The URL can be used to link to this page

Home My WebLink About3096 ROANOKE LN - Building Permits CITY OF COSTA MESA • ge4 BUILDING DIVISION l) P MIT NUMBER 1. 1• ,�„•T DEVELOPMENT SERVICES DEPARTMENT 4 PERMIT B07-00427 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.oenes LCINu rcfcltllfT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3096 ROANOKE LN Status: ISSUED Suite: Applied: 04/09/2007 Vicinity: KITCHEN DINING AREA Issued: 04/09/2007 Primary Occ: R3 Type of Construction: V-N Parcel Number: 14151206 Zoning: R1 Applicant: SULLIVAN, PAT Address: 1129 N KRAEMER BL Phone: 714-444-1199 V ANAHEIM,CA - Zip:- 92806 ISSU Owner WOOD, MARLENllatt E THORN TR Address 4077 W 135TH ST' - ' - - . i Phone:_ N HAWTHORNE,CA - Zip: 90250 - Contractdr: CALIFORNIA REPLACEMENT WINDOWS ,, , ' Address: . 1129 N KRAEMER BL " - ,, . ' , ", . Phone: 714-632-7767 y= ANAHEIM,CA - v i / vim. Zip: 92806 / - " License: 690136 / Arch : Eng: Address: Address: _ Phone: . Phone: Zip: . License: License: SCOPE OF PERMIT CHANGE OUT AND REPLACEMENT OF(E)SLIDING GLASS DOOR LOCATED AT KITCHEN/DINING AREA FOR A SFD.NO CHANGE IN LOCATION OR SIZE. . . . / ' FEE SUMMARY . • Plan Check: $0.00 Calc Valuation: $1,645.00 Permit: $60.10 Claim Valuation: $1,645.00 SMIP Res: $0.50 SMIP Corn: $0.00 -- Other: $0.00 , Inspection: $0.00 Total: $60.60 .: 1 • , PLANNING &ZONING SETBACKS , . , MAIN STRUCTURE Front 0-0 . Rear 0-0 Left 0-0 Right 0-0 ACCESSORY.- Front - 0-0 Rear 0-0 Left 0-0 Right �,0-0 " - ' , PARKING Existing: 0 Required: 0 Proposed: 0 7 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit 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 required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL:. (714)754-5626 2446-46(6/00) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the ork for which this permit is Issued. - I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. (�- My orkers'grrnp�gnts'atlon Insurance carrier and policy number are: /J('J`� /_S' / Cartier. TP o 7 uAID (--- Policy Number.) 1 L [t(o SLLU 'Ob (This section need not dddeee completed If the permit is valued et one hundred dollars($100)or less.) ❑ 1 certify that in the,7e ormance f the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation law Cgljfom! a agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these f v�1is\�i �i q -y Applicant Signature: 1�Dete:� — l I 'O / WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOILARE($1o0,0O0),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am keens.. u zer.ro 'si.n-of Chapter 9(commencing with Section 7000)of Division 3 of the Businpgs;nd Professions Code,and my license is in full force and effect.Lic.# A i i Class» r` °/ Contractor's Signature: r . i Date: i f CONSTRUCTION LENDING AGENCY: O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,end who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mese Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes IBJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the information given above is correct. I agree to comply with all state laws end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE��///�� OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I Lie to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-des-n edciLproperty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. y� ignature Of Legal Owners) OiDate^,2 . CAnd/Or.Authorzed Applicant \ Date✓- CODE f, INSPECTION TYPE 126.IE MNTTtALS COOEt INSPECTION TYPE WAIF IIDIDALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign _ 222 Final Site / ices,— 204 Final Demolition - 250 Final Building/Occupancy Y/I-d7 6"O# p ! `ogre NFs A CITY