HomeMy WebLinkAbout824 Santiago Rd - Building Permits��ia� �5a-sz�s • Fax ��ia� �sa•aess • www.ci.cosca-mesa.�yqLDING PERMIT
,lobAddress: 824 SANTIAGO RD
Suite:
Viciniry: RESIDENCE AND qTTACHED GARAGE
Primary Occ: R3 Dwellings/ Cbng Res <10 Type of Construction: V-N
Parcel Number: 14154107 Zoning:
npp�icant: CHUNG BOO SU
Address: 12362 BEACH BL
STE 26F
STANTON,CA
Owner: HILL, GARIE D
Address 824 SANTIAGO RD
COSTA MESA, Cq
Contractor: J C ROOFING AND PAINTING CO
Address: 12362 BEACH BL
STE 26F
STANTON,CA
Zip: 90680
ArGh :
Address:
Phone:
Phone: 886-956-8388
_ Zip: 90680
Phone:
Zip: 92626
Phone: 888-956-8388
License: 720385
Eng:
Address:
77 FAIR �RNE, GOSTA MESA, GA 9Z626
ISSUED BY:
Slatus: ISSUED
Applied: 0922I2005
Issued: 0922I2005
Phone'
Zip: License: � License:
SCOPE OF PERMIT
REROOF RESIDENCE WITH ATTACHED GARAGE: T/O COMP SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30q FELT, APPI.Y "30-
YEAR ELK COMP SHINGIES." 25 SQUARES
Plan Check: $0.00
Permit: $139.25
SMIP Res: $0.70
SMIP Com: $0.00
Other: $0.00
Inspection:. $0.00
Total: $139.95
SETBACKS
MAIN STRUCTURE Front 0• 0
ACCESSORY Front 0- 0
PARKING Ezistin : o
Rear 0-0
Rear 0- 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Reauired: 0 Rr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
s�,000.00
s�,000.00
R
�
/
P
NOTICE: Tha work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period of 1 BO days.
INSPECTIONS: In order ior ihe wo/k author'rzed under this parmit to be considered legal, such work must comply with all applicable codes, arW all
requlred Inspectiona and final approval must be obtalned. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaaaas (doo)
WORKERS'COMPENSAnON DECLARAnON:
I hereby attirm under penalry oi per�ury one ol Ihe following declarations:
❑ I have entl wlll meintain e certiNcete oi consent lo selFlnsure for workers' compensatlon, es providetl for by section 3700 oi ihe Labor Code, lor the peAormence of iha
work for which this pertnit is i55ued.
�1 I have antl wlll maintain workers' compenSaGon Insurance, es requiretl by section 3700 of ihe Lehor Code, for ihe pedortnance ot the work tor which this pertnit is fssued.
� My workers' compensation Insuranca carrier entl palicy number ere: L/ /,�
Carrier.� � fr/{'(' ,�i N�✓ �i Policy Number. /�'/° lJb� —i–OD L
(Thls'sectlon naetl not Pe co pleretll! the pertnit is value0 et one hundretl tlollero ($ f00) ar IessJ Ir • �
❑ I canity that in the performence of the work tor which this pertnit is issued, I shell nol employ any person in eny manner so as to become subiect to ihe workers'
wmpensetlon lews of Calitornie, entl egree thet If I should become suD�ecl to lhe workers' compensatlon provislons of Section 3700 of ihe Lebor Code, I shell forthwit�
comply with these p�o�s/i°���� �
MO���m�Sipnelure _�–y2�W �lf �Oat� rY/ Jsi
WARNINO:'FAILURE TO SEd1FE WORKERS COMPENSATIIXJ COVERAGE IS UNLAW FUL M!D SHALL SUBJECT AN EMPLOYER TO CflIMINAL�NALT S AND CIVIL FlNES UP TO ONE HUNDRED
hKK1SAN0 DOUARE (5100��). IN ADdTION TO TME W5T OF COMPENSATION, DPMAGES AS PROVIDED FOP IN SECTION 3JOB OF THE UBOR CODE, INTEPEST, AND ATTORNE'f5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensed under provisions of Chapter 9(commencing wilh Section 7000) oi Division 3 0l ihe Business antl Professions Code, and my licanse is in full
foroe and aflecL�Llc p � YO .�_� ciass, 33. 3��
CONSTRUCTION LENPING AGENCY:
❑ I hereby eNirm th2t Ihere is e consiruction lending agency for the pedormance of Ihe work for which this permil is issuetl. (Sec. 3097, Civil Code).
Lentlers Name: Lendefs Atltlress:
Signature:
Da�e:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm Ihet undar penel�y oi per�ury ihet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business end Professions
Cotle: Any city or counry which requires e permit to constmct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requiras Ihe epplicant for such pertnit
to tile a slgned stateme�� thet he or she Is Ilcensed pursueal to ltie provislons ot the Gontrectors Llcense Law (Chapter 9(commencing with Section 7000) N Division 3 of ihe
Business antl Professio�s Code) or that he or she is enempt therefrom antl tho basis lor t�e alleged eaemptian. Any vloletion of Section 7031.5 by any epplicant tor e pertnit
sub�ects tha appllcant to a civil penalry of not more ihan five hundretl Oollars ($500).):
❑ I, as owner ot t�e p�operty, or my employees wlth wages as their sole compensation, WILL DO 7HE WORK, enC �he siructure is not imendeG or oflera0lor sale (Sec.
