HomeMy WebLinkAbout425 LENWOOD DR - Building PermitsJobAddtess: 425 LENWOOD DR �_, ., ,' Status: ISSUED
Suite: � Applied: 08/22/2005
Vicinity: ROOF Issued: 0822l2005
Primary Occ: R7 Type of Construction: V-N
Parcel Number: 42514215 Zoning:
Applicant: BEATTY, JOHN A
Address: 425 LENWOOD DR
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Phone: ISSUED BV: ��
COSTA MESA, CA Zip: 92627
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Owner. BEATTY,JOHNA ;� F ; �� �,�
Address 425 LENWOOD DR- � .�i.'`? :��,�
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COSTA MESA;�CA �3„,�; , - '� Zip .ti92627^.� "�*,,
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contrector OWNER BUILDER�A: � �•� . . '
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`''" SCOPE OF PERMIT '
):SHAKE OOF AND INSTALL NEW SHEATHING AND 30 YEAR COM
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Inspechorc "$0 OQ � ���
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�°Total. :*;� $111 75���'"?'
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NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92) �
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 pariod of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered �egal, such work must comply with all applicable codes, end all
required Inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
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WORKERS' COMPENSATION DECLARA710N: . �
I hereby ettirtn under penalry of perjury one of ihe tollowing tleclaratlons:
❑ I �ave entl will mainiain e certificate of consent to salt-Insure tor workers' compensation, es proNded for by sedion 3700 of the Labor Cade, for the pertortnence of the
work tor which Ihis pertnit is I%ueA. � '
� I have e� will malntain workefs' compensetion insurance, as required by sectlon 3700 of the �ebor Code, for the performance oi the work for which this pertnit I5 Issued.
My warkers' compensatlon Insuranca certler and poliq number are: '
Cerrier. Policy Number:
(ThLa sectlan need nof be completed �l Me pertnlf /s va/ued af one hundred tlollars ($100) or less.)
'�""f c9tlify ihet in t�e peAormanGe of the work tor which this pefmfl is issued, I shall not employ eny person in any menner so a5 to become subject to the workers'
�--"wmpensatlon laws ot Califom�a, enC ee thet If I shauld become sub�ad to the workers' compensetlon DroWsions ot Sectlon 3700 of the Lebor Code, I shall forihwith
� wlth Nese Drovisloryt. � �
Appticent�Sla�� .�� .�.i oate:---�.a�c.na �L/ — d' /�
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WRM'I FNLU O S E WORKERS' CO�dPENSATIIXJ GUVERAGE IS UN FUL AND SHALL SUBIECi AN EMPLOYER TO CHIMINAL TIES ANO GVIL FlNES UP TO ONE HUNDRED
THOUSANO ,000),INFDDmOf�1TOTMEWSTOFCOMPENSATION,DNMNGES/SPROVIDEDFIXiINSECT10N31O60FTHElABORCOUE,IMEPEST,ANDATTORNEVSFEES.
LICENSED CONTRACTORS DECLANA710N:
I hereby affirm t�at I am Ilcensetl uhtler provlsions ot Chapter 9(commencing with Sectlon 7000) of Division 3 of the eusiness entl Professions Code, antl my Ilcense is in full
torce entl etted. Lic. q Class 8
Coniredors Signature: Date:
CONSTRUCTION LENDING AGENCV: �
❑ I hereby aHirtn Ihat there is a w�sirudion lentling agency tor the pertormance of ihe work tor which t�is partnit is issueA. (Sac. 3097, Civil Cotle).
Lendefs Neme: lentlers Address:
SlpnaNre: Data:
OWNER-BUILDER DECLARATIONS:
I hereby eXirtn thet under penelry ol parjury Ihat I em EXEMPT FROM THE CONTpAC70RS IICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business entl Professions
Cade: My dry or counry which reqVires e pertnit to construct, alter, impmve, demolish, or repair eny strudure, pnor to its issuence, elso requires the epplicant for such pertnit
to flle e signetl stetement Uat he ot she Is Iicensed pursuent to the proNsions of ihe ContreMors License Lew (Chapter 9(comme�dng with Sedlon 7000) of DNislon 3 of t�e
Business and Professions Code) of Ihat he or s�e is exempt therelrom and tha besis for the ellegetl ezemption. Any violetion of Sectlon 7037.5 by any epplicant for e pertnit
sub�ects the epplicant to e cNil penalry of not more than five hunAreC tlollers ($500).):
-Q"�I; ds'owner ot ihe pmperty, or my employees with wages es thelr sole compensatlon, WILL DO THE WORK, entl the structure Is not intended or otteretl for sale (Sec.
"7044, Business and Professio�s Cotla: The Gontrectors License Law tloes not apply to an owner of property who builds or improves thereon, and who tloes such work
himself or herselt or ihrough his or her own employeas, provitletl that such improvements ere not intended or oHered for sale. If, however, ihe building ar improvement Is
sold within one year ot completion, the owner-bulltler will have the burden of proving thet he or she ditl not build or im0�ova for purpose of sale.). �
❑ I, a5 owner of [he property, arti EXCLUSIVELY CONTRACTiNG WITH LICENSED CONTHACTORS lo consWct the project (Sec. 7046, Busineu end Professions
Code: The comrectors Llcensa Law does not eppty ro an owner of properry who builds or improves ihereon, and who contrecis for such project with e contractor(s)
license Oursuant to the Contractors License Laws.).
