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HomeMy WebLinkAbout243 20TH ST - Building Permits CITY OF COSTA MESA BUILDING DIVISION > ., I DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER rt .I PERMIT 606-01150 (714)754-5273 • Fax(714)754-4856 • www.ci,costa-mesa.ceE,IL DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 243 E 20TH ST Status: ISSUED Suite: Applied: 07/11/2006 Vicinity: HOUSE ONLY _ Issued: 07/11/2006 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42627313 Zoning: Applicant HITCHCOCK, PETER Address: 6951 NEWTON AVE Phone: 562-634-8470 ISSUED BY: // VNl) LONG BEACH,CA Zip: 90805 I Owner: SCHLEY, MAGNA W TR Address 243E 20TH ST Phone: COSTA MESA,CA Zip: 92627- - Contractor: OLSEN ROOFING COMPANY Address: 6951 NEWTON AV Phone: 562-634-8470 LONG BEACH,CA - - Zip: 90805 License: 254149 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF(E)ROOF MATERIALS AND REROOF W/3-PLY FIBER GLASS FELT AND GRAVEL HOT MOPPED ON HOUSE ONLY,APPROX 1500SF. REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,845.00 Permit: $83.25 Claim Valuation: $2,845.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 - • Inspection: $0.00 Total: $83.75 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 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92.28,§1, 12-21-92) EXPIRATION: This penult shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned fora 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 244846(800) WORKERS'COMPENSATION DECLARATION: ."'x I hereby affirm under penalty of perjury one of the following declarations: 0 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. ❑ 1 have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. '`-' My wetkers'compensatio surance carrier end policy number are: II��Carries S -'r(5 k N9 ��Policy Number:, .. 2042 2©� c(This'section need rrlkat be comp sled a the permit Is valued at ono hundred dollars($100)or less.) o I certify that in therformance of t e work r which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation lawi�do{{t�C lfomia,a ere hat If I s Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with theselpTdvdioys. / 1 "Applicant Signature: II/r G t - (Date_: -7-1/ I -06'WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML RNES UP TO ONE HUNDRED THOUSAND COLLARE($100,0C ).IN ADDmON TO THE CAST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: Ii2Lr213y affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3_of.the Business fessions Code,and my license is In full Tete apd efectLic-.ate_ / Claw# moi' � 1 r ctorser �gneture: G• ( i' A���_. Date: -I t'a(7 CONSTRUCTION LENDING AGENCY: !Y\P f o 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: _,L OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I em 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 property 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 property 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,falsework,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 from 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 ❑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 0 N (Section 25534 of the California Health and 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 Beckon 25534 of the California Health and Safety Code been fully complied with? ❑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 a permit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? Yes 0 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 part 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 duality 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 ❑No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty 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 dry 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. SCM Ste attire :gal Owner(s) r-2_ II 19b 119b Date Ci IA. • WA_T �rir:uthorzedAppncanc—=, Date----___ • CODE I. IIISPECRONTYPE Mil MIMS• CODE! DISSECTION TYPE _ gd7F ItiMIALS 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof /�/i/v de 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 .4 Final Building/Occupancy ADDRESS OF BUILDING: 243 E 20TH ST UMT: CITY OF COSTA MESA - BUILDING PERMIT CWNLWSNWE IF MOWN SCHLEP MAGNA W TR - PERM NO: B 071694 ADDRESS: 243 E /ZOTH ST COSTA MESA,CA 92627 PERMIT NO: B 071694 PLAN CHECK NO: 01129-95 L / GOVT: N SUPP : N APP`.MAIlg10 ADDRESS: CONSTRUCTION TYPE:. PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENMNEER: UC.NO.: JOB DESCRIPTION : 5SLF CITY STANDARD BLOCK WALL SQ FT: 55 ARCH OR END'S ADDRESS: UMT: CLAIM VALUE: 1 , 100 . 00 CALC-VALUE: 1 , 100 . 