HomeMy WebLinkAbout850 OAK ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Jab Address: 850 OAK ST
Suite:
Vicinity: SIDE PROPERTY LINES
Parcel Number: 42250201
Zoninq:
Status: ISSUED
Applied: 03/14/2002
Issued: 03/14/2002
Applicant SAME _ - ISSUED BY:
Address: - � � �" � �. -
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Owner. GATES;;FRANCIS JAMES TR �- � � `� i��,��
. � . , ' �
Address ; 850 OAK�ST '� � � . � - p -- �- - -. \� ,- \\
/�'CI — C� 'a ��, �
/ �'� , ` �• . � � Phone: . �- 7'� ._-.�� 7`� ��� �
�. 'COSTAMESA,CA � Zip: 92627 � �� � � �������
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Contractor: . ��" :�� � " ,A
'Address:, . � ,
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Zip:
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Addressi - " , - . ,
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Phone: � ' , � .�;A
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Llcense: , A.�'A' , ���.
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• ' Address:.: �, � . . -- ..
- � , � ,�'� � Phone: , • \ '
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- � �License: � _ _ �-�
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6' HIGH BLOCK WALL, APPROX_90'_LONG.,ALONG
Plan Check: $63.21
Permit: .. $97.25
SMIP Res:, . $0.50
�,SMIP Com: �' $0.00
Other: $0.00
Inspection: $0.00
�
�', ��Total: ' $160:91
�VAA,.� �� , '��
�
� :�� �i�,
� �
SETBACKS \ � `�
MAW STRUCTURE�Front� -�0
�
ACCESSORY Front 0
PARKING Existinpr
NOTES:
�` � i.=c.�..�'
0 ; � �Rear�- `�0-0
0 . � , Rear 0- 0
0 Required: 0
FEE SUMMARY
,�,,ti,�'� � �t, ' _
3TY. BCOCK WAIL PER CITY STANDARD: . .�
� - . � .i. � - -�
�Calc Valuation: � � � - �S3,600.00'
�_ _ _ __ Claim Valuation: � �',' �� -' So.00
,�,;
s' ,
� = �/�
, �%
!
. �.^_bw,__.��i✓i , � ;:��i`
PLANNING & ZONING �� /;` i '
� :`� � .� !�; � �` �
. ��i ,�
Left 0-0 - .-�"Right-,`�0-0%.���' ��
.':i�,-- � �'� ; i �"
Left 0-0 Right ,., 0-0.; ;, �
�
Propased: 0 . .
/
%
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, 12-21-92J
EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. �
INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work rtiust comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
i FOR INSPECTIONS CALL: (714) 7545626 �
2a48d8 (fl�W)
WORKERS' COMPENSATION DECLARATION: �
I hereby aHirm under penalty of perjury one of lhe foliowinq declarations: ' .
❑ I have end will maintain e certificate of consent to self-Insure for woricers' compensation, as provitled tor by section 3700 ot �ha Wbor COde, �or Iha peAortnance of �he
work for which Nis pertnit is issuetl. . '
❑ I have and will maintain worke compensation insurance, as requiretl by section 3700 of the Labor CoOe, for Ihe peAortnance of Ihe work for w�ich this permit is i sued.
My workers' compensati r��/��a rner and policy numbet ara:
�CarrieJJJ: � \ / � Policy Number:
ection need nof be comp/ef i/ the permit is va/ued at one hundred dollars ($100) or Iess.J .
I certity thal in ihe peAormance of he work for which this rtnit is issued, I s�all not employ any person in any manner so es to become subject to the workers'
wmpensatlon laws of Califomia, agree that il I shoul ecome sublect to lhe workers' compensetion provisions of Section 3700 of Ihe Lebor Cotle, I shell forthwith
comply with these provisions.
