HomeMy WebLinkAbout2197 SANTA ANA AVE - Building Permits 2197 SANTA ANA AVCITY OF COSTA MESA - BUILDING PERMIT I v D� ' l�
ADDRESS OF BUILGING: UMT: r
OWNERS NAME IF KNOWN: SMITH-GINTER, PENELOPE PERM NO: B 086652
omEss' VENOLA
2197 SANTA ANA AVE PERMIT NO: B 086652 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
MM
HG MNG ADDRESS CONSTRUCTION TYPE; 5-N PERMIT TYPE: STR PURPOSE: OTH
1
ARCHITECT OR ENGINEER: lit.N0.: JOB DESCRIPTION : T/O REROOF W/COMP SHINGLE& HOT MOP SQ FT: 6, 000
ARCH.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 6, 000 . 00 CALC-VALUE: 6, 000 . 00 GROUP OCC: R-3 /U-1
CONTRACTORS NAME:RAY ' S ROOFING ( 714 ) 559-9369
CONTRACTORSMAILNG 14571 HIGHCREST CI COMMENTS : X
ADDRESt IRVINE CA uC.NO.: 361042 ************************************->E************************«-********sE****+P* -*
92604 utT: Z ONING R EQU I R EMEN TS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full lace and effect.
!_OpLIC.NO.:019427 uc.CLASS: C39 uc.NO.: 361042 EXP : 10/98 MAIN BUILDING ACCESSORY BUILDING
// Dale: /—.9-07 $ Contractor: Ptop2p FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
�7 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OW R BUILDER DECLARATION:I hereby affirm under penally d perji that I am exempt from the Contractus License Law fa the
I wing reason(Section 7031.5 Buenas and Professions Code:Any city cc county which requires a permit to construct alter.improve. PARKING REQ: P RO V: PARCEL : 42615310 Z N E: REF NO;
mash,or repair any structure,prior to its issuance.also requires the applicant for such permit to file statementa signed that he or she
is licensed pursuant to the provision of the Contractors License Law(Chapter 9(commencing with Section 7000)of Dismion 3 of the PLANNING NOTES>_
Professions
Business and Professu Code)or that he or she exempt thwd efrom and the basis for the alleged exemption.My violation Section > •
7031.5 by any applicant iaa permit subjects the applicant toeavn penaltydwTOM than five hundred dollars 001). *******************************************************************************
o I,as owner of the property ormyempkyees with wages astheir sob compensation,will do the wok.and tile sUudureinot iMended D E V E -L O P M E N T SERVICES R V I C E S R E U I R E M E N T- S
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not appyto an awns'04 property Q
who bunds or improves thereon, such who does suuwork himself or hersel or through his or her owe employees,provided Thal such f•%
improvements are not intended or offered for sale.If.however.the building or improvement is sold whhin one year of completion,the ZONING AP PROVED'BY
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). DATE:
❑ I.as owner of the popery.am exclusively contracting with licensed conirecta°to cxstrud the project(Section 7044.Business and
Professions Code:me Contractors License Law does not apply ban owner of property who builds or improves thereon end wlo BUILDING APPROVED BY : DATE:
contracts for sub projects with a corarector(s)licensed pursuant to the Contractors License Law). - -
❑ Iamexempt under Section: B.aP.c..for thireason: APPLICATION ISSUED BY : DATE: 1,:na•
******************************************** * ******************* *v
Date: Owner LEGALIZATION:N F E E SUMMARY STRUCTURA EGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,end
15534,and that I or any future building occupant will/wit not(circle one)need to comply wih said state codes end the requirements for
a permit for construction or modifimlinhorntheAt QuakyManaement District.ResdentWmrdntlicn applications as exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 112 . 25 . 60
Dale: Applicant: S M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby ethos under penalty of perjury one of the following declarations: PLAN
ISSUE FEE
o !have and will maintain°cenHcmeaconsent loself-insure for workers'canpenselion,asprovided for bySection 3700althe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.f«the pan«me eau.wakf«wnwnm,p.mN .®sed. TOTALS----> 112 . 85 0 . 00 0 , 00 112 . 85 112 . 85 . 00
❑ I have and MI maintain workers'compensation insurance,es required by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers compensation insurance caner end policy number are:
can;«: REVENUE DIVISION TOTALS--> COLLECTED: 112 . 85 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Thi4acfion need not be permit completedIthepeisforonehundreddawsnMOolorless.) 112 . 25 '/, . 60
I certthat in the performance d the work for which this '
Ey pedpermit b issrwd,I Mall not employ io b person in ie manner iso es to
became subject to the workers'compensation wore d Cafornia.and agree that ff I Mceld beans abbot to the wkere' ***********************************************************N*******************
o mpenesbon provisions d swan 3700 a me lobar cosi.,l,My/yw;m-mrrrpy h trove provisions. I N D I V I D U A L -• F E E B R E A K D O W N
are; 1'-D.C}- Applicant: (/�Cr/ /� 94 7 CO '
amine:Failure to securewol*eri compensation coverage Is unlawful,and shell e4tJKIen employer to criminal psnalUM and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to the cost of compeneatlom damages as Provided ler In •.
seenon3706ofthe Labor Code,Interest,and ettomey'alees SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and dale thal the above information is correct.I agree to comply with it city and county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the abovo-mentioned properly E' y
finspection purposes'RAY GRONAU Bl 20 1998/11:38 AM/$112.85
AO Print Name
y RCPTA:81-8818488
� oat.: f.'4-C) �p PERMIT:086652
Signature of Owner/AgenuAppli
(5151-46.WP) While-Building 8 Safety:Green- °nary-Applicant;Pink-Revenue:Goldenrod-Assessor
•
CONSTRUCTION AND PLANNING POOL
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 UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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- I
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 73. Undergrnd.Storage Tank 0 Gas 0 Oil •
25. Roof Sheathing /j2;•Y 74. Overhead Hydro
26. T-Bar Ceiling IStructurall & Monocoat - 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 80. FOODCERTIFICATEISSUED
33. Final Electric Notes: !/j/�� ^�.yat` S,
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 /A7_7(
48. FINAL PLANNING "r •
- 49. Electric Release to Edison
- U
50. Gas Release to Southern California Gas Co - _
51. CERTIFICATE OF OCCUPANCY
No. Date