HomeMy WebLinkAbout2197 SANTA ANA AVE - Building Permits (2) 2197 SANTA ANA AVCITY OF COSTA MESA - BUILDING PERMIT V D� l �r�
ADDRESS OF BUILD/43: sari:
overstaimwQCtm: SMITH-GINTER, PENELOPE PERM NO: B 086652
Aomm( VENOLA
2197 SANTA ANA AVE PERMIT NO: B 086652 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92627
APPI.MMIgN°ADDRESS: CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH
I
ARCHITECT ORENoam sac ND: JOB DESCRIPTION : T/0 REROOF W/COMP SHINGLE& HOT MOP SQ FT: 6, 000
ARCHOR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 6, 000 . 00 CALL-VALUE: 6,000 . 00 GROUP OCC: R-3 /U-1
cowBACTarsNAlmRAY' S ROOFING ( 714 ) 559-9369
camACTORSMutam 14571 HIGHCREST CI COMMENTS: X
ADDREss IRVINE CA mic.. 361042 ******+ *+E******sr:E:EiE*****:E:E*******:E****:E***NSE**********:Eye:E*x***:E***:E ***:E*****x-*
92604 WIT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Profession Code,and my license is In fug face and effect.
uc.No.:019427 uc.cuss: C39 uc.NO,: 361042 a EXP : 10/98 MAIN BUILDING ACCESSORY BUILDING
Da �` o-7 ' Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
•
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OW R BUILDER DECLARATION:I hereby affirm under penally d perju that I am exempt from the Contractors License Law for also
f wine reason($edion]Wt.s Business and Professions Code:Any trig a many which requires a perms to mnsimdl eller,improve, PARKING REI: PRO V: PARCEL: 42615310 Z N E: REF N O
moleh,or repair any structure,prior to Is issuance,also requires the applicant for such permit to fib a signed statement Nal he or she
, is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>„
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Ary violation of Sadan . .
• ]001.8 by any applicant laapernN subjects the applicant toaavil penelrydal nmore than lova hundred dollen)SSggD. ,
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❑ I,asovmerdthepmpanyormyemplgeeswihwagesaslheisolecompensation.willdelMwork,andthestnmtureanalintended D EV E ••$ OP MEN T SERV ICES R E U I R E M E N T S
or offered leBusiness sa
r sale(Section 7044, d Professions Code:The Contractors License Lew does not apply to an bwnerd progeny Q
who builds or improves thereon,and who does such work himself or hersel or through his or her own employees.provided that such , i
impmvemwu°°re sol Waded a altered forsale.I.however,the building a knprovernM I sold within as Yea of comPldm,the ZONING APPROVED'BY DATE:
owner.buiter wit have the burden et proving he or she did not build or improve for the purpose of sale).
oI,m owner d the progeny,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and
Professions Code:The Contractors License Law does non apply loan ovmerof progeny who buIlt or improves thereon and alto BUILDING APPROVED BY : DATE:
contracts for such projects with a mmmctorts)lamed pursuant to the Contractors License Law). j�
❑ Iaro exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY : DATE:
********************************************V* ******************* - - • **v
Dale: OwnerLEGALIZATION :N F E E SUMMARY STRUCTURA EGMENT:Y
1 do hereby certify that I am aware el and understand the requirements of Callomia Health erd Safety Code Swans 25505,25533,and
25534,and ostruc°ry 'modification
anagrcbaDin°tResid alwlh°uctionemdn°rdrre ethsr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit la that'or a n fare bradin occupant
pant u�i of(cede
e)need to comply
construction cod tian therequirements
from or
provisions. PERMIT 112 . 25 . 60
Date: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dain: PLAN -
ISSUE FEo Ihave and veil m°intanacediia.ofconsent loselfinsurefor workers'companw
ion,as W
edforbySection3] oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.or the performance dthe work for which this rsue is Peis issued. TOTALS----> 112 . 85 0 . 00 0 . 00 112 . 85 112 . 85 . 00
o I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
wait for which this permit S issued.My workers'compensation insurance carrier and policy number are:
Caner: REVENUE DIVISION TOTALS--> COLLECTED: 112 . 85 OVER/SHORT: . 00
Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
mi/section need nor be cornp/etedt fire paint is for one hundred doltws/$toOJ or Isa) 112 . 25 . 60
y I certify thai in the performance of the work for which this remit is issued,I shalt sol employ any person in any manner so as to
become subject to the workers'com ositio%laws of California.and agree Nat E 1 should become°ubjed to the workers' *******************************************************************************
cmsensatioh provisions d Section 3]00 d the Lever Code.1.h��Jathweh corn* thosepradeons. I N D I V I D U A L' F E E B R E A K D O 4I N
at.: &—a Applicant: Y�ay- f Co
aming:F.11uretbsecure waitron'compertsadoncoverage leunlawM,,andshellsubjectanemployerocrminalpenaleand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Annn u to one hundred thousand dollars 05100,0001 in addition to the cost of compensation,damage.ea Prodded for In
Section 3709 of the Lsbor Code,interest,and atom eiaa& SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 000 . 00
CONSTRUCTION LENDING AGENCY:I hereby atria under Penalty of P awy that are is a condrud'an lending agency for 0e END OF FEES
performance of the work for which this penal a issued(Sedan 3097.Cl,.C).
LENDER'S NAME:
LENDER'S ADDRESS:
1 may that I have read this application and dale that the above information is sorriest.I agree to comply with all city and county ordinances
and state Tawe natio;to wading«rWrudion and hereby authorize representatives of this city to enter upon the above-mentioned propene I .
for wmPeddn prpaee.RAY GRONAO 81-28-1998/11:38 AM/$112.85
� Print Name RCPT8:81-8818488
s_ �•.I��' Date; t'•- ' 76' PERMIT:086652
Signature of Owner/Agent/A.•-.-:
(SI SI'45.WP) White-Building&Safely;Groan- ppicant;Pink-Revenue:Goldenrod-Assessor
•
CONSTRUCTION AND PLANNING POOL °"PA
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 OF ER 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 FtRE 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 73. Undergrnd.Storage Tank 0 Gas 0 Oil •
25. Roof Sheathing js21)) 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and Flashing 76. Dry Standpipe
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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 CERTIFICATE ISSUED ��Q,/�/
33. Final Electric Notes: // 7f .1' firt a
.4rri+i` g w
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 r
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /J)7_i 0
48. FINAL PLANNING
- 49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY -
No. Date