HomeMy WebLinkAbout933 JOANN ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • w�w+.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 933 JOANN ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42235207 Zoning:
Applicant: WOLSKY, BRIAN
Address: 17662 METZLER LN
Phone: (714) 847-9332
HUNTINGTON BEACH, CA Zip: 92647
Owner: SANDIDGE, WILLIAM MICHAEL
Address 10411 SAMOA DR
HUNTINGTON BEACH, CA
Contractor. TOM BYER ROOFING
AddrOss: 17662 METZLER LN
HUNTINGTON BEACH, CA
Zip: 92647
ArCh :
Address:
Phone:
Zip: 926462546
Phone: (714)847-9332
License: 575002
Eng:
Address:
Slatus: ISSUED
Applied: 01/21/2004
Issued: 01/21/2004
ISSUED BY:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF R�SIDENCE AND ATTACHED GAR.4GE: TIO EXISTING ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30# FELT, APPLY'30-
YEAR COMP SHINGLES " 26 SQUARES
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUC7URE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear 0. 0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Vaivation:
Right 0- 0
Right 0- 0
53,788.00
$3,788.00
N0710E: The work authorized by this permit shall comply wlth all applicable handicap access requirements unde� Calilornla statutes and �elated
regulations. (Ord. No. 92-28, § 1, 1247-92)
EXPIRA710N: This permit shall automatically expire end 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 the work euthorized under this permit to be considered legal, such work must comply with ell applicable codes, ena ell
required Inepeetlone end final epproval must be obtalned. Failure to obtain inspections and final approval will result In the expimtion of this permit.
FOR INSPECTIONS CALL: (714) 7545828 ,
!aae�ae (a�oo�
WORKERS' COMPENSATION DECLARATION:
I hereby eHirtn untler penalty of perjury one of lhe following tleclarations:
❑ 1 have and wlll maintein a certilicate of consent to self-Insure br workers' compensetlon, es provided lor by section 3700 0l the Lebor CoCe, for the pertormance of t�e
work for whlch this permii is issued.
� I �ave antl wlll malntain workers' compensation insurance, as requiretl Oy section 3700 0l Ihe Lebor Cotle, for lhe peAortnance of tho work lor whicti NI5 permit is issued.
My wolk s' c9mpen§5tion Insurence cartier antl policy number ere:
Cerrier. � r Policy Number: /� � U�3 �
(This sectlon neetl nof be complefed i! Ihe partrtit 15 valued ef one hundred dWlers (S ]00) or /essJ
❑ I cenify thet In the pertortnence at t�e work br which ihis pertnit Is IssueQ I s�ell not employ eny parson In any manner so as to become sub�ect to Ihe workers'
compensatlon laws ol Califomia, end egree that II I shoultl Cecome sub�ect to Ine warkers' compensatlon provisions of Section 3700 0l Ihg Labor Cade, I shall forthwith
comply with Ihese provis / /
Applicam Signewre: Data: � Z�/ U`%
WARNINO: FAILURE TO SECURE WORKERS' COMPEN COVEMGE IS UMAWFUL ANO SNAIL SUBJECT M! EMPLOYER TO CRIM�NAL PE TIES AND CMl FlNES UP TO ONE HUNDRED
T}pUSAND OOLLARE (5100.000), IN ADDITION TO iHE �S �iEO,NPEN5AT10N, OAAUGES AS PROVIDED WR IN SEGfIIXJ 31060F THE IABOR CODE, INTEREST, AND AiTORNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby affirtn lhet I em licensed un provisions ot Chapter 9(commencing with Sectlan 7000) ol Divislon 3 0l ihe Business anU Prolessions Code, end my license Is in tull
lorce antl ettect. Lic. M �5��%z qass x ��"S
Coniractors Slgnature: Dete: � Z/ N�
�
CONSTRUCTION LENDING AGENCY:
❑ I hereby eflirm thet there is a cons�ruction lentling egency br iho OOAormence of Ihe work tor whic� this permit is Issuetl. (Sec. 3097, CiNI Code).