OF COSTA MESA :,j iy BUILDING DIVISION PE IT NUMBER ' DEVELOPMENT SERVICES DEPARTMENT PERMIT 00-01072 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3096 ROANOKE LN Status: ISSUED Suite: Applied: 07/19/2000 Vicinity: HOUSE&ATTACHED GARAGE Issued: 07/19/2000 Parcel Number: 14151206 Zoning: R1 R1 Applicant: TAYLOR, ROB ISSUED BY: Address: 833 W 17TH ST Phone: (949)646-7884 COSTA MESA,CA Zip: 92627 Owner: WOOD, MARLENE THORN TR Address 4077 W 135TH ST Phone: (310)675-5088 HAWTHORNE,CA Zip: 90250—`�— te • Contractor: CLAYTON ROOFING Address: 833 W 17TH ST Phone: (949)646-7884 COSTA MESA,CA Zip: 92627 License: 601226 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING 2-STORY SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(21 SQ).TEAR OFF WOOD SHAKES& INSTALL NEW 7/16"OSB SHEATHING.APPLY ONE LAYER OF 30#FELT UNDERLAYMENT&REROOF WITH 30 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,500.00 Permit: $111.25 Claim Valuation: $4,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 4 R • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. Shave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My!wo ars'Qpompensation Insurance carrier and policy number are: ,f G CC Irra er: -CA (Cr VI Ge Policy Number:Am A-O 1117 l0$'0(p -(This sectio need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prAvie s. � �^ (Applicant Signature:, `1! CN11 Dale: "� " O WARNING:FAILURE-TO SECURE WORKERS'CObtyENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100.000),IN ADDITION TO COSI OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm thatsam_ licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect7Lic.ft Gt'0( ,�"2 Class a '(' 3' Contrac Signature: . (11Gd�U t Date: '7"/4'-DO t cA CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend, will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Ves ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apgermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Igna re Of Le�r(s) Date & " 19`Oa AnNO Authorize Applib t f Date CODE INSPECTION TYPE PAN JNTRIAL$ CODES JNSPECTION TYPE DAT INTIAtS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 7-Z Co 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval _ 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PER P NO.a TRACT NO. LOT NO. UNIT NO. A P # Zone CITY OF COSTA M�E�tS/A/ COjNNSTRUC/TION 'PEIRMIT PAL, 7 gr' C.� P5'oject Address .�{/y yp 11oq n-sdC'X" L.-�1 • �/ - / $ Main Building: Accessory Building: Applicant's Mailing Address v�I33Q J CQF.(D t� TYPE OF CONSTRUCTION U NEW U ADD ❑ ALTERATION LJ REPAIR E ' Z a iXtl(!y ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name ^ryy��/{y1 Phone �7�5� DESCRIPTION OF WORK/USE OF BLDG. A ,Rear N Address ' • `P� 1 TYPE OF PERMIT ❑ GRADING U,PCOUNDATION ❑ STRUCTURAL C Right N Arch/Eng. License No. �y K G Address ��pii�� ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL S ' Left III I / I. Phone - R Contractor's Name t .. � . Phone/WOE; ❑ OTHER I Ping. Ref.# Parking Req./Provided E �j� r' %I/ / V PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: ryl Address(mailing/ 3./ ( - CO/ ` CONSTRUCTION TYPE VALUATION$ City License No. ✓)s� es T ZONE GRADINGCU.VDS. ACRES REDEryED JUN 2 7 1984 $ LICENSED CONTRACTOR DECLARATION I hereby innaffirm 7 that I am licensed under provisions Charter (cCode, and Remarks: with section of -Divisiond 3 of the Business and Professions Code, and my license is in full for .ntl effect. ELECTRICAL FEES Li c-a . it g L ens> o. � �1 �- 'e / �.