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Home My WebLink About1658 UTAH CIR - Building Permits � r CITY OF COSTA MESA _. 4 @@ BUILDING DIVISION >:f,.,,, .Ar6 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER .I 'n"-m'ja I PERMIT itbeoRmst its B00-01876 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1658 UTAH CI Status: ISSUED Suite: Applied: 11/20/2000 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 11/20/2000 Parcel Number: 13907322 Zoning: Applicant: LIVINGSTON, JAMES ISSUED BY: 4/K Address: 751 SESAME ST Phone: 800-525-7929 CHULA VISTA,CA Zip: 91910 Owner: GOUGH, CHRISTOPHER R Address 1658 UTAH CIR Phone: COSTA MESA,CA Zip: 92626 Contractor: DOO-RITE CONSTRUCTION Address: 751 SESAME ST Phone: (909)678-1330 CHULA VISTA,CA Zip: 91910 License: 673031 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 4untiont REROOF:T/0 EXISTING,APPLY 1/2"OSB SHTG, 30#FELT,APPLY"CELOTEX"RESIDENTIAL Atrae v1 BLEND COMP SHINGLES. 20 SQUARES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,500.00 Permit: $111.25 Claim Valuation: $4,500.00 SMIP Res: $0.50 SMTP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulation.(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 suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(wool DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Cade,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr visions. _ Applicant Signature: c x vr�-r Date: / -(5)0 'OD WARNING:FAILURE TO SE RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,00)),IN ADDrPON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.# Class N Contractor's Signature: f Date: f A 0 -O G CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that 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 Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit tram the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Suction 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? I]Yes ID No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (if yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. priSignate Ot Legal Owner(s) Date And/or AuthIAzed Applicant Date NODE! INSPECTIONTYPE RAIL INIDAL4 CODE! INSPECTION TYPE PAIL lwrmALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing 200 Final Re-Roof /!_2 9'1519 �- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy l CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. ,46 is DATE 4h 79/7" LOT NO. 44/ t ADDRESS /45R U tM S �✓I2 id, The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. �/� BY / 4//77 "7 '7 Purchaser �� B O s i�rAr� Developer and/or'aut ill zed representative Lender P OWNER SNIDOW, T.EF DATE 3-22-74 JOB ADDRESS 1658 Utah Circle BUILDING PERMIT NO. 38131 IERAL CONTRACTORAnthony Pools DESCRIPTION of WORK Pvt.Swim Pool Ar No.139-073-22 LOT TRACT FIRE ZONE VALUE E 3,500.00 INSPECTIONS Signature �./ Date GROUP J TYPE I I ZONE RI Pool Location , 4 /-lei 1K SUBCONTRACTOR PERMITS ISS ED 1 Date Number Si•nature Forms Main Drain Steel Reinforce Elec. Bond • Electric Approval to Cover 5fp 2 e-/e.n 61. C.iCzn/ `7-Y-7Y 37,2Yc/ Underground Electric "1 7eY-74 Gas Piping Test /Q/' l/-(�7/y- Plumbing / Filtering System Lines /�/j� / /1�" i eL`v-ea- 9-3a-?/ 652 9616,1 Backwash Lines and Recep. Ac $1�7 4 P &ert `4-/'2-7i 45 3p ,,-- - Elactrical Final /P/e_ ,;7-24/ er and Vent Final Filter System Final / Backwash and Recep. Final Fencing Final , 3813 I •'\R ?2-74 ,-. -00 73-n srx* 3°.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECE ED BY DATE RECEIVE• DATE ISSUED ADDRESS 1658 Uthh Circ le /�`�- a "3-,707' Al 3—.9.7 -7 T� /39-673-5?3' a„�, P,F,R MIT3B t OWNER Lee SnidOW A.P.NO. �7Q , MAIL BUILDING p�� Z ADDRESS same as abollve ADDRESS Yil[i3f 1658 Uthh Circle 'Lai NEL. d U CITY NO. TRACT 6613 I LOT 1 BLOCK Z CONSTRUCTION NEW ADD Al TER REPAIR MOVING. DFMOI ISH Q N LENDER Gash 0- CO X% J t BRANCH JV) OWNER Lee Snidow a W ADDRESS CO J VALUEt� Jm ARCHITECT TEL. SEDrivate swim pool $,� 3D0 a OR ENGINEER R. Kolodziej NO, Sp32210 Z Q FIRE �F-: f WCC ADDRESS ZONE YP / GROUP Ay- W i APPROVED J Z CONTRACTOR Anthony Pools BY �. DATE, • 'r CO 7,cc ADDRESS 5871 Firestone Blvd. W W TEL. ZONE NO.OF Q USE OF NEnW,, I Z I--, CITY South Gate NO. Sp32210 dePLANS gat. 