Lentlefs Neme: Lendefs Atldress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirm Ihet under penalry of pe�ury that I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW lor ihe following reeson (Sec. 7031.5, Business flntl Prolessions
Cotle: Any cily or counry which requires e permit to construc6 elter, Improva, demolish, or repair eny strucWre, Drior to its issuance, elso requires the applicant br such pertnit
m file a signetl statemem that �e or she Is licensed pursuant to Ne pmvisions of the Contractom License Lew (Chepter 9(commendng wlth Sectlon 7000) of DMsion 3 of the
Business end Pmfesslons Cade) ar that he or she is azempt therefrom end the basis br the ellegad exemption. Any vidation oi Section 7031.5 by eny applicant br e permii
subjects the epplicent to e civil penalry of not more ihan frve �undred dollars (5500).):
❑ I, es owner ol the pmperty, or my emplqrees wit� wages as t�eir sde compensaUon, WILL DO THE WORK, and the swciure Is not intentletl or otteretl for sale (Sec.
7044, Business end Professions Code: The Coniractors License Lew does not apply to en owner of property who builds or improves Ihereon, and who does such work
himselt or hersell or ihrough his or her avn emplayees, provided thal such improvements are not intentletl or oHeretl for sale. If, however, the building or improvement is
sold wilhin one year ol completioq lhe owner-builder will heve the burden ot proving ihat ha or sha tlid not build or improve tor purpose of salaJ. '
❑ I, as owner ot lhe property, am ESCWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pwfessions
Cotle: 7he comrectors License Law tloes noi appy to en owner oi property who Dullds or Improves ihereon, and who coNrects lor such projact with e comractoqs)
licensa pursuent to iha Contractors License Laws.).
❑ I am ezempt under sec.
SigneWre:
Ownar ID verilied by driver's license. ❑ Ves ❑ No
Bu5ine55 en0 Profession5 Code tor thi5 rea5on:
Venfication ol Ownership by (rype ol documem, i.e. - propeny taz biil or daetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivefs License No.
Date:
E.pires:
❑ I hereby cenify Ihat no excevation tive (5) or more laet in tlepth Into w�ich e person is required to tlescenq will 6e matle in connectlon with work eulhorizetl by lhis
permit, and Ihet no building siructure, scaRolding, falsework, or demolition or dismantling Ihereol, will be more ihan thirty-six (38) leet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title B, Calllomia AtlminiSlretWa Coae).
❑ A5 owner-Duiltler, 1 will not employ anyone to tlo work whic� wwlA require e permit Irom the Division of Intlustrial Sefety, as no�ed ebove, unleu such person has a
permit to do suc� work irom the tlivision.
SignaNre: Date:
Divislon ol Intlustnel Satety Permit Number:
CERTIFICA7E OF COMPLIANCE AND AUTMORIZATION OF ENTRY: I ceniy unAer penalry of perjury that I heve read this epplication and state ihat the intortnation given is
correct. 1 egree to compty with ell state lews end ciry oNinences relating to bullding wnsiruction, end authorize representetives ol the Clty al Costa Mesa to enter upon t�e
ebove-descnbed property for inspection puryoses. I egree not to occupy or ellow acupancy of eny building au�horized by this pe�mit until linel inspaction.
er(s) ete'/
� Z� 0 7
AnNOr (�'t�orized Aoolica �r— Date
CO�E I, INSPECTIONTYPE
1618 Flxetl Sysiem Finel Fire Preventlon
1266 Pool Spe Final
200 Final Re-Root
201 Final8lock/Retaining Well
202 Final Fectory Fire Place
203
204
Finel Sign
Finel Demolitlon
� 1��
Z _ "r "'"
eooe� iNsrecnoNrrve
208 Finel Mechenicel
208 Final Plumbing
210 Final Elettncal
212 Final Flre Praventlon
220 Final Planning Approval
222 Finel Slta
250 Finel Builtling/Occupanty
PAIE ItiIID�Lfl
JOHN T, KIMBRELL � 7RE5. � ' • OFFICE �
JOSEPh{ DAVIS - V. PRES. 6191 BURNMAM ST.
' JACK KIMBRELL - SEC. - I
KIMTRUSS CORPORATION
P. O. BOX 386 — BUENA PARK, CALIFORNIA
lAwrence 2-2826
July 26, 1966
Mr. Hap Coffelt
933 Joanne
Costa biesa, Calif.
