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Home My WebLink About928 MACKENZIE PL - Building Permits� �-�. � y�. � :.:�::: ; : �. (714) 754-5273 • Fe�c (714) 754-4856 CITY OF COSTA MESA BUILD/NG DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: J28 MACKENZIEPL Suite: Vicinity: RIGHT SIDE PROPERiY LINE Parcel Nunmber: 41805227 npplicant: UGGEN, RICHARD R. Address: BUILDING PERMIT Zoning: R1 PERMIT NUMBER 77 FAIF DRIVE, COSTA MESA, CA 92626 R1 ISSUED BY: Phone: (714)546-3722 Zip: Owner: UGGEN, RICHARD R JR. TRUST Address COSTA MESA, CA Phone: (774) 5463722 928 MAC KENZIE PL Zip: 92626 Contractor. Address: Zip: ar�n : Address: Phone: License: Eng: Address: Phone: Zip License: Zip: SCOPE OF PERMIT 73' LONG, 6' HIGH BLOCK WALL SHARED WITH 924 MACKENZIE ALONG SIDE PROPERTY LINE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $48.50 $0.50 $0.00 $0.00 $0.00 $49.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0. 0 Rear 0-0 Requiretl: 0 FEE SUMMARY PLANNING 8 ZONING Lefl 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0. 0 Status: ISSUED Applied: O612 111 9 9 9 Issued: O6/2111999 Phone: License: s�,aso.00 s�,aso.00 i NOT�CE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned tor e period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetions and final epproval must be abtained. Failure to obtain inspections end final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKEPS' COMPENSATION DECLARATION: I hareby afflrm untler penelry ot perjury one of I�e lollowing deClarations: . ❑ I have and wlll maintein a certlficale oi consent to self-Insure for workars' compensetion, es provitled for by section 3700 of the Lebor Cotle, tor the pertortnance of the work tor which ihis pertnit is issuetl. ❑ I have entl will maintain workers' compensatlon insurance, es requiretl by section 3700 0l the Lebor Cotle, tor the pertortnance of Ihe work lor which this pertnit Is Issuad. My workers' compensetlon Insurence cerrier end policy number ere: Cerrier. Pollcy Number: (This 5ecfion need not be comp/efed il Ihe permll Is ve/uBd et one huntlred dollare ($f 00) or IessJ ❑ I certiy that in the peAormance of the work for which Ihis permit is issuetl, I shall not employ any person in any manner so es to bewme subject to the workers' compensetion laws ot Californla, and agree ihet if I should become subject to Ihe workers' compensetlon provisions of Section 3700 of ihe Lebor Code, I shall forthwith comply with these provisions. Applicant SlgnaNre: Date: � WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HIINDRED THOUSAND DOLLARE (5100.000�, IN AD�fTION TO THE COST OF COMPENSATIIXJ, OAMAGES 0.5 PROVI�ED FOR IN SECTION 3�OB OF THE LABOR WDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, and my license is in full force and effect. Lic. # Class N Contrectofs Signature: Data: CONS7RUCTION LENOING AGENCV: ❑ I hereby ettirtn that there Is a constmction lending agency tor the peAortnence ot Ihe work tor which Ihis pertnit is Issuetl. (Sec. 3097, Civll Code). Lentler's Name: Lenders Address: Signature: Da�e: OWNER-BUILDER DECLARA710NS: I hereby ettirm Ihat under penalry of perjury �hat I am EXEMPT FROM TNE CONTRAC70RS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requlres a permit to construct, aller, improve, demolish, or repalr eny siructure, pnor to Its iuuance, also requires the applicant tor such permit 10 tile e signed statement thei �e or she is licensed pursuent to the pmvisions of Ihe Conirectors Licanse Lew (Chepter 9(commencing with Sectlon 7000) oi DiNsion 3 of �he Business antl Protessions Cotle) or thet he or s�e is exempt thereirom and the Cflsis for Ihe alleged exemption. Any violation of Seclion 7031.5 by any epplicent for e permit subJects the applicant to e cidl penalty of not more than five hundred dolleB ($500).): ❑ I, as owner of the property, or my employees wilh wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oHered tor sale (Sec. 7044, Business antl Protessions Code: The Contractors Licensa Ww does not epply fo en owner of properry who builds or improves Ihereon, and who does such work himself or hereelf or thmugh �is or her own employees, providetl ihat suc� improvements are not intended or oflered for sala. If, however, the building or improvemen[ is sold within one year ot completion, the owner-builtler will have the burden of proving that he or she tlid not build or impmve for purposa of sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business antl Pwfessions Code: The contractors LJcense Law does not appty to an owner of property who builtls or impmves thereon, and who comracis lor such proiect with a coniractor(s) license pursuan� �o �he Contractors License Laws.). ❑ I am exe pt under ec Signature: Owner ID v'lied by dnvers ❑ Ves ❑ No Business antl Professions Cotle for this reason: Date: / DrivefS License No. � Expires: .