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Home My WebLink About3186 SICILY AVE - Building PermitsPHOJECT AOOPESS: 3 1 B 6 S I C I LY AV OWNEN'SNAME: ROBINSON BETTY E ADOflESS: 31HG SICfLY r COSTA MESA,CA PflCMIENGINEEfl: FDOPE55: UNIT: 92626 PEG.NO.: UNIT: PEPMITTEE: WIj1TNEY AOOFING ( 714 ) 54$-0769 aooeess: PO 15396 NEWPORT BEACA CA 92659 LICENSEU CONiHACTOB OECIAPATION: I herehy aflirm Iha� I am IiCen5e0 untler provi5ion5 Of C�a ¢r 9(tomm�ilh Section 7000) ol Divsion 3 0l ihe Business antl Pmlessons Code. ane my license is in tult force and eifect. c�rruc.:0280�3/5 srnreuc.:406022 cuss: C-39 Oaie: '�" � ignaNre: � WOflNEflS' MPENSATION DECNBATIO I: I �ereby altirm Ihat I have a certilicate of conseni Io Ii-insure or a certilica�e of Worker5' Campensaiion I a e.�j �f �f'�4 o� (Secuon 3800, Lab. POLICY NO.: �� — J�""+�� EXP. ORiE: 1 I O 1� 9 3 comvaxv: STATE FUND ❑ Cetlifietl copy is hereby fumishea. � Cerlilied caDY is liled wiih �he ciry BuilAing i� n. Oate' �� ( L /�can�: / E%EMPTION FflOM WOPKEflS' fAMPENSATION OECIAflATION: �ThiS 5eclian need no� tompl¢teG if tAe permA i51or one hunOretl (5100) ar l¢55�. I cetlily Ihat in Ihe pedormance ol ��e work far which �his Oermi� is i55ueQ I shall not employ any Derson in any manner so as �o hecome suDiec� lo �he WorkeK Compensaiion Laws ol California. Dale: SignaNre: NOTICE: II, af�er making this tleclaration, you shoultl �ecome suhlec� to the Workers' Compensa�ion pmvisions of �he Labor COAe. you must �otlAwilh comply wi�A such pmvisions or Ihis permit shall be deemed revoked. CONSTflULTION LENOING PGENCY: I here6y allirm t�at ��ere is a con5imdion lentling aBency �or the pedormanCe Oi �he work for which Ihis permn is i:suetl (Seciion 3097. Gv. C�. LENOEP: AOONESS: CITY OF COSTA MESA — BUZLDZNG PERMIT ;� PERMIT NO; B 057761 PLAN CHECK NO: N —��Vf-7�SII�p; A— CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIPTION ; TEAR—OFF REROOF W/COMP SHINGLES SQ FT: 9,136 CLAIM VALUE; 4,136.00 CALC—VALUE; 9,136,00 GROUP OCC; R-3 /M-1 COMMENTS: REROOF 2300SF RESIDENCE r+� **��*,��***,��.,��,��*��*��*�*�«�.�«��*�**�*��****�� } ��R Z O N I N GS ERTEH�AUCIKRSE M E N T �C � ------------ MAIN BUILDING ---------- --------- ACCESSORY BUI�i1C��n r Q--- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT YN PARKING REQ• PROV; PARCEL; 13913503 ZNE; REF NO; PLANNING NOT'ES> 7 �FiF if if ik if k if if iE �1k if 3f if k k k �f i! ik if if If if 3F 3f �f �f it iF�t iF iF iF it if if �k �f �f iF 1E 3f 1f 3f �F 3f k it iE iE �E k k jF1E 1E i! if jE ff ik i! �1F if ik 1f �E if )f ik �1! k If 1l�flE jE iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�.T S ZONING APPROVED BY DATE: � BUILDZNG APPROVED HY : DATE; ` APPLICATION ISSUED HY; DATE; �12 ifif3FiEiE3FifikikiEkikiEklfikaflF3fi�iF�f iEif3fiEifif�F**if 1Eif