00 GROUP OCC: R-3 / CONTRACTORS NAME: CONTRACTOR'S RMUNG COMMENTS: BLOCK WALL ADDRESS: UCNO.: ******************************************************************************* UMh ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Div$ion 3 of the Business and Professions Code,and my license is in full force and effect. CITY LIC.NO.: LIC.CLASS: UC.NO.; EXP : MAIN BUILDING ACCESSORY BUILDING Data: Contractor LEFT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the rdlowng reason(Section 7091.5 Business and Professions Code:Any city Or county whish requires a Permit to construct,alter.improve, PARKING REQ• P RO V: PARCEL • 42627313 Z N E• R1 REF NO: - noleh,or repair any alructure,prior to as issuance,also requires the applicant for such wrest to file a signed slatemeM that he or she ,Spewed pursuant to the provisions of the Contractors License Law(Chapter 9(Oommenang with Seaon 7000)d Division 3 of the PLANNING NOTES> CONSTRUCT 6 ' HIGH GREY SLUPSTONE WALL WITH CAP AND WOOD ainess and Professions Coder or that he or she is exempt therefrom and the basis for the alleged exemption.Any volaton d Section > GATE TO REPLACE EXISTING WOOD FENCE. 7031.5 by any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars($5001). ******************************************************************************* ❑ I.as ovener of the property or my ernployees vath wages w their sole compensatice,irell do the work,and the structure is DC4 intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N T S or offered for sale(Section 7046,Business and Professions Code:TheContractors License Law does na apply loan owner of properly Q who bolds or inproves thereon. nt awho does such work himself or herself or through Pb 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 d completion,the ZONING APPROVED BY owner-builder wiNMve the burdenatproving heoshe dldnot buiW« os improveforthepurpedmo). L,[/• DATE: 3 27b �'(.r 1)1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Secton 7044,Business end Professions Code.The Contractors License Law does not apply to an owner d peered'?who builds«improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contracto(s)licensed pursuant to the Contractors License Law). / ❑ lamexempt under Seaon: B.aP.C..for this reason: APPLICATION ISSUED BY: DATE: .1 ' c /Qi ' Date: Owner: ********************************************** ********************kick*** ****** LEGALIZATION:N F E E S U M M A R. Y STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.end auit,and mml«pnyfuture mod' ..MingomthA_nt will yMa(amt•«m)tr•tReside m••idmteme«nsweethe rempefmmntsf« BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING apermit for thatI oraneemoeib bn oc the nt ot(crcleoneiaee d toso cmply wlh sic stleodes and the remptemelts for prwnsIons. / PERMIT 27 . 00 . 50 .�.] Data �i.A. •if Applicant PLAN 17 . 55 SMIP/NON-RES WORKER'S CO ' tm ON DE/ RATION:I hereby affirm under penalty d perjury one d the following dedveion•: ISSUE FEE ❑ Ihave and will meinteha fcam of consent tosettinwre for workers'compensation,aprovided for bySection 3700of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance of to wok for watch this permit is issued. TOTALS----> 27 . 50 0 . 00 17. 55 45 . 05 45 , 05 . 00 o I have end vat maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued.My workers compensation insurance carder and policy number are: Carder REVENUE DIVISION TOTALS--> COLLECTED: 45 . 05 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I the panne is for one hundred dollars(SIODI or less) 27. 00 . 50 17 . 55 ❑ 1 runty that in the performance d the week for which this permit a issued,I Mall not emptoy any person in any manner so a to become subject to the women'atmPenation laws o Cegonia,and agree the H I should become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 d the Labor Code,I shall forthwith campy with those provisions. INDIVIDUAL FEE BREAKDOWN Date: Applicant: Warning:Failure to secure workers'eampanaadon coverage Is unlawful,and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N - UNIT COST TOTAL COST civil Nita up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages as provided for in Sertlon 3705 of gm labor Cods,Interest,and etromsyilees. SFR 55 RES-CONCRETE BLOCK WALL / FT. 20 . 00 1 , 100 . 00 c CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a consnuaion lending agency for the END OF FEES performance of the week for which this penal is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify them-rave have read the application and state that the above iMormatin is correct.I agree to comply with an city and county ordinances end mate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes.MARK SCHLEY 01 00179027-00174019 TOT 45.05 . GATE: 03/50/R5 TI1E? 14:09 /id / � Print Name //tx. '//14 a Date: iliiiL r,of s..p. •tent/Applicant/Contractor (5151-e6.WP) White-Dui.ung a Safety;Green-File:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor . - Cti NSIRUCTION AND PLANNING POC SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit 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 e 5. Steel Reinforcement if-3-q5 6&vf 56. Rough Plumbing & Pressure Test• 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings K.',•- T &sir 58. Electrical Conduit-Undrgrnd. 