPROVIDEDFORINSECiIONJlO60FTHEtABORODDE,IMEREST,ANDATfORNEV'SFEES.
�YI
LICENSED CONTRAC70RS DECLARATION:
I hereby aNirm that I em Iicensetl untler pr 'si<
brce antl ettect. Lla a�
Comrectors Signature: �—�
9(commencing with Section 7000) of Division 3 ot the Buslness end Professions Code, and my license Is in full
. CIa55 k �- Q
Date:
CONSTAUCTtON LENDING AGENCY: `� '
� I hereby aHirm that there is a wnstruction lending agency tor the peAortnance of Ihe work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Neme: . __ Lenders Address:
Signewre:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby ettirtn thet under penelry of per�ury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business an0 Professions
Cotle: My ciry or counry which reQuires e permit to construct, elter, improve, tlemolish, or repair any sirucWre, prior Io its issuance, also raquires the epplicent for such parmit
to file e slgne0 stetement thet he or she Is Iicensed pursuant to ihe provisions of the Contractors License Lew (Chepter 9(wmmencing with Sectlon 7000) of DlWsion 3 ot t�e
Business end Professions Cotle) or that he or she is e:empt theretran and the basis for the elleged exemption. My violetian at Section 7031.5 by any epplicant tor e partnit
subjects t�e applicent to e civil penalry of nol more Ihan five hundred dollers ($500).):
❑ I, es owner ol the property, or my employees with wages as their sola compensation, WILL DO THE WORK, and the siructure is not in�entletl or ofrered for sale (Sec.
7044, Business and Pmfesslons Code: The Contrectors License Law does not apply to an owner ot properry who builds or improves thereon, entl who tloes such work
himseli or hersetl or Ihrough �is or her own employees, providetl �hat such improvements ere not intended or ottered for sale. If, however, the building or improvement is
sold within one year of completion, Ihe owner-builder will have the burden of Droving that ha or she tlid not builtl or improve for purpose ot sale.).
❑ I, as owner ot the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Protassions
Code: The wntractors LJcense Lew tloes not apply to en owner of property w�o builtls or improves Ihereon, end who coNracts tor such project with a conireaor(s)
license pursuant to ihe Contrectors License Laws.).
❑ I em exempt untler sec.
Signature:
Owner ID veritietl by drivefs license. ❑ Ves ❑ No
Business and Professions Code tor this reason:
Verification of Ownership by (rype of document, i.e. - property W�c bill or Oeetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICA710N:
DriveYs Licensa No.
Date:
Expires:
❑ I �ereby certity that no excavetion fWe (5) or more feei in depth into which e person is required to descend, will be mede in connection with work aut�onzed by ihis
permit, and thet no builtling stmcture, swNolding, talsework, or demolition or dismantling t�ereof, will be more ihan thirty-si: (36) feat high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia AdministraWa Cotle).
❑ As owner-builder, I will not employ anyone to do work which woultl require a pertnit from the Division ot Indusirial Satery, as notetl ebove, unless such persan has e
permit m do such work from the division.
Signeture: Date:
Division of IndusMal Safery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AUfHORIZA710N OF ENTAY: I cenify under penalry of perjury that I have read this ap0liwtion antl state thet the intortnatlon given is
wrrecf. I egree to compty with all stete laws and city ordinances relating to builCing construction, and authonze representatives of t�e Ciry ot Costa Mesa to enter upon the
ebove-descnbetl property for inspection purposes. I egree not to occupy or allow occupancy of any building euthonzed by this permit until final inspection.
Legal
CODE �. INSPECTIONTYVE
1816 Fixed System Finel Fire Prevemian
1286 Pool Spe Final
200 Final Re-Roof
201 Finel BIocWRetaining Wall
202 Final Fectory Fire Place
203 Finel Sign
204 Finel Demolition
pdg INTITI�LS
6-/7--o L . �
I I V V Lt..c_. D(Q�Z
ate
CQOE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumhing
270 Final ElecMcal
212 Final Fire Prevenilon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
�7:11�C1_uI11Fj
CITY OF COSTA MESA PLANNING DEPARTMENT
PAIU
A. P. No. i;;[•- � ,t ;i:� r,� <ia ���- -h-7��M5,00 295R����660.00
Bldg. Permit No. �" 3-
L-31-7il
pARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address ';�ji 1 1 � .__�
. . _ f _ _ . . _ . . .'s' :..-....
Owner's Name xij{'�•; .
Bachelor or 1- Bedroom Units
2 - Bedroom Units
$25.00 =
$40.00 = ?;�'. .,.
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units r. @ $70.00 =
5 - or more Units @ $75.00 =
Total Fee
Total number of Dcaelling Units
Planning Department Approval Date Park Area No. ;�
By " Applicant's Signature
i; .'.1. f �:
�iQ �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDRESS �j7 Coral AVE.
OWNER A1£red A. Edelaohn
ADDRESS ljll'1 6entvra Blvd. Si�ite 6
TEL.
ciTv 3herman Oaka.Calif. No.986-50
CONSTRUC710N
LENDER
BRANCH
ADOFESS
ARCHITECT TEL.. .
ADDRESS 146 Ae. �nherta
CONTRACTOFIpAn.i fi C 1^.nl!['�nmi
ADDRESS 15ll7 Ventura B
ciTv ghe�n Oake,Ga
STATE
��� N� 138991
SIZE
oF �or 66�c100 irreg.
USE OF
EXISTING BLDG. A071B
SIZE OF NO. OF
NEW BLDG. ROOMS
EXTERIOR WALL ROOF
COVERWG SEIICCO COVERI
USE OF BUILDING AND WOFK TO BE
.�u n�e,� Ra�� �o,,,.o �l`'f�
f No`986-5077
CITY
UC. NO.
NO.OF BLDGS.
NOW ON LOT www�
U
PAIJ �.}*
tur: �s-�o��5�00279zx 171.00
APPLICATION FOR BUILDING PERMIT
RECEIV D DAT RECEIVED DATE ISSUE
� aS 70 (o_�!✓ _ 7
PER�y1�
A.P.NO. �� � —�� 3/J
BUILDING �� r � /f _ n � . A
AD�RESS ( �•�[�x� ��[�L(�
TRACT(O��H LOT.�H BLOCK
FIRE
ZONE
ED
ZONE
�-G PI
VARDS APPF
MAIN BUIL
IFROM GL STR
DISTANCE
MAIN BLD
VAR. # �
VALUE
$, "
TVPE GROU`P.L "��J
� DATE I�f� / �/O
OF USE F NEN
NS � B I G ,
VED VARDSAP OVED
BET. MAIN &
ACCESS. BLD
DATE .
HOLD �FO�R �SPECIAL REQUIREMENTS-
1 hereby acknowledge that I have reatl this application antl state �,1_¢{i_.�� �.(..�-n,p,
that the above intormation is correct and agree to comply with
all laws regulating builtling conshuction, antl 1 shall not employ
any person in violation ot the workman's compensation laws of
the State of California. / m
�/_�J m
I hereby certify that I am properly licansetl as a comroctor under SQ. FL L`"V`�% o
Me State of California Businass and ProfessiOre Cotle, Divisicn 3, THE AMOUNT SHOWN U DER VALUATION IS FOR �
Chapter 9, antl that such licenses are in full torca antl effect, or I THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from th provisions ot ffie State Califomia Business Q
antl Protessions e, Division 3, Chap VALUATION / OD N
PEflM1T FEE $ �/ �
Signamreo/ � j—� � � m
Permittee $�� y�� PLAN CHECK $ J o
� �/ LL
AuthOrizetl Ag t TOTAL FEE $`// J