HomeMy WebLinkAbout243 ROBIN HOOD LN - Building Permits PROJECT ADDRESS: 243 ROBIN HOOD PL UNIT' CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05585:
OWNER'S NAME: HOWSE CLAUDE G
onus: 243 ROBINHOOD PL PERMIT NO: B 055852 PLAN CHECK NO: N GOVT: N SUPP: N
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COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE; OTH
645-2085
ifCHIENGINEER: REG.NO.: JOB DESCRIPTION : RESHEATH & REROOF 3000SF RESID & GARAGE SQ FT: 5, 500
ADDRESS: UNIT:
CLAIM VALUE: 5, 500 . 00 CALL-VALUE: 5, 500 . 00 GROUP OCC: R-3 /M-1
PERMITTEE: CLAUDE HOWSE ( 714 )645-2085 , n nC T
ADDRESS: 243 ROBIN HOOD PL COMMENTS; REROOF W/COMPOSITION SHINGLES - 1r OF *i*
C.M. CA 92626 *******>E-E********* - x**x******** *+E*** �A**** u*****�F****** *�E . �E �OI'i
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS Cr
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS REQUIRED
CITY LIC,: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent toself.insure or acenificate of Workers' FRNT: FT IN REAR ; FT IN FRN•P: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN I.EFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL: 42620252 ZNE: REF NO:
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
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Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N-T S
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. ZONING APPROVED BY DATE:
Date: Signature:
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE;
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. I [�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlormance of the work for APPLICATION ISSUED BY
; 1 j DATE: h 2I
which this permit is issued(Section 3097.Civ.C). **************************************** *lE * ******************* *** *** * *i*1E
UNDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 8 1 . 0 0 . 55
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed i SM I P/NON,-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). , ISSUE FEE /'
I. as owner of the property or my employees with wages as their sole compensation, MU do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID - DUE
® structure is not intended or offered Ion sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 81 . 55 0 . 00 , 0 . 00 81 . 5 5 81 . 55 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 81 . 55 OVER/SHORT: s 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING- PLAN-tHECK
I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
81 . 00 . 55
_
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).I am aware ****************************1F**************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL_ F E E BREAKDOWN
o am exempt under Section: 8.8 P
for this reason; TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Dale:
/— Z / — 9 2 owner: ' SFR 5500 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 .a 5, 500 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES _
25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a
.e-
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions ,
Date: Applicant
I hereby certify that I have read this applicaand slate that the above information is correct.I agree to comply with at city and county /
ordinances and slate laws relating to buildin construction and hereby authorize representatives of this city to enter upon the above-mention//
property for inspection purposes. _— _
z/— Ca 4 '= J)iJh74t—=C1en-'—
Date: !— Signature' /C r/2 4 1"' CATS: 0/./..-!?.."'''''. I•1.: 3• •.;
Driver's License or Social Security a:
1641.46 While—Building;Green—Code Enforcement:Canarv—Aoolicant:Pink—Revenue:Goldenrod—Aesescnr
CONSTRUCTION AND PLANNING POOL & SPA
A*PROVALS 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 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural 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
17. 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 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing ^'L 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing .1 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat YYY"' 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
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTI CATE ISSUED
33. Final Electric Notes: p 0 e . VW;
y r/
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING / 3/p2, 6L ` (/.L ®� _ ecat
48. FINAL PLANNING [' a '
49. Electric Release to Edison
I
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
1.0 7 � FEE REC \EO
„_ �_s2
COSTA MESA BUILDING-SAFETY DEPARTMENT w� Ai (� ®
P.O.BOX 317 COSTA MESA. CALIFORNIA �,u�a U1���"
Q I Gni. t�'1 �
FOR APPLICANT TO f/LL IN COMPLETELY APPLYCATION FOR PERMIT
,.,yy� .3 TYPE OR PRINT BUILDING
F
ADDRENO 4 3 Robin Hood Lane
ADDRESS iv r/�p
'I COSTA MESA, CALIFORNIA TOA OFF/CE USE ONLY
t5astmont Development Corporation I RECEIPT NO. IL/PAMte .
OWNER
MAIL v+ RECEIV D BY DATE RECEIVED DATE ISSUED
ADDRESS 419 E. 17th Street l,� � Fit_ I //—i7--i WIV20195S
CITY Costa Mesa, Calif. TNoLl S 115` BUILDING
. ADDRESS
ARCHITECT Carlson & LC. COSTA MESA, CALIFORNIA -
OR ENGINEER Middlcbrook NO. '
ADDRESS Garden Grove California FIRE
Inc. ZONE TYPE GROUP �,L /y
CONTRACTOR COlegrove, 1LSCT AZ. 167293 APPROVEDED DATE
ADDRESS 419 E. 17th Street. Costa Mesa ZONING c .
LEGAL 'j7�7 ZONE (� NO.OF .USE OF NEWJ�L���/Jy��
DESCRIPTION I NOT 21 BLOCK ITR CY8 4 I PLANS" W /y BUIILLDIyN-G� �i Y 5,�
APPROV UU. , ,( J !i✓'�I/ //� ' gyp/
A.P.NO. BY CC77 � DATE '�/—/O "� ,
SIZE NO.OF BLDGS. YARDS Lr EVES
OF LOT 71 X 91how ory Loi None REQUIRED ALLOWED
USE OF (CENTER LINE ST.) ,/
EXISTING BLDG. NOTIP FRONT ,4"SFT. IN.
SETBACK LINE FROM -
CENTER OF STREET 431 REAR YARD 15 R.SIDE (SFT. IN.
SIDE YARD I LEFT 5' (RIGHT 5' L.SIDE SFT. IN.
DESCRIPTION OF WORK
X REAR / FT. IN.
NEW I ALTERATION I __ II ADDITION
REPAIR MOVING II DEMOLISH I
BUILDINGNO.OF
S ZE 1647 ROOMS 7 STORIES 1
EXTERIOR
L WAL stucco ICOVERING shake
COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Si ngle family residence w th
attached garage
Plan 1760D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION nn
SIGNATURE OFC, PERMIT FEE $ 36.00
PERMITTEE
Dike
1_ Inc. $ 1 6,862. PLAN CHECK $ 18.00
AUTHORIZED AGENT Dike & O]egrove, InTOTAL FEE $ 54.00