HomeMy WebLinkAbout426 16TH PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626
BUILDING PERMIT
,lob Address: 426 16TH PL
Suite:
Vicinity:
Primary Occ: R3
Parcel Number: 42514206
Appiicant: RICHARD WILLIAM SHAFER
Address: 1621 E ST ANDREW PL
SANTA ANA, CA
Owner: HOLMES, LAURP. L
Address 426 16TH PL
Type of Construction: V-N
Zoning:
Phone: (714)259-5120
Zip: 92705
J•
Phone:
COSTA MESA, CA Zip: 92627-3212
Contractor: ALUMINUM ROOFING SPECIALISTS/DIAL ONE WINDOW REP
Address: 162y E ST ANDREW PL
- SANTA ANA, CA
Zip: 92705
Arch :
Address:
Phone: (714)259-5120
License: 523043
Eng:
� Address: �, ,
Status: ISSUED
Applied: 06/30/2005
Issued: 06/30/2005
ISSUED BY: �_
Phone: Phone:
Zip: � License: License:
SCOPE OF PERMIT
CHANGE OUT 2 ALUMINUM PATIO DOORS TO VINY PATIO DOORS LIKE FOR LIKE.
Plan Check: $0.00
Permit: $97.25
SNIIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE FrOnt 0-0
ACCESSORY Front � 0- 0
PARKING Exi_stinct: 0
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
LeH 0- 0
Proposed: 0
Calc Valuation:
Claim Va�uation:
Right 0- 0
Righ[ 0- 0
$4,000.00
sa,000.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2)
EXPIRATION: This permit shall automatirally expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-66 (N00)
WORKERS' COMPENSATON DECLAfiATION:
I hereby eHirm under penalry of perjury one o1 the following tleclarations:
❑ I he end wlll maintaln e cerllticete oi consent to seli-Insure for workers' compensetlon, es provide0 for by section 3700 of the Lebor Code, for Ihe peAortnance ot the
�wo c for which this pertnit is issued.
O�+I'heve entl wlll maintflin worke�$ compensatioW�sp rance, ps requiretl by seqion 3700 of the Lebor Cotle, tor Ihe pedortnance of tha work for wpIch this pertnit is issued.
� workgrs' compenseY�Wnyuarc�cer�jer�aMliolicy n�}nber ere: � / // i., „r� .
one
orless.)
❑ I certlly Iha� in the perlortnance oi the work tor which this pertnil is issuetl, I shall not employ any person In any manner so as to become su��ect to the workere'
compensetlon laws at Califo , a egree sh Itl Decome sub�ect to the workers' campensallon provisions ot Sectlon 3700 ot t�e LeDor Code, I shall forthwlth
comply wit� these provisi
� �,�;s�����. � C� oa;a:�.: 6/9/�s
WARNINO: FNWRE TO $ECUflE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHqLL SU6IECT PN EMPLpVER TO CRIhUNAL PENALTIES rW D CML FlNES UP TO ONE HUNDRED
TTIOUSAND Oq1ARE (5100,OOD), IN ADDITION TO THE COST OF COAIPENSATION, DAAUGES AS PROVIDED iqi IN SECTION 3IO60F TME LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereb e Irmth�at.,l�9� Iicensed under ovlslons of C ter 9(commencing with Sectlon 7000) of DlNsian 3nttpe-Business antl Profes ns Cade, entl my license is in full
for eMe��cta ICc. q �� ��� ���K°_,� �
� ���h
C�,�o�nt`rec�a"r � igneWre: �— ,�08ig� � G
CONSTAUCTION LENDING AGENCY:
❑ I hereby ettirtn t�at there is a constructlon lentling agenty br Ihe peAortnance ot the work tor which t�is pertnit is issued. (Sac. 3097, Civil Cotle).
