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Home My WebLink About477 MAGNOLIA ST - Building Permits� �STN M . � 0 i, F J '� �,' o.mu �� CITY OF COSTA MESA BI/ILDING DIVISION � , 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E10-00163 PERMIT TYPE ELEC STATUS: , ' ISSUED APN: 11733216 DATE ISSUED: 07I01/2010 . ISSUED BY: KJB JOB ADDRESS: 477 MAGNOLIA'ST CM ' Suite/Unit:.. - Vicinity: � � � � SCOPE OF WORK: SERVICE UPGRqDE T0�100 AMP: RELOCATE METER ALSO. ��-' - OWNER: SNEATHEN, KARL W,'� : Address: 477 MAGNOLIA�ST .Unik ' PHONE: � . . . City/State/Zip: COSTA MESA; CA'�. . �-- � APPLICANT: PIERI, LEONARD ',- ' . � Address: ' � Unit: � � � � , ' -- PHONE: 949-689-5706 � � , . � City/Stale/zZip: �- - , . - CONTRACTOR: License No. . ? ' Address: Unit:�� .. � , : ..,,, .PHONE:�.... .-.. . ..� _ . : '� .. _ .. , . _ � ;.�_ � �-� City/Sfate: � - ZipCode: � - -.. . . . � .. " .. . -. . CELL: � ' . ` .. ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 _ Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 ` P NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statules and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DqYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. O�DE/. INSPECTIONTYPE DATE INTITIALS COUEN INSPECTIONTYGE Dr1TE INi111R�5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing �j�., 200 FinalRe-Roof _ 270 FinalElectrical �"�3^ EM �qJ�) zoi Final BIocWRetaining W all _ 212 Final Fire Prevention / 202 Final Factory Fire Place- . 220 Final Planning Appmval 203 Final Si9n . � - • • � 222 Final Site • _ 204 Final Demolltion ' 250 ' Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: . � I hereby aRrm under Renalry of perjury one of the (ollowing declarations: , t ❑ I have antl will maintain a certifiwte of consent to self-Insure for workers' compensation, as provitled for by seclion 3700 of Ihe Labor Cotle, for the performance of the work for which this permit is issued. ❑ I have antl will maintain v.nrkers' compensation insurance, as required by sectbn 3700 of the Labor Code, for [he pedormance of Ihe wvrk for which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier (T�issearnneed�Eemmpeted✓Nepermd8valued huntlretldollars(SioO)aless.) Poli umber' � � ertify that in the periormance o( t e work for which [his permit is is etl�l.shall nol employ any person in any manner so as to become subject td� he workers' c mpen ion laws of California. and agree Ihat if I shoultl become subj 1 t th vro ers' compensation provisions of Section 3700 of the Labor Co e sh fort 'th comply with these provision � � . 'sr9�am?--7 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn lhat I am licensed under provisions of Chap[er 9(commencing wilh Section 7000) of Division 3 0/ the Business and Professions Code, and my license is in full force and eflect. Lic. # _ _ _ Class # Contraclor's SignaWre �ale CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that there is a constructbn lentling agency for the performance o( the v.ork fa which this permil is issued. (Sea 3097, Civil Code�. Lentler's Name: Lentler's Address: _. Signawre OWNER-BUILDER DECLARATIONS: 1 hereby aKrm Ihat under penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construc[, al�er, impmve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of Ihe Con[ractors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Pro(essions Cotle) or that he or she is ezempt Iherefrom and the basis (or ihe alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects ihe applicant to a civil penalty