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Home My WebLink About333 21ST ST - Building Permits.�: October 31, 1994 �' � CITY OF COSTA MESA CALIFORNIA 9262&7200 P.O. BO% 1200 DEVELOPMEN7 SERVICES DEPAATMENT Dear Costa Mesa Property Owner: In reviewing past permits, we find that work has been done on your property located at 333 21st Street Unit B, Permit No. B66202, for a roofing permit. The permit is valid for 180 days from issuance or your last inspection, per Section 303 (d) of the 1991 Uniform Building Code. Should we not hear from you within 10 days, your permit will expire as stated herein and additional fees will be required to finalize the permit. Failure to final a Building Permit could possibly impact the future sale of your property. To activate the above permit, please follow these steps: 1. 2. 3. 4. Telephone (714) 754-5626 or 754-5627. Request an inspection; state address, permit number, and type of inspection. Be sure to have working smoke detector's as required per Section 1210(a) of the 1991 Uniform Building Code. Have an adult present at the property at the time of inspection to provide us access. Should you have any questions regarding this process, please contact me at (714) 754-5273. Thank you for your cooperation. 5��. � olanda Huapaya ermit Processing Spe 'alist Builtling Oivision (714) 75a.5273 ?7 FAIR DRIVE • Code Enforcemenl (714) 75d�5623 • FA% p14) SSS7508 • TDD O14) 754-5244 Planning Divis�on pta) 754-52a5 PHQIECT A�OflE55: 3 3� 21 ST ST I OWNEfl'SNAMF: VILLAGE PROPERTY MGMT. �ooAess: zq00 MAIN STSTE 2p1 _ '� ZRVINE 92719 c APCHIENGINEEfl: FOOflESS: flEG.NO.: ur+ir: B UNI7: resmmee: R p HIRSCAMAN ( 714 ) 960-8329 aooness: gg55 ATLANTA 285 HUNTSNGTON HEACH CA 92646 UCENSEO CONTBALTOH DECLf�PAT70N: I �ere�y aBirm ��at I am licensetl untler pro�isions of C�apler 9(commencinA wilA Seclion 7000� ol Division 3 0l the Business antl Pmlessions Catle. ana my license is in NII brte an0 eifec�. cirru.:038458 STPELIC.:f / 48 39 ' ate� "2'� 5 SigR�ie� BNEBS' COMPENSp7lON oECLANFTION: I hereby aflirm tnat I nave a cenilicate o1 consent to sel4inmre or a cenificate ol Workers' Compensalion Insurance, or a cenifietl copy t�ereol �Section 3800, Lab. C�. roucvNo.: 1222890�93 exr.onTe: 10/01/99 comraNv: STATE FUND � Cerlilie0 copy is nereGy furniSHed. � Certdi hleC wilh t�e ciry Builtling Oivision. a� 2Y � �/ Ao�� E%EMPTIONFflOMWOHKEBS'COMPENSATION�ECIAflAT10N: Qhi55MionneeArw16etompleleGi�Iheperm�i510ron¢AUMre0�S100�orless�. I cetlily �hal in Ihe petlormance ol �he work �or whic� �his permi� is i55ueA. I s�all not emDloy any per5on in any manner so as lo b¢come su��¢cl lo ihe Worker5' Compensalion Laws of Califomia. Da�e: Signatme: NOTICE: If, atler making Ihis tl¢clara�ion, you shoula became subjeci to ��e Workers' Campen5aiion pmNsions ai ihe laho� CAee. you must lonliwitn comDly witn such pmvi5ions ar ihis permil sAall Oe aeemetl tevoke0. CONSTBULTION LENOING RGENCY: � here�y a��irm t�at ��ere is a ConSlruciion lentling aAenry fof Ihe pedormante a� I�e xrork �Or whit� I�iS O¢rmii i5 i55u¢C (S¢CIiOn 3097. Civ. C�. LEN�EN: FODflESS: OWNEH BUIWEB UEClAHR710N: I hereby affirm tlut I am exempt tmm tne Contracmrs State Lice�e Law for tne tollowinq 2ason �Section 7Q31.5 Business ana Prafessionai Cotle: Any cny o( caumy whic� rtpuir¢s a permit ta mnsiruct, alter, improve. Oemalisq or reoair any simciwe. prior to ils