HomeMy WebLinkAbout3205 DAKOTA AVE - Building Permitspia) 75a-527s • Fex (7ta) 75y-ae56 • www.ci.costa-mesa.���LDING PERMIT n FAlfi DFIVE, GOSIA MtSA, GA 8"Lti2ti
.lob Address: 3205 DAKOTA AV
Suite:
Vicinity:
Pnmary Occ: R3
Parcel Number: 1390$417
Type of Constructlon: V-N
Zoning:
Applicant CESAR ALMEIDA i�%-" ��"��'_ `-" -.
�"' - i �/7c.^ r'<.="�'--`-"; .,'O ISSUED BY:
Address: 177 RIVERSIDE AV �� %�� �— . --� --�, " �'�== .+ "
!. �i�.�-__—� • I�' � ��\
/ �j/�� r� " , -;�.Phone: � (949)645-0104-�`=�.`�.
Status: ISSUED
Applied: OS/13/2005
Issued: OS/13/2005
NEWPORT�BEAC}'i CA--`' `� � � � Zip ' 92663 � ' -� z
�X,�.i � �� "'�� 1 � � 1 . � � V � �� �
owner. CARROLI,'JO�ANN TR� � ;�-- - / �� • ���_�
Address 3205 DAKOTA AVE� �''�" ` `-��� _ - ' - � ��
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. � �.. j-' \, � •� � v�'��� Phone� � ��������� � � � � �'..
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� COSTq MESA; CA � Zip: 92628 VA� �� / � ��� ��
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Contractor: NEWPORT ROOFING INC ���,: -. j �� �
/,Address: 777 RIVERSIDE AV , � � � A�'�'�
� ' �- - � . Phone: (949) 6450104 � ��� "�
'"' � NEWPORT BEACH, CA � ._ - . ���' ,� A
;' � Zip: 92663� --, . ` . License:' 524454 ` � �� \;�A `� �- �� ,
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��Address:
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)Zip:
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Phone:
-' License:
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TEAR OFF COMP. SHINGLES, INSTALL�1� LAYER OF
\ _ . .
' = L '
Plan Check:.'j, $0.00
�� � Permit�l, �;� � � �$111.25
��SMIP Res. . A ��, $0.50
SMIP Com; ',`� $0,00
`,, �', Other:��� �,���$0.00
Inspection:;� �,$0:00
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Eng:- ' '
�Address:. �,/� �
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�E�OF PERMIT " � `;� �
.ND 40 YEAR COMP. SHINGLES
FEE SUMMARY � ✓-
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- '_� _ � - �� _�` __ � _� ^J Calc Valuation:
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• � � � � � %' � Claim Valuation:
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= -_ : - %
Sotal: � ��$111:75,�
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SETBACKS � �`� �" �� � �\
MAIN STRUCTURE-Fmnt 0-; j /�
,�� � ��'
ACCESSORY Front�O-.0 � �/
PARKING Existina:
NOTES:
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Rear .�0 0� -�� .�Left�� 0 0� Right ��0=0��
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�Rear _�0 0.�� _ LeR 0-0� �� Right,`� 0-;0 j
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e'quired l 0 ;' 7 Pr�op sed: ��Oi�J ��� /
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NOTICE: The work authorized by this permit shall comply with all applicabla handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire end bacome void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a penod of 1 BO days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlons and flnal approval must be obtained. Failure to obtain inspections end final approval will result in the expiration of lhis permit.
I FOR INSPECTIONS CALL: (714) 7545626
24/6d8I8�00�
WORKERS' COMPENSATION DECLARATION: ' '
I hereby eHirm under penelry of perjury one ot Ihe foltowing tleclerelions: , , � � . ; ��
�I �eve entl will malntain e certificate of consent to salf-Insure tor workers' compensation, es provitlea tor by section 3700 0l the Lebor Cotle, lor the peAormance of the
work for which this permit is issuetl. .
end wlll maintain workers' compensation insurence, as requiretl by section 3700 of the Labor Cotle, for the peAortnance ot ihe work for which this permit is issued.
My w rkers'f0 m� ensation Ins,y�nce carner and pollcy number are: �� ��� �� m
Amer: ..-,�/�-%�l (��/l�%� "'^' -- d'_, D
icn need nof be camp/eted il fhe permif is velued er one huntlretl dollers ($100) or /ess.)
