HomeMy WebLinkAbout332 20TH ST - Building Permits(714) 754•5273 • Fex (714) 754-4856 • www.ci.cOsta-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: $$2 E 20TH $T . Status: ISSUED
Suite: 9 Applied: 01I16/2002
Vicinity: UNITS 9 AND 10 (DUPLEX) Issued: 01/16/2002
Parcel Number: 42622139
Zoning:
Applicant NARBUTAS, KES
Address: 220 SANSOME _ - " , - - �� � �" ` -. _
ISSUED BY:
7TH FLOOR - � „ �' - • Phone: 415-7224600 �- .
SAN FRANCISCO; CA �- -.- ' Zip: 94104 � ' �� _
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Owner. PORTICO PROPE�RTIES-NEWPORT HEIGHTS, LLC'� �� ��
Address �220 SANSOME - , - " � � - ' �
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; �TH FLOOR . _ _ �Phone: 415-722-2600' � , ' . �'� , �; �- �
i � = SAN FRANCISCO; CA , "- 2ip: 94104 ' - � � � �� � '
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� REPLACE WINDOWS IN LNING ROOM�AND REPLACE SIDING AT FRONT OF UNIT(S). DUPLEX UNITS 9 AND.10.
Plen Check: $0.00
Permit: $29.60
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
PEE SUMMARY �
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�� ��Total: - $30.10 "
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SETBACKS", `�'� ; � -
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MAINSTRUCTURE;Front,0-0��, -Rear`;�0-0_
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ACCESSORY �Fr �t-�0-0'� ;; ,� ,Rear__ 0-0 �
PARKING Existing:� 0; Required: ' o
NOTES:
PLANNING & ZONING
Left 0- 0
Left � 0; 0
�Proposed:
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Calc Valuation:
Claim Valuation:
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statules and related
regulations. (ord. No. s2-26, g 7, t2-z7-sz)
EXPIRATION: This pertnit shall eutomatically ezpire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred inapectlone and final approval must be oblained. Failure to obtain inspections and final epproval will result in the ezpiration oi this pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
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WORKERS' COMPENSATION DECL�AnON: ,
I hereby ettirrti under penelry ot perjury one of the following deGarations: . ,
❑ I heve and will meintain e certilicete of consem to self-Insure for workers' compensation, as provided tor by section 3700 of ihe Lebor Cotle, for Ihe pedortnance of tha
work lor whic� this pertni� is issued. ,.
❑ I have and will maintain workers' compensatlon insurance, as required by section 3700 0l ihe Lebor Code, for the peAortnance of the work for which thls permit is issued.
My workers' comDensaion Irywrence carrigry�nQpolicy number are:
Cartier:
fceeify that in ihe F
compensation laws
comply with these F
WARNING FAIIURE T
THOUSAND OOLLARE
Policy Number:
hundred dollers ($f 00) or Iess.J
�mence of e ork lor w ch this rmit is issuad, I shell not employ eny parson in any menner so as to become subject to the workars'
II mla, d e thet i shou me ub�ect to the workers' compensation provisions of Section 3j 00 ot ihe Lebor Catle, I shell farthwlih
Date l/ �lP i��Y
ORKERS' COMPENSATION COVERAGE IS UNLAWFUI M10 SHALL SUBIECT PN EMPLOYER TO GRIMINAL PE TIES AN� Il FlNES UP TO dJE MUNDAED
IN ADDITION TO THE COST OP CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3lOfi OF THE LABOR CODE, INiEREST, AND pTTORNEV'S FEES.
LICENSED CONTRACTORS DECIAAATION: '
I here�y aHirm ihat I am licensetl und9r provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle, end my license is in full
force end eMec�. Lla x Cless k
CONractofs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn that there is a construction lentling agency for the pedormance ot the work for which ihis permit is iuued. (Sec. 3097„Civil Cotle).
Lenders Neme: Lender's Address:
Signature: � Date:
OWNER•BUILDER DECLARATIONS;
I hereby aNirtn ihet under penalry of pB�jury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Buslness end Protessions
Code: Any ciry or counry which requir65 a pertnit to construcL alter, improve, tlemolish, or repair any structure, prior to its issuance, also requ�res the eppliwnt for such permit
lo file a signed statemenl Ihet he or sBe is licensed pursuent to the provisions of the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 ot the
Business end Protessions Code) or Ihet he or she is exempl therefrom and Ihe basis for the alleged exemption. Any violetian of Sectlon 7031.5 by eny applicant for e pertnit
subjects the applicant to a civil penalty oi not more than five hundred tlollars ($500).):
❑ I, as owner of �he properry, or my employees wit� wages as their sole compensation, WILL 00 7HE WORK, antl the strudura is not intentled or atlered tor sale (Sac.
7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of properry who builds or improves thereon, and who does such work
himself or herself or th�ough his or her own employees, providetl Ihat such improvements ere not Imentlea or oflered for sale. It, however, Ihe builtling or improvement is
sold within one year of completion, ihe owner�builder will have ihe burden of proving that he or she did not build or improve tor purpose of sale.).
❑ I, es owner oi the property, am E7CCLUSIVELY CONTRACTING WITH LICENSED CONTNACTORS to consiruct t�e projed (Sec. 7044, Business antl Professions
Code: The contractore License Lew does not epply to an owner of propeny w�o builds or impmves t�ereon, and who wntracts for such proiect wl�h e comracmr(sj
license pursuant to �he Contractors Licensa Lews.).
❑ I am exempt under sec. Business antl Professions Code for this reason:
Signature: Deta:
Owner ID venfied by dnver's license. ❑ �es ❑ No Drivefs License No.
Venfcation of Ownership by (type of tlaument, i.e. - pmperty tex bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
Expires:
❑ I hereby certify Ihat no eacavation �Ne (5) or more teet in tlep�h into which a person is required to descend, will be metle in wnnection with work euihodzed by this
permi4 an0 ihat no Guilding structure, scaHolding, falsework, or demolition or dismantling thereof, will be more then ihirty-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec.
341, Title 8, Cellfomia Administra�ive Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit trom the Division of Industriel Setety, es noted ebove, unless such person hes e
permit t0 do SUCh work from �he division.
Signeture: Date:
Division of Industnal Setety Permit Num6er:
CERTIFlCA7E OF COMPLIANCE AND A�MOHIZATON OF EMAY: I certity under penelty of perjury that I have reatl this applicetion end s�ate thet the information given is
wrted. I agree to compry with all s;et9 laws entl ciry ortlinances relating to building construction, and euthodze representeUves ot the Ciry ol Coste Mesa to enter upon ihe
above-described p}bperty fo( iry5pection purposes. I agree no� to occupy or ellow occupancy of eny building euthorized by this permit until (nal inspection.
COOE t. INSVECTONTYPE
tfit6 Fixetl System Flnal Fire Prevention
1268 Pool Spe Final
' 200 Final Re-Roof
201 FIneI BIocWRetalning Wall ,
202 Final Fectory Fire Place �
203 Finel Sign �
� 20C Final Demolilion . ' .
� /Co �� �e
�� Date
Qejg �^ S,QQ�( INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Finel Eletlrical
212 Final Fire Prevention
220 Final Planning Approval.
222 Finel Site
_ . 250 Finel Building/Occupency,
1' 28-02 ' �