Lenders Nema: Lendefs Atldress:
Signatura: Date:
OWNER•BUILDER DECLARATIONS:
I hereby eflirm that untler penalry ot perjury t�at I em EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business antl Protesslons
Cotle: Any ciry or county which requires a pertnit to consiruct, alter, improve, demolish, or repair eny siructure, prior to its issuance, elso requires t�e epplicant tor such permll
to flle a sipned stetement Ihat he or she is Ilcensetl pursuant to the provisions af the Contrectors IJcense Lew (Chepter 9(commencing wilh Sectlon 7000) ol Division 3 oi the
Business entl Professlons Code) or that he or she Is exempt theretrom antl t�e basis for the alleged exemption. Any violatlon of Section 7037.5 by any epplicant for e pertnit
subjects Ihe epplicam lo a clNl penelry oi not more t�en five hundred dWlars ($500).):
❑ I, as owner oi Ihe properry, or my employees with wages es ihelr sole compensetlon, WILL DO 7HE WORK, end Ihe siructure Is not Intended ar oHeretl for sele (Sec.
7044, Business end Professions Code: The Conirectors License Law tloes not epply to en owner of property who builds or Improves ihereon, and who does such work
himselt or herseli or through his or her own employaes, providetl Ihat such Improvemems ere not IntendeA or oRered lor sele. If, however, ihe building or improvement Is
soltl within one year of completion, Ihe owner-builder will heve the burden of proving t�et he or she did not builtl or improve lor purpose of sale.). �
� 1, es owner ol lhe properry, em EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct lhe prqect (Sec. 7044, BuSiness antl Professlon5
Cotle: The wniractore License Lew Aoes not epply to an owner of property who �ulltls ar Improves ihereon, and who contracts br such project with a contractor(s)
license pursuam to ihe Contractors License Lews.).
❑ I em exempl under sec. Business antl Pmtessions Code br this reason:
Signature: Date:
Owner ID veritietl by tlnver's license. ❑ Ves ❑ No Dnvers License No. Expires:
Vedfication ot Ownership by (type ot tlocument, i.e. - property tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certily t�et no excavelion five (5) o� more feet In tlepth into which e person Is requlred b descentl, will be mede in connection with work euthodzed by t�is
permit, and thet no building simcWre, sceHoltling, felsework, or demolition or tlismantling thereol, will be more ihan ihirty-slx (38) taet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Ttle B, Celifomla Administrative Code).
❑ As awner-builder, I will not employ enyone to tla work which wauld requlre e permit irom Ihe Divisian of Intlusinal Setery, es noted ebove, unless such peraon hes e
pertnit to tlo such work hom the divislon.
Signature: Date:
Division of Industrial Safery Permit Number.
CERTIFlCATE OF COMPLIANCE ANU AU7HORQATON OF ENfAY: I certify under penelry of perjury Ihat I have read Ihis application end s�ate Ihat Ihe intormatlon given Is
conecL I egree to wmpty wlih all state laws end ciry ordinences relating to builtling constructlon, and eu�hodze represenlatives oi the Cly of Costa Mesa to enter upon t�e
ebove-describetl property for inspectim purposes. I egree not to occupy or allow occupancy ol eny building authonzed by �his pertnit until final inspection.
Legal
CODE t• INSVELTION7YPE
1616 Flaed System Final Fire Prevention
1266 Pool Spe Final
200 Flnel Re-Roof
201 Final BIocWRelaining Well
202 Final Fectory Fire Place
203 Flnal Slpn
204 Flnel Demolition
QAIE 1�9L$ �QQ[a INSPELTIONTYPE
206 Final Mechanical
208 Flnal Plumbing
210 Final Electrical
212 Finel Fira Prevention
220 Final Planning Approval
222 Finel Site
250 Finel Building�Occupenry
PAffi It�EL3
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(714) 754-5273 • Fa�c (714) 754-4856 . www.ci.costa-mesa.ca.us 77 FAlfi ORIVE, COSTA MESA, CA 92626
BUILDING PERMIT
�ob Address: 426 16TH PL
Suite:
Viciniry: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42514206
Applicant: HOLMES, LAURA L
Address: 426 16TH PL
COSTA MESA, CA
Owner: HOLMES, LAURA L
Address 426 16TH PL
COSTA MESq, CA
Contractor: O W N E R-B U I LD E R
Address:
Zip:
Arch :
Address:
Zoning:
Phone: 949-642-8929
Zip: 92627-3212
Phone:
Zip: 926273212 �
Phone:
License: 000000
Eng:
Address:
ISSUED BY:
Stalus: ISSUED
Applied: 02/04/2003
Issued: 02/04/2003
� Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTqCHED GARAGE: T/O EXISTING WOOD SHAKE, 1/2" CDX SHTG, 30# ASTM FELT, APPLY "40-YEAR
FIBERGLASS MULTI-DIMENSIONAL SHINGLES." 2700 SQ FT
Plan Check: $0.00
Permit: $11125
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinp: 0
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
ss,000.00
$5,000.00
NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectiona and final approval must be obtained. Failure to obtain inspections and final aDProval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
2dd636(N00)
WORKERS' COMPENSATION DECLARATION: .