Appliceni Signature: Da�e: �� � O�
WARNING: FAILURE TO SECURE WORKEPS' CAMPENSATI� � COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES PND CIVIL FlNES UP TOONE HUNDPED
THOUSANDDOLLARE�S100,000),INADDfTIONTOTHECOS �FCAMPENSATION,DAMAGESASPqpVIDEDFORINSECTION3]O60FiHEL4BOFCODE,INTEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi ihe Business antl Professions Code, and my license is in full ��,
force ana BttBCI. Lic. a Class #
Contractofs Signature: Date: �
CONSTRUCTION LENDING AGENCV:
❑ I hereby aRirm ihat there is a conswction lentling agency for the pedormance of ihe work tor which ihis permit is issued. (Sec. 3097, Civil Cotle). I
Lentlels Name: Lenders Address:
SignaWre: � Date:
OWNER-BUILDER DECLARATONS:
I herehy effirm that untler penalty of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons
Cotle: Any ciry or wunry which requires a permit to constmct, aller, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit
to file e si9ned statement that he or she is Ilcensed pursuent b Ihe provislons ot the Contradors License Lew (Chepter 9(commencing with Section 7000) oi Division 3 of ihe
Business and Protessions Code) or that he or she is exempt therefrom and the basis tor the elleged exemption. Any violation of Section 7031.5 by any applicent for e permit
sublecis the apPlicant to e civil penelty of not more Ihan five hundred dollars (5500).):
❑ I, es owner ol the property, or my employees with wages as Iheir sole compensation, WILL DO TME WORK, antl ihe structure is not intended or oHaretl for sale (Sec.
7044, Business and Pmfessions Code: The Coniractors License Law does not apply to an owner of pmperty who buiids or improves ihereon, and who tloes such work
himsell or herselt or through his or her own employees, pmvidad that such improvements are not intended or oHered for sale. If, however, tha building or improvement is
sold wi�hin One year of completion, ihe owner-builder will heve the burden of proving that he or 5he did not build or improve fOr purpose of sale.).
I, es owner ol lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRALTORS to construct the project (Sec. 7044, Business antl Professions
Cotle: The contractors Licensa Law tloes not apply to en owner of pmperty who huilds or improves thereon, and who wniraas lor such prolect with a comractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I am ezempt e sec.
Signature:
Owner ID venlied by tlrivefs I
Verification oi Ownership by (
Business antl Professions Code for this reason:
� Date: '�
Yes ❑ No Dnvels License No. Eapires:
document, i.e. - properry taz 6ill or daetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION:
❑ I hereby cetlify ihat no e:cavation tive (5) or mora teat in depih into which a person is required to descend, will be matle in connedion with work euthonzed by ihis
permil, and ihat no building sWCWre, scallolding, talsework, or demolition or dismantling thereof, will be more ihan thirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomia Administretive Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require e pertnit from the Division of Industnal Safery, as notetl above, unless such person has e
permit to do such work fmm Ihe division.
SignaWre: Date:
Division of Indusirial Safery Permit Number:
CERTIFlCATE OP COMPLIANCE AND AUTHORIZATION OF ENTFiV: I cenity under penalry ot perjury �hat I have read this applica�ion antl slate thet ihe intormation given is
correct. I egree to comply with all s;ate laws end ciry ordinances relating to builtling consimction, and authonze representatives of Ihe Ciry oi Costa Mesa to enter upon Ihe
above-descn Droperty for inspecti urposes. I agree not to occupy or allow occupancy of any Duilding authonzed by thi{ i rm�n� ina� ction.
n ure Of Legal Owner(s) --r Date
And/Or Aulhonzatl Applican� Date
GOOE I. INSPECTIONTYVE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Ra-Poot
201 Final BIocWRetaining Wall
202
203
Final Factory Fire Place
Final Sign
204 Final Demolition
P�E IMRIALS
'� Z �
0
40UE II INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250, Final Building/Oaupancy
PAIE Iti�L�
�
C'',it�y o� C''.adta. �i�%aa �'u�r��uuy Du�idia�s
OWNER-BUILDER
VERtFICATION
A city or county, which is reyuired ro give notice pursuant to Section 19830, shall,attach to such notice, and,
as a condition precedent to issuing a building permit. Yequire the completion and require the remrn of, an
owner-builder verification.
Atten[ion Property Owncr:
An `ownervbuilder' building permit has been applied for in your name and bearing your signature.
Please complete and retum this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building nermit will be issued until this
verification is received.
l. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. � Yes ❑ No
2. I(have/have noQ '71�a� signed an application for a building permit for
the proposed work.
3. [ have eontrac[ed with the f2illowing person tfirm) to provide the proposed construction:
Name 71,s� ,L'-e�TA n-c�e�
Address
Phone (
City _
Contractor's Lic. No.
4. I plan to provide portions of Ihe work, but I have hired Ihe following person to coordinate,
supervise and provide the major work:
Name 1Lb� ( r•-r�"�"1c�.$.a�,
Address
Phone (
City
Con[ractor's Lia No.