8. Foundation ` 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 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 - • t' APPROVALS '_ Permit # 21. Duces, in Structure :i- - - _ 70. Underground Hydro 22. Ducts, Ventilating - ''` • 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing . • 74. Overhead Hydro 26. T-Barr Ceiling (Structural) & 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. FOOD CERTIFICATE ISSUED 33. Final Electric r. . - Notes:3�3`,% .Vag '44 C-2% 34. Final.Heating& Air Conditioning ! - A0 ia.3 CGA 35. Final Gas Pipe;Test : .. i i _ � . ' 36. Hood or Canopy - - t[_ [ �, • 37. FinaiFactory Fireplace i t . 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 I I. - )'" -. ' 'I 45. Sound Attenuation • ` 46, Handicap Regulations . - 47. FINAL STRUCTURE & BUILDING 4,,/L� f a - - 48. FINAL PLANNING . - 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co - ' - 51. CERTIFICATE OF OCCUPANCY No Date t..... DIVISION OF BUILDING SAFETY • 't r!_g 2 7 4 6_2, CITY OF COSTA MESA • `t ;'`PROVED 11BY Date 2) int blRr CITY. OF COSTA MESA P This s of plans and sw. iLL -fag'?MUST be kept on this job at all times PLANNING DEPT. and it - u 1.mu •make any than'es or alteration on same without written SUBJECT To CLD,. DEPT. ¢E pennisslon from the Division of Buil ing and Safety,City of Costa Mesa. ///!!! , The sta(ping of this plan and sped ications SHALL NOT be held to permit 1 4-117 q k 4 x6 ;{ 4Y_____-5-E....DAT 3 3a 9 r or to be an approvyl of the violatio of any provisions of any City of Costa So DIRECTO OP PLANNINQ Mesa Ordinance arNor State law. _.....a. , 1-z —� 1 �q y � rr� S'1�M S?tHr i�/ ' '\ These p and permit shall expire r y limitation and become null and void I • the building or work i not comment d and maint^.,ied tcl"•: to' j"0 Bar OUP OA p e tideoD r-Tc- S • b • ca-1-3 I RESIDENCE RESIDENCE RESIDENCE RESIDENCE IV W Q IV ft IR i VI yly�- \‘....- . I J c e1 � (O vISTREET 6 • TYPICAL 6" CONCRETET BLOCK FENCE � . . • Cement Coping Optional .7g' ' -- ' GENERAL- NOTES Channel Block With 1-3/895 SIB -' , _� Horizontal Top of all — - - - Fences MORTAR: One Part Plastic Cement, and '� i Three Parts Sand For Fences 5'or Less la GROUT: One Part Cement Three and uu o _ COPING: One Port Cement,Sand , Three Vert. Bars 3/8"yS at 4' -0"O.C. iY� o _ - For Fences Higher Than 5' •, L, I- ' a 1 I Parts Sand Vert. Ban 3/8"0 at 32" O.C. Q w -- r _ CONCRETE: Well Mixed I:2-1/2: 3-1/2 a = Max. of 7- 1/2 Gallons of Fill Cells Solid With Grout 11 > Z .,'Pe', L Water Per Sack of Cement Where Steel Occurs iii��� > - ---- -- - Reinforcing Steel Shall f 1D '� �. GROUT MAV 8E POURED FROM THE TOP Conform to Sec.A-15-39 fffYYY I W O --- — OF THE FENCE IN CELLS WHERE STEEL ' OCCURS. A.S.T.M. I11 i ~ —� '' CELLS AND AREAS OF HORIZONTAL REIN- w In FORCEMEN7 SHALL BE CLEAR,CLEAN& All Steel to be Lapped �� u. 1 FREE OF ALL MORTAR DEBRIS.ETC. 24"or to Code NATURAL GRADE W "' 'I R. v , % R TWO 3/8"0BARS '�� n� t e . . • e CONTINUOUS TOP I &BOTTOM .� ~WIDTH • . TO 16 0.C. MAX. SEE CHART ‘ I . • HOatZ.STEEL MUST BE TIED IN BELOW - DE PTH OF E ARTHTCOTH PLACE AT TIME OF TRENCH . t .e. I/3 THE HEIGTH OF FENCE INSPECTION. L - TrLOW BOTTOM OF FOOTING •�� ID, 2.-_JL_ SCALE: 1/2" : I' FOOTING REQUIREMENTS CHART WALL HEIGHT 6' 5r--- --Z-C'. 3' I WIDTH 14" 14" 12" . . . . . . . 12" THICKNESS . . . . . . . .10" 10" 8 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . . .20" . . . . 16" . . . . 12" SPACING OF EARTHTOOTH. . 12' . . . . 14' 16'. . . . . . 16' City of Costa Mesa, California Building Department . 12EV,15EP Nov.82. PROJECT ADDRESS: 243 E 20TH ST UNIT: B&C CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 047207 OWNER'S NAME: SCHLEP • ADORERS: 243 E 20TH ST PERMIT NO: P 047207 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA CA 92627 CONSTRUCTION TYPE: 5-N PERMIT TYPE: PLU PURPOSE: OTH (714 ) 548-7920 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; NEW GAS SERVICE(DUPLEX IN REAR) SQ FT: . ADDRESS: UNIT: CLAIM VALUE; CALC-VALUE; GROUP OCC: R-3 / PERMITTEE: PHIL SHAFER PLUMBING • ( 714 ) 646-34 '4 ADDRESS: 3266 P .O. BOX // COMMENTS; PLUMBING WORK ONLY/NO "B" PERMIT. NEWPORT CA 92627 **************************************************+6*********x****d6 ************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(corn ection Z ON ING R E Q U I R E M E 'N T S 7000)of Divl rf` Ik�•B ess and IG.:Professions 6 1 and my license is in:full —3 and effectSETBACKS CITY tic.: STATE tic.: 318 610 cuss: C 3 6 ytg:•f"- 7- �� Signature: /� • MAIN BUILDING ACCESSORY BUILDING "HKERS'COMPENSATION DECLARATION: Ihereby affirm that l have a certific. • • .