I �ereby eHirm under penelty of perjury one oi Ihe following decleretions: �
❑ I heve end will meintain e certificete oi consent to self-Insure lor workers' compensetlon, es pmvltletl for by sectlon 3700 ot the Lebor Code, tor ihe pertormence of tha
wark lor which this pertnii is issuetl. ' � ,
❑ I �ave and will maintain workers' compensatlon Insurance, es requiretl by section 3700 of the Lebor Cotle, for the peAortnance of the work Por which Ihis permit is issuetl.
My workers' compensetlon Insurence certier end pollcy number ere: �
Cerner: Policy Number:
(This section need nof be comp/eted il the pertnif /s valued et ane huntlretl tlollers,($f 00) or IessJ . .
❑ I certity t�at in Ihe peAormance oi lhe work for which t�is permit is Issued, I shall not employ any person in eny manner so e5 to beCome sublect Io ihe workers'
compensalion laws oi Califomia, entl egrea that tl I ahould become su��ect to the workers' crompensation pmvislons oi Section 3700 of the Lebor Code, I shall torthwith
comply with these provisions.
Applicant Signeture: Date:
WAHNINO: FAILURE TO SECUPE WORKERS' COMPENSA90N COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES PND GVIL FlNES UP TOONE HUNDREO
TFIOUSANO DOLLARE (5100,000), IN ADORION TO THE ODST OF ODMPENSATION, �AMAGES AS PROVIDED WR IN SECTION 3)OB OF THE LABOR CODE, INTEREST, M!D ATiORNEY'S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aHirtn Ihat I am Iicensed untler provisions oi Chapter 9(commencing wilh Sectlon 7000) ot Division 3 oi the Business and Professions Catle, antl my license is in full
lorce antl eNect. Lic. u Cless #
Contractors SignaWre: Date:
CONSTRUCTION LENDING AGENCV: �
❑ I heraby attirtn that there is a construction lentling agency for ihe pedormance ot lhe work tor which this pertnit is issuetl. (Sec. 3097, Civil Code). i
Lenders Name: Lendefs Address:
Signeture: Date:
OWNER-BUILDER DEClARA710N5:
1 hereby eNirm that under penelry ot perjury that I am EXEMP7 FROM TME CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry whic� requires e pertnit to construct, alter, improve, tlemalish, or repair eny strucWre, prior to its issuance, also requires the applicant tor such pertnit
to file a signed statement Ihet he or she Is licensed pureuent to Ihe provlsions ot the Conhactors Ucense Law (Chapter 9(commencing with Sectlon 7000) oi Division 3 oi the
Business antl Protessions Coda) or thal he or she is eaempt therelrom and the besis lor ihe alleged e:emption. Any violation of Section 7031.5 by any flpplicant for a permit
subjects the epplicant to e civil penalry oi not more than Ilve hundretl tlollers (5500).):
❑ I, as owner of the property, or my emplayees with wages es Ihelr sola compensatlon, WILL DO TME WORK, end the structure is noi intendatl or oHered tor sale (Sec.