5. I will provide some of the work but I have contracted (hired) the following persons [o
provide the work indicated:
Name Address Phone Type of Work
iU42-46 (REV.9/98)
�,
5a,� b� � a� <,.,i y�
,
DNISION OF BUILDING SAFETY
CITY OF COSTA MESA
, APPFtOVED ,
i711s set of plans and sp�iflcalions MUST be
�aeke eny d�Anges or etteretbn on seme whha
,nd Sz`�ry, C�y ot CoatB Meaa.
`e u[Vn[dnQ at �hf� pyn snA B�Sucfiratir�s''�
��. .- J"::fh;�, tti 9il}� Y:7e�4iFfiidS �C tlL1 i:'I
. . .A _n('p"I�q��! nYr .:�' n'i�
«
��'° Oa k �--
�t on Ihis job al aU times and'a is �nlawhx
r'�niten permissbn from the Divisim at 8uildir..
�l l NOT be heM to p�md prto cz a^. aFemv.
Ji wc!u h1�5Z i?f�i{',1�^CB'aflfi�0! $!8'E 13•:
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(714) 754-5273 • Faz (714) 754-4856 • www.ci.cos�a-mesa.ca.us t. '" 77 FAIR DRIVE, WSTA MESA, CA 92626
BUIL�ING F�ERMIT
Job Address: 850 OAK ST
Suite:
Vicinity:
Parcel Number: 42250201
Zoning:
Applicant: EVE, D. DARYL
Address: 5151 WALNUTAVE �- . . " "" ' �
� � � - Phone: 949-022-1458
IRVINE, CA: - � �� , Zip: 92604
j '
owner GATES' FRANCIS JAMES TR
Address 850 OAK ST ��, � � '
/, �
�-.COSTA MESA, CA" � -
\ �,
Contractor `SUNDANCE�ROOFING CO
Address: 5751 WALNUTAVE#2
�
� . IRVINE,-CA
Phone: �
Zip: 92627
Status: ISSUED
Applied: 09/19/2001
Issued: 09/19/2001
ISSUED BY: �
Phone:�'(949)653-5722
Zip: 92604 ' License:- 718369
� �, .
Aroh ' � - � '"� ��
, , ,. �-^'.,
Address: - � , - , j - ; . , � � - _
� � � , .�,- Phone: �
'Zip: - ,� � � � License:
� TEAR OFF EXISITNG ROOF; NO NEN! SHEATHING I
Plan Check: ' $0.00
Permit: $83.25 -' -
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83:75
SETBACKS •
MAIN STRUCTURE Front 0= 0
ACCESSORY � Front 0- 0
PARKING Existin : 0
NOTES:
- Reer. - 0- 0
, � Rear . 0- 0
Required: 0
Eng:
Address:
rUYC Ur YCKIVII I l -
OPOSED. APPLY,30 YEAR COMP SHINGLES.
FEE SUMMARY �
Calc Valuation:
� � , �� Claim Valuation: �., ,
�, .
PLANNING & ZONING
Left 0-0 Right- �0-0 " . '
Left 0- 0 - Right 0- 0 �
. � ��l
. Proposed: 0 , � '
-� �$3,000� 00
" $3,000.00�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 1 BO days, or if work is suspended or abandoned
�, tor a 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 Inspectlons 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
�aae�ae �woo�
WORKERS'COMPENSAnON DECLARAnON: ' .
I hereby attirtn under penelry of perjury one ot the tollowing declaretions: �
❑ 1 heve end will inaintain a certificete of consenllo self-Insure for warkers' compensetion, es provided tor by section 3700 of ihe Lebor Code, tor the pertormance oi ihe
work for which this parmit is iuuetl.
❑ I have erW will malntaln workers' campense6on insurance, az required by section 3700 ot the Labor Code, for tha peAortnance ol the work for which Nis pertnit is issuetl.
My workers' compe2s�tiop�lnsu:ence c�rl r tl Oolicy number are:
Cerrier:
certity lhat in the pertortnance
comply wlt� t ese proDis' ns
Applicent SlgneNre:
WARNINO: FAILURE TO SECURE WOiiKERS' dJMPENSATION I
T/pUSAND OOLLFRE (5100,000),IN ADDITION TO THE WST OF
LICENSEDCONTRAC70R5
I hereby eNirm t lic .
torce and ettec Lic. p
ContradoYs Sign .