� 'amore or a certifkle of Workers' FRNT: FT IN REAR: FT IN FRNT0 FT IN REAR; FT IN %pensation Insurance,or a certified copy thereof(Sectio ._.:.... .....!_i.,. �.;. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: COMPANY: PARKING REQ PROV; PARCEL: 42627313 INE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: **********************************************************iF******************** E1:EMPRON FROM WORKERS'COMPENSATION OECL RATION: (This section need not be completed N the!..,,,,,n•3�/d red MOWor less). 'DEVELOPMENT SERVICES R E. Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued,I shall not employ any. '$""• . ner so as to become . subject to the Workers'CompensationpLaws of California. �� ZONING APPROVED BY DATE: Date: 5T-- 7- [ c) Signature: —se'''. ''.:,-a NOTICE:If,after making this declaration,you should be ���pensation •revisions of the Labor BUILDING APPROVED B Y • DATE: Code,you must forthwith comply with such prod , — w, $:' d revoked. / ._ CONSTRUCTION LENDING AGENCY: I hereby affirm th. .Mist.: r"f.ending agency for the performance of the work for APPLICATION ISSUED BY; ice,//� _dust • DATE: s -eCD which this permit is issued(Section 3097,Civ.C). ********************** * 9. ********************** LENDER: *******************************************f******* ************************** ADDRESS: LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 2 , 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% SMIP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN • 1 Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by applicant for a permit subjects the applicant to a cMI penalty of not more than five hundred dollars(S500). ISSUE FEE 3 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law 2 , 00 3 • 00 0 . 00 5 . 00 5 • 00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 5 . 00 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 . 00 ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects x{th a e contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensction insurance should be provided to me. IND I V IDUAL F E E BR EAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner PLU 1 GAS SERVICE • 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applicati.J_ar, •tempt from these provisions. /% Date: Applicant: d/ I hereby certify that I have read this application and state that the above information is correct.I a• >'���J'�h all city and county ordinances and state laws relating to building construction and hereby authorize representatives of�/ �frupon the above-mentioned property for inspection purposes. �� Date: 3 7 re Signature: �ii ,;,' Driver's License or Social Security x: '?:•?'•"-` 01 0001-0233-00060238 TOT 5.00 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor DATE: 05/07/90 TIME: 09:07 CONSTRUCTION AND PLAN. .G ,POOL ,PA APPROVALS Permit# .1 Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical SeFF ii a or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. rj 53. Steel Reinforcement `v 3. Electrical Conduit Utilit.y,;Und?grnd. 54. Forms Y" 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 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 1.1 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 .- 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 - , -2 - - . APPROVALS. Permit# • 21. Ducts, in•Structure • - - '70. Underground Hydro 22. Ducts, Ventilating * . --.71. Product Piping O Gas 0 Oil 23. Gas Pipe;Rough & Test72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - • "- 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing' - '- - 76. Dry Standpipe - .. 28. Lathing& Siding'. I 77. FIXED SYSTEM FINAL. - 29. Insulation , , 78: ,FIRE PREV. FINALII 1 30. Drywall Nailing - , , � - HEALTH ! DEPT. REQUIREMENT 31. Plaster Brown_Coat - .'I I 79. FINAL INSPECTION -32. Electrical Power Meter-Final `7 80. FOOD CERTIFICATE ISSUED 33. Final Electric -- Ji= ' Notes: -34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test - r • 36. .Hood or Canopy ' .I • 37. Final Factory Fireplace . •r 38. Final Plumbing / . , r . 39. Water Service-Final , , . 40. Gas Service-Final -.7-4).,3 - L/ ' ' • 41. Solar Domestic-Final - 42. Backflow Preventer- 43. Backflow Irrigation - . , 44. Landscape Irrigation System - • - 45. Sound Attenuation • - - A6. Handicap Regulations ;.47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ti - . -'49. Electric Release to Edison Yr 50. Gas Release to Southern California Gas Co . ` • ' '51. CERTIFICATE OF OCCUPANCY No. Date • - —71111111111111.\ ADDRESS OF BUILDING: 243 E 20TH ST WNT: CITY OF COSTA MESA — BUILDING PERMIT ONNER6 NAME 1F MYNA SCHLEP MAGNA W TR PERM NO: B 071694 ADDRESS, 243 E `20TH ST COSTA MESA, CA 92627 PERMIT NO: B 071694 PLAN CHECK NO: 01129-95 L GOVT: N SUPP : N APPL.wlG ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCmar OR ENGINEER: UC.NO.: JOB DESCRIPTION : 5SLF CITY STANDARD BLOCK WALL SQ FT; 55 ARMOR ENC.'S ADDRESS:S ^ I`\r��i �Y� �. UNT: Il/\/'`/\^v/_)(\/,\lw�Jl\\/ V CLAIM VALUE: 1 , 100 . 