7044, Business anC Protessions Coda: The Coniractors License Lew does not apply to an owner of properry who builds or improves ihereon, and who does such work
himsell or �ereelf or through his or her own employees, provitled ihat such improvements are not intended or oHered for sele. If, however, the building or improvement is
�sold within one yeer of completion, iha owner-builtler will heve �ho burden of proving that he or ahe did not Duiltl or improve tor purpose of sale.).
I, es owner of the property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Profeuions
Code: 7Te contrectors License Lew does not apply to en owner ot propeny w�o builds or improves Ihereon, entl who wntracts for such project with a contractor(s)
license pursuant to ihe Contrectors License Lews.).
❑ I am exempt un er sac. _
SignaWra:
Owner ID ven by driver's licen5e.
Venfiwtion oi Ownership by (rype ot
Bu5ine5s end Pmtessions Code br �his reason:
s ❑ No Driver's License No.
i.e. � property tax 6111 or CeeC):
Da�e:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ 1 hereby certity ihat no exwvetlon five (5) or more feet in depth into which e person Is required to tlescentl, will 6e made in conneciion with work authonzetl by ihis
permit, and that no builtling structure, sceMolding, felsework, or demolition or dismantling �hereot, will ba more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, lltle B, Califarnla Administra�ive Cotle). .
❑ As owner-builtler, I will not employ anyone to do work whic� woultl require a permit from the Division of Indusirial Selery, as noted above, unless such person has e
permit to do such work irom Ihe division.
Signa�ure:
Division of Industrial Selety Permit Num6er:
Date:
CERTIFlCATE OF COMPLIANCE ANU AUTHORPJ1T10N OF ENfTiY: I certity unCer penalry ol perjury that I �ava read ihis application and s[ate that the intormaiion given is
cortect I e b comply wlih all state lews end ciry ortlinences relating to builtling consiruction, and authorize reprasentatives of ihe Ciry of Costa Mesa to enter upon the
ebov -de ed property for inspecti ses. I egree not to occupy ar allow occupenty of any building authonzed by Ihis pertnit til final�" spection.
�ti� ���.�.� - - 02 %3/D �
Signa re OI Legal Owner(s) � ate
AnNOr Authonzed Applicant
U � INSPECTIONTYPE
1616 Fi:eA System Finel Fire Prevention
7266 Pool Spa Finel
200 Final Re-Rooi
201 � Final Blak/Reteining Wall
202 Final Factory Fire Place
203
204
Final Sign
Final Demolltlon '
PSIE I[�1A6:
2 Z -o �
�
40UE� INSPECTIONTYPE -
20fi Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 ' FinalBuiltling/Occupancy
��L\t�C11tiLI�1
i�oonEssaeu�owc: 926 16TH PL
OWNEN'NWEIfRlOMN: BREECH, WILLIAM E
�noxEss 4 2 6 ? 6 TY. P L
COSTA MESA,CA 9262"7
' 692-3499
�cr�. �uiwc �ooxEsf
I1PCNRECTOqENtlNEEN:
MCH Ofl F1N.'S ADUflE59:
CONINAGTpI'S N�1�:
CRRNACTOp'SNNl1N0
�oo�ss
uxr:
uc. ra:
UNT:
uc ao:
uMr:
LiCEN9ED COMNRCTOR9 OECUIX�TION: I Mnby elirm un�er penetly d pmjury WI I am IiceneeE uMx poviviom ol CMpler 9
(mmmario�p wnh Senon �OW) a�u� 3 d tM Buvmw eM Pmlm�iau Code, uq my liceme b in IUA Mw eM elletl.
cmuc.No.: uc.cuss: ue.No.: EXP:
Dpa: Comreaa:
OW NEN BUILDEN DECIaP1TI0N: I taWy eNum uMs pmNy al parjury Ihel I am memq Imm �Ae Com'mon liorw lew Iv IM
to6vw'9 �evm ISencn T031.5 &niroas W Rdmiam GoM'. M'l u'l a mnM1T wFid� rti�es e M�^�C a onamrA. eMf. impaw.
demdvh, a rpei eny st�+ciun, q'v io ea eeuenco, ebo ipuim IM epplirenl lar mch pimi �o fib e egred slelemenl Nel M a eM
o ro.�..e w�*,w �o me wa,.�e d m. w�n�w«. ��.s i.. �cneqa s(oo�«,a,e .nn s.aoo �000l w or.e� a a iro
` BuzM» eM PrMmebro COMI a �M M a ehe u uemq �heraM1an end tha bam fa iM eAepaE exemqion. Am'vwW ian d Ssdion
�m�.s M dn.cc� ��• wmm wdw� m. �W�wu io. dw wronr a m�e m� r.. n„�a�.d ama+ Issoop.