Dear Mr. Coffelt:
This letter will confirm that the trusses used in the
addition to your residence located at 933 Joanne, Costa
Mesa, California were built in the Kimtruss Corporation
truss yard at 115 Goetz Street, Santa Ana.
Kimtruss is an approved light wood truss fabricator, certi-
ficate of registration No. M-18.
Very truly yours,
KIMTRUSS CORPORATION
�—�.'
�_ �.i�' �� �- ��c�-�.
Jos ph H. Davis
Vi -Preaident
JHD:rah
r/A , /
/6r�v
�° �� --� /� �
��S��s
-
oxvaL & Mn�arr�
JOB ADDRESS 933 Joan�
GENERAL CONTRACTOR U
nr No.115-582-07 LOT
INSP�CTIONS
r
OCCUPANCY
TRACT
L�
DATE 1-19-62 '
BUILDING PERMIT NO. 16270
FIRE ZONE DESCRIPTION OF WORK Pgt.COv. OII
DATE GROUP J TYP� V 7.ONER1 EX16t.S78Y
SUBCONTRACTOR
— , o, i ��i n
rs2ia FEE REC�IV�D
" r� " JAN 19 tss2 rlr
C�STA MESA BUILDING-SAFETY DEPARTMENT flNANCE nEPT� � Uv
P. O. BOX 9f7 COBTA MEBA. CALIFORPIIA
For A licanf to Fill In Com lefel CITY Of COSTA MESA
pP P Y APPLICATION FOR PERMIT
TyPE OR PRINT gUILDING
BUILDING y� 3 foar� �� 57:
ADDRE55
COSTA MESA. CALIFORNIA FOI' Offite Use Only
• RBLEIPT NO. PE MI NO.
OWNER 1 � {'c� �L a ' � `� C � �.
MAIL �3 /'Ll�l' I� . ���j � I �� � %�� J / D TE I�UED
ADORESS �I v 7 f��
TEL. M�d w c�-� BUILDING
CITY C_f rT f'YI`F S� NO. ADDRESS
ARCHI^ECf 7E�. • COSTA MESA CALIFORNIA �
OR �INEER NO.
G FIRE � Y
ADL..cSS . ZONE TYPE �I GROUP d.
i �.
CONTRACTOR p APPROVED•�
BY DATE �
A�DRESS ZONING
Z E NO. OF UBE OF NE
C�Ty � � PL�N9 � BUILDING
STATE TEL. LEo � l �
LIC. NO. NO. oesCRlrilon �'
SIZE ./l I NO. OP B{DGe. �� �
OF LOT �� NOw ON LOT A p NQ �
USE OF YARDS EVE6
EXIb71NG BLDG. :�' t��� � n APPROVED ALLOWED
68TBACK LINC FNOM (GSNRR LIN6 BTJ "
CENiER OP 8Te1EeT REAR YARD FRONT FT. IN.
SIDE YARD I LEFf I RIGHT R. SIDE FT. IN.
DESCRIPTION OF WORK
L. SIDE FT. IN.
NE' I�A4TERA710NI IIADDITION I REAR / FT. IN.
REF._.rt' I II MOVING I II DEMOLISH I BYPROVED DATE �
BUILOING / i NO. OF
SIZE i: ROOMS STORIES
EXTERIOR WALL ROOF ,O G
COVERING COVERING �� c��
USE QF BUILDING AN� WORK TO BE PERF R ED
� r' L' V �C i^
� �� �o� = o '
-2�
i HEREBV ACKNOWLEDGE TXAT I HAVE RE�D TXIB APPLAGTION THE AMOUM 9 WN UNDER VALVATION IS FOP THE
AND BTATE THAT THE AdDVB IB COPRHC! AND NGRQE TO COM-
Pl1RPO8E OP BTpBL18HING A PEHMIT FEE ONLY.
PLV WITH ALL CITY OIiDINANCEB AND eTATE LAWB HEGULATIN6
auunwc coraeirmciioN. VALUATION � _�
61GNATURE OF � a� � PERMIT FEE $
PERMITTE
$ �/ � PLAN CHECK $ �--
AUTHORIZED AGENT �
TOTAL FEE
�rs^r,r�a
J
C
P
I.