00 CALC—VALUE: 1 , 100 . 00 GROUP OCC: R-3 / caNrnAerags xAla:: CONTRACTORS MMwc COMMENTS: BLOCK WALL ADDRESS: LiC.ND.: ******************************************************************************* MT: ZONING REQUIREMENTS 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 and Professions Code,and my licensee in lull force and aged. Cm UC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING PANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Data: Contractor _ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN OWNER BUILDER DECLARATION:1 hereby drum under Penal'of perjury that I an exempt from the Contreoan License Law for the fdbw,g reason(Sadian7031.5Basima and Professions Code:Any city«county which require a permit to construct,abet,improve, PARKING REQ: PROV: PARCEL: 42627313 ZNE: R1 REF NO: demolish.or repair any structure.prior toes issuance,eeo requires the applicant for such permit to file a signed statement that he or she is licensed pwsgentto the provisions dthe ComradomUcenee Law[Chapter 9(commencing with Section 7000)cif(*eice3otie PLANNING NOTES> CONSTRUCT 6 ' HIGH GREY SLUPSTONE WALL WITH CAP AND WOOD Business and Professions Code)or that heorehe is exempt therefrom andlhe basis for the alleged exemption.Any violation d Section > GATE TO REPLACE EXISTING WOOD FENCE. • 7031.5 by any applicant for a permit subleds the applicant to a siva penally of not mote than lee hundred dollars($5000. ******************************************************************************* ❑ I.as owner of the property«my employees wth wage as their we comperuaton,wi0 do the neck.and me structure is not intended DEVELOPMENT SERVICES R E U T A E M E N T S Bmfesero or offered for sale(Section 7044. ess and Pns Code:The Contractors License Law does not appy to an Wad prpert ho n, oy 4 wbuids or improves thereon and who does such work Firmed or horsed Of through his of her own empbfves.Provided thatuc sh improvements are not Upended or offered for sae.U.however,the building or inprovemard is sold within one yeerd completion, ZONING APPROVED BY DATE: r� owner.buiier wit have the burden of proving he or she did not build or improve for the purpose d sale). • ❑ I,a owner d IM property.con extors Licelyen a lawd'oe with lapply t aontna«,a coperty ID project(improv tom.eon and ane -py DATE:Pass nerCOM:ro CwmdxclLivenselawdogarotepysroencawdporMts Mu broie (imprwm44. usand Wu BUILDING APPROVED BY •contracts for such projeds with a conttctor(s)licensed pursuant to the Contractors License Lew). ❑ IamexemptunderSection: B.A.P.C.,forthisreason: APPLICATION ISSUED BY : DATE: •**************************** ** * iF***tFiFifiiiii ***iii4iiifxic{4ip*il.icicif*******irjfif Date: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of Cdiome Health and Safety Coda Sections 25505.25533,and 25534,and that I or any future building occupant will/coil not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification hoes the Air Duality Management District Residential construction applcaMmere exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP /RES GRADING provisions. PERMIT 27 . 00 . 50 Date: Applicant: PLAN 17 . 55 SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty el perjury one el the fo0owbN declarations: ISSUE FEE ❑ Ihave and wlmaintain acatWicdedaxsenttoself-insure for workers'c«npermMn.asprovidedf« Section of the Labs BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE cnd..f«thepedarmens.dtnewnrkf«wNahmlp.mnillmaee. TOTALS----> 27 . 50 0 . 00 17 . 55 45 . 05 45 . 05 . 00 ❑ I have and wit minute workers'compensation insurance.as required by Section 370D of the Labor Code,for the pedormence of the work for whidi Mn permit is issued.My waiters'compensation insurance carrier and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 45. 05 OVER/SHORT: . 00 Pricy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need net be compered r the perms is far on.hundred dollars($10,or lm.) 2 7 . 0 0 . 5 0 17 . 55 0 I eerily that in the pedice onna of the work for which this permit a issued,I shall net employ any paean in any manner o es to become subject to the workers'onmannation laws of California,and ogres rthat if l should become sutied to the workers' ***************************************************irk*************************** compensation proeeof daof ana Sen 3700 the Labor Code'I shall forthwith mnpy with those promscrn. IND I V IDUAL F E E BR EAKDOWN Dale Applicant: Warning:Failure to secure workericompenadon coverage Is unlawful,and shall subject anemployer to criminal penalties and TYPE QTY DESCRIPTIO N , UNIT COST TOTAL COST civil/Ines Ip to one hundred thousand dollars($100,000),In addition to the cost of compensation.damages as Provided for In Section 37asofthe Labort coemtamgaattorney's and SFR 55 RES—CONCRETE BLOCK WALL / FT . 