❑ i.e.o.,»,wihew^w^v«mr«ncMw..nnwepe..s�ro:.obmmw�+�..;oaounwak.enems.Wctune�aweM.e
a oflereE Ia eeb (S�� ��. Bumrim eM Pmlaewne Cade: The Canlretlas lioen�e lew Aaea na epplytoen owrerd qopeily
wb WiEa u inpo�+' ihmeon. md v,fio dow �uM wik FimaMl a henN a Wu9h he a her or.n emWuYa�, pa'� tAd wM
imp�o.einaro ue �M �aded a afhmd ta eele. tl. lmraw. iM Wnldinp a inpovsnw'v wtl xdhm ans Y� d campNlian. IM
V owror-0viHa x11wYe IM buidan d pwinp M a eM Lid nd duM n impwe lor Ne puryme d We).
❑ �. m wm., a iM w°P^M. �..�r oomreano wvn uo.n..d w�Uacioie ro mmr�e ui. wq^� (s.avn )ou. aniroe..nd
Prdeaeian COEe: TM Coniredm Licens lew Ew no1 epply to en ox�wr d p�apeily who Wilde or mpovea iMrson vd who
�p�p�� �p � prqqa wh e mxieeor(e) Icamad qinueN to iM Canireaoee lioeroe tew).
I em ezemq under �/�y: B. a P.C.. br Nu neson:
Dete: � —� �- `/ � Owner:
�aM �M tlw 1 am ewers d ard uMsswd Na iaGuiiemab d Cellomu Ikatlh eM Sdety Cods Setliom 25.505. 255�. erd
255N, eM ihel I a ury Mun Wikinp oaapenl xill / wil ml (drtb ona) �d to canpy wlh eek aela mAn W ihe raquimnams tor
epeimnlaomevuctionof�d'ifi�ationhaniMAi u�8-Tl.re�apemamDiNriq.Meideniulomniueuneppimiomenwmqimmlheee
a�am�a.
Dma: MplveM:
WOPKEN'9 COMPpl91TION DECL�fl�TION: I Mreby elfi�m uMer paruM1y W perjury aro d tlw /dbvrirq Eetleretuna:
❑ I heve eM vnl meinlen a cMHCPoe d mneenl lo tatlituuro M Morkeii aanpenaelbn. n povidad la by Sspion ]]00 W Iha Lebar
Code.la �M peRormerce d Yw v.oik la wlJch I�b pamN u Wued.
❑ i neve m,e wi� meio�� woMe.� mmo��, ��.,renu... �.e��a W sw:n a�ao a me i.ee, eoe.. eor �ro c.��m�. a m.
work lor xfiiM thie Pe�n ie mued. MY �4rs' wmpensetion inaurarre urrier eM pcdiry number are:
c�«:
pary N�mne.:
/mis.«rbr m.e mr ae cana�ea r rns v�x u mr orie nunm.e edle�a l+�wl a hnJ
I mn/y IM1at in ihe M��ence d IM wwk M wM1uh t�is pe'mn u ucued. I ehell iwl employ enY V�^ in enY menner eo m io
wbptl lo IM Mwkne' eanpenWion lewe d Ce4lanu. erH pna tl�n il I ehouk beeome aEjw to iM xorbn'
canGemvion W�'an tl Setlian ])00 d iM lebor Code. I Ju01MhMith mmWJ wuA tMaa qwivan.
i6� 1 z-� 3- 9 S .,a�: 1.�/ r'c c i'A � /�RFF c r/
rrp: F�qun b ucM� ��M'rompwu�tlon covxap� la unl�wN( �ntlWllWb(cf �n xAo/oyr ro MMiul pn�ltlu �rM
uHl nnu iq ro arH Mna� Nouwne da14n lsi00.omA b��n ro tlM cosr o� comprwUon, r/ameW u proHWtl ror In
5ectlon 9�p6 0l IM Gbor Cotl�, lirtru4 �d �rtom�Y� M1a.