of not more than fve hundred dollars (5500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or hersel( or through his or her ovm employees, provided that such improvements are not intentled or o(fered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have [he burden of proving iha[ he or she ditl not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruc[ the pmject (Sec. 7044, Business and Professions Code: The contractors License Law dces not apply to an owner of property who builds or improves thereon, and who contracts tor such project with a cmt2ctor(s� license pursuam to the Contractors License Laws.). ❑ I am exempt untler sec. Business antl ro essions de fo his reason: 7 � 3051a6 (3I0]) Owner ID verifed by driver s license. ❑ Yes ❑ 1� � Driver's License No. Expires: Verification of Ownership by (rype ot documenC i.e. - propeAy [ax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feet in depth into which a person is requiretl to tlescentl, will be made in connection with vrork authonzed by [his permit, and that no building sWCWre, scaffdding, falsework, a demolition or dismantling Ihereof, will be more than lhirty-six (36) feel high. (Chap. 32, Grp 2, M 2, Sea 341, Title 8, Calitomia AdminislraMe Cotle). ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to tlo such work from the tlivision. Applicanfs SgnaWre Dale Division o( Indus�rial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fulure building occupant need to file antl certify a Business Plan for emergency response to release or threalened release of a hazardous material? ❑ Ves ❑ No (Section 25505 of the Califomia Health and Sa(ety Code requires, with some exceptions, that a Business Plan be fletl with the Costa Mesa Fire Department by every business which has al any one time during a reportetl year a quantiry of hazartlous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or future building occupant need to (le a registra[ion form for acutely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of ihe Califomia Health and Safety Code, wilh some exceptions, requires regisVation with the Costa Mesa Fire Department by each business which al any one time has on hand a quantity of awtely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic (eel o( compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or fuWre buildinq occupant need to prepare an RMPP (Risk Management and Prevention Progrem (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Heallh antl Safery Code provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are requiretl ro register acutely hazardous materials with the Fire Departmeni. 4. If an RMPP is presenlly required, has Section 25534 of the California Heal[h and Safety Code been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or Wture building occupant require for lhe work which is the subject of this application a permit for such constmction or modifcation from Ihe Souih Coas[ Air Qualiry Management Districl or from any olher air polWtion con[rol tlistnc[ or agency? ❑ Ves ❑ No (Section 658502 of the Cali(omia Govemment Code requires that Ihe requested information be fumished on applications la nornresidential building permits). 6. Will any part of the faciliry to be constructed under this permi� be within 1000 feet from the outer boundanes of a school? ❑ Ves ❑ No Qf'yes", lhe faciliry must meet ihe requirement of Sec[ions 25534 antl 42303 of lhe Califomia Health and Safety Cotle). 