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Home My WebLink About950 17TH ST - Building Permits� � I � raEsr LrrH srt� �So _. _. .. comp 12-t-59 l9965) avo�-v./att qar �comp 5-19�60 �1t28o) rea aupl 9 � A � R. OCCUPANCY DATE 2-1-60 DATE I GROUP 1 1`YPE SUBCONTRACTOR WORK Form 41�SM-11-59 SB P ' 1128� DATE Parco Construction PERDfIT A`0 AP. No. 116-230-Uj LOT TRACT FIRE ZONE DESCRIPTION 0[�' WORK dIIp• INSPECTIONS L�,1/ I DATE I GROUP I& J TYPE 0 'LONE SUBCONTRACTOR Form 4 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mes��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 950 W 17TH ST Suite: Vicinity: ROOF Primary Occ: R3 Dwellin9s/ Cong Res <10 Type of Conslruction: V-N Parcel Number: 42437107 Zoning: Appliwnt: LIEBHERR Address: 17066 PALMDALE ST HUNTINGTON BEACH, CA Owner: SALCIDO, DAVID L Address 954 W 17TH COSTA MESA, CA Coniractor: PRIMO ROOFING CO Address: 17066 PALMDALE ST HUNINGTON BEACH, CA Zip: 94627 Arch : Address: Phone: Zip: License: Phone: 714-841-4456 Zip: 94627 Phone: Zip: 92627 Phone: 714-841-4456 License: 331120 Eng: Address: Status: ISSUED Applied: 04/142006 Issued: 04/14/2006 �� // /,. �: � .�� Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 20 YEAR G.A.F. SENTINEL COMPOSITION SHINGLES AND REPAIRIREPLACE SHEATHING AS NEEDED. 19 SQUARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $97.75 PLANNING & ZONING SETBACKS ACCESSORY PARKING Front 0- 0 Front 0- 0 Existin : 0 Rear 0-0 Rear 0- 0 Calc Valuation: 33,�ss.00 Claim Valuation: 5s,�es.00 LeR 0.0 Right 0-0 Left 0- 0 Right 0. 0 Reauired: 0 Pr000sed: 0 NOTICE: The work authorized by this permit shall comply 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 if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON OECLARAnON: i - I hereby eHirm untler penalry of per�ury one oi the I011owing tledaretions: ' ❑ I have enA wlll-meintein e certlficete ot consent to sell-Insure tor workers' campensation, es proWded br by section 3700 oi ihe Lebar CoAe, tor t�e peAortnance o1 the work lor w�lc� t�is Oo�it is Issued. �,�_ bhave and will malntein workors' wmpengetlon Insurence, as raquiretl �y sectlon 3700 ot Ihe LeDor Coda, for Iha peAortnance of ihe work lor whlch Ihis pertnil is Issuetl, My workers' compensatlon Insurenca carder entl pallcy number ere: �� S7/' � pOS car�er. �STi4-i� GG/N� �cyNumber. �� /This secNon need not De pomp/eled I! (he permit Is ve/ued et one huntlretl tlollers ($100) or less.J ❑ I certify Ihet in Iha peAormanco oi Ihe work tor which ihis pertnit is iuue0, I shell not employ eny person In any menner so es to become sub�ect to Iho workers' compensetlon laws ot Celifomla, entl egreg �het If I should ecome sub�ecf to lhe workers' compensa�lon provislons ot Section 3700 of Ihe Labor Coda, I chell lorthwith complywilhlhes_ eoro'n9ip[15'�� iJ� �� D� ��/D� Ap_ pliwnlSignewre ;L_�GYr �/ WARNING:FAILURETOSECUREWORKERS' PENSATIqJCOVERAGEISUMAWFl1LrWO5HAlLSUBJECTANEMPLOVERTOCRIM�NALPENALTESANDqVILFlNESUPTOONEHUNDFED 7HOUSAND DOLLARE (5100,000�. IN ADDRIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTIdJ �OB OF THE LABOR COOE, IMERESi, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: l.hefeby aHirm ihat I am force entl aHect. Lic. p of C�apter 9(commencing with Section 7000) of Division 3 of the Business ana Protes ions CoAe, and my license is in tull rr__ � . /� _ ? �i CONSTRUCTION LENDINC AGENCY: ❑ I hereby affirm ihal Nere is e construciion lending egency tor Ihe peAormance of Ihe work lar which ihis permills issued. (Sec. 3097, Civil CoAe). Lendels Name: Lentler's AOtlress: SlgnaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn thet under penelty ol per�ury that I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for the Iallowing reeson (Sec. 7031.5, Buslneu end Prolesslons Code: Any ciry or counry which requires a permu to consWCl, alter, improve, demdis�, ar repair any strudure, prior to its Issuance, also requires ihe epplicant lor such permit lo tile e signed statement that ha or she Is Iicensetl pursuant to the D�oNsions oi tha Contractors License Lew (Chapter 9(commendng wlih Section 7000) ot Division 3 of �he Busineu end Prolessions Codo) or Ihat he ar she is eaempt Iherefrom and tha besis for the allegetl ezemption. Any violation oi Sectlon 7031.5 by any epplicant for a permit sub�ects t�e epplicant to a dvil penelty of not more than five huntlretl tlollars (5500).): ❑ I, es ownar ot tha property, or my employeas wlih weges as �heir sole compensation, WILL DO 7HE WORK, antl the structura is not IntendeC or ofleretl for sale (Sec. 7044, Busineu end Profeuions Code: The Contraciors License Law does not apply to an owner of proparty who bui105 or Improves Ihereon, and who does such work himselt or herself or Ihrough his or her own employees, provided that such improvements are not intended or oHared lor sale. If, however, the building or improvement is sold within one year of complation, ihe owner-builder will heve ihe burden of proving ihat ha or she did noi build or improve lor purposa of sele.). ❑ I, es owner oi the pmperty, em EXCWSIVELV CONTRACTING WITt UCENSED CONTRACTORS to construct the prol�� (Sec. 70d4, Business and Professlons Cotle: The contreciors lltense Lew does noi apply to an owner ol property who builds or improves thereon, end who contrect5 tor 5uth pwiect with e con(rector(s) license pursuent to the COntrec�or5licen5e LewS.). ❑ I am exempt un0er sec. Signature: Owner ID verilletl by tlnvefs licenso. ❑ VBS Vedlicatlon ol Ownership by (typa ot documenl, I.e. Business antl Pmlessions Code for this reeson: ❑ No Drivers License No. property tex bill ar tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: Date: Eaplres: ❑ I hereby cerlily thal no excavetlon tive (5) or more feet in depth into which a person is required to tlescen4 will be made in connection with work eulhonzed by Ihis permit, and Ihat no building sWcture, scallolding, falsework, or tlemoli�ion or Cismantling �hereol, will be more ihen thirty-six (36) leel high. (Ghap. 32, Gry 2, Art 2, Sec. 341, Tule B, Calilomis Atlministretiva Cade). ❑ As owner-builtler, I will not employ enyona to tlo work which would require a pertnit from the Division ot Intlus�rial Selety, es notetl above, unless such person hes e pertnit to Oo such wark Irom t�e tllNsion. Signature: Data: Division of Industnal Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZJITON OF EMRY: I certity under penalry ot perjury thet I have reaC �his epplicatlon entl siate that the intormetlon given is wrrect. I egree to compty wlth ell stale laws entl clry ortlinances relating to builtlfng wnsWction, entl euthonze represemetives ot Ihe Ciry ol Costa Mesa to enier upon t�e above-described properly lor inspecllon puryoses. I egree not to occupY or allow occupenry at eny building euthonzed by Ihis pertnit umil tinel inspection. CODE 1. INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rool 201 FInaI BIocWReteining Well 202 Final Factory Fire Plece 203 Final Sign 204 Finel Demollllon o"re �rmnais ��6 � Date �i'��H �o� �' L��a� COQE� INSPELTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 FinelBuilding/Occupancy ceg u�e� �,.... y{ . � ,I� N!