issuance. also repuires ine avP�icant for such oermit to file a sipnea statement ihat ne/sne is licensea pursuant to I�e pmvisions ol ihe Con��acmrs' State License law (ChaD�er 9(commencinA �� ction 7000) of �ivision 3 0l t�e 9usiness anU Pmfe55ions Code� or Ihat he/5�¢ i5 exempi IAerefmm ana the ba5is lor Ihe all¢qe0 exempiion. Any viala�ion o� Settion 7031.5 by any ao0licant for a De�mit subjecls i�e apDlicant to a civil penalry of nol more ihan live huntlreA dallafs (E500�. I, as owner o� Ihe OwOe�y or my employees wiih wages as Iheir sole compensation, will Oo �he wo�k, and �he ❑ stmcmre is not intentletl or o��erea for sale (Section 70aa, Business antl Prolessianal Cotle: T�e Coniractors' Slale License Law tloes not apoly Io an owner oi a pmpeny wno builtls or impmves Ihereon, antl who daes suc� work Aimseli/Aerseli or tAmuph �is or her own employees. p�ovitletl t�al such im0�%'ements are nol inlende0 or oflereE far 5a10. 11, Aowever t�¢ CuildinB or improvemenl is sold wit�in One year ol complelion, �he owner will have I�e hu�Uen a� prOving h¢/ihe Oitl noi Dui10 or impmve I �or I�a purpoSe ol sale�. I, as owner o� I�e pioperty, am exclusively conVaciing wi�� 6cense4 comraclors �o cons�mcl l�e D�ojec� (Seclion 70a4, Business ❑ antl Professions Coae: The Coniradors' S�aie License Law aoes not apply �o an owner ol Dropehy wAo hudds or impmves thereon antl who conlratls lor such pmlecis with a contractoqs) license Dursuant �o �he Conlrac�ors' Stata License Law�. I am aware t�al pwol ol Iheir Worker'S Compensaiion insuran6e_5hou10 be pmvided to me. � I am exemD� unae� Sec�ion: B. 8 P.. C. lot @is reason: Oa�e: Ownec I oo nereby cenity ihat I am aware ol an0 unaerstantl ihe requirements oi Galifomia Health ane Salely CoAe Sections 2550.5, 25533, an0 25574 antl Inal I or any lulu�e huilAing occupani will/will noi (circle one� neetl lo comply �th saiA slaie todes antl ihe requiremen�s for a permil lor conslNclion or moaificatiUn irom ihe Pir Oualiry Management Disirict. FesiQenlNi consimction apolications are exempt Irom t�ese O��ision5. Dale: Applicant: • I nereCy certily I�at I nave reaE t�is aVD��ation ane state t�at ihe above inlo�mdlion is W«ecl. I aA�ee lo mmON �� all city an0 counry ordinances ana slatelawsrelalinglo Uuiltling consimction an0 �ereby author¢e reD�esentativesolt�is cityto en�eruponihe a�ove�mentione0 P�aOer�y br mspetlion purpos¢s �/ . Dat� � z Y' � � Signat �� rver's license or Soaai Securny d: i6at-46 Wiwe—BuAtlmg: Green�Coee Ento¢emen�; Canary—Ap0licanl; Pink—Revanue: GWEanroC—Assassor �% CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 066202 PLAN CHECK NO: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOB DESCRIPTION : T/OFF REROOF W/COMP N PERM NO: B 06620� GOVT: N SUPP; N PURPOSE: OTH SQ FT; 1,500 CLAIM VALUE: 1,500,00 CALC—VALUE: 1,500.00 GROUP OCC; R-1 / COMMENTS; RE—ROOF W/COMPOSITION SHINGLES *-�t�t*�r**-��-*�r*�**�+��x-***r*-�a*****�r*irx��e�**�r**�-�t�r*-�tx-+r�rx�r�r+r�r�!