�V / Venficatlon oi Ownership by (rype ot document, i.e. - propeny tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certity thet no excaveGon tive (5) or more feet In depih Into which a person is requlretl to descanQ will be matle In connectlon wlth work authodzetl by this pertnit, end that no bulltling s�rucWre, scattoltling, lalsework, or demolition or dismantling thereof, wlll ba more then ihlrty-slx (38) leet high. (Chep. 32, Grp 2, Art 2, Sec. 347, lltle B, Celifomia Administrativa Code). ❑ As owner-builder, I will not employ anyona to do work which would requlre a Oertnit trom Ihe Division of Intlustrial Safery, as noted above, unless such person has e pertnit to do such work from the division. Signature: Date: Division of Indusirial Satery Permit Number. CERTiFICATE OF COMPIJANCE AND AU7HORIZATION OF ENTAV: I cenify under penal�y of perjury (hai I heve read this epplicatlon and state that ihe infortnation given is correct I agree to comply wi�h ell state lews and city ordinences releting to builtling conswction, and euthorize representatives of the Ciry of Cwta Mese �o eNer upon the ebova,-� 2d6etl pmpe lo�spect on purposes. I agree not ro occupy or allow occupancy ot any bulltling euthodzetl by this permit u tll Ilnal Inspectlon. �ii.a� _l/a��i,�� C��J 4-�i%&'�`I Sign r f Lepal Owner(s) ' ' Date And/Or Authorized Applicant Date 1616 1266 200 201 202 203 INSPECTION TYPE Fi:ed System Final Fire Prevention Pool Spa Final Final Ra-Raof Final Block/Retaining Well Finel Fflciory Fire Place Final Sign � 204 Finel Demolition 2a48A6 Q�E 1tl�E15 ,� �-9�R9 �---L COOE 1 INSPECTION TYGE 206 Final Mechanical 208 Final Plumbing 210 Final Electnwl 212 Final Fire Preven�ion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency OATE ` ' i}DS SKEfai LS FOR INFORMATfONAL PURA06F5 O.ULY. �PPllUM 15 RESpON51BLE FOR PROVIDINC AN ACCURATE REYRESFN7ATION OF h�i PROPERTY QJ CASE'17iE SFIAPE AND SIZE DO NOT OORRESPOND WCI'ti Tt� WF-0RMAilON PROVIDID ON 7}�S SHI'Ff. L'8'J. 3l IIC� � �.�Ibl CITY pF �OSTA MESA ^t�f�f,�lp1.3 DIV. SUB.IEC'� 1'0 3LDG. DEPT. REG, BY RC90EXfF �� asa�a i • soun wti.ts/��s eerw� z��• � e� w Fmcxr st�u.� BE SEIEAIX A7 iFASI 10' FROM FROM PROPER7Y 11NE. • 90[ID WA115/FENffS SItALI NOT �(�D 2' 6' IN fR7CHT N7IttIN 1V OF h[E FRONi PROPFR7Y IIhIE (NOTCURB LINE). • VERQ�Y DSTAN� Fl20M CVRB TO PROPEKIY l.INE AND giOW ON PUN. VFRII�7GI70N EROM TIiE QIYS IIJCRJE0tP1G DR'670N 6 REQUIRFD. GIL (114J 75�,£147 POR PIPORMATION. RC90iM(Z 9�y � �`..... ..... .. ......... �' MG ` " '" ` " asoaa M90E�CE , K a �� i / F� � sTREE�,� rn �k�v�� P� . -�- - BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION � 2�F�0 COSTA MESA BUIIDING-SAFETY DEPARTMENf P.O. BOX 1200 - GOSTA MESA, CAUFORNU Y36tE For Appllcant fo Fill In Wmpletaly TYPE OR PRINT 928 Liackeneie Place COSTA ME$A, CALIFORNIA U_ $. Z''ll]8riC18�. FEB 17-67Pa'�00 722� *�**�94.50 CHSA APPLICATION POR PERMIT BUILDINa fOt Offlce Use Only �ie o Calif. No 234-7912 zoi+e rrre onouv y't/ 1� r APPROV[D �.HR �1• .S. HCRT CIC NOLS4F)-7G1 BY DATE ZONING 9 �8 ZdC i�.0.4t3 MESB zo �o.o� vaaorNiw �uns ew�nina L 's R. Schmid ""„ % .�a� 3 2��L0-A Randolph Ave. °iO"'^1ON t.3 M S C311S. A.P.NO. N0T6: HO iAV6 OV[RHANO BHALL �H LE88 THAN 2 N� ao 60 90'T08ID[SRBARP.L awvea 6� X 10� Mo.o�s�Dos. O ALLOW[D fU.9.C.XECUIRHMENT MowON yApDOMPROVHD YARDSAPPROVBD _ __ MAIN BIIILDIN6 ACC69SORY BUILDINO cCrewcn �ma rwor .,� 5� I R�a� 6. e4 � DESCRIPTION OF WORK x �I .«....�..� � �� ..,.,�.�..., BUILDIHO SIZE EXTERIOR x � U ) I HCR6GY ACKHOWLdDO[ TryAT � NAV[ RfAD TX�� PLIGTON AND BTAT6 TXAT TX6 AOOyI 1� CORRtR�AlID A0R6[ M COY• PLY WIiH ALL CITY OItOilfAXC{� AND RAT{ LAWt R[OYU�TINY BYILDINO CONBT[UClION. 816NATU R8 OP P6RMITTH AUTHOIIIZiD AG[NT � vwri. �C owre TM6I�MOUM� ONOVM UNOBR VALUATON le IOR'ry�■ rYflPOG� OI [6TAOYBMIXO l� P6pMIT !68 ONLY. a m � � 0 P � Ql � W