20 . 00 1 , 100 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there e a oondmdion lending agency for the END OF FEES perfonnence of the work for which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application end stale that the above information is caned.I agree to comply with all city end county ordinances and state tees meting to building cros0udion end hereby authorize representatives of this city to enter upon the aboa.mentio ed property for inspection purposes. MARK SCHLEY Copy Print Name • Date: Signature el OwnedAgerWApplcanuCoNmcta (5151.46.W P) - WMa-Bdldi,g A Safety;Green-Fle;Canary-Appicant:Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL SPA 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 Reinfi emenu 3-qs 56. Rough Plumbing & Pressure Test a--;J 6. Electrical Ufr£R-Grpd. 57. APPROVAL TO COVER-GUNITE 7. Footings r -- ',7 ! 3 S t5- 66.4 58. Electrical Conduit-Undrgrnd. 8. Foundation; - I 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Fjor..-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 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 74. Overhead Hydro _ 75. Dry Chemical -% 26. T-Bar Ceiling (Structural) & Monocoat r n 27. Frame and Flashing • 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat `)fit 79. FINAL INSPECTION 32. Electrical Power Meter-Final �' 80. FOOD CERTIFICATE ISSUED 33. Final Electric \\` Notes: 34. Final Heating & Air Conditioning n g7fr- gr,© 35. Final Gas Pipe;Test ! oW 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 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING if._)Z_g5 C4-61- 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 1 • r t <05Tw't9.. CITY OF COSTA MESA 01 510011 BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER PERMIT • 00-00703 yC�4i a ac�94a• (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 • Job Address: 243 E 20TH ST Status: ISSUED Suite: Applied: 05/17/2000 Vicinity: DUPLEX&GARAGE Issued: 05/17/2000 Parcel Number: 42627313 Zoning: Applicant: PETE HITCHCOCK ISSUED BY: Address: 6951 NEWTON AV Phone: (562)634-8470 LONG BEACH,CA Zip: 90805 Owner SCHLEY, MAGNA W TR Address 243 E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: OLSEN ROOFING CO., INC. Address: 6951 NEWTON AV Phone: (562)634-8470 LONG BEACH, CA Zip: 90805 License: 254149 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF-T/O, USING EXISTING SHTG, INSTALL 3 PLY BUILT UP ROCK ROOF. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,990.00 Permit: $97.25 Claim Valuation: $3,990.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 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 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 - • -tECLARATIONS WORKERS'COMPENSATION DECLARATION: 11 I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to sell-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. ld I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My wopgrs'compensation Insurance c`arder and policy number are: 7�nS ri4 Carrier: ` ' N L 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 perform of the work for which this ermit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cali rn' ,and agree at If I s out ome sub c to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi s,/�, Applicant Signature: ✓�V\ l Date: 5.-/ 7-00 WARNING:FAILURE TO SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S10p000),IN ADDITION 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 ProJa�ssions Code,and my license is in full force and effect.Lic.av"_-'� �y Class# Contractors Signature: Y /(Ii Tilt coat Date: 5--(7-0C) 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,CMI Code). Lender's Name: Lenders 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 property 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, em 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 property 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: O 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,falsework,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,Califomia Administrative Code). O As owner-builder,I will not employ anyone to do work which would require a permit from 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). _ g occupant ed._...file a registration acutely hazardous 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health end 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 and 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 Section 25534 of the California Health and Safety Code been fully complied with? ❑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 eemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? in Yes ❑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 Duality 