7044, Business and Professions Code: The Contraciors License Lew does noi apply to en owner of property who builds or improves thereon, and who does such work
himself or hereelf or through his or har own employees, provitled that such impmvemenis are no� intended or oHered for sale. tl, however, the building or Improvement is
sold within one year of comple�ion, the owner�builder will have the burden of proving ihat he or she tlid nol build or improve tor puryose of sale.). •
❑ I, as owner ot the property, am E%CLUSIVELY CONTRACTING WIT}I LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business entl Professions
Code: The contradors License Lew tloes not epplY to en owner of propeny who builtls or Improves Ihereon, and wha cantracls tor such project with a conlrecior(s)
license pursuant tP ihe Con�rectors License Lews.).
❑ I am ezempt under sec. Business antl Professions Cotle for this reason:
Signature; Data:
Owner ID verified by drivers license. Ves ❑ No Driver's License No. Expires:
Verlfication of Ownership 6y (rype oi documenL i.e. - property tax bill or deed):
DIVISION OF INDUSTqIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby ceriify ih8t no excavatlon five (5) or more feet in tlepth into which e person Is required to tlescend, will be metle in connection wilh work authoAzetl by this
pertnit, entl t�at no building sirucNre, scettolding, falsework, or demolilion or tlismantling Ihereol, will 6e more Ihen thirry-six (36) faet �igh. (Chap. 32, Grp 2, Art 2, Sec.
341, Titla 8, Califomia Administrative Cotle).
❑ As owner-builder, � will not employ anyone to do work which woultl reQulre a pertnit irom �he Division of Industrial Satery, as noted above, unless such pereon hes e
permit to tlo such work irom the divisian.
Signeture: Date:
Divislon of lndustriel Satety Permil Numbar:
CER71FlCA7E OF COMPUANCE AND AUT}fORIZATION OF ENTRV: I cenity under penalry ot perjury that I have read this ep0lication and stete Ihat the Information given is
correct. I agree to compry wl�h ell state laws antl city ortlinances relating ro builtling construction, entl authoriZe represenletives of the City of Cosia Mesa to ente� upon the
ebove-Uescnbetl O�op,eLY �o� insp�ion,yurposes. I agree not to occupy or ellow occupancy ot any building authorized by this pertnit until final inspection.
CQOE L INSPECTIONTYPE
1616 Fized System Final Fire Prevention
1268 Pool Spa Final
200 Finel RB-Rooi
201 FIneI BIxWRetaining Well
202 Final Fectory Fire Place
203 Finel Sign
20d Final Demolllion
Pdg II�96S
� �
CODE� INSFECTIONTYPE
206 Final Mechanical
20B Flnel Plumbing
210 Final Electrical
212 Final Flre Prevenilon
220 Final Planning Approval
222
250
Final Site
F{nal BuildingfOccupancy
PddIE I�RLS
��s4 , - �4�5 s
F COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 977 COBTA MEBA. GALIPOIiN1A
For Applicanf fo Fill In Compleiely
TYPE OR PRINT
BUILOING
aooreess 824 Santiago Road
COSTA MESA CALIFORNIA
Ci0 •
IaooaEss 3800 E, Cosst Highway
Macco Corp. Tr,E�•OR
98808 SB-1 TNo: OR 3 4220
�...... ��� I NO. OP 6LD6R_
86TBACN LINB PROM 411 � 3 ��
csNT6R oP eTRHeT REAR YAR�
� St
SIDE YARO LEPT S RIGHT
DESCRIPTION OF WORK
NEW I X II ALTERATION I II AGDITION I
REPAIR I IIMOVING I IIDEMOLI6H I
BUILDING NO. oP
81ZE � � _ �� ROOMS % STORIES 1
EXTERIOR W LL ROOF
COVHRING �CUCCO' GOVERING COm o/gravel
UBE OF BUILDING AND WORK TO BE PERFORMED
1 XEIiBBY ACKNOWLHDOe THAT 1 NAVE HlAD T119 APPYGTIOH
AND 9TAT! TXAT TX8 ABOV! IB CORPCC! A!ID AGIiHH TO GON-
PLY WITH ALL CITY OROINANCEB �N� BTATe LAW! itH6ULATINO
eU1LDIN0 CONBTflUGT10N.
aicnwrune o��SA DEL MAR DEVELOPMENT C0.
FE�RECEIVED
JUL 121So1
fINANCE DEPT.
APPLICATIONTFORF P��S�� MESA
BUILDING
For Off7ce Use Only
P6Ce1PT NO. �f' � �VOe
�c J
aecarveo ev I ew�e neee�vso � o�re iaeueo
COSTA MESA CALIFORNIA
FIRE
ZONE
APPROVHD
ZONING
ZONE.� NO. OP U96 OP NHW �
�l I PLANB BOII.�INO I.( I Qi �'�
�:.'"s,..,nu 7 Q`l /,s U G o i�l-
LIN6 9TJ
APPROVED
—G
Living Area - 1245 SF
Garage Area - 390 SF
Cov Porch - 123 SF
THE AMOUM BNOWN UNDHR VALl1ATION 16 FOR TXB
PUPP086 OP. lBTAGLIBHINO A PHRMIT P¢E ONLY.
VALUATION �
PERMIT FEE $ ��
S 13 � �IZS.00 PLAN CHECK $ �G �
. / ��
TOTAL FEE �'1