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Home My WebLink About281 21ST ST - Building Permits PROJECT ADDRESS: 281 21ST ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 071075 OWNER'S NAME: KAZARIAN ARTHUR S TR ADDRESS: 917 VIA ZURICH CIR PERMIT NO; B 071075 PLAN CHECK NO: N GOVT: N SUPP ; N NEWPORT BEACH, CA 92663 7 CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; OTH 548-5751 . ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/OFF REROOF W/FIBERGLASS SHINGLES SQ FT: 2, 670 ADDRESS: UNIT: . I CLAIM VALUE; 2, 670 , 00 CALC—VALUE; 2, 670 , 00 GROUP OCC ; R-1 / PERMITTEE: FAIRWEATHER ROOFING ( 714 ) 997-9449 ADDRESS: 3845 E CASSELLE AVE COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TO FINAL, REROOF 2100SF RESIDENCE ORANGE CA 92669 +r******ar+t**+e,F******+r*******#****+( -**+rr-it***********4k***y�y►,,Lg}� �/��) •*� �}}�—r��I��1¢�_p'y'¢ar�75�( +t LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 2 ONING R EQU IR EME N;i v'•'�'«/ ✓E r E V 1 O il 6 70110)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SE TB ACK S CITY LIc.: 7: 78 STATE LIC.:51S12S Gj!_C 39 EXP : 06/95 �(1�� Date: 1(_�I J Signature:_. MAIN BUILDING ACC ESSOR ` . WORKERS'COMPENSATION DECLARATION: (hereby affirm lhatIhave a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ; PROV; PARCEL: 42621508 ZNE: REF NO; ❑ Certified copy is hereby furnished. ® Certified copy is filed with the city Building Division. PLANNING NOTES> >. .re: Applicant: **1t****************+t********************************1f*****************ir**+E***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred M100)or less). D EV ELOPMEN T SERVICES REQUIREMENTS I certify that in the permance of the work for which this permit is i sued.I shaft not employ any person in any manner so as to become sublect to th�A��orkeF' pensation Laws of California, n ZONING APPROVED BY DATE; `} Dale: - (0/�� Signature: /(� — � NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE: Cade.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm That there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: 2 t u ('-'1 \ which this permit is issued(Section 3097,Civ.C). ****.**.*.N.***.If.l!****.*.***.***.N.*.**,N..x,*****.lf*9f***r iE ******,M,****,IE***************iF***** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT; Y - 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: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 5 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • SMIP/NON—RES and Professions Code)or Thal he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects tpe applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FE E I. as owner of the property or my employees with wages as their sate compensation, wit do the work, and the BUILDING—D IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S————> 54 . 50 0 , 00 0 . 00 54 , 50 54 . 50 . 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 awn employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement f )one year of completion,theowner will have the burden of proving he/she did not build or improve REVENUEDIVISION PLUMBING ELECTRICD54 . 50 OVER/SHORT: . 00 forthepurpose osale. BLDGPMTMECHANICFIRESMIP /TOT, GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 , 50 , ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware **********.****{t*************.****.****.**. *. *.*******.. .*.R**.************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O W N ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 2670 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 002, 670 , 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 Mare 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 Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify That I have read this application and State that the above information is correct.I agree to comply with all city and county / ordinances and sp to laws relating to building construction and hereby a honz�e repre$entativesol this city to enter upon the above-mentioned J/ property ,U for ins(�echo purposes. �Y Date:�/ 5 Signature: (/ / (�� 701 00176476-00176477 TOT 54.50 riGATE: 02/10/95 TIME: 10:49 Driver's Li nse or Social Security a: 1641.46 White—Building:Green--Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL 'A 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 Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation I 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, ❑ 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 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 2-a 4:14' _ 74. Overhead Hydro 26. T-Bar 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 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-Final 40. Gas Service-Final • 41. Solar Domestic-Final r � , 42. Backflow Preventer -- , 2-717 -S - 'se (4,i4- `.'z4 43. Backflow Irrigation 7 44. Landscape Irrigation:System. 45. Sound Attenuation. .� Z-ii -Ic- yw*/ Anna, 'car c4ti / 46. Handicap Regulations .^ 47. FINAL STRUCTURE& BUILDING Y(�_9s too li 48. FINAL PLANNING • -v' • 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Costa Mesa Building Department 4APP CATION FOR PERMIT � COSTA MESA20 STREET R 111 EAST CALIFORNIA S13 BUILDING 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permit No. Building Address 281 E. 21st St. . /1;0 Costa Mesa, California Received by Date Recd. Date Iss ed 1�AY 1 3 1955 Nearest - - Cross St. Santa Ana Ave Building Address Owner Max W. Pope Costa Mesa, California Mail Address 407 Bolsa Ave Nearest ross St. city Newport Beach Tete 8-2281 zon y) I No.of I Type/ Ilt "x81955 Architect or Lio. TT Plans V Engineer No. Approved by Date •+dress CORRECTIONS 1 city 313 ....ntractor Max W. Pope No. Address Same Legal I Lot ¶ 1iDeseription No. / "81•• II Tract42,, .-5, . (Attach Metes and Bounds) ( over) No.of Bldgs. Size of Lot 60. x 120 Now on Lot 0 0 Usei of 0 I No. I Room Tali ,lzExisting Bldg. Families Rooms C) Setback Line from , Rear Yard 30, i Center of Street 50 Side Yard 5 S. DESCRIPTION OF WORK r„_'•( 13 1955 r New I X I Alteration I I Addition I Repair I I Moving I I Demolish I CITY OF COSTA MESA Building No.of Size 1353 Sq ' Rooms 6 Stories 1 ' erior Wall • Roo Iering St•[)CC() Covering Compo APPROVALS Use of New Building Reg & Att,d Gar .. Foundation Location Inspector Date Forms,Materials;,, Under-Pinning N Frame: Fire Stops,in Bracing,Bolts 0 I hereby acknowledge that I have read this Application Lath.Int. N2a and state that the above is correct and agr to comply }Cn with all City Ordinance and State La s regulating Lath.Ext. , building construction,J Plaster, Int. m Signature of // � n Permittee / W' i ' / Plaster,Ext. :3 Authorized Agt. -r Masonry Reinforced?. Valuation Permit Fee $ re $ ' y/ �[ Plan Check $ Total ` I Bond Beam V 0 Fee $ 1 /^7 FINAL cnwM 204 r-N zY 4-4.1 • - J The Se ' ly 60.0 ' of the Nwly a 432 .0' of the Ne ' ly 120.0' a of lot 244 , Npt Hgte . • • • . Street - _ . - 7 • • . PLOT PLAN _ Show location and distances from property Iirie and between buildings. . j,, - r Tr • • 't. L C 1 • • •