HomeMy WebLinkAbout2252 AVALON ST - 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: 2252 AVALON ST
Suite:
Vicinity: ROOF
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 41908407 Zoning:
LEYVA VALENTIN
Status: ISSUED
Applied: 03/t6/2005
Issued: 03/16/2005
Applicant: , � - - - ISSUED BY: �KN
Address: 2252 AVALON ST , � � " . .
� � Phone: 949-5483136
COSTA MESA, CA � � . - �, Zip: 92626-6447�� � �,' �
owner. LEYVA; VALENTIN, � ' �- �
Address 2252�AVALON ST � - � �
� , . - � Phone: 949-548•3136�.,'-�., � � ' ��
;CQSTA MESA, CA � �� Zip: 92626-6447, `. �= - � ' �
Contractor. OWNER-BUILDER � , , �
' Address: � � � -' �
i �
� � , � - , : �Phone: > � � ,
Zip: ' ��License: �000000 - � - ;� � � � ,
Arch. ; � . . - "- - Eng: ^ ' '
Address: - � � � - � � - Address: �
. Phone: � - . Phone: ,
Zip: , � License: License: �
SCOPE OF PERMIT .
TEAR OFF EXISTING ROOPING, REPLACE SHEATHING AS NEEDED, AND-REROOF WITH 30 YR. COMP SHINGLES (24 S�). �
FEE SUMMARY �
Plan Check: $0.00 Calc Valuation: g3,5oo.00
Permit: $97.25 " Claim Valuation: $a;soo.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00 _
Inspection: $0.00
� ;`•, . - . , .
Total: 597.75 . -
�� � � � �
PLANNING & ZONING
SETBACKS � � � � � , � � . � '
MAIN STRUCTURE Front 0- 0- Rear � 0- 0 Left 0- 0 � Right �,0- 0 �
ACCESSORY � Front 0- 0' � Rear 0- 0 Lek 0- 0 , Right =�0- 0, :.
PARKING Existinq: o� Required: o Proposed: 0 ' ' '�"�
NOTES:
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and relaled
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This p6rmit shall automatically expire and become void if work Is not commenced within 180 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
requfred Inspectiona and finel approval must be obtalned. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
wwe �aroo�
WORKERS'COMPENSAnONDECLARAnON: �
I hereby eHirm under penelty ot per�ury one of the following tleclerelians: �
❑ I heve enCwill meinlein e certificete of consent to self-Insure for workers' compensellon, es providetl for by section 3700 of the Lebor Code, for ihe pertortnance of the
work for which this pertnit is issued.
c,
❑ I heve and will meinidin workers' compensallon Insurence, es required by section 3700 0� iha Lebor Code, �or ihe perfortnance of t�e work for which this pertnit is issuetl.
My woAcers' comper�setlon Insurance certier end policy numbe� ere:
Cerriar: Policy Num6er:
(This secHon need nof be �mpleted il fhe permif is veluetl et one hundred dollers ($100J or less.) ,
�R�certify Ihet in tha pOrformence of �he work for which thls pertnil is Issued, I shell not employ eny person In any manner so as to become subject lo the workers'
compensetion laws o� Celifom , and ree that If I should become sub�ect to Ihe workero' crompensetion provisions of Section 3700 of Ihe Lebor Code, I shell forihwlth
�p�y with thes9 p!�'sion �� � ^� n
p1 cent SigneNre: �� � mH[a� . J^ I�� V �
WARNING: FAILURE TO SECURE WORKERS' GUMPENSATION COVEBAOE IS UNLAWFUL AN� SHALL SU&IECT AN EMPIOVEF TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TN(%15AND OOLLARE (5100,000), IN ADDRION TO iHE COST OF COMPENSATION, DAMAGES FS PROVIDED FOfi IN SECTIpJ �Gb OF THE LABOR CODE, IN(ERES�, AND ATTORNE`f5 FEES.
IICENSED CONTRACTORS DECLARATION:
I hereby aHirm �hat I am IiGensed under provlslons ot Chepler 9(commencing wllh Sectlon 7000) of Divislon 3 0� the Business end Professions Code, end my Ilcense is in full
force and eftect. Lic. A Cless p
Contrador's SignaNre: Dete:
CONSTAUCTION LENDING AGENCV:
❑ I hereby aHirtn ihat tdere is a construdion lending agency for ihe pedormence of iha work for which ihis permit is issued. (Sec. 3097. Civil Cotle).
Lender's Neme: Lender's Address:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrm the� under penelry ot perjury Ihe� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions
Code: Any city or county Which requires e permit lo conslruct, ellar, improve, demolish, or repeir eny slmcWre, pnor to its Issuance, also requires the applicant for such pertnit
to file a signed stetemen� that he or she is licensed pursuent to Ihe provisions oi the Coniredors Licensa Lew (Chepter 9(commencing with Section 7000) of Dldslon 3 of the
8usiness end Professions Code� ar tt�at he or she is exempt therelrom and the tasis tor the alleged exempiton. Any violetion M Section 7031.5 by any epplicant for a permN
�����3upj. cts the epplicent to a civil penalty of not more then flve hundred dollers ($500).):
, es owner of the prOperty, or my employees with wages as thair sole compenselion, WILL DO TXE WORK, and the structure is not intentled or ottereC for sale (Sec.