'L �-7„ , P STATE CITY YARDS APPROVED YARDS APPROVED iv OLIC. NO. 1/Q 017%(� LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) 1 pp OF LOT NOW ON LOT FRONT FT. /'.‘F&. USE OF /7 F Q� EXISTING BLDG, private swim pool R.SIDE FT. 1- SIZE OF /,4 I NO.OF e Z NEW BLDG. ✓ ROOMS STORIES L.SIDE FT. /6. FT A/ UEXTERIOR WALL ROOF / P _ COVERING COVERING REAR FT. d..G FT. L • J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL private swim pool in rear of dwellin4 MAIN BLOCS. ACCESS. BLDGS. Q VAR.# DATE O C.U.P.# APPROVED NAPPROVED �� DATE 7 Z a—a Y O STA I— I hereby acknowledge that I have read this application and state �1/ 0 that the above information is correct and agree to comply with z V CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of T` U) the State of California. ` co zI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Business CC and Professions le, Division 3,Chap r 9. VALUATION _ CO ✓) PERMIT FEE $ D !/ co Signature of2e9 __ - //n^ / 2 0j m Permittee / ��'7)-L[.a—�lJ s ✓,. �O" PLAN CHECK $ /3 r f= O o Authorized Agent / — LL TOTAL FEE $ ID 33314 ill 20-71- 1; 001754* 1 rnL n0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely/ l � gECED /ESI/qV ED BV DATE RECEIVED BUILDING / s8 / �/�.-s[J `, , ��-7l DATE ISS ADDRESS 6 Ry+gyq OWNER Modular Technology, Inc. A.P.NO. PE �7JJ 14 BUILDING MAIL ADDRESS /1, �� ADDRESS 1104 E. 17th Street l 6 S� L-'-'�'""-� z a ui 0 CITY Santa Ana No`. 547-9673 TRACT 6613 I LOT 1 BLOCK aZ < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO'ISH a m LENDER }{ J J BRANCH + J fn OWNER Modular Technology, Inc. 7 — Q w ADDRESS 7J. m m ARCHITECT TEL USE Residence-4.4C J Q OR ENGINEER Kermit DOrius, AIA No 04-4- (7) Z Q v FIRE T l la CC ADDRESS 3111 2nd Ave. , Corona Del Mar ZONE TYPE GROUP 1 2 IL APPROVED W Z CONTRACTOR Owner BY DATE J Q m / z -.a.// J 2 ADDRESS Same w lL TEL. Z I /atr ZONE NO.OF ''') � USE OF NEWQ iTC�i ./ I- CITY Same NO. / PLANS "BUILDING CITY ARDS APPROVED YARDS APPROVED La O LIC. O. 252549 LIC.NO. 1690 YMAIIN BUILDING ACCESSORY BUILDING C/L STREET) SIZE NO.OF BLOCS. /01 a ptln OF LOT Irregular I NOW ON LOT R USE OF i/ A .,r Si{ / EXISTING BLDG. -- H.SIDE /O FT. �� (—�-�'�C/+ I- SIZE OF NO.OF Z NEW BLDG. 1440 SF ROOMS 5/ STORIES 1 L.SIDE FT.--r FT. Q EXTERIOR WALL ROOF 0 COVERING Per P1 ens I COVERING Wood Shingle REAR =may�[ /{/�FT. �t+ FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 MAIN BLDGS. ACCESS.BLOCS. a p Q Construct new residence & garage. c ARP+ 7- S-62 APPROVEDS'7Oj(O e O /J —7/N APPROVEpi S� P DATE / —/ / / o � HOLD FOR SPECIAL REQUIREMENTS ~.1 tI hereby acknowledge that I have read this application and state / ^'ft" that the above information is correct and agree to comply with tel/6, t,Ll CCall laws regulating building construction, and I shall not employit-A - ?�-/_O " r�(l any person In violation of the workman's compensation laws of (D o V'� • CO the State of California. LJ ��/) ri m zI hereby certify that I am properly licensed as a contractor under 1T �� SO. FT. -7 �® o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE ALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CC am exempt from the pro�ns of the State of California Business VALUATION 3 ,i_ and Professions Code, 1 Yon 3,Cha en m PERMIT FEE $ w B Signature of s✓/// 99 ) }��/A/n' m Permittee 6/'ran� ////,. $ PLAN CHECK $ �Oi E N O 4..,....›...\ \/ s �~ LL Authorized Agent /+�/V• uO�a/ +�y�,,�l J 70TAL FEE $Lam" ' CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT SPECIAL INSPECTOR INSPECTOR'S NAME LABORATORY NAME ADDRESS TELEPHONE JOB ADDRESS /v ` OWNER'S NAME V..-e-& WORK PERFORMED - DATE 7/ //�L� BUILDING PERMIT NO. .' 8j ? NOTE: All special inspectors are /to be registered with inspector's registrar at the office of the Building Safety Department. Inspectors shall furnish proof of affiliation with an ap- proved testing agency; or, a state-licensed architect or engineer; or he shall be in the direct hire, under state and federal pay- roll regulations, of the owner/developer of the proposed project. This proof shall be in the form of a signed letter from any one of the above three. / - REMARKS: . /