CONSTNUCTION LENOIM� AOENCY: I hnaby �rm uMx penahy d perjury thm �han o e aonp�Wbn bMinp epency br iM
oe�+onnmKe a 1n. woM wf wnitl� �ne o«mi o's�wa (saabn �OSr. c«. c�.
LENDEH'S NRME
LENOEq'S ADDNE39:
I unM �hm 1 hew rteC Nb WWKm� W tlete IM1eI Ne abv.a Worme�ion'v cartsq.l epiee lo camPN wit� ep rtiY vd mumY ad'mances
md ste�e lexe mW eN b WJd�q rnWuction xd hmeGY eWlv¢� �epexme�Mea d Ihu cuY b eNx uDo^ lhe eEwe.menlioned ptapeny
ta vupetlion Purpmea. �
wicc,' �-r /3R��c �
��r.t,., ��, a�..�r ome: �—:L 3— 9 i
56�e�ure ApenVApphranUCmtruqw
(515t<B.WP) Wnile-BuiNip d Sdey: ��eerFle: Genery-Appiran: Pink-Re�enue: Goldemo�Pnmv
CITY OF COSTA MESA - BUILDING PERMIT rnnri r�v: a vri��o
PERMIT NO: H 071258 PLAN CHECK r�o: r� �vvi: rv n�rr: rv
CONSTRUCTION TYPE: FERMIT TYPE: STR PURPOSE: OTH
JOB DESCkIPTZOA7 ; TiOFF 6 REROOF 4I/ROLLED UP SQ FT: 1,000
CLAIM VALUE; 1,0OO,OQ CALC-?�ALOE: 1,0OO,OQ GROUP OCC; R-3 /
COMMEDITS; SMOY.E DETECTORS ARE AE{�UIRED IN EVERY BEDRUOPI E HALLWAY
1f 1F if if If'IE )f iF 1R'1f *if 1f'N'M iF�(�if af Kif iE ?E if �F iFiE if if iFif M' if M'Yif M�1F iF iRF df if Y+F iF 1F# Y- K�14 iE #-1Fif if iE iE JFif-Kif iL�K * iR�if lf i4 iF if iF af M�f iR i(��)f
2 O N I N G R E Q U I R E M E N T S
S E T B A C Y, S
------------ h1AIA1 9UILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT ZN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKZA]G P.Ep • PRCV: FARCEL: 42514206 ZNE: REF NO:
PLAP]NING Nb'1'ES>
i
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D E V E L O P M E N T S E R V I C E S R E Q 0 I� E M E N T S
ZONING APPROC'ED HY , DATE:
BUILDING APPROVEU BY ; PATE;
APPLICATION ISSUEU BY; ��� UATE: Z�3 � r
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LEGALI2ATION;N F E E S U M M A R Y STRUCT�]RAL SEGMETIT;Y
BLDG PMT PLUMBIAIG ELECTRIC MECHANIC PIRE SMIP/RES CP,ADING
PERMIT 25.00 .50
SMIP;NON-RES
PLAN
ISSUE FEE
bUILDING-DIV-> FERMIT ISSUE FLAN-CHECK TOTAL PAID DUE
TOTALS----> 25,50 0.00 0.00 25.50 25.50 .00
REVENUE DIC'ISION TOTALS--> COLLECTED: 25.50 OVER;SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAP7-CHECK
25,00 .50
if V if if'If 1f 1f1F iF'i{-if if if V if if if MiR if'If if')ftE 1f afifif'1f')f')f iF iEi� if if ifiF {F if 1f i� iFif if �F +f +F af +' �f M M+�4 T if ii�iF 1F Y-)f'1� i�'?f u.aF if Y M�f Y�if iR iR if df ii�iF
I T1 D I V I D U A L F E E B° E A K D 0 W N
TYPE QTY
SFR SOQO
D E S C R I P T I O N
REROOF BY C'ALUE.RESIDENTIAL NOZONE
END OF FEES
UNIT COST �
ER�Z�7
TOTAL COST
1,000.00
:�1 �t7177226-0�177227 T G'T ?5.50
DATE: �2/23195 TItiF: 16:16
CONSTRUCTION AND PLANNING POOL & ot.'A ,
^� APPROVAIS Permit # Date Inspecior � pppROVALS Permit # Date Inspector
. r
1. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location
2. Soil Pipe-Undrgmd. ' 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrnd. ' S4. Forms �
4. Etectrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UFEfl Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrica! Cqnduit-Undrgmd.