7. If a pertnit from lhe Sou[h Coast Air Qualiry Management DisMcl or other air pollution control tlistrict or agency is required for the work which is the subject o! this application, have all of ihe disclosures prescribetl by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certificate of compliance from the appropriate air pollution control oKcer). CERTIFICA7E OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signalure Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury that I have read this application and state Ihat the information given is correcL I agree to wmply with all state laws and city ortlinances ting to building constmction, and aulhonze representatives of the Ciry f C st M a to enter upon me above-described property for inspectio pu o s. a ee no occupy o allow occupancy of any building aut lh' � until inal � spec�io . (.� � a .�� r� �— -� � �"�,� Antllor Aulhonze0 ApP��cant Dale (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 477 MAGNOLIA ST Suite: Viciniry: DETACHED GARAGE Farcel Number: 11733216 Zoning: App�icanr. BRINAGH, GLEN , , ' Address: 7572 MARSHALL LN .. � .:_'�' � _ � " , _ ' _ / �' � " � . -Phone: (714) 632-5325 , CORONA, CA �� - � ' 2ip: 97719 . � ii.� . .. . , , , � �. � : ' ' ;, , Owner. SNEATHEN, KARL W � �. �, � Address i477MAGNOLIA'ST , - - � - , , - � � / �� %�i � . � . Phone: �' %/ / `i �' - .. .. / � ",COSTA MESA,.CA , ' � Zip: 92627 � � �. � � � i, %; %� � �i� Contractor. ADAMS ROOFIN ��Address:'r 1572 MARSHALL LN i ,' i-. //� ;-/ f �� , "/� �� `CORO`A, CA / � ',i �� r� oa�ao U � ` ; � �� +A—,/ , „ ,.,, .,_. -.SCOBEOFPERMIT-,-'��" .�� (• - � , �` v REROOF EXISTING DETACHED [;ARAGE (5 SQ)rTEAR OFF EXISTING ROOFING, INSTALL 30# FELT UN NITH 20 YEAR COMPOSITION SHINGLES. , . . � - , � l„ � '. ,`, '+ � � i��'�' : � FEE SUMMARY � � � �PIan�Check.�1�� `- � $0.00 � - ; _ _� _ , - - � _ _ �` Calc Vaivation. �1 � (Permit: �'�� ' $32.65 Claim Valuation: �SMIP�Res: '�;, �$0.50 � � l /`� � ri;/,G- ^.-: vcli(:_�" / `.�i,,, „ , � . i -�/i �{,.,�— , c , . lress: / , . . � - ;Y ..� ., - , �� ,.. Phone: �i . . \ / ��,Zip: � � : � �. � License: i � 'y�' Phone �-(714)632-5325 'License: "652470 .- StaWs: ISSUED Applied: 01/30I2001 Issued: 01/30/2001 ISSUED BY: _ , .. Eng: � : - - - .Address:'� ` , �, �— � . ` q �� '� �_ . _ .., Phone: . !. ,.-- ,. o � „ p �`, License: `� � ' l' �—� F,com:; \ �Olher: ; � � -; •J. . ., �� Total: i �$33. � �� , SETBACKS MAIN STRUCT ACCESSORY PARKING NOTES: - �' `"� '' �. 1 _ `� 7. .<.;F: . � ,��', .. \ i.�i ;�s, � �� c. � � , . ,�, � ., .,,,� . .. �" . �% i /. �✓C/��'� �~.��->` \ '> °° � �v ��' �.;/ VG � ( � �. -,_ . � � ,. �� Front�= 0� !� � % Rear 0 0 - - - Left 0 0 '" Right� � �0- 0 �/ �� i�l r f . _ , . _ ^�, � . / //�� :_ Front �0=_Q �.✓`Rear '-�0-0 � . _ ��Left 0-�0. -'� � � � Right �0-0' � . t�`�. � , r , i l�" � .-- ' .'i �� .�� ., �� i ' , ,, , � � Existin : ��-' Required: �0� � � : �;`, �. Pr000sed: ' 0 - '� '� �� 1 �' - "� � -� ' ' li�/_:i� i-� "�"'- '._'"' _"J__--. - I: ''d �' � �. L �-� ERI:AYMENT, & � i;, ;i i , i �j r� �i %� ' i--"�. ��/,� � t'� � xa ` �� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related ' regulations. (Ord. No. 92-20, § 1, 12-21•92) '. EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned �, for a period of 1 BO days. � IINSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections and final approvel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration.of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448-48I6/00) WORKERS'COMPENSAnON DECLARAnON: � ' ' ' ' � I hereby aHirm under penalry of perjury one of ihe following declaretions: � ., ❑ I heve antl will maiNain a ceAificete of consent to sel6lnsure for workers' compensatlon, as provitled for by section 3700 of the labor Coda, tor the pertormance of the work for which Ihis permit is i5suetl. � �_I.he've and will maintain workers' compensation insurence, as required �y section 3700 ot Ihe Labor Code, tor the perfortnance of Ihe work br which this permit is iuuetl. Mv workers' comoensation Insurar�Ge car er antl policy number are: � Poliry mb9r.':�� (I) .i L1 ��_ permit is valued af one hundred dollars ($100) or leu.) �.v_ ❑ I certify ihal in Ihe peAormanGe oi the work For which this permit is issued, I shall not employ eny person in any manner so as to become suhject to Ihe workers' compensetlon laws of Calif r� anG a ee Ihei' houltl beco e subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pmhsio s / Applkan[Signaturet A rOatei ^��'�Q'0! � WARNWG:,PNLURE.TO SE R ORKERS' CdAPENSATION CAVE OE IS UNLAWFUL ANO SHALL SUflIECT AN EMPLOVER TO CFIMINAL PENALTIES PND CIVIL FINES UP TOONE HUNDRED THOUSAND DOILARE (5100,000), IN qDpTION TO THE COST OF COMPENSATION, �AMAGES AS PROVIDED F-0P IN SECTION 3]O60F THE L4BOR CODE, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECL�ATION: I hareby eHirm that�bem licensed under provisions of Chapter 9(commencing with Saction 7000) ot Division 3 oLthe.Business and Pcrofessions Code, end my license is in full force antl eflecL Lic. N � � Class M_ ��' 3/ ContractoYsSignature: �" i �Date: D9�.7/ ab'�— i--v S= .-. i CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn that Ihere is a construction lending agency for the peAortnance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendels Name: Lenders Address: Signelure: Date: OWNER•BUILDER DECLARATIONS: 1 hereby elfirtn Ihat untler penalty o� perjury that I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a parmit to consWc6 altar, improve, demolish, or reDair any siructure, prior to its issuance, also requires the applicant tor such permit to tile a signeC statement Ihet he of she is licensed pursuant to the provisions of the Conirectors License Law (Chapter 9(wmmencing with Section 7000) of Divislon 3 oi the Business entl Pmfessions Code) ol Ihat he or sha is exempt therefrom end the basis for the alleged eaemption. Any violation of Section 7037.5 by any applicant for e pertnit sublecis Ihe appliwnt to a civil pendlty of not more ihan tiva huntlratl �ollars ($500).): ❑ I, as owner oi ihe properry, or my employees wi�h wages es their sole compensation, WILL DO THE WORK, antl the siructure is noi intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an owner oi property who builds or impmves ihereon, and who tloes such work himself or herself or Ihrough n�s or her own employees, provided that such improvemenis are not intentled or ottered for sale. If, however. the builtling or improvement is soltl within one year oi cpnpldiioq the owner-builder will have ihe burden of proving that he or she did not 6uild or improve Por purpose of sale.). ❑ I, as owner ot the pmperty, aT E%CWSIVELY CONTRACTING WIT1 UCENSED CONTRACTORS to con5tmct ihe project (Sec. 7044, Busine55 antl Protessions Code: The contractors License Law tloes not epply to an owner of property who builtls or impmves thereon, entl who contrects tor such prolect wit� a contrecror(s) license pursuaN b lhe Conlre�iors Licen58 Laws.). ❑ I am exempt un0ar sec. Business antl Professions Code for this reason: SignaWre: Date: Owner ID verified by drivefs Iicensl. ❑ Yes ❑ No Dnver's License No. Expires: Vedfication