if�lkikiEiFiFikiElFifiFiFiFik�kitiklkiFit3fiEiEiFlfiFil�k�E�fifitlE#kiEiF�kiEiFjfdlkiFiliFiEikiFikikifkitiFlFiFiFkilifkiEiFiF�EiF1Eit ifififiEiFiF*iFiE LEGALI2ATZON;N F E E S U M M A R Y STRUCTURA�SEGMENT:Y OwNEx BU��oen oECtnnnilOx: � nereby a��irm tha� I am exempt trom ihe Contracmrs' State License Law for ihe following reasan BLDG PMT PLUMB ING ELECTR IC MECHANIC FIRE $MZP /FZ$$ GRAD ING (Sec�ion 703t5 Business and Pm�essional CoOe: Nny cily at counry whicA reQuires a Dermit b constmct, alier, imD�ove, Oemolish, or PERM I T % 2, � 0 , rj 0 repair any s�mcNre, prior lo ils issuance, also repuires tne apDlicant for such permii to tile a 5igne0 s�a�ement that he/she is licensed SMiP �NON—RE�C pursuani to Ihe pwvisions ol Ihe Coniradors' S�ate License Law (Chapter 9(commencmg wi[h $ec�ion 7000) o� Division 3 oi the Business PL� • antl Pmlessions Cotle) or �hat helshe is exempt Ihere�mm and �he basis lor the alleged exemD�ion Any viola�ion o� $eclion 7031.5 by ' any applicani for a Dermil sublec�s �he appliwnt Io a civil penalty ol no� more �han five hun4�e0 tlollars ($500). ISSUE FEE : i, as owner ot me pmpeny or my empioyees witn wages as meir sole comDensation, win tlo ine work, and ihe BUILDING—DIV—> PEFiMIT ISSUfi PLAN—C$$CK 1'OTAL PAID DUE ❑ slmc�ure is nol intenaea or aflered for sale (Sec�ion 7044. Business and Pmfessional Code: TAe ConVactors' State License Law TOTAL$---> % 2, 5 0 �, � � ��' �, � � 7 2, 50 % 2, r] � , � Q does not apDty Io an owner o� a pmperty who builds or improves ihereon, antl who tloes such work himseli/herself or �hrough ' �is or her own employees. pmvidea �hai such impmvemen�s are no� inlentle0 or o��ered fo� sale. If, �owever ��e builtling or REVENUE DI VIS ION T�TALS--> COLLECTED • 7 2, 50 OVER /SHORT • 00 impmvement is so�0 wi�hin one year o� camp�e�ioa �he owner wi�� have �he humen ot OrovinA he/she ditl no� bui�e or impmve HLDG PMT PLUMB Ir1C'i ELECTRIC MECHANIC F'IRE SMIP /TOT i'iRADZNG FLAN—CHECK ro� tne nurPose oi saie). 7z , �0 " , 50 I, as owner ol �he pmpeny, am exclusively conVacting wiih IicenseU conirac�ars to cons�mci Ihe Dmlect (Sec�ion 7044, Business �'. ❑ antl Pmlessions Code: T�e ConVaciors' Slale License Law Ooes nol apO�Y �o an owner o� pmDerty who hml0s or imD�oves Ihereon andwhocomraclslorsuc�projec�swithacon�racior�s)Iicensepursuan�totheComracmrs'S�a�eLicenseLaw).lamaware *'�*'�'*'K'*'�**"�'K"�*'�'*'�'**'*'*�"K'***"K'**'�'�"K'*'�'**'*'�'*'**'*'*'�'**'****'�"K'�'�'M'M'M'1fiFil'Ikjl'iE�hIFiE1F�E'killfifif�3fik�kiflE�k (ha� proo� of their Worker'S Compensa[ion insurance should be pmvi0etl �a me. I N D I V I D U A L F' E E H R E P� K D � W%1 � I am exem0� untler Seclion'. 8. 