8. Foundation 59. Gas Pipe, t7 Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, � LPridrgrnd.
10. Structural Ploor System 67. APPROVAL TO DECK
1 i. Property Sewer Line & House Connection 62. Backwash & Receptor-Finai
12. Sewer Cap 63. iieater & Vent-Final
13. Roof Drains 64. Plumbing SYstem - Final
74. Rough Plumbing � 65. Electrical-Final �
15. Rough Electricai�Conduit 66. Solar System-Final .
16. Rough Electric Wiring 67. Fenciny & Access Approval
17. Rough Wiring Sign 68. APPflOVED FOR PLASTERING �
18. Rough Electrical�T Bar Ceilin9 69. POOL/SPASYSTEMS FINAL
79. flou9h Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas Pipe-Rou9h & Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas � Oil
25. Roof Sheathing �� _q� � �✓� 74. Overhead Hydro
26. T�Bar Ceiling iStructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PFEV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final S0. FOOD CERTIFICATE ISSUED
33. Flnal Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service•Finai
40. Gas Service-Final
41. Solar pomestic�Final
42. Backf�ow Preventer
43. Backflow Irrigation
44. Landscape irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /Z ?_L� �y��L
6
48.. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOFOCCUPANCY
No Date
�
.�
CITY OF COSTA MESA
CALIFORNIA 92 62 8-1 2 00 P.O. BOX 1200
aw'�
DEVELOPMENT SERVICES DEPARTMENT
Flilli� Breech
426 E. 16th Place
�sta Mesa, CA 92626
RE: hLJOD FENCE ON PRO�RTY LINE
426 16TH PLACE
AP $425-14-206
Property Owner:
The enClased VIOLATION IV(7TICE has been issued against the above identi-
fied ptoperty.
You are hereby directed to contact the Deputy Building Official listed,
within the allo�aed time indicated. If you assign this responsibility
to a tenant, or another person, you should provide than with a notarized
statenent allowirg them to act on your behalf in the resolution of the
violation(s).
If you fail to act in this matter within the time allotted, a citation
or other legal action may be brought against you by the City.
Sincer�ly,
Qa..�e -,Q�?.�`7��
IYiVE SCHUYLER
Structural Inspector
VCN:alm (CB-1-39)
Building Division (714) 754-5626
Code Enforcement/Business License (714) 754-5234
77 FAIR DRIVE
Planning Division (714) 754-5245
[ VIOLATION NOTICE
City of Coste Mesa
Development Servicea Department
77 Falr Drive, Costa Mesa, CA 9262&1200
❑ Correction ❑ Stop Work
Location 4a� l�n� p�•
Person
FOLLOWING WORK WITHOUT PERMITS:
❑ Garage converted into habitable living space
❑ Structural alteration O Roof covering
❑ ElectricaUPlumbing/Mechanical
-Added�Altered
� Wood fence/block wall
❑ Other
CORRECTIVE STEPS NEEDED:
t. C� Contact: �AJE ��%�,�+-vLEK at
(714) 754-� on or before sj� f Rc�
2. ❑ After Planning Division approval, contact Plan
Check (754-5273) between 8:00 a.m. and 3:00
p.m.
3. C� Obtain necessary permits and inspections from
Building Division.
