HomeMy WebLinkAbout957 NEWHALL ST - Building Permitsa �
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(714) 754-5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 957 NEWHALLST
Suite:
Vicinity: �
Parcel Nunmber: 42439102
App�icant: HARRISON, TOM
Addrpss: 201 PAULARINO AV
C M,
Owner. TRICO RENTS.
Address 201 PAULARINOAVE
COSTA MESA,CA
CoMreCor.
Address:
Zip:
Arch :
Address:
Zip:
BUILDING PERMIT
Zoning:
, Phone: 714-
, ' Zip: 92626
Phone:
� Zip: 92626 '
Phone:
License:'
" Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
SEISMIC RETROFIT OF AN EXISTING-INDUSTRIAL BUILDING.
PERMI� N�
B98-02170
77 FAIfl DRIVE, COSTA MESA, CA 92626
Stalus: ISSUED
Applied: 12I0311998
Issued: 01126/1999
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Phone:
License:
FEE SUMMARY , ,
Plan Check: $42.62 --. Calc Valuation: Sn,osa.00
Permit: $262.25 - � Claim Valuation: Sn,oSa.00
SMIP Res: $0.00 " ' .
SMIP Com: $3.58
Other: $0.00
Inspection: $0.00
Total: $308.45
' PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0• 0
ACCESSORY Front 0- 0
PARKING Existin : . 0
NOTES:
Rear O 0
Rear 0-0
Reauired: 0
Lefl . 0. 0
Left 0• o
Pr000sed: 0
ExP � .D
D`aTE � 1 S pa
Right 0- 0
Right 0. 0
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspended or abandoned
I for a period of 1g0 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
required Inapectiona end (inal epproval must be obtained. Failure to obtain inspeclions and final approval will result in the ezpiration of ihis permit.
FOR INSPECTIONS CAIL: (714) 754-5626 �
WORKERS' COMPENSA710N DECLARATION: I
I hereby aNirm under penalry ol perjury one of the following daclerelions: ��' �
❑ I heve entl will malntaln e certificata of cansent to self-Insure tor workers' compensation, as provided for by section 3700 0l �he Le6or Cotle, for the peAormence of the
work tor which Ihis permlt is issued. i
❑ I heve enC wlll maintain workers' compensafion insurance, es required by section 3700 of Ihe Lebor Code, for the pedormence of Iha work for which ihis permit is issued.
My vrorkers' wmpensatlon Insurance rartier end policy number are: ,
Carrier. PWicy Number.
(Thls section neetl no! be completed i/ the permit is velued et one hundred dollars ($100) ar less.) I
❑ I certily thet in the peAormance of the work for which this permit is issued, I shall not emplay any person In eny menner so es to become suhject to lhe workers'
mmpensatlon lews of Calitomia, end egree thet 11 I should become subject to the workers' compensation pmNsions of SecOon 3700 of the Lebor Code, I shell forthwith
comply with these provLsions.
Applicant Slgnelure: Dete:
WARNINp: FAILURE TO SECURE WOFKERS' COMPENSATION COVEMOE IS IINLAWFUL AND SNALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES M!D GVIL FlNES UP TOONE MUNORED
TFqUSAND DOLIARE (SI00,000), IN ADDIiION TO THE COST OF COMPENSATIIXJ, �AMAGES AS PROVI�EO FOR IN SECfION 31090F THE IABOR COOE, INTEREST, AND ATTORNEVS FEES.
LJCENSED CONTRACTORS DECLARATION:
I hereby aflirtn Ihet I em licensetl untler provislons of Chapter 9(cammencing with Sectlon 7000) oi Divlsion 3 0l the Business end Prolessions Code, end my license is In tull
torce end ettect IJc. N Cless q i
Cantrectofs Slgneture: Dete: ��
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CONSTRUCTION LENDING AGENCY:
❑.I hereby eKrtn�thet ihere is a constructlori IenCinp agenq for Ihe pertortnence ot Ihe work for w�ich Ihis permil Is issuetl. (Sec. 3097, Civil Code).