y----_'
❑ I certify that in tha peAormance ol tha work tor w�ichihis perrtiit is issued, I shall nof employ any person in eny'manner so es to become subjecl lo the workers'
compensation laws of Celifomla, en ee iha 'f I should become sublect to the workers' compensetlon provisions of Seclion 3700 of t Labor Code, I shall forthwith
comply with these provision /// �
APPlicanL : � sDate"� �/ / � 05
.WARNINO: FAILURE TO SECURE WOiiNERS' COMPENSATION COVEMGE I$ UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO GRIMIWIL PENALTIES AND CIVIL FINES UP TOONE MUNDRED
THOUSAND DOLL4RE (5100,000),IN ADDITION TO TME COST OF COMPENSAiION, DN.tAGES AS PROVIDED FOq IN SEGiION 31060F THE LABOR CODE, IMEREST, AND ATTORNE`f5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHir�l.tpe�ylyer�licensed under rovisions ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Cotle, end my license is in full
lorce antl etteCt. Lic. k ��Y� GG1�a� C' � ZJ �
Comrectots " emre: �� �ao te: S'1� G S�
i i �c
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm Ihet there is a conswc�ion lentling eBency br ihe peAormance ot the work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lentler's Name: _. _. . Lentlers Address:
Signa�ure:
OWNER-BUILDER OECLARA710NS:
Date:
I hereby atlirm Ihat under penalry of per�ury ihet I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry which requires e pertnil to conswct, elter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires Ne epplicant for such pertnit
to file a signed stetemant thel he or she Is Iicensed pursuent lo the provisions ot ihe Contradors Licensa Lew (Chapter 9(commencing with Sectlon 7000) ot Division 3 at t�e
Business end Prolessions Code) or ihet he or she is exempt therelrom entl the 6asis For the alleged exemption. Any violation of Section 7031.5 by any epplicant for e permit
subjects the epplicent m a civil penelly of not more than five hundred dollers ($500).):
❑ I, as owner ot the properry, or my employees wlih weges es lheir sole compensation, WILL DO TME WORK, end the strucWre Is not INentletl or ofleretl for sele (Sec.
7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves ihereon, end who does such work
himself or heroelt or through his or her own employees, providetl Ihet such improvements are not intended or ottered lor sale. If, however, Ihe building or improvement Is
soltl wi�hin one year ot completion, ihe ownerbuilder will have the burden of proving tha� he or she did not build or improve for purpose ot sale.). �
❑ I, es owner ol �ha property, am EXCWSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to wnstmct the project (SecJ044, Business antl Protessions
Code: The contractors Llcense Lew does not apply to en owner of proparty who builds or Improves theraon, and who contrecis for such projed with e contremor(s)
license pursuant to the Contractors License Lews.).
❑ I am e:empt under sec. Business entl Pmfessions Cotle for this reason:
Signature: Date:
Owner ID venlied by drivefs license. ❑ Ves ❑ No Dnvers License No.
Verificatian of Ownership by (type ot document, I.e. � pmperty tez bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certity thet no eacavetion five (5) o� more leet in depth into which e person is required to descend, will be mede in connectlon with work authorized by this
pertnit, and that no building structure, scaHolding, IelsewoAc, or demolilion or dismantling thereof, will be more than thirty-siz (36) feet high. (Chep. 32, Grp 2, Ah 2, Sec.
341, Ttle 8, CelifOmia AOministrative Cotle).
❑ As owner-builder, I will not employ anyone lo do work which would require a permit from the Division ot Indusiriel Safery, es noted above, unless such person hes e
permit to do such work Irom Ihe dlNsion.
Signature: Date:
Division oi Industnel Safery Pertni� Numher:
CERTIFlCATE OF COMPLIANCE ANU AIJTTIORIZATION OF EMRV: I cenity under penalry of perjury that I have read this epplication and state thet the information given is
correci. 1 agree to comply with all state laws end ciry ortlinances relating to builtling consiruction, end aulhorize representatives of ihe CIry ol Costa Mesa to enter upon the
above-descnbed property for inspection purposes. I agree not to acupy or allow occupancy of eny buildinq authorizetl by this permit until tinel inspection.
COOE I. INSGECTON TYPE
1616
202
203
204
Fixetl System Final Fire Prevention
Pool SDa Final
)
Finel Re�Rooi '
Final Block/Retaining Wall
Final Factory Fire Plece
Final Sign
Finel Demo ition
QdjE' �$" ' �Qpf.� INSPECTIONT'PE
� � 206 � Final Mechanical .
20B Final Plumbing
.J 7�i� 210 FinalElecMcal �
212 Final Fire Prevention
' � ' ' � ' 220 �Final Planning Approval
222 Final Site
250 Final Building/Occupency
�
1[�ALS
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JOB ADDRESS 3205 Dakpta BUILDING PERMIT N0. 9�z$
SOIL
ROUGH PWMBIN6
PROP. SWR. LINE
ROUGN HErITING AND RIR CON�ITIONING
UNOERGROUND � POWER �
ROUGH WIRING
TFENCHES FORMS STEEL FEINF.
FLOOP SYSTEM
EL REINFORCE
FRqME AND FL/.SHING
LATHING - IN I I OI/T
STRUCT�Rq�, FINRL
MEATING, VENT., REFRIG. FND P.C.