�. Signature MINI �!A. 4_ PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW - .ter K RS'fO hatPENSATIONcertificate DECLARATION ______________________________ ConI 0 50+ KW .1ereby affirm that I have a of consent to self-insure ora<ertlficate Bar Sink Showers i of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Cooking Service$ink Meter ❑up to 100 amps 3800, Lab. //yy //� !!}}n �(� .� ,r Policy No. SM I"13`i 'O"I Company Sli JLi' ( ti Backflow Irrigation • Sewer Cap Meter Dover 100 amps [certified copy is hereby furnished. $ub Panel G C ig�i�F s filed with the city Bu' :r • ia', i.iy Bathtubs Sewer Connection Date J(/17I 'I Applicant - EXEM TIOIIlltt44ll FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors❑0-1 HP ❑1'Fi-B (This section need not be completed if the permit is for one hundred ($100) or Inc.Solar ❑g-16 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is Issued, I snail not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration, you should become subject to the Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinalcomply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there isa construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater " Standing Sections ) Lender's Name 00-5 ■5-15 KW Lender's Address Kitchen Sink ' Water Service Generator Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit -;3'o file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ? `he Contractor's License Law(Chapter 9(commencing with Section 7000) of "Division 3 of the Business and Professions Code) or that he/she is exempt Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section , 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By //�� Date License Law does not apply to an owner of a property who builds or improvesbier .. ------ ---- -- -- Application Issued ByI/I � thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 pp .�� Dat: a employees, provided that such improvements are not intended or offered foryP sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Refrigeration Systemtractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ —�-�,�s�s PERMIT _ The Contractor's License Law does not apply to an owner of property who ❑0100,000 BTU 0100,000 BTU PLUMBING $ T,Ri-_S yuISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to tne Contractor's License Law). I am aware that ■Exhaust System ■ Multiple ■ ` System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. IDI am exempt under Section B.& P.C.for this reason . -. Blt. ICB0* ■ Fire Dampers ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ �I,,ll Date owner 'Heating System& Ducting TOTAL FEE $ . MECHANICAL $ �V V I hereby certify that have read this application and state that the above 00-100,000 BTU 0100,00013T information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter pon the above-mentioned pp) erty for p inspection J sec s/C�n A1'/1/ Signature I , Date $ 3 �• �'.L3h4�J-r��,',,37i; -"Cr' _� ar-r P?TE Ei 27,19 ,: 0865-46,rev. 5/B8 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNINI K _L& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.;Electrical Conduit-Utility-Undrgrnd. 54. Forms 4. .Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement, " 56. Rough Plumbing & Pressure Test • 6.-Electrical UFER-Grnd.' 57. APPROVAL TO COVER-GUNITE 7.:Footings i - 58. Electrical Conduit-Undrgrnd. 8.. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9..Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10.'Striuctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection `, 62. Backwash & Receptor-Final 12. Sewer Cap ,-• 63. Heater & Vent-Final 13. Roof Drains - - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval . L-j7, Rough Wiring Sign 68. APPROVED FOR PLASTERING 18'' Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21 Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31v Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing y t24c' LtJ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final ^? 