ol Owrtarship by (rype ai document, i.e. - property taz 6i11 or tleetlJ: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hareby certity Ihat no excavatlon five (5) or more feat in dep�h into which a person is required to descend, will be made in connection with work authorizad by this pertnit, antl ihat no builtling s1�+Mure, scaffolding, talsework, or demoli�ion or dismantling Ihereoi, will be more fhan thirty-sia (36) teat high. (Chap. 32, Grp 2, Art 2, Sec. 34 i, Title 8, Califomia Adminisirailve Cotle). ❑ As owner-builder, I wiil not el�ploy anyone to do work which would require a permit from ihe Division of Industrial Safery, as noted above, unless such person has e permit to tlo such work from tde division. Signature: Date: Division ot Indusirial Safety Permit Num6er: CERTiFlCATE OF COMPLIANCE AND AIfiHORIZATONAF ENTHY: I cenify under penalty of perjury lhat I have read this application antl state that the information given is correct I agree to comply with all 5tate laws and city ordinances relating to building consiruction, end authonze representatives ot ihe Ci�y o� Costa Masa to enrer upon the ebove-descnbed Droperty for inspeG�ion purposes. I agree not to acupy or allow occupancy of any building euthorized by this permit until finel inspection. COOE I. INSPECTONTYGE 1616 1266 Fixetl System Final Fire Prevention Pool Spe Final 200 Final Re-Roof 201 Final BIocWRelaining Well 202 Final Factory Fire Place 203 Final Sign 206 Final Demoliiion ➢�' IMRIALS COOE 1 INSPECTION TYVE 206 Final Mechenical 208 � Final Plumbing 270 Final EleciriWl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Flnal Building�Occupancy � INTITIALS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 477 MAGNOLIAST Suite: Vicinity: HOUSE ONLY Parce� Number: 11733216 Applicant: BRINAGH, GLEN Address: 1572 MARSHALLLN . - ��..'; i CORONA,-CA ; _ �' � . :l� " ' . %'l�i � ownec SNEATHEN, KARL W �- Address 477 MAGNOLIA ST � �, � - �� ,.. � . . . � �' ��COSTA MESA, CA " �� j � � -� ,/ �"/t��j A ��. ��7. :/ Coniracror: ADAMS ROOFING ., - ,�Add�ess�% 1572 MARSHALL LN � .ii �;:�) !l'.;/ � i ', �, . 1 j� � -� �CORONA, CA ��'� _. Zip: ��91719�/ _��+� � �"� � /��,'/ � _ , . Zoning: ISSUED BY: Phone:' (714)632-5325 ' Zip: 91719 � . Status: ISSUED Applied: 01/30/2001 Issued: 01/30/2001 / " �/ .. — _' " �- ",� .' _ , �, � . � � Phone: � � , A��'� Zip: 92627 � � ." j� A�\V`� � j�� r Phone.�� (714) 632-5325 �� : � / \ , . �� /'.3 � �� • ,i -� License:, `652470 _ . . '- � � �� `\ � � � r � � � , �Arch �: � -� � ' � , � ,- EOg� �i�. � - .,�, � , . ,�_ , \.-�� Address_ � �� ; � . . . -" % � ' - - .Address:" � : � ` i � '' - ''� 1 ��i , . " <_ r ��' , , �� t� . -. ' Phone: � - _ _ _ .Phone:� _ . . i ' �A : , . - �i�"1 . :� ��{ ' � ;Zip:_ ,�� . r License: �� , Cicen'se:, `�'�I�'�� n � � _ r " l , ; ; ,"'� � '. ,- SCOPE OF PERMIT -. -' .� � ' � �.�.� ��-( � � � , / �+'� _ j � . / � . �_ _, j'� REROOF EXISTING SINGLE'�FAMICY�RESIDENCE (1�7 SQ)rTEAR�OFF EXISTING LAYERS OF ROOFWG & REPL'ACE \___J SHEATHING AS NEEDED INSTALL 30# FELT UNDERLAYMENT 8 REROOF PITCHED AREA WITH�20 YEAR COMPOSITION i��' i� "- SHINGLESANDFCATAREA�WITHB.U.R � . � � `� J i- l f� /' • r�- ,,� ' . .1�' li r��l f `�\r�� ',\:` � \ �� , `) li PIan�Check �� `�` �Permit \ 'CIIAID Dec ` \ � $0.00 _ - :_ �$83.25 � �_ Calc Valuation: Claim Valuatior . \ .yv.vv �, , �.;� � : _ , �o.00 -_,�� _ � . $o�oo _ - � ��.. ��, ��' \ \ n' �t' i :� y �i /� ' $83 75��:?�'\ � f' ' � � ,� ' ' j � <�% rn A\��' � ,��o �� . � ,- �%� SETBACKS ` MAIN STRUCTURE ACCESSORY