8 P. C. ' mrmisreason: TYPE QTY D E S C R I P T I O N' UNIT COST TOTAL COST Oate: Ownec I tlo nereby cenily inat t am aware of ana untlerstantl the requiremenis of Califomia Healih and Safery Coee Sections 2550.5, 25533, and 25534 and I�at I or any lulure building ocwpan� willlwill no� (circle one) nee0 b compty wi�h saitl Slale co0es an0 ��e reqWrements for a permil lor conitmtlion or motltlication �mm Ihe Air �ualiry Managemen� Dis�ricl' idential can5tmction apDlica�ions are exemp� imm Ihese pmvisions. Date: Applican - i hereby cetlity Ihal I have reae Ihis applicatian tl s�a�e Ihai Ihe abo� mlormation i �Grrect. I ayyy999111�r,,, to c ply wi�h I' n0 counry ortlinance5andsta�elawsrelatinglobml�mgc simctionantlhere�� Wri e re Idlrvesoll' ity�a lerup ove�men�ione0 pmperly I inspection purposes. ` � �� ( �a�e: SignaWre: Oriver's License or Socia� Seari�y a: t6ai�46 White—Builaino'. Green—Catle EniorcemenC Canary—Poolicam; Pink—Revenue: Goltlenrod—Assessor � � SFR 4136 REROOF BY VALUE RESZ�DENTIAL NOZONE 1,00 9,136.00 END iOF FEES ./ . /� � , � ! 0 Ct �'J!t;'.:� , '.�: u•a�i�' �" -- .. �_•lc , /' CONS7RUCTION AND PLANNING . POO� & SPA APPROVALS Permit� Date Inspector AppROVALS Permit# Date Inspector t. Temporary Electrical Service or Pole , � 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. �� 53. Steel Reinforcement '3��ectrical Conduit UtilitY-Undrgrnd. . 54. Forms � :.4. Electrical Conduit�Undrgrnd�. � 55. Electrical Bonding ''•5. Steel Reinforcement � ' 56. Rough Piumbing & Pressure Test � -- � 6. _Hfectrical UPEfl Gcnd. � 57. APPROVAL TO COVER�GUNITE _� � 7. F-qotings r 58. Electrical Conduit•Undrgrnd. ' . :�� ' 8. Foundation -" � 59. Gas Pipe, � Undrgrnd., Test " B. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. � - 10. Structural Fioor System � 61. APPROVAL TO DECK � 7 t. Property Sewer Liqe & Ho�use Connection � 62. Backwash & Receptor�Final ' 72. S,gwer Cap � = 63. Hea[er & Ve�t-Final " 13. Roof Drains �c 64. Plumbing System • Final 14. flough Ptumbipg '� , 65. Efectrical-Fi�al 15. Rou9h Electrical-Conduit 66. So�ar System-Final 16. Rough Elearic Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPAOVED FOR P�ASTERING 18. Rough Electriral-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20:��RoUgh F_actory Fireplace � r � i `_ 4 . � •.qppROVALS ""'Permit # 21}DucYs,inStructu're. . . , - ' �•70. UndergcoundHydro � 22. Ducts, Ventilati�gy "_ r ' " 77. Product P.iping OGas i.70i1 23. Gas�Pipe�Rough&'Test '`y ' - ..` - ; 'f 7Z, Under9round Fiush�•. ` . 24.. ftoaf Framing . � � - •� � : " �`�73rUndergrnH�.StorageTank�OGas ❑Oil 25. Roof Sheathing r ` ' - � "' ' ' 74` Overhead�Hydro " -� 26. T-Bar Ceiling (Structural) &Monocoat � c ' 75. Dry Chemical • - 27_� Prame and FlasHing ;. ,' 76. Dry Stancjj�ipe ' - � � �x 28. Lathing & Siding a= . 77. FIXED SYSTEM FINAL � 29. Insulatjon � " . ' ` � .' , 7$, FIRE PREV. FINAL � 30. Drywall.Nailing . � � � HEALTH�DEPT. REQUIR�EMENT f,31. Plaster Brown Coat" ', � , 79. FINAL INSPECTION � - ' 32, Electriczl Power Meter��inal �� . � -�$0..