42. Backflow Preventer 0-1i" 1- 43. Backflow Irrigation :i • ,' 44. Landscape Irrigation System 45. Sounc4 Attenuation - 46. Handicap Regulations Le: 47. FINAL STRUCTURE WBUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date ' OWNER NORTHGATE DATE JUL 5 1993 JOB ADDRESS 3096 Roanoke Lane BUILDING PERMIT NO. 19992 GENERAL CONTRACTOR Bonser Construction, Inc. VALUE § 16,332.00 AP No. LOT 21 TRACT 48911. FIRE ZONE DESCRIPTION OF WORKSng.Fam.DH1.w/at INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE Rl Gar. Soil 410-5 n--- PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water N y/445-7-2y-G3 Rough Corn. Refrig. 0 Air Cond. 0 0Q Rough Heating S SIi'sY3 JUL 2 6 1963 8 Rough Plumbing �L_/l� g-//,-�i'� JUL 1 2 1963 *-$ -- a Miscellaneous Prop. Swr. Line fit House Cog St. 1—..'T:1- -- ,— i.e."'i.e."' s -"Lcy, �K 1 a -1953 ,qr, 'AP' Sprinkling System Sw /0-2.5-ei .' v�.rf,:ems a. AUG 1 t I96.i .”_1.i • Construction Pole 3 j„ iN(' Underground 0 Power 0 Rough Wiring �/ 2 73- �.� �,,C-c3 .z n 9 s� % Trenches Lq- Forms Ci]'� Steel Reinf.& -N �---- Floor System y -.�... Bond Beam 0 Steel Reinforce 0 Sheathing 1c Frame and Flashing F 4- j_ Lathing— Mgr Out „-t i Plaster, brown coat ,`"'- e. •-..- - — 9 .3. Refrig. f] Air Con. ❑ Final Heating, Final yr Plumbing Fixtures, Final 15-7-. Final Gas Test , .3 Electric Fixtures, Final' in - _ Building, Final rr 40-2.2-41, OCCUPANCY , Form 13U4-5M-3-63—S-B P .. 19992 J - COSTA MESA BUILDING-SAFETY DEPARTMENT FEE R E I V E D P.O.BOX 917 COSTA MESA.CALIFORNIA ` n.1 �, 0 ;b7: For Applicant to Fill In Completely - APPLICATION FOR PERMIT TYPE OR PRINT 4894-21 ANA l;'I{°� .,pn BUILDING +1>O I Qo P i n u E �A(E CITY °OF OA EJA ty }'� AGGRESS I 92 RECEIPT NO. at JJ"G') COSTA MESA, CALIFORNIA ��y RHCp , D BY Dp (.[ JULA'E'IBeMS/ OWNER NORTHOATE l/ter-/ 0,--1Y-P--5 MAIL BUILDING ADDRESS 13341 Golden West ADDRESSFIRE �I /Y CITY Westminster, Cal. TNo-897-782li ZONE TYPE V GROUIcJ I-9-. I APPROVED U ARCHITECT C. Hiller NO. BY DATE OR ENGINEER NO. /� ZONING ( nIL ADDRESS Box ll, Anaheim, Cal. ZOrytn NO.M USE OF N V 't IYYI/1.L 1 I PLANS, I BUILDING.1 A CONTRACTOR Bonner Construction, Inc. LEGAL ® /l� �/VRV-69� ADDRESS 13311 Golden West• DESCRIPTION CITY Westminster, 'Calif. A.P.NO. r NOTE: NO EAVE OVERHANG SHALL BE LESS THAN ATE ST215049 TEL 897-78211 90"TO SIDE ft REAR P.L EAVES SIZE 60 NO.OF BLOBS. ALLOWED (U.B.C.REQUIREMENT) OF LOT o x 10109711 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. -- - (FROM C/L STREET), SETBACK LINE FROM e FRONT I 5 PT. . FT. CENTER OF STREET ]0' REAR YARD 2911 SIDE YARD I LEFT 1511 I RIGHT 5 R.SIDE 5 CT. / T. ' DESCRIPTION OF WORK L.SIDE /) FT. V FT. 1/4 NEW X ALTERATION _ ADDITION REAR 3FT.Y FT. DISTANCE B(((ET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGB. BUILDINGNO.OF VAR.# DATE SIZE 40 x 531ROOMS 7 STORIES 2 C.U.P.# APPROVED EXTERIOR WAL a ROOF APPROV pp A� C 7J COVERING SLIME() COVERING shingle BY W�L') DATE --,--/--/19---€3 USE OF BUILDING AND WORK TO BE PERFORMED / -la 13 (earsSQ.FT. (t/y,`, ' N I HEREBY ACKNOWLEDGE THAT - -EAD THIS APPLICATION THE AMOUNT SHOWN UNDER VAYJATION IS FOR THE F AND STATE THA - :O •S COR:E - AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O I PLY YWINHG AL C• SCITY OR AN+ ST TE LAWS REGULATING VALUATION m BUILDINer PERMITTEE TIO OF . i433.'2' /lO�t.3PERMIT FEE $ 9/� m $ / . - c C .2 tS o p Kiri 4 f AUTHORIZED AGENT TOTAL FEE 5 0i \SU