--�r+r�t*��r***-�**v�x�#�r+�*+��r�� Z O N I N G R E Q U I R E M E N T S S E T H A C K S --------- MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT 'IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL: 93768T07 ZNE: REF NO: PLANNING N(�TES> , > — ��,�*��*�,��****�,�*��,�**��*��,��*��*��*��**,��*,�,�,�*�*��*�*��**,��,�*�� D E V E�L O P M E N T S E R V Z C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: /(� APPLICATION ISSUED BY; DATE: 7// Z �j **�r**�t�r**�x-***�r±�+�*+�*��r�r � -� �***r#+�**i��3�€��* 1 7E if it iE 1F iE if i�� if if ff iF iE iE iF iF if !E iE 1E iE !f iE ff if fE iE k ff iE jf 1E 1E fE k If !k 1E if if iE 1E jE if if 1f jE if 1f iE iE iE �f 1E iF 1E iE f: jE 1E aE iE iE iE ff iE *!k iE 1E i"�if if if 1E iE iE IE if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 50 PLAN SMZP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 35.50 0.00 0.00 35.50 35,50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 35.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 35.00 .50 if:f iF if iF �)F iF if if� if if if iE if !!� 1F 1f if 1F if 1E it iF if if if iE fE �f iE if iF iE iF iF �F #�11� 1R if !F 1f i41! iF iE jE if if �! iE i(�'If iF iE dE 1E if if if if !F-0f!f i(�!F # jE iE if 7E if iE it �!f iE 1l� if iE I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R Z P T I O�N SFR 1500 AEROOF BY VALUE RES�'DENTIAL NOZONE ;' END OF FEES " EXpIRE�. Incomp�� 1[�sPi2cl�5' 1\ �� - (��;�- utll8 ��` i � � ' UNIT COST TOTAL COST 1,�� 1�5�0,�0 01 00356098-00156099 T dT 35,50 DATE: 02/2S/94 TItlE: 13s1E CONSTRUCTION AND PLANNING POOL °A APPi'w7VALS Permit# Date Inspector qppROVALS Permit� Date Inspector 1. Temporary Elactrical Service or Pote 52. Pool & Equipment Location i 2. Soi! Pipe-Undrgrnd. 53. Steel Reinforcement 3. Elecirical Condui; Utility-Undrgrnd. 54. Forms 4. Elettrical Condoii-Undrgmd. 55. Electrical Bonding 5. Steei Reinforcemenc 56. Rough Piumbing & Pressure Test 6. Electr�cal UFER Gmd. 57. APPROVAL TO COVER-GUNITE 7. footinqs 58. Electrical ConduiFUndrgmd. $. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. 4Vater Pipe-Undrgrnd. 60. Backwash L�net, P-Trap, � Undrgmd. 10. Structural Floor Syuem 61. APPROVAL TO DECK t i. Property Sew¢� Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Pinai 73. Roof Drains 64. Plumhing System - final 14. (iough Plumbing 65. Electrical�Final 15. ftough Eiectrirai-Conduit 66. Solar SYstem-Final , 76. Rough Electric 4Viring 67. Fencing & Access Approvai i7. flaugh Wirin9 Sign 68. APPROVED FOR PLASTERING 78. Rough Electricai-T Bar Ceiling 69. POOIJSPASYSTEMS FINAI. 19. Rough Heating & Rir Conditioning F(RE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVAIS Permit � 21. Duc:s, in $tructvre 70. Undergro�nd Hydro 22. Ducts, Ventilan�g 77. Product Piping CGas ❑Oil 23. Gas Pipe�Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Stora9e Tank O Gas ❑ Oi! 25. Rcof Sheathin9 L^ e,y^ �(f G�j 74. Overhead Hydro 26. T-Bar Ceiling (Structwall & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe � 28. la.hing & Sid�ng 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL 30. Drytvali Naiiing HEALTH DEPT. REQUIREPoIENT ' 31. Piasrer 8ro�n�n Coat 79. FINAL INSPECTION ; �• 32. Electrical Power Rleter�Final 80, POOD CERTIFICAT.= ISSUED � 33. Finai Electric • Notes: ' 34. Fina4 Heating & Air Cond'+ti�3ning ', 35. Final Gas Pipe�Test �• 36. Hood or CanopY X P � R � �^ 37. Final Fattory Fireplace � e � tjp�� 38. Final Plumbing � 39. Water Service�Finat 40. Gas Service-Finai ' :; 41. Solar pomestic-Final +' , 42. Backflow Preventer ,'.