3V
Forms
- s/- r-
BUILDING
DESCRIPTION
GROUP I TYPI
SUBCONTRACTOR
-; 25935
£�SfA AAESA BUILDINGSAFETY DEPARTMENf
` PA. BOX 7200 COSTA MESA. CALIFORNIA 9202E
i�
For App►tmnf ro FI►1 /n Comploroly
-TYPE OR PRINT
ouaniNa ' '
wovr+eas �o�' S�
CO3TA MESA, CALIFORNIA
� STATE
'oa,
C�
� J��„ „/ � no. or etoa�.
USE OP 1 �
EXISTIN6 BLD6. � W Q�A I_
BHTBACK LINBlROM
DESCRIPTION OF WORK
ReYAIR
BUILDINO
� � '��i2�%'�
1 HHR60Y ACKNOWL[pOi TIAT.I N/�V6 RND TMI/ A►�LIGTON
/�NO BTAT6 iHAT TM[ AlOV[,19 CORR�C7 ANO AOR6[ YO tAY.
vLY WITN �LL CITY ORDINANCi� A�1D RAi{ lAW/ IIiOYtATINO
OUILDINO COtlpTRUCTION. �. � _
� wurNonizsowoerrc
JU122-66 00130843***�22.50
A►PLICATION FOR PERMfT
BUILDIN6
For Off(c� Use Only
MPROV6D /./ /
BY' / DAT6 �Lz
ZONING Fd.�. pas..i
m xo. or u.[ or n[w .�y�
��' II./�ND � GUILDINO
��i.ncnl-al` /D 3 '7'/� Z!}73
//3"—S8 Z — p 7
A. P. NO.
NOTE: NO EAVE OVERHANO BHALL OH L288 TMAN
90` TO 81DB O REAR P. 4
EAVEB
ALLOWED (U.B.C.REQUIREM6NT1
YARDiMPROVlD YARDSAPPROV6D
MAIN BUILDIN6 ACCBSSORV BUILDIN6
(FROM L R[Cfi) 1 �(/1/�.
� M (t /!J �
n. io 3�O rr.
L DID !S IT. !T.
ee.e / % P. '_' �.
VAR. # OATB
C. . MPROVED
M�ROV[D��Onn.n DAT[ / '� � 7'
�T
TH8 AMOYHi tHOWN UNC6R
•URPoBi O! UTAlLIlHINO
VALUATION
PHRM
�� .��0
TOTK
a
E
w
OWNER I�ri st.nl RFt.A.f.P.S � DATE
JOBADDRES$
BUILDING PERMIT NO. 28SO
GENERALCONTRACTOR 'S•V.Hunsaker VALUE s $,BS6,OO
�or 103 e�oCK TRnc�873 Sin�le Res. w/att �ar
f Jp I& J TVPE V ZONE �} FIRE DISTRICT 2876
PERMITS 18SUED
INSPECTIONS DATE SUBCONTRACTOR
— ��_—., ,,, �� DATE I NUMBER
�r,�r
Foundation Forms antl Grade to �
Rough Framing
Plumbing, Rough to a p�.
Plumbing, Rough Complefe
Temporary Pole
Wiring, Rough _
Heating, Rough
Heating. Final (
Sewer, liouse Sewer, St.
SepticTankor�Cesspooh \_Ip(j
Lathinq, In Out x �
P Sing, Final. Fix
P�_..�bing, Fin,al Gas
Wiring, Final
Occupancy
FORM 310 3M 10�35
6 -S El .� 7 /�, --
Costa Mesa Bnilding Department APPLICATION FOR PERMIT
'� • P.O.Box3�� 28�� "BUILDING '�
r� COSTA MESA, CALIFORNIA �
FOR OFFICE USE ONLY
.Y�'OR APPLICANT TO FILL IN Receipt No. Permit N
aadae� q'3�3 . oh N IV ST. ,�jy.�
Costa Mesa, California Receive Date R(/ec'd%. (�Date Inssu�
Nearest A T A ' t �''�O �� V / ��a �
CrossSt.��yi�,' �/U 1 /r� �/�.. Building
Address
Owner�, iS^'o l.. �S tti E-S Costa Mesa, California
Mail —7
Address�Q L� �. �„�S �U/.�*$��% Nearest
City ��(� L� � IT NoI.� 7—��O I Zone SL � I plans I Type ' Gro
Arohitect or Lic.