7044, Business and Professions Code: The CoNrectors LJcense Law does not epply lo an owner oi property who builtls or improves thereon, antl who doas such work
himseN or herseli or Ihrough his or her own employees, pmvldetl t�et such improvemenis ere not Intentletl or oftered for sale. If, howaver, Ihe building or improvement is
sold wit�in one year of completion, the owner-builder will have tha burden of proving thet he or she ditl not build or improve for purpose of sale.).
❑ I, es owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo consimct the pro�ect (Sec. 704d, Businesa and Protessions
Cotle: The contrectofs License Lew tloes not epply to en owner ot propehy who bullds or Impmves Mereon, end who coniracls for such project with a comractor(s)
license pursuent to tne Contractors License lews.).
❑
Owner ID verifiad by dnver's
❑ No
Business and Prolessions Cotle for Ihis reason:
D
•.. _O
Verificetion of Ownerehip by (rype of document, I.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certify that no escavation five (5) or more feet in depth into which a person Is required to descentl, will be made in connection with work euthonzed Gy this
permit, entl that no builtling structure, scattolding, telsework, or demolitlon or tlismantling thereof, wlll be more than t�irty-si: (36) feet hiqh. (Chap. 3.2, Grp 2, Art 2, Sec.
341, 7�1e 8, Calitomie Administrative Cotle).
❑ As owner-builtler, I will not employ enyone to do work which would requlre e pertnit from the Division of Industrial Sefery, as noted above, unless such person has e
permit to tlo such work from the tlivision.
Signature: Date:
Division ot Intlustrial Safery Pertnit Number:
CERTiFlCATE OF COMPLIANCE AND AUTFIORIZATON OF ENTRY: I certi�y under penelty of per�ury ihat I heve read thls application antl state that the information givan is
correc�. I egree to comply wi�h all stete Iews end city ordlnences rele�ing to bullding constructlon, end eulhodze representatives of the Cl�y ol Cos�a Mesa to enter upon �he
��descnbe rope�gS��sQ,ectlon Du o s. I egree nol to xcupy or allow accupancy ol eny building euthorized by ihis permi� until flnal inspection.
O Ci!/����_ ��� � l � � 05
Sign�iSr�'OYC�pa"1'O`wner(9)��� --�,. .
AnNOr AulhoAzed Applicent
COOE �, WSPECiIUNTYPE
1676 Fixed System Fina� F�re Preventlon
1266 Pool Spe Finel
200 Finel Re-Rool
201 Final Blak/Retalning Well
202 Flnal Fectory Fire Place
203 Flnel Sign
204 Final Demalltlan
QA2E IMRIALS
GOUE I INSPELTION TYPE
206 Finel Mec�anical
208 Flnal Plumbing
210 Final Electncel
212 Flnel Fire Preventlan
220 Flnel Plenning Approval
222 Final Sile
250 Finel BuildinyOccupency
'; - �; i
COSTA MESA BUILDING DEPARTMENT
P. O. 90% 31']
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
9111LDING ���� . � �.
COSTA MESA, CALIFORNIA
OWNER nenaon nom�� inc.
ADORE55 2826 Newport Blvd�
GITV Newport Beach, Cal No: OR
R S�T HOI.I. COII$t Ci0 Na;
ADDRE55 282E
IEGpL LOi
oescA�rriov No.
A.P. NO.
SIZE
OF LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM
TV LIC.
NO.
TEL.
NO.OF BL�GS.
. , ,. �
..; �rv�,��� , �:��-;
(o _ �G _5 Y J u�
Fil\AfiCE QEPT. ,
ii��,r nr nn�'�� '9FcA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
. ,�,C"R�I J
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE
OZ BVPROVE
��ll.
cervlen oF S1wE[r V REAR YARD /.,� '
SIDE YARO RIGHT 1� LEFT r
DESCRIPTION OF WORK
NEW B ALTERATION ADDITION
REPAIR MOVING pEMOLiSH
BUIL�ING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING ' BtuCCO �COVERING iOCk
BUELDFNGEW single fam residence & att gar
DATE
CORRECTIONS
ia5� �=
I HEREBY ACNNOWLEDGE TMAT 1 MpVE FEAO TMIS APPLICATION ANO ��
STRTE THAT THE ABOVE IS CORRECT AN� AGREE TO COMPLV WITX PlL / ��
CITY ORDINPNCES PNO ST4TE L4W5 FEGIILATING BUILOING CONSTRVC-
norv. V ' VALUATION
SIGNATURE OF U��OII HOn1QB� IIIC� • PERMiT FEE $
PERMITTEE
/�/ ��Q� PLAN CMEGK $
AUTHORiZED AGE iO �. TOTAL FEE S
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OWNER *,¢ArDOALuD.R.TFG� TntC DATE (�F, KR �
JOB ADDRE55 �ay2�valan�t�e�t BLIII.DING PERMIT NO. 70�5
GENERAL CONTRACTOR K, W. K011 � VAL[lE $ 1�,'j90.00
AP. No. LOTJyS TRACT 31(�IRE ZONE DESCRIPT[ON OF WORK nSyn¢ res, w att��+ara
�ECTIONS . I DATE I SUBCONTRACTOR I ____ PERMITSISSU
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P' � Gas Test
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