� 43. Backflow Irrigation ' ' 44. �andscave Irriqation System ' • 45. Sound Attenuation -- i 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING • • 48. F(NAL PLANNING r � 49. Electric Release io Edison � " � 50. Gas Release to Southem Califomia Gas Co ` 51. CEFiTIFiCATE OF OCCUPANCY " No: Date � POST IN CONSPICUOUS PLACE ON THE JOB DO NOT OCCUPY THIS BUILDING UNTIL THE FINAL INSPECTIONS HAVE BEEN MADE AND T�IE CERTIE�CATE OF OCCUPANCY IS ISSiTED City of Costce Mesa Building Inspection Department STREET No......33L31�._E...21st..st, .....................................................�--- PERMIT NO.......1vµ3 .........................DATE ISSUED........8.-�.pZ-��SS..... OCCUPANCV............'.J ...................... TVPE.....V............ ZONE.._:.•.4........... O W N E R............ W$�EBT.. J.BAS.BD .........................'...................................... SETBACIiS Front Vard.......EaC.•.......Side Yard....._E.X..........Rear Vard......F+X......... General ...... Electrfcal .. Plumbing .. Cesspoolor 3eptic Tank Furnace .... SIGN NAME BELOW: CONTRACTOR PERMITNO. : I I 1 Approved PLU�MBING: GrOund Work " Rouph ' Cecepool � � Septic?ank Gas Lines • FurnaCe Final E�ECTRICAL: Construotion Pole� Underground y�^\ RoughWirinp \1\\ Fixturea � ��" Final BUILDING: Tronches ///�� Floor System 11`C) Steel Reinforce �� Bond eeam K Chimney Re-rod \ Chimney Anchor Frame 6 Ftashinp " �ath, Exterior � Lath, Interior " Plaster, brown coat " Building, Final " at e .................. _ .. �,t�� :::: .. ��..-::::: " _ :: :: : :: � ". ' . .... ' ' �.. .. ..- ...�.. " .. .. �/. . .. . ........ ....." .... ...... .... _ ....... ..... ... . .._.. .... ................" ,� ..... .............� . ..... .... . ... . .................. ..\. . �'...� ...... .:..... . ..... ..... " ... ................... R.:':�:��.,:;:::::::� `' ::: .....::::. ..:::: :::::::::::::::: " ......................5. � ................"".... N O�' �� Notify the Inspection Department when the job ia ready tor inspection. You must furnish PERMIT NUMBER and the OWNER'S BTREET ADDRE88. Form 208 GH 1500 1-55 ��. C�l �� . _ �,y� i s = �� OWNER JENSON, WALTER � � �ArE 8_1�_4.5 �/ JOBADDRESS 333 E. Z13t Sf.. BUILUINGPERMITNO. �(�� GENERAL CONTRACTOR MOOZ'8 COL13t2R1CtSOi1 VALUE $ 95O Q� L_.` GROUP J INSPECTIONS Footing Trench Foundation Forms and Grade to G Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer, House Sewer, St. So-`�c Tank or Cesspool L, ng, In Out Final. Fixtures TYPE V ZONE IDATE I 8UBC0 FIRE D/STRICT 1661 � PERMITStSSUED � DATE I � NUM6I Wiring,Final I N I / I I_ Occupancy H'nrm 'l10 C;-H 15001-55 ' Costa Mesa Building Department 111 EAST 20th &TREET . COSTA ME&A, CAL'IFORNIA FOR APPLICANT TO FILL IN �d��g 3 �3 - � ��/ Irc� ' Costa Mesa, California or Address )escription I No. Attach Metes and Setbaek New " terlor Wall rering use of New Bulldina I hereby acl� and state th� wlth all Cil bullding con Signatureof Permittee . Valuation $ 9-� = — Alteratlon N°•L�' Lic. Tract Additfon Demolish APPLICATION FOR PERMIT �� BUILD.tNG ' r FOR OFFICE USE ONLY Reeeipt No. � Permit o. / 6- y�-3 Recei d by Date Rec'd. Data Imued � ��a-ss- ��-�a-ss a��d�� 3 3� a i.sf st Address Costa Mesa, California Nearest /,� Cross St. LviK— Zone .�.., / � No. of � TYPe ._� I GrouPy Date CORRECTIONS , � � �-� - r�n� _ APPROVAIo5 Foundatlon Loeatian I Inspector I Date Forms, Materials, it I have read this Application � Lath. Int. is correct and agree to comply Lath. Ext s and State Laws regula[ing % I FINAL �y� E�ct Show locatlon and dietanas from property Iine and between buildings. 0 � COSTA � O'::?t.':tY6.00 :.uciz-�sFDtlESQ 7t0� � l