�_%.J._+ : �_i.1 � ., , 9�rF�jJ ►� JUL 231959 COSTA MESA BUILDING-SAFETY DEPARTMENT F�NA�CE DEPT. P.O. BOX 317 GOSTA MESA. GALIFORNIA CITY OF COSTA P.4ESA fOR APPUCANT TO F/CL /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADORE55 -/ J D�/'� W• ( 1'A SR ' �t r ��/ COSTA MESA, CALIFORNIA FOR OFFIbG USG ONL/ � I RECEIPf NO. I �PMIT N'O'. OWNER �-CI_E/Tf� `R��.F3LKr ADDRESS 4 S� C�-%� AECEIVE B�' I D�iE RECEIVED I DATE ISSUEO �7T� S�c• Z TEL.L� -/ BUILDING /j ^ CITY O A SA NO. tI/ pDDRE55 O �!/J / � ARCHi7eCT ��c. COSTA ESA, CALIFORNIA OR ENGINEER NO. ADL .5 FIRE � �/ t ZONE TVPE � GROUP� � STATE�`�� 9�%� pppROVEO � �� !' CONTRACTOR � 'I . LIC. NO. � BY DATE �iJ ADDRE55 p p ',I � � �, NING � � LEGAL ILOT� '�J1I GWIER�,MCS� ZONE `^ INO.OF IU6EOPNEW oEscnivrioH NO. BLOCK TRACT /r� PL�NB BUILOINo A.P. NO. �/ �' ✓ � �" BYPRO DATE �' �J L OF LOT /b� ,u � �� I NOW oH toT � YARD 5 " Y� REOUIRE� ALLOWED USE OF S� r� L.S • (CENTER LINE ST.) EXISTING BLDG. FRONT O Ff. IN. SETB/�CR LINE FROM � ceHiEn.OF StaEE� �O REAR YARD �^� R. SIDE FT. IN. f �[ /^ SIOE YARD LEFf � RIGHT fJ • �, SIDE L7 Ff. IN. DESCRIPTION OF WORK REAR IN. I NEW I�IALTERATION I IIADDITION I / REF. .. I II MOVING I I DEMOLISH I � 5=1E DINGM1 SK �I ROOMS STORIES � �. EXTERIORWALL�._ IROOF �_ /NC/J %. i ..r_ �^ � �LOOArI '� ..Cx �,._. /,�� Q t f Gml cLrT � „� o x c �.., C"� � l/•�/�. " ./ � s/---�9 I HEREBY ALKNOWLEO E THAT 1 HAVE EAU TH18 ATION THE AMOfINT BHOWN UNDEN VALUAT�ON I8 FOR THE AND STATE THAT T BOVE � COP T AND EE TO COM� PLY WITH ALL CITY DIN�! 5 RN TATE EGULATING PUNPOSE OF ESTABLISXING A PEftMIT FEE ONLY. em�o�Ha corvsrn oH. VALl1ATION �} SIGNATURE OF i �'''�" L�/S'j� U� PERMIT FEE $ oL � DU PERMITTEE / �•�'`� PLAN CHECK $ / �j U � -7�/p t AUTHORIZED AGENT �O / 7// �� TOTAL FEE S Cl '9t� 19•6C'��uest� '35a ka*�39.U0 ,` • :��ty� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESq, CALIFORNIA FOR APPL/CANT 70 F/LC /N COMPLfTE[Y APPLICATION FOR PERMIT / TYPE OR PRINT BUILDING BUILDINGI S V " � tl �< AODRESS ' r� V COSTA MES . CqLIFORNIA /VR OFFICE USE ONCJ � � � � 1� � ` ` � � ` , ! RECEIPT NO. I PER IT NO OWNER �� I Q MAIL / � c,y/ RECEIVEO BV O/�TE FEGEIVEO /�D E I U/¢0 ADORESS -1� • ��I I N � I �� - O /� // /j D CITY �� S�� M E S A• TNO."I Y qDDRESS J U G E �✓ � G✓. I _ U� ��R RD��/ lu \ � LIC. � . _ .r No COSTA MESA, CALIFORNIA FIRE AD, i5'� Y�� p� G �. A �•Gw TONE TYPE GROUP CONTRACTOR ZC 4 CO 4 J� ��i C? NO.i % S I BY�'ROVED DATE r/ D nooRess Y E MG:- �ey i 2N�� ZONING LEG�L ILOT� jb5� LJT 110� Ip �\V�vZ ZO INO.OP �IUBEOFNEW DESCRIPTION NO. PLANB BUILDINO A.P. NO. Q�`J O APPROVED BY L' /�� DA,T�E ) SIZE ��% S �' 3 VU I No. OF e G9. '',� ypRDS E)'SSv �� OF LOT rvow oN tOi REOUIRED ALLOWED U5E oF � � MG � µ ,1 (CENTER IINE ST.) e� - E%ISTING BLDG. - - R ' Y� S FRONT O'U FT. IN. $ETBpCK LINE FHOM � � Y REAR YARD I �� CENTER OF BTREET R.SIDE FT. IN. I � /� SIDE YARD LEFT RIGHT , L.SIDE FT. �N. DESCRIPTION OF' WORK REAR Ff'. IN. NEW I II ALTERATION I II ADDITION I � RE. .t I II MOVING I , II DEMOLISH I BUILDING _/ NO.OF � SIZE 7 ROOMS STORIES EXTERIOR WA IROOF COVERING COVERING M � USCbNUILDINRG AND WORK TO B� pERFi RM� S � • OO � 1 pJ Lt=V . �•Ca�/n.- l=n.e S`��"T. 2�UP,Coic:�rie.0 �../ � FOc dTz�.t' C' . cP�'n�c � I HEREBY �CKNOWLED TNAT I H�VE READ THIS �PPLICAT�ON �L •ND STATE THAT rHE BOVE IS ORflEC{ A D GREE T C M� THE AMOUNT SHOWN UNDER VALUATION IB FOR THE ��,i PLY WITH ALL CI PUINANC O STA PEG NG PURPOSE OF EBTABLI9HIN0 A PERMIT FEE ONLY, 9UILOING CONSTH N. VALUATION / SIGNATURE OF � PERMIT FEE S ��J � PERMITfEE // ' $ /O Q A� �� PLAN CHECK $ / � � U AUTNORIZED AGENT ' � TOTAL FEE S '