HomeMy WebLinkAbout714 20TH ST - Building Permits(714) 754-5273 • Fa�c (774) 754-4856 • www.ci.costa-mesa.��,y�LDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
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Job Address: 714 W 20TH ST
Suite: A
Vicinity: DUPLEX A/B ONE BUILDING
Parcel Number: 42225110
npp�icant: KAHRE, MARTIN H
Address: 17226 DANBURY AVE
HESPERIA, CA
Owner: KAHRE, MARTIN H
Address 77226DANBURYAVE
HESPERIA, CA
Contractor:
Address:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 760.244-2056
Zip: 92345
Phone:
Zip: 92345
Phone:
License:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 06/18I2001
Issued: O6/18/2007
Phone:
Zip: License: license:
SCOPE OF PERMIT
TEAR OFF, REPLACE WITH 25 YEAR COMP SHINGLES. NO NEW SHEATHING PROPOSED.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORV Front 0-0
PARKING Existin : 0
NOTES:
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
$2,500.00
s2,soo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia statutes and related
regulations. (Ord. No. 9248, § 7, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for lhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 754-5626
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WORKERS' COMPENSATION DECLARATION: —
I hereby aNirtn under penalry of perjury one of the following decleretions:
❑_ I have and wlll melnlain e cenificele ol consent Io sell�lnsure for workers' compensation, es provided for 6y section 3700 ot the Labor Cotle, tor ihe pertormence of the
wOiic fo� whiCh this pBrmil IS iSSuetl.
❑ I have antl will mainitin workere' compensatlon insurence, es requiretl by section 37W of Ne I,abor Cotle, for t�e pertartnance of the work for w�ich Nis permit I5 Issued.
My workers' compensation Insurence cartler end policy number are: •-
Carrier. � Policy Number.
(This sectlon neetl no( be comp/eted i! the permit is velued ef one hundretl dol/ars (5100) ar leu.)
�I certiy that in the pertortnance ot the work for which Ihis pertnit is issued, I shall not employ eny person in eny menner so as to become subjec� ro the workers'
compensetion lews of Callfomie, and agree that If I should Eecome sub�ect to the workere' compensatlon provisions ot Section 3700 oi the Lebor Code, I shell forthwith
comply with these pravisions.
Applicant Signature: Date:
WARNING: FAILIIPE TO SECURE WORI(ERS' COAIPENSATION COVEMGE IS UNLAW FlIL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTES rW D GVIL FlNES UP TO pJE HUNDRED
i/%%154ND OOLURE (5100.000), IN ADDRION TO THE CO6T OF COAIPENSATION, DAMPGES AS PfiOVIOED FOR IN SEGTION 3lOfi OF TME IABOR CODE. IMEREST. AND ATTORNE`fS FEES.
IICENSED CON7RACTORS DECLARATION:
I hereby aitirtn ihat I em licensed under provisions ot Chepier 9(commencing wlth Section 7000) of Division 3 oi �he Business and Prolessions Code, antl my Ilcense is in full
torce and ettect. Llc. a Cless k
Gontractors Signature: Date:
CONS7RUCT10N LENDING AGENLY:
❑ I hereby aNirm t�et Ihere is e conslmction lending egency tor the peAormence ot the work for which Ihis permit is issued. (Sec. 3097, Civll Code).
Lendels Name: Lentler's Address:
Signeture: Dete:
OWNER•BUILDER DECLARATIONS:
I hereby a%irtn ihat untler penalry oi per�ury thet I am EXEMPT FROM 7HE CON7RAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslness entl Professions
Code: Any ciry or county which requires e permit to constmct, elter, improve, Oemolish, or repair any stmcwre, prior to its Issuance, also requlres the epplicant tor such permit
to file a signad steiement thet he or she Is Iicensed pursuent Io ihe proN5lons ol lhe Conireclors License Law (Chapter 9(commencing with Section 7000) ai DIv151on 3 of Ihe
Busineu antl Protessions Code) or that he or she is exempt theretrom and t�e besis for the allegetl e:emption. Any violetion of Section 7031.5 by any epplicant for e permlt
subjects the applicent to a civil penelry of not more then flve hundred dollars ($500).):
❑ I, as owner ol Ihe properry, or my employees wlih weges as iheir sole compensation, WILL DO TT1E WORK, antl t�e structure Is not Intended or ottaretl lor sale (Sec.
7044, Business antl Professions Cotle: The Contractors License Law tloes not appty �o an owner of property who builds or improves ihereon, and who tloes such work
himself or herseli or ihrouqh his or her own employees, provided that such improvements ere not intended or ofleretl for sale. It, however, Ihe building or improvement is
sold within one year of completion, the owner-builder wlll have ihe burden ol proving ihat he or she did not build or improve for purpose of sele.).
❑ I, as owner oi Ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslrutt Ihe prolect (Sec. 7044, Busine55 end Protessions
Code: The contractors License Lew tloes not epplY to en owner oi property who 6uilds or Improves Ihereon, and who contracts for such prolect wlih e contrector(s)
license pursuant to the Comreaors License Lews.).