-FOOD CERTIFICATE ISSUED � 33, final Electri� ,. � ;, ' � � � Noies:��__��_�_�5�.�',^ i.�-`G� ='34�-.Final Hyating & Air;Conditioning. '; -- - . - ' �� C� -�3��-,�� 35��Finai Gas Pipe-Test _ - ' � . _ �, , 36. Ho`od or Canopy K .., . . � _ � � � �37:�Final Factory Pireplacet � 4` • �'� � - ` � 38. Final Plumhing ' � �� . . � .. _- 39. Water Service�Finai � � � � r � � ,40. Gas Service=Finai `, " . ; �- _ _ � � >;41. Solar pomesticFinal'�. - •� ` - � � M � 42.�Backflow Preventer`� '� -' � � - � , � _ � ., � _ 43. Backflow Irr7gation -- _ s *� - - ;44. Landscape Ir.rigation System ; 1 . ; ,, c . � � � � � 45.. Sound Attenuation �i y .� . 5- � .. � � . r, . - - r� • •46. Handicap Regulations �`" � , ' � � _ , . _ � � . 47.PINALSTRUCTURE&BUiLDING� �Z2 6 - _ . l 48:,FIN'ALPLFiNNWG i :_ _ . , • -49. Electric Release to�Ediso� � . 50.�Gas,Release to Souihern Califomia Gas Co .` i (� ; � � - �' -51. CE,RTIFICATEOF�OCCUPANCY , . � . No. Date � OWNER SUt9KERI,AND LAND "CO• � DATE (i—ZLi-57 m JOBADDRES$ 3186 S1C11,Y AVBRllE BUILDINGPERMITNO. II(19u GENERALCONTRACTOR Ocaner Hldr. VALUE $ ZO.�6•OO LOT 1Si BLOCK TRACT Z35i RBS. W�Btt. P.2T'. INSPECTIONS Footing Trench Foundation Formsand Gradeto Hough Freming � Plumbing, Rough to Stab �•p� Plumbina. Rouph CompletE TVPE V ZONE RZ FIRE DISTRICT 4937 PERMITSISSUED DATE SUBCONTRACTOR DATE I NUMBER Wiring, RouBh � —� Heating, Rough %VLBS b—/] Heating, Final {�GS O�l6 `Beweq Housg Sewer, SL /%%�S � � Septic Tank or Cesspool Lathing, InX Ou - � Plasterin9 �/�/� 9'— Plumbing, Final, Fixtures Complete Vi�j � Plum6ing,FinalGasTest tS O�CL� Wiring, Final � Occupancy �x r � � _ _ FORM 2�0 9M 10-'!S . ' 4y3r! COSTA MESA BUILDING DEPARTMENT __ P. O. BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILI. IN ADDREI55 "�1S�i SicilY AvenuE COSTA MESA. CALIFORNIA OWNER MAIL ADDRE55 CITV I�pg ARCHITECT OR ENGINEER CONTRACTOR ll S�• AODRE55 LEGAL LOT DESCRIPTION NQ, A.P. NO. SIZE OF LOT USE OF E%ISTING BL�G NO. LIC. NO. QTY LIC. NO. NO.OF BLDGS. now orv �01 �SETOPCK L NE FPOM cErv1[a or SiR[[* �n � REAR YARD in � Si�E YARD RIGHT } � LEFT �� DESCRIPTION OF WORK NEW . },' ALTERATION ADDITION REPAIR I MOVING DEMOLISH BUILDING NO.OF SIZE ZGC� ROOMS 5 STORIES E%TERIOR WALL _, ROOF LOII�TJOSZ �] I HEREBV ACKNOWLEOGE TMAT I X STATE THAT TME 4BOVE IS CORRECT CITY OROINANCES T STATE L4W5 TION. SIGNATURE OF PERMITTEE AVTHORIZED AGENT� �Di ��E RECEIVED �1,�Q�-�,�� s�Q FIN� CE DiA PMESA A�"I3�LICATfON FOR PERMIT BUILDING FOR OFFICE USE ONLY COSTA MESA, CALIFORNIA FIRE ZONE 20�PLO�NS TYPE � V� APPROVED BV DATE � CORRECTIONS 1 d 2 . i15 APPLIC4TION PNO TO COMPLV W!TH �LL BUILOING CONSTRVC� J VALUATION PERMIT FEE S 2�] � OO /O ��/ ,�PLANCHECK S �3�00 $ �O / TOTAL FEE S 3`�.QO �'�`