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Home My WebLink About1108 SAN JOSE AVE - Building Permits • °�Ms CITY OF COSTA MESA c., '`� 9 BUILDING DIVISION ,,, , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER•�`l. I PERMIT B00-01522 'PomrM10 I (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.G %yS DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1108 SAN JOSE AV CU'L Status: ISSUED Suite: Applied: 09/27/2000 Vicinity: Issued: 09/27/2000 Parcel Number: 41204324 Zoning: R1 R1 • Applicant: SELL,RON n/,}, Address: 17072 ROSEBUD ISSUED BY: V°`-- Phone: (714)993-3328 YORBA LINDA,CA Zip: 92686 Owner: DE LEON, CONO Address 1108 SAN JOSE AVE Phone: COSTA MESA,CA Zip: 92626 Contractor SELL ROOFING COMPANY Address: 17072 ROSEBUD Phone: (714)993-3328 YORBA LINDA, CA Zip: 92686 License: 323842 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF SHAKE INSTALL 1/2"OSB AND INSTALL EAGLELITE TILE ICB04660,5.5 PSF. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,100.00 Permit: $167.25 Claim Valuation: $8,100.00 SMIP Res: $0.81 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.06 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 2446-46(6/00) CEcinATIONS WORKERS'COMPENSATION DECLARATION: 'S 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. ❑//II km and will maintain workers'compensation ice,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. /J�My workers'comp I n nsura mer an Hcy number are: Cartier: ) Policy Number: (This section need n i Md if the permi Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the w or which this pe it is issued,I shall not em any per ' any manner so as to become subject to the workers' compensat•• • :lifomla,and re that if I should ome s bject to the workers' pensation p visions of Section 3700 of the Labor Code,l I shall forthwith .t•• • • •- •rods• S. 7- Z 7 -�V Applicant •gnature: Date: e,/ WARNING: • 0 SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED .•-r D DOLLARE 1$100,000),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 here rm that I e licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code : g-g1y license Is in full e end effect.Lie. : ./ / :, ! OWENS-CORNING - . Fiberglas Blanket 'Insulation • • The contractor named below certifies that the Owens-Corning Fiberglas Blanket Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Blanket Insulation is in- stalled in conformance with current energy conservation regulations, California Administrative Code,Title 25, State of California, in the building located at: //h2 ah.1OSP /nuc dr 37 /4-7 7C • Street Lot Number Tract Number • Exterior Walls -3/ Owens-Corning Fiberglas Blanket Insulation a // Thickness R-Value Ceilings • Owens-Corning Fiberglas Blanket Insulation /,9 /7 • 'Thickness R-Value Floors Owens-Corning Fiberglas Blanket Insulation Thickness R-Value Foundation Walls - • Manufacturer Type Thickness R-Value • General Contractor _ License No. By I Title _Date (BignaNre) Insulati ontractor /?'}722- h- >��% ,-x—License No. nile725— BygTitle Date //J/,C: gnaWre) OWENS/CORNING Homeowner Co FIBERGLAS State Copy (Yellow)White) w e. Builder Copy (Pink) OWENS-CORNING FIBERGLAS CORR • Insulation Operating Division Pub.No.15-BL-6995-A Litho in U.S.A.,July 1977 , Fiberglas Tower,Toledo, Ohio 43659 ti COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F R TRUTLI L PERMII'8B'81 -.• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVE BY $PERMIT 1LT0 4 7 7 4 9 For Applicant to Fill in Completely —Use Ink OnlyBUILDING , lel ADDRESS 1108 San Jose Ave. A.P.NO. T/9. —p.-/2- L5-5-- ADDRESS � ADDRESS BUILDING OWNER OR Wimbledon Assoc . ADDRESS TENANT 1108 San ,Tnsa Ave MAILING UNIT OR SPACE NO. '; ADDRESS 1470 Jamboree Rd TR.NO. LOT BLK. CITY Newport Beach NOL640-6800 10275 39 NSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH CO LENDER Imperial Savings & Loan X BRANCH Pasadena A OWNER Wimbledon Assoc. l? ^,2bI ADDRESS X61 S . Lake Ave. VALUE / // OARCHITECT R ENGINEER`-&11.b In/yamafuj i NOL549-712 USE PRD E65.�7��— ADDRESS 17992 Mitchell So. , Irvine ZONE POR-46 /T(//PETICW GROUP R-3 APPROVED /20/p/ CONTRACTOR McLain Dev. CO. BY [i(/(� DATE I ADDRESS 1470 Jamboree Rd CITY Newport Beach NO140-6800 F APPROVED SETBACKS iv. STATE LIC. NO. 273875 LIC. 18873 SIZE NO.OF BLDGS. (FROM 0145 -FaPL pj 0... OF LOT NOW ON LOT 0 FRONT GO FT. _ Q USE OF ria EXISTING BLDG. R SIDE S FL CO E Separate permits are required for L.SIDE g FT. c electric,plumbing and heating work. REAR Z1/y FT. F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION 0 in PRD - New Construction 2S-7A --3Y APPROVED - 7-7g r Single-family dwelling DATE a tiQLD FOR SPECIAL REQU REM NT' k7 O I hereby acknowledge that I have read this application and state• N te that the above Information is correct and agree to comply with 1S, all laws regulating building construction, and I shall not employ a Z any person In violation of the workman's compensation laws of p 2 $3 S the State of California. fQ 2d Q SO. FT. • SO r m I hereby certify that I am properly licensed as a contractor under j the State of California Business and Professions Code, Division 3, THE AMOUNT SH N UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ABLISHING A PERMIT FEE ONLY: co- JY` am exempt from the provisions of the State of California Business VALUATION PERMIT FEE 5 �s e and Professions Code,Division 3,Ch:pter 9. s+46 J . v. �• Signature of �s ^ PLAN CHECK E e Permittee ,, $ c 'J 2O TAX S 421 V n� Authorized Agent Date r / J TOTAL PATO E ' 4so q