❑ I am exempt under sac. Business end Professions Code lor ihis reason:
Signature: Date:
Owner ID venfiad by dnvers license. ❑ Ves ❑ No Drivefs License No. Expires:
Veritication of Ownership by (type of document, i.e. - propery taz bill or tleea):
DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION:
0 I hereby cenity ihat no exwvatlon Bve (5) or more teet in tlepth inro which e parson is required to descend, wiil be made in connection wit� work euthodzed by this
permit, and that no building siructure, scaHolding, telsework, or demolition or dismantling thereof, will be more �han thirry-six (36) leet high. (Chap. 32, Grp 2, ArI 2, Sec.
341, Tile 8, Celifomia Atlministretiva Code).
❑ As owneo-builtler, I will not employ enyone to do work hich would require e permit from ihe Division of Indusinal Sefery, es noted ebove, unless such person hes a
pertnit to �do such nwork fgrom p,/o-�Po1'sion.
Signature: `-7J/ L�I.Qi��i�/Y/ �.(i D Date: ...
Division of Industnal Sefery Pertnit Num6er:
CER7IFICATE OF COMPLIANCE AND AUh10RIZA710N OF ENTRV: I certity under penalty of perjury Ihat I have read this epplication and slate ihat ihe information given is
wrrecL I agrea to comply with ell stete lews e qk ity ordinances relating to building constmdion, antl euthorize representatives of the City of Costa Mese to enter upon the
ebove-d cribed prope tor inspecfjonyurp �. I eqree not to occupy or ellow acupancy of eny building authorized by is per/nit,uyjl Jir�alO � ction.
� �w ,tiv% /1 � � � I d �
�'T'�" Si a re f gelOwner(s) ��Date
And/Or Authorized Applicant
COUE I, INSPECTIONTYPE
1616 Fiaed System Final Fira Prevention
7266 Pool Spa Final
200 Final Ra-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Placa
203 Final Sign
204 Final Demolition
PeIE INTRIALS
-0� �.
COUE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Octupenty
Q�, INfITIALS
otvNaR Mr, and 4�Prs I•lartin H. Kahre FE8 9 1961 DATE 8/li/�9
JOB ADDRESS 71�t-�' i•lest 20th S`t, BUILDING PERMIT NO. 100�.{6
GENERAL CONTRACTOR oy�rier and builder VALUE 5 7�285
AP. No. 11 -3 - LOT TRACT FIRE ZONE DESCRIPTtON OF WORK res att rar
INSPECTIONS LW I DATE I GROI7P � Bc .T TYPF. V
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Pi�.,�er
Form 470-3M-d-59
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SUBCONTRACTOR
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COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
FOR APPUCANT TO f/L[ /N COMP[ETECY
TYPE OR PRINT
AD�RE55 � G /V � p:�:%T� �'
COSTA MESA. CALIfORNiA
mW ER/%1/IZli/K � �i9-rP�£�
RUG 31959 ,
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� ' .(1$�' I�,I �.
APPLICATION FOR PERMIT
BUILDING
FOR OFf/CE USE ON[Y
I NECEIPT NO. I I�MI��
/�
�IVP� BY � OATB RECEIVEg � DATE 189Ufi1
TEL. V Cl.. BUILDING
NO. a LiIJ pDDRE55
LIC.
NO.
FIRE
ZONE
'ATE � APPROVED
NO. BV
I : ... zoHc i7
� OF LOT I�i �% X�„ I NO. OF BLDGe.
NOW ON LOT
SETBACK LINE FROM
CENTER OF 9TflfiET S NEAR YAI
SIDE YARD �LEFT � IRIGHT
DESCRIPTION OF WORK
SIZ'EOING�'$�33 ROOMS v STORIES
COVERINGWALL S/���ICOVERING ��VSN"tD�f
USE OF BUILDING AND WORK TO BE PERFOftMED
f.s�of'.vc� !✓�r�r A?T�,cNFp
CY13",�Ct'£..
I HEH88Y �CNNOWLEUOE TMAT I H1VE READ THIB APPLICATiON
ANO 9TATE TNAT TNE 1BOVE IS CORHER ANO AGREE TO COM�
PLY WITH ALL CITY ONOINANCES AND STATE LAWS NEGULATINO
BUILDING CONBTRUCT ON.
SIGNATURE OF ��� �, �.I�I�iI.��
PERMITTEE
AUTHORIZED AGENT
COSTA MESA. CALIFORNIA
20NING
NO. OF �I UBE OF N
PLANS y BUILDING
�CENTEP LINE 8T
TH8 AMOUNT BXOWN UNOER LU�TION IS FOR THH
PURPoBE OP 86TABLISHING A PEPMIT FEE ONIY.
VALUATION
PERMIT FEE S �O� � d
$ �/✓ X v� PLAN CHEGK S�Oi O �/
� [J
TOTAL FEE S`�Q , D O