Engineer No. Approve
b Date
Address CORRECI`IONS
itrector� •�, i''" li U S�(�.� /L No' "��O n�
Address S Ft-�/1�
Legal Lat � Z�'1�
Description No.��3 Block � Tract
(Attaeh Metesand 8ounds)
No. of Bldgs
Sizeoi�ot %OX 1pQ tvowon�ot �
Useof I No.oi I No.of
Existing Bldg. "— Familles Rooma
Set6ack Linefram } Rear Vard 2 6
Center oT Street �� Sida Yard 5 t 11
No. of
terior
erin<
..ae of N
Addition
Demolish
Stories
[ ;' / �
o ..._
Forms, Materials,
Under-Pinning
ame: Fire Stops,
Brecing. Bolts
I hereby acknowledge that I have read this Applicatlon
and state that the above is rnrreM and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
bullding construction. Lath. Ext.
Sfgnature of
Permittee Plaster, int.
Authorfzed Agt. C Plaster, Ext.
Valuation e mit Fee $ Z Z, 06 Masonry Reiniorced
g O� 5 SCp � o O TotaCheck $ �� •� � Bond Beam
Fee �J - �� FINAL
FONM 104 10�5� D. P. a 5.
a�s
0
�
�
2
D
r
PIAT PLAN
6how tocatlon and distances Trom
� property Iine antl between buildinps
i
� eosr�
� _. , ' o� � n ri(%�tl45.� ^ %��e . ...• �3 rn
\ , ' _ �
_ . .
c
e
�._
. . �;,
ICOSTA MESA BU�LDING-SAFETY DEPARTMENT
B.O. BOX 71W � COSTA MESA. CALIFORNU Y262!
For Appllcanf to F711 In Complwaly
TYPE OR PRINT
BUILDINO � �%`,//� �
ADDRHS9 e�J ///
COSTA MESA, CALIFORNIA
a.
� V I � � �/MO.Ot �LDOt.
E%IBTINO BLDO. �.S •
�6TCACK LIMt II10Y
c[ertan o� m�[R �T 11�I1R YA D I 7
-r �
GI�[YA D A RIQlT� � �
DESCRIPTION OF WORK
REPAIR
BUILDINO
LIZE /
HXTlRIOR WALL
1 H6R8BY IICKNOWL[D06 TMAT I MAV[ 11fAD TXI� MPLIGT�ON
AHO BTAT[ TI�AT iH6 11lOV6 1� CORR6R�ANO AYR6[ TO COM.
PLY WITX ALL CITY ORD1l1ANCO AND RATi L11W/ 9[OIl{ATINO
eu�tntHa coxsrnucnon.
e,,.......ee,._/91 : /%l//��/.L /l .
� AUTHO/IIZiD A06NT
�
C�1 1�f Y'��F i r� 1RiJN
FEB 7 1966
11[C[IK XO.
e PROV[D %//L(f/ OATI
� �
ZONING
ZOp{ MO. O� Y�L OI NI
//-��� �LAM1 � tY1LDIH0
HOT[: NOGV[
YAROiAPPROV[D
MAIN BUILDINO
VM. �j
��3 r� a-��;
- 5�� - o �
�l10 BHALL OH Ll68 THAN
(U. B. C..RlOUIRBMHMI
YARD9 MPROVfD
AGCED80RY BUILDINO
DAT6
ST .'_"_ ��%� �i' ! _ � �
1 4
N
�d�.* �- 2 - �
�
B . �. �
TXl 11MOUNT OMOWN UND6R VALUATION 19 IOR TM6 j•
•UpPOO[ OI tYTl�0L19N�N0 • P[RMIT I[8 ONLY. 1�
VALUATION � �(' �
PERMIT FEe _ p
0
: �b �
� eo
TOTALFlE