❑ I am ezempt uyder �_�� Business entl Professions Code lar this reason:
fietl by driver5licens6. � Ye5 �] No Drivers'� No.- ��w � r�Exp��es, �
ot Ownership by (type o1 document, i.e. = property tau bill ar tleed):
DIVISION OF INDUSTRIAL SAFEYY PERMR CERTIFICATION:
❑ I hereby certiy Ihat no exceva��on tive (5) or more Feet in depth into which a person Is requirad to descend, will be made In connection with work euthorizetl by this
pertnit, and that no building stNcture, scaflolding, falsework, or tlemolition or dismantling thereof, will be more than Ihirry-six (38) feat high. (Chap. 3.2, Grp 2, Art 2, Sec.
301, Title 8, Califomia Admini5lrative Cotle).
❑ As owner-builder, I wlll not employ enyone to do work which would require e permit from the Division ol Industrial Sefery, es noted ebove, unless such person �as e
pertnit to do such work irom tne division.
Signeture: Date:
Division of Intlusiriel Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUiHORRA710N OF ENTHY: I certiy under penalry of perjury ihat I have reatl this application and state Ihat ihe intortnetion given is
conect I egree to wmpty with all s�ate lews end ci ordinances relating to building construction, and authodze representatives of Ihe Ciry of Coste Mese to enter upon the
ebova-described pro0e insp bn puryoses. I e o occupy or ellow occupancy of any building authonzed by Ihis pertnit until final inspection.
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S��e'Nf,Legal Ownei(s)F,"��-� Date.,�""�
AnNO! Authonzetl Applicant Date
COUE �. INSPECTIONTYPE BAIE I�ALS
1816 Flxed System Final Fire Pra�ention
1268 Pool Spa Final
200 Final Re-Roof � ���
201
202
203
Final Block/Ralelning Wall
Final Fectory fire Place
Final Sign
204 Final Demolitlon
CO�Et 1NSPECiIOXTYPE
206 Final Mechanical
208 Finel Plumbing
270 Finel Electncal
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Bd1E It�EL$
��3�9� ��� ME A . BUILDING DEPARTMENT - �
1 ..+ P. 0. BOX 317
CITY OF COSTA MESA OSTA MESA CALIFORNIA
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BJECT TO BLDG. D'cPT. REG. C. . OF STREET
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PROP LINE " '' ' '
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
M�AXIMUM 6 FT. FENCE MAY� BE�'PLACED ON SOLID .LINES
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Mail Address l �3 �-��+���� � ��� ,,
City �� �/.0 Ph. No.��s
Contractor� ///�=��'�'d Ph. No a•c ��� 3 3 C�
Address �� a �l% �-�.'���-, - ��
City Lic. No. State Lic..No.���
Size of Lo? �0 � � D � AP N�-�1- �7�'�' ` "3 /3 /
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Setbacks: C/L Street -� � Rear ��
Side Yard - Righ � Left '(7
Typ�ence � 'fi
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I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY . �
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R ed by Date ecei yY Date ssf d
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VALUATI N _�
Permit Fee $ �
$ �d ��� Plan Check �
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TOTAL FEE $ Z"`�
USE REVERSE SIDE FOR DETAILS
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owNEe K. W. KOLL CON5T, CO., TArC. DATE 6-6-57
]OB ADDRESS �,25 LPnflOod Dr B[IILDING PERLviIT NO. ��y S„ZF,�
GENERALCONTRACTOR q�,e VALUE $ 1j�000.00
AP. No. LOT ��2 TRACT 'il"i7 FIRE ZONE DESCRIPTION OF WORK Res. w�att ear.
INSPECTIONS I iATE I gUBCONTRACTOR I DATE PERMI7SNUMUBEF
Test
Cosxa Mesa Building Department APPLICATION FOR PERIVIIT
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.�' P.O.Box3!7 S�OO BUILDING '
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
' FOR APPLICANT TO FII�L IN Receipt No. Permit No.
Building G��`�
address l,2� Lenrrood Drive `�
Costa Mesa, California Received by Date Rec'd. Date Issued
Owner ?C. j�7
necc or
neer
Contractor
Metes and
Tel.
No.
c�ty
. I No. of Bidga
Now nn Lof
Setback Line from Rear Vard 2�
center oi streec 51 �6" side vard �
DESCRIPTION OF WORH 5
New I $ I Alteration I I Addition
Rooms ti Stories
�� G-S =.� � JUN
Building
Address
Costa 1Vlesa, California
Nearest
Cross St.
CORRECTIONS
Exterior WaII Roof
Covering j�r3IIi�' 3: S'�i.UC OCovering $h�3kP,5 E1PPR�Va�..�
Use oT New Foundation Location Inspectar
Building S1rit'ZP 1^u*11�T D41@1111?<? Forms,Materials,
` �? Under-Pinning
Frame: Fire Stops,
��4�Z�� Brecing, Bolts
I her y acknowledge that I have read this Application
and state that the above is correct and agree to comply �ath. Int.
with all City Ordinances and State Iaws regulating
building construction. Lath. Ext.
Signature of
Permittee Plaster, Int
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Authorized Agt.( ti plaster, Ext
Valu,atlan Permit F�e $ 3p — Masonry Reiniorced
1 Plan Check $ /S — eond Beam
$ �✓j � �� � Total
Fee $ S�'� FINAL ��
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Show Iacation end disYancea from
property Iine and between buiidinga
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OWNER CO�K, Meredith L. DATE 3-�{-58'
JOB ADDRESS 1�25 Lenwood Drive neT � R 106A BUILDING PERMIT NO. 6�1%:.l ��
GENERAL CON'J
VALUE
AP. Na LOT QQ TRACT jlj'j FIRE ZONE DFSCRIPTION OF WORK Redwood & Cement Block
GROUP TYPE ZONE PLAN NO. �ence
INSPECTIONS I DATE I SUBCONTRACTOR PERMITS7SSUED
DATE I NUMBER
L'inal
61�7h