4. ❑ Other
�� y�-�
u, /�r
FAILURE TO RESOLVE THE ABOVE VIOLATION(S)
MAY RESULT IN THE ISSUANCE OF A CITATION OR
REFERRAL TO THE CITY ATTORNEY FOR
PROSECUTION.
[
Issued by Date Time
❑ Violation Cleared ❑ Citation Issued
❑ Referred to Code ❑ Referred to City
Enforcement Attorney
❑ Building ❑ Planning
ey
CMF 125Q30 ( WRite� Vblabr, (�anary) CMB lila', (Pi�k) Curtent Planning
i
2q247
`" OCT 16-68cnsn�0 973� ***124.5C
COSTA MESA BUIIDING-SAFETY DEPARTMENi
P.O. BOX 1200 GOSTA ME9A, GALIFORNIA Y26P0
For App►lcaM to FII! In Complafaly APPIICATION FOR PERMR
TYPE OR PRINT BUILDIN�i
BUILDINO (,� L� �� � TFI �`� For Offica Ute Only
ADDRESD 11[C[IM� XO. 1�CPMI Ho.
COSTA MESA. CALIFORNIA �
� eic� ■r � ua �aeirv qy w*e �.au o
ownen Newport Balboa Savings & Loan ��l1'� I" !J� �6
BUILDINO
AD R8H1 �j `% L (]O ADDpl6G
RIRB
��TM Newport Beach No�6733130 =one rrre onouP
APPROV[D
�CH'GINEeBurt�a��omberger �eo 5408833 er owre
ADDREHB 4501 Birch St., Newport Beac ZONINCi .
ZONt MO. 01� YYt OI N[W
CONTRACT Fabre Construction Cor , R-1 'uru .Z OU�LDINO� ACt. 3Y.
L[WL
wo Rew4501 Birch St, o.,cmrnon
��TM New ort Beach� A.P.NO. — —
N0T6: NO GV8 OV[RHANO 8HALL B8 LH88 THAN
�C.'�r,o. 146423 NeL' S40 8833 SO•T081D[SRBARP.L
6AVE8
OFLOT $3� X 6O� hoj.��H�a• ALLOWiD �U.B.C.R6QUINBMENTI
USEOR YARDBMPROVHO YARDSAPPROVfiD
EXISTINO BLD0. MAIN BUILDINO ACCHYHORY 6UILDINO
�(PROM GLiTRH[T)(;� I ,(�
ceTereec una rnor FllpNT (C FT L �19� Y L PT.
eeNnq oP arn[R RiAR Y D �/
BID� YARD I L[R RIOffT R. �ID! "J FT. Ff.
/
DESCRIPTION OP WORK �. aio 5►r. rr.
X T[RATI N ADDITI N RGR IO.�I RT. '� !R.
CIiTANCilR. BLT. MAIN Q
REPAIR IN . 6M W
MAIN BLD �ACCHSi. BLOOB.
eui�oiNo No.o� ��•# V-40-68 owrs
size 1984 ROOMH � ni 1-l�Z C. U. P. APPROV[D
EXTHRIORWALL ROOP APPROV[D `� '1 /Q
COVERINa StllCC COVHRINO shake er OAT! ��' ��l"CV
LliH OF GU I LDIlIY AND WORK TO !Q P[RRORM[D a
W
Family dwelling w/attached garage �
plan 3B / �fd�� -S�db� �leo.vr. �� � O/ �
0
I NEPBEY ACRNOWL6006 TMI1T 1 NAVt q{AD TNIO MPL TOM TMi AMOUMT • N 4ND8R VALUATION le !OR TH8 j
I�ND BTATB TXAT TN[ AOOV6 1� CORRtR�AND AOR¢[ TO COY. �UHro96 0/ ABLIBMINO A PBRM�T PE8 ONLY. ;
PLY WITX ALL CITY OpD1 AND YTATi LAWO R{OYLATIHO y�UAT10N (] S O� �
BUILDINOCONBTRY .
BIGNATUREpr/ PERMITFEE ��J
PERMITTH �� ��� � / � I w
AUTXOPIZ[D AO[NT TOTAL FE! $/�?'