CONSTRUCTION LENDING AGENCY:
Policy Number:
onehundre ($100)orless.).
s it' iss , `II not eriy�loy any person in any manner so es to be �me suh�ect to he workers'
tld bec e s b�ec t,,e worke�.; compansatlon proNsions ot Sectiqp370 ot the LeDor C� I shall totlhwith
o+ / i
Date:
IRAG UNLAWFUL M!D SH/LL SOBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
IPENSATION, DAAMGES AS PROVIDED fOR IN SECTION �O6 OF THE LABOR CODE, IMEREST, ANO ATTORNEI"S FEES.
with Section 7000) of Dlvision 3 of Ihe Business and
Class N
— Date: _
peAormance of the work tor which this pertnit is issued. (Sec. 3097, Civil Code).
LendeYs Atltlress:
Date:
my license is in full
OWNER•BUILDER DECLARA710NS:
I hereby eHlrtn ihet under penelry ol per�ury Ihat I em EXEMPT FROM 7HE CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or counry which reQuires e Dermit to construc6 elter, improve, tlemolis�, or repair any slructure, pnor to its issuance, elso requires Ihe applicant for such pertnit
to flle e signed stetement that he or she Is licensetl pursuant to tha provisions W the Contwctors License Lew (Chapter 9(commenGng with Sedian 7000) of Division 3 of �he
Business end Protessions Cotle) or t�et he or she is exempt tharetrom and the basis for the elleged exemption. Any violation of Section 7031.5 by any epplicent for e perm�'
subjects Ihe epplicent to e civil penalty of not mare Ihan five hundred dollars ($500).):
❑ I, es owner of the properry, or my employeas with wages es Iheir sole compensation, WILL DO TNE WORK, and ihe structure Is not Intendetl or oHered for sale (Sec.
7044, Business antl Protessions Cotle: The Coniractors License Law does not applY to an owner of property who builds or improves ihereon, and who doas such work
himseN or herself or lhrough his or her own employees, provitletl ihat such improvemenis ere not intended or oXered for sale. If, however, Ihe builtling or improvement is
sold within one year of completion, Ihe owner�6uilder will have ihe burden ol proving that he or she did not build or improve lor purpose ot sale.).
❑ I, as owner of the property, am EXCLUSIVELY GONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business end Professions
Coda: The contrectors License Lew does not epply to an owner ot propeny who builtls or improves Ihereon, and who contracts for such prolect with a contractor(s)
license pursuant to Ihe Coniradors License Lews.).
❑ I am exempt untler sac.
SignaNre:
Owner ID verifietl by arlvaYs license. ❑ Ves ❑ No
Business and Professions Code for this reason:
Vedfication of Ownership by (type of Cocument, i.e. - propeny tex bill or tleetl):
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION:
Drivers License No.
Data:
Eapires:
❑ I hereby cerlify that no excavation five (5) or more teet in depth into which a parson is required to descend, will be matle in connection wiih work euthorizetl by this
permit, entl ihat no building structure, scaHolding, talsework, or demolition or dismantling Ihereof, will be more than �hirry-six (36) faet high. (Ghap. 32, Gry 2, Art 2, Sec.
341, Title B, Calitomia Adminlsirative Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit from the Oivision of Industnal Safery, as noted ebrne, unless such person hes e
permii to do such work trom the diWsion.
Signawre: Date:
Division of Industdal Sefery Pertnit Number:
CERTIFlCATE OF COMPLJANCE AND AUTHORVA710N OF ENTAY: I cenity under penalry ot perjury that I have read Ihis application antl state that the infortnaiion given is
cortect. I egree to wmply with all siate laws and ciry ordinances relating to building construction, and authorize representatives of the Ciry of Costa Mese to enter upon Ihe
ebove-descnbed properry fyUnspeelian-puqLosga."h4gree not to occupy or ellow occupancy of any building euthonzed by this permit until finel inspection.
COOEI, INSFECIIONTYVE
1616 Fixed System Final Fira Prevention
1268 Paal Spa Final
200 Finel Re-Rooi
201 FIneI8locWRetaining Wall
202 Final Facrory Fire Place
203 Final Sign
204 Final Demolition '
��'�R'�i 1:
COpE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
270 Final Elecincal
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
4ASE 1[�lLi