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 ❑No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials end 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- cribed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. I IPJ /, ittk egy er(s) r /7 to And/Or Authorized Applicant r Date ;ODE S. INSPECTION TYPE PAM INIQIAL@ CODEC INSPECTION TYPE EKE INTIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 7-3/•19e 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 Buil( :cupancy 2446-46 / OWNER SCHLEY, F. 0. - DATE 2-1-56 JOB ADDRESS 21.t3 E. 20th St. BUILDING PERMIT NO. 2322 ( ERALCONTRACTOR Owner-builder VALUE $- 9)480.00 LOT A P ]]8-003-23 BLOCK TRACT Dwelling & Gar_ GROUP I & 'J TYPE V ZONE Rh FIRE DISTRICT - 2'315 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR ���� DATE NUMBER Footing Trench yy.������� Ml Foundation Forms and Grade to GaragFTii/• 701 Rough Framing , i-, z „/'i .. ,) - Plumbing,Rough to SIatj' �,—A . ` Z-/:_�_ Plumbing, Rough Complete Z rip -/ s dei /;� '-a ,R-/�-- �j!/�.S u Temporary Pole .-e Cou—dtou4 I'4 1-/7-16 Lt.- a Wiring, Rough /keno 41-9 VT, 1 - , -.._.- 2-'_ • 7-V-a o?/6y — Heating,Rough Heating,Final �Se—a r�tiou a CSewer,St.) ' &.n lid/ (I— /7-CA 4L3,3- C / n / Tank or'Cesspool Lathing, In �QI`Q,i , Out (G�S� Plastering /VI • . Plumbing,Final,Fixtures Complete`b12&5 qrt // Plumbing, Final Gas Test/St'kil, ,,e) 'I-s C6 CeSre,C7.7-1 1942.41( )144. Final $r-%Y(- ) Occupancy At 8 S6 F'nrm 210 G-141500 1.55 2 322 Ill W.ost�Mesa Buildinh g Department APPLICATION FOR PERMIT COSTA MESA, CALIFORNIA -I x,35 B U I L D I N G I FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. I Permit No. Building Address �� �d /-~ T �C J ,2-42., Costa Mesa, California Received by Date Reed. I Date Issued Cross St //,//4;e /i/6 Building Address Owner �r SCr/L E1 Jrosta Mesa, California Mail Address .,f� o ?alr Nearest ',/ Tel. Cross St. City�Gcp /1 9 E54 NO./--/-.1'•j&7j Zot)gYJ;/ I No.of I T� GroutIA J Architect or Lic. 7L. T`� Plans Engineer NO. Approved by Date rens CORRECTIONS .- ' City Lie. ractor a,r, No. Address LegalLot NCJrU t r Description I No.ow 3 I Block I Tract NCK.,+ /9n i/8–0 93—a3 (Attach Metes and Bounds) // t No.of Bldgs. Size of Lot b3•IS X.500 1 Now on Lot / O ,1I i Use ofNo.of No.of ,. ' ' - ' \'\ 73 Existing Bldg.DLO E lL iter I Families /I ,Rooms 7- ,� _ O Setback Line from ` I Rear Yard ter A '-'- z Center of Street ,7 7 Side Yard /5.$l7' r. ,r DESCRIPTION OF WORK /_ 1i.� _f �.L 4. New I4,I Alteration I I Addition I 2J ,.`n}e ,...�. 4te . r .-� C n ✓. fl -, t.,-14.It Repair I I Moving I Demolish I ! (NW tic rn1At A ).i' Building ,� No.of E/ho h vo _Size 2 ,7(442 4 Rooms 7 Stories :rior Walle,p4eo t-- Roof Surto uP — ering Q,grrc,✓ I Covering Gt4UEA_ APPROVALS Use of New 6:41 Foundation Location Inspector Date Building ,p/.4./e-LL-/,4/5r °t�' /Zq F Forms,Materials, Under-Pinning . Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int. with all City Ordinances and State Laws regulating building constru do Lath.Ext. Signature of /if Permittee ` � - Plaster, Int Authorized Agt. Plaster,Ext. Valuation Permit Fee $ V Masonry Reinforced o O Plan Check$ /�/ Bond Beam �r quo. $ Feel $ 3w `— FINAL ,,jM 204 S-BP 2M 6-55 • 11 N C e d. . J o 6 . o a a` JAN 27-55PDWEs'! 73i * t:t361'0 • Street PLOT PLAN Show location and distances from property line and between buildings. OWNER SCHT.FY,_E.Sz. DATE 9-25-59 JOB ADDRESS 2113 E. 20th St. Act. B BUILDING PERMIT NO. 101126 GENERAL CONTRACTOR Owner-Builder VALUE $ 5,122.00 / 'lo. 118-093-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Cony. Res. to pup: IN_:ECTIONS 44/ DATE I GROUP I & J TYPE V ZONE R It Underground Soiya. [I.G. Water /14'-It PERMITS ISSUED Underground Gas ee_,.^i�tL SUBCONTRACTOR DATE NUMBER Overhead Water and Gas ��/ ! Rough Heating f{/ 6' 97'a.zwv /a-a6 -4-9' /e 73 it 1 Rough Plumbing p S..y`y LGt.-sem/ ,. -&o•/ -a 3 d !r • Miscellaneous _I Prop. Swr. Line House Con. St. Swr. I U Sprinkling System Ir Heating, Final r(;W ,L.2 'y o f j Plumbing Fixtures / y/Y Final Gas Test ..,- .Cv - t Construction Pole Underground Power Rough Wiring I /2. /- / ,,,ncc- / /.,-/7-J% //307 4-- Trenches Trenches IV Forms " Steel ` . �c. /0 3o . 7 ' Floor System Steel Reinforce Chimney Re-Rod B' ' Beam S .fling ✓ 1JPIta- Il"9.B -n Frame and Flashing /V , '-/ f'f e /7 -i VF!' rt . , Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final I Electric Fixtures, Final l _y : _,� Building, Final OCCUPANCY fJM d-27 GUI _ Form 210-3M-4-59 1006 • F 10426 COSTA MESA BUILDING-SAFETY DEPARTMENT rEE RECEWED P.O.BOX 317 COSTA MESA.CALIFORNIA FOR APPLICANT TO HU IN COMPLETELY APPLICrk ATtib"' $PERMIT TYPE OR PRINT Crib9'L ^Rd1ES Dc2VS E. i�/iT ekr j� LUT"i ADDRESS BUILING (� p USE ONLY COSTA MESA, CALIFORNIA FOR OFFICE US p//- C4 CSCE RECEIPT NO. pF{IMIT NO� OWNER / /%-r, �.,..