Lenders Neme: �entlefs Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eNirtn thet under penelry ot perjury that I am El(EMM FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reeson (Sec. 7031.5, Busineu antl Protesslons
Catle: Any ciry or counry which requires a pertnit to consWct, elter, improve, tlemolish, or repair eny strucWre, pdor to its issuance, elso requlres the apD��N for such permlt
to 111e e siBnetl statement that he or she is Ilcensed pursuent lo ihe provisions of I�e Goniractors License Lew (Chepter 9(wmmencing with Sectian 7000) of Divlsion 3 of the
Business and Professions Coda) or thet he or she is exempt therelrom end ihe basis for the alleged exemption. Any violatlon ol5ection 7031.5 by eny epplicant lor a permit
sub�ects the epplicent to a civA penelry of not more than fiva hundred dollars ($500).): ��
❑ I, as owner of the property, or my employees wilh weges es their sole wmpensation, WILL DO THE WORK, enA ihe structure I5 not intenCetl or ofteretl Por sele (Sec.
7044, Business antl Professions Cotle: The Contractors License Lew does not apply to en owner of properry who builds or improves Ihereon, and who does such work
himself or herself or through his or her own employees, provitled that such Improvements ere not IntenCatl or oMeratl tor sale. If, however, the bulltling or Improvemei t Is
sold within one yeer of completion, Ihe owner-bullder will have ihe burtlen ot proving thet he or she ditl not bulld or ImD�ove for purpose o� sale.).
(�I, es owner o1 the D�oOerry• am EXCLUSIVELY CON7RAC71NG WITH LICENSED CONTRAC70RS to construct t�e project (Sec. 7044, Business an0 Protessions
�\ iCode: The coNractors License Lew does not apply to an owner of properry who 6uilds or improves thereon, end who contracts tor such pro�ect with e contrector(s)
vllcense pureuant to the Contr tors License Lews.
❑ I am axe —/� Business and Protessions Cotle for this reason: �
SignaNre: NY�n-� - Date: 2�6 �' i
. �
Owner ID verified by drivets license. ❑ Yes ❑ No Drivefs License No. Expires: �L
VeriBcetlon oi Ownerehip by (rype of document, i.e. - properry tea bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION:
❑ I hereby certlly that no excavation live (5) w more feet in depth into which e person is requireA to tlescen4 will be matle in connection with work euthorized by this
permit, and that no builtling structure, scettolding, lelsework, or tlemallNon or dismantlinq thereof, will be more t�an thirry-siz (36) teet high. (Chep. 32, Grp 2, An 2, Sec.
341, Title 8, Celifomia Atlminisfralive Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require e pertnit irom Ne Division of Intlustrial Sefety, es notetl ebove, unless such person has e
permit to do such work from the division.
Signatura: Date:
DlWslon ot InOustAal Setety Permil Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORIjATION OF ENTRV: I certily untler penalry of perjury Ihet I have read this applicetion and state that ihe intortneiion given is
correct. I agree to comD� ith all state lews aifd ciry ordinences relating to buildinq construction, end euthodze representatives of the Ciry of Coste Mesa to enter upon Ihe
abova-descnbed o� rinspecti v des. I egree not to occupY or allow occuDancy ot any,bullding euthodzed byy+is peyr �rt until tinal inspection.
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Signature 1 Legel Owner(s) � � Dete �
And/Or Aui�orizad Applicant Date
COOE 1. �NsvernoxTrae
1618 FIxeC System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 Final BIocWReiaining Wall
202
203
204
244fi-46
Final Fectory Fire Place
Final Sign
Final Demolition
0
eooe� iNsvecnoxTrre
206 Finel Mechenlcal
208 Final Plumbing
2/0 Final Elecidwl
212 Final Fira Prevention
220 Flnal Planning Approval
222 Final Site
250 Final Bullding/Occupancy
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