PLI1M91NG. FINAL ANO GAS TEST [
ELECTRIC, FINAL
BUILOING, FiNAL
SPECIAI REpUIREMENTS
F INAL
SUBCONTRACTOR
,. � 728
, r COSTA MESA BUILDING-SAFETY DEPARTMENT 2240 3/03/80 36e
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLI ATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RE BV DAT E V D{9 zi5 ��Q/S�
ADDFESS �z� g PaKa�fi�- � v �+ � V
OWNER `%U/J �`�rra/� A.P.NO. I��'� D�Y'���
MAi L BUI LDING /
ADDRESS � c ADDRESS 3oZD 7 �
CITV �Al� �/I�IAyw NOLa�/�/Z�%D TRACT 7r7'� LOT � r BLOCK
CONSTRUCTION ^ ^ _� � . � 'Q P
LENDER V "��"��
BRANCM /a
OWNER �D � ` a R R� LV
ADDRESS n /��
� VALUE
ARCHITECT TEL. � S �
OR ENGINEER ^✓ � r�
FIRE ` ` �/
ADDRESS ZONE V TVPE • GROUP
APPROVED �J
CONTRACTOR � /S�j�1 BY DATE J � �
ADDRE55 ��J �Od � �/P �'w�• ZOnN E NO.OF USE OF NEW fi'�! �
CITY �+� �,y� C NOL.J l���O /� PLANS Z BUILDING CB VF l�
LIC. NO. ISS��G UCVNO. yMAIDN BU� D�ING ACCESSORV BUIIDDING
SI2E �...y NO.OF BLDGS (FROM C/LS EET)
OF LOT �p 5 �` I O t.% NOW ON LOT ROfJT FT.
USE OF �Q /
EXIS'TING BLDG. K�/ �O O FT
Separate permits are required for L. SIDE FT. � FT.
electric, plumbing and heating work.
REAR FT. � FT.
US F BUIIDING AND WORK TO 8E PERFORMEO DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
�% {u t"U� I rX � � C URP. qW APPROVED JJ)
/� A� /� f. APPROVE 3 /����
tiW.G u. �,
I haroby acknowlatlBa thet � hava reatl this applicatlon end stata
that the above Intormaiion is eorfeti and agree io comply with
all laws repulatine builtling construction, anA I shall not employ
any Derson In violetlon ot �a workmen's eompensation laws of
Me State af Calitornia.
I hareby cenify t�et � em proparly Iicansatl as a conttactor untler SQ. FT.
Ma State of Celifornla Busi�ess entl Professions Cotle, Dlvizion 3, THE AMOVNT SHOWN UNDER VALUATION IS FOF
C�apter 9, end thet such Iicenses are In full force and effect, or I TNE PURPO6E OF ESTABL6HING A PERMfT FEE ONLV:
em exempt from provislons of the Stete of Calitornla Businesa
VAI.UATION PERMiT FEE E
entl Profeulona .otl , ivisl0� 3, Chapter 9. • �ti
SIB�ature ot /� PLAN CHECK E / �0p
Permittee � � $ 2 /�(,/ TAX E D� �
A�thorizad ABent � TOTAL PAID E �
50 TL
�oT 6� — TRACT 3625
, a t��T
CbSiA MESA 9UILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 CO8TA MEBA. CALIFORNIA
For Applitanf fo Fill In Compleiely
TYPE OR PRINT
BUILDING 3205 DAKOTA AVENUE
ADDRESS
COSTA MESA. CALIFORNIA
KENKOL CONSTRUCTION CO.
OWNER
MA{L }5�5 PLACENTIA AVENUE
ADDRFSA
TEL.
K.W• Ko��
CONTRACTOR
qooaess �555 PLACENTIA AVBNUE '
��,n, NEWPORT BEACH
STATE 6it95 TE�MI 6-3227
��c. No. No.
s�=E 65 x i oo I NO.OP BLDO6.o
OF LOT NOW oN Lor
UfiE OF
EXIBTING BLDG.
96TBACI( LINB FROM 5Q � 25 �
CervieR oc aTaeai REAR YARD
' 7`
61DE YARD I LEFT RIGHT
DESCRIPTION OF WORK
.._... I x I.. ___._.__. I II ......_._.. I
NG �V��,7SF ROOMS � S70RIE5 ,
OR WAL IROOF OCK "
NG {p1�cTUCCO COVERINGEp� ED
��LE � YAMI L1'�Y(ES IDENCEPANFDRATTACHED
1 HEREBY ALKNOWLED48 THAT I HAVE R6AD TXIB APPLIGTION
AND BTATE THAT TH8 ABOVE I6 CORREGT ANO AGREE TO COM-
PLY WITH ALL CITY ORDINANLE6 AND BTATE LAW9 RH6ULATINtS
BUILDINO CONBTIUCY/��N�
SIGNATURE OF / i. � /�
� AUTHORIZED
�"" . . _ � .��. �
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' 'l�: ^��-d
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APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. 'PRfl1�IT�.�[iQ.. �
DATE �ssueo
CASTA MESA. CAI.,IFORNIA
APPROVE�
ZONING
ZONE /� NO. OF U6E OP NEW '
/P1 I I Puxe eui�o�Ho/ra'-¢ _ /"�� �
LE�AL
YARDS EVES
APPROVED ALLC
(CBNTlR LINH 9TJ _
APPROVED
G'
TX! AMOl1NT 9HOWN IINOEH VALUATION 19 FOP THE
PUfiP086 OP ¢BTABLIBHIN6 A PERMIT P6E ONLY.
VALUATION � /
/ PERMIT FEE $ ��
$ /�/ � /� PLAN CHECK $ /4