��t// I/"l Y ADDRESS , -E. ..S-p,•7' •^ _FINED BY I gT1RL/3-y I go n�2T:1995, CITY rn.ST �lk'S TEL. NO. .. ^r ' BUILDING 1 /I •1 P P . )U -/ O4/! J 1 ADDRESS 1 AR(""TECT LIC.OCOSTA MESA, CALIFORNIA OR (NEER NO. FIRE ADDRESS ZONE TYPE / GROUP di - I CONTRACTOR"�A/CC`/ Q D EhJANO. APPROVED BY r-4- - DATE 7/41C7 V p ADDRESS ONING �'„„ __[ I LEGAL I LOT I�� I,^II f"I� ?ONE / NO.OF ^ I U`SE OF NEW^'/- I DESCRIPTION ' NO. i�N.g BLOCKS T ACT n' I. P,�LA/N6/� NBUILOING 9 ��/I �/ �y A.P.NO. /I I `— O [ 3 -� v ,j BYAPPROVEW / / / ' DATE / -� �J .. OF LOT L3 ,i X 30a sr I NNO.OF OW ON LOTS 7 YARDS (/p j` LY��`�,�yAL •3 REQUIRED ALLOWED USE OF _ ,/^S� AL (CENTER LINE ST.) _ EXISTING BLDG. INA,EL4.. -V \ A-RAG- FRONT ..rL� FT. - IN. SETBACK LINE FROM not/ ^JIB f CENTER OF STREET / &t REAR YY�e0/S R.SIDE a�/S�FT. IN. }f SIDE YARD I LEFT ` I RIGH3 ; L.SIDE /,£FT. IN. DESCRIPTION OF WORK X REAR FT. IN. p NI I ( SII ALTERATION I I ADDITION I ��IIH��� �� o r Q ! ` • BUREPILDIRNGi( I II MOVINNO.OF DEMOLISH JI pa R'-C fN//�j iJ�o// SIZE .4) •X a k, ROOMS STORIES / / / L"' ' ` EXTERIOR WALL 'ROOF . COVERING COVERING ' USE CbBU ILDING AND WORK TO BE PERFORMED .iveyc e An,/Ls( Qns. -- b -- u pLE�( A"av_ X4/< c&/ 7- vs- jy I N EBY ACKNOWLEDGE THA I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR HE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND /STATE LAWS REGULATING BUILDING CONSTRU¢¢¢TILCggqL,JJJyyy� � •; VALUATION • SIGNATURE OF �C O�^ PERMIT FEE $ /�n PERMITTEE AeI!/y ('� • $ PLAN CHECK $ X n-n AUTHORIZED AGENT �i /��•� i y TOTAL FEE $ L4 SVnI\I_R SCHLEY, Magna W. WAIL 12/1/72 Nl1JOB ADDRESS 243 E. 20th St. BUILDING PERMIT NO. 35755 ,G ERAL CONTRACTOR Owner Builder DESCRIPTION of WORK 5—Car Gar. 'a.118-093-23 LOT TRACT FIRE ZONE VALUES 5,775,00 y I CTIONS Signature Date GROUP J TYPE V ZONE R-1 \SOIL PERMITS ISS ED GAS SUBCONTRACTOR Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER E ROUGH WIRING Heating and Vent. TRENCHES n FORMS El STEEL REINF. ❑ � tO,.d..z--7�/ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n / SHEATHING t"-/-3 - Ps-- FRAME AND FLASHING LATHING - IN ❑ OUT n Pi _TER, BROWN COAT S TURAL, FINAL /7 Electric HEATING, VENT., REFRIG. AND A.C., FINAL /7a, / /M3 PLUMBING, FINAL AND GAS TEST n / �1 ELECTRIC, FINAL //8--7'3 BUILDING, FINAL f tie-7$ . . • . _ PAIR 35755 PEG -1 -77-Div 00 091 * ****118.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP IC ION FOR BUILDING PERMIT For Applicant to Fill in Completely (� R E V D DATE RECEIVED/ ?ATE I$6UED BUILDING T 3 E ZU e // _ l�'! -7 ?ATE 'jr, J ADDRESS T /(� l f� a/ '�- OWNER A.P.NO. 113-v 13 23 PERMIT N NCrti/1 �l�. ^1i MAIL �7/� BUILDING ^'7�( �'y� zADDRESS 0 4' 3 n• ADDRESS -7„.;‘4.3 ^V 'J"�, J ` -0 CITY (1.-G. //e,S� NO. "/-3 —"WIT 5 rFhOY"'3 BLOCK CONSTRUCTION ,( , JJ NEW ADD ALTER REPAIR MOVING DEMOLISH O< LENDER /7 re-/K.S CA1////r/C•C , , V A Q [[�� - BRANCH // (7../1541/76M j J� OWNER mACDMA IV SC'/TLEY L ADDRESS .Il/1%� / .i1 /`/E�i� �. n�I /lA �(/1LUE$ •�OrRC111TCGT ti_-.t7L-//Vj C44/i' TEL. T•% USE C44l/:A� S J a -DR-ENGINEER �L F/! NO./r _ar•fac Za SIC- 1 s9C' ZONEFIRE YPE ROUP we CrW 41 ADDRESS r. ,r r �G O.LL !~mfr-�j••N .=T APPROVED • J Q CONTRACTOR- C/�l Z7i BY / DATE + ��- m Z it A / 71 it ADDRESS 2,t3C ZW W � ^/ t-, ZONE NO.OF USE OF NEW = CITY .- /y 7-,,,, I NOL._2'a•v @Lil PLANS BUILDING 6J,}Q�(�� W O STATE U CITY YARDS APPROVED YARDS APPROVED N CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 SIZE (FROM C/L STREET) 11 NO.OF BLDGS. OF LOT (p../,/SIL ,.JOG/. /a NOW ON LOT FRONT FT. FT. USE OF C EXISTING BLDG. // .5-' 0 R.SIDE FT. 3-15FT. • I- SIZENEW OBL -//vL- ROOMS STORIES L.SIDE FT. / 4 FT. Z NEW BLDG. 4i I / L.1 COVERING Q EXTERIOR WALL�I9 kiOaCf COVERING REAR FT. S'- /5 FT. Q USE F BUILDING.AND WORK TO BE PERFORMEDDISTANCE BET. BET.MAIN& 213 t 4f tCd dyA& MAIN[CLOGS.. VAR.# ACCESS BLOCS. /'gyp,. DATE • 0 'Ji (s,4/t t 7tt C.U.P.# APPROVED 1 .,.I / �e4-.7e4 —AAPYPROVED] sV/ Lyn 6 DATE , I-7Y p � I UI hereby acknowledge that I have read this application and state f r that the above information is correct and agree to comply with HOLD )�Q QPEC AL '1 a ,•' ' CCall laws regulating building construction, and I shall not employ / F„ D any person in violation of the workman's compensation laws of / CO the State of California. I -- ��� J co 19 ZI hereby certify that I am properly licensed as a contractor under SO' FT. 91tl).ca O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE• •L • ION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A ' -MIT FEE ONLY: a am exempt from the provisions of the State of California Business Q and Professions Code, Division 3,Chapter 9. / VALUATION '�"' m / J 77, 00 PERMIT FEE $ a:aJ (2. ND Signature of / •/J / co Permittee "'i•-. , Ai -a• " lli , $ PLAN CHECK $ /6 -es-c•) E Authorized Agent / 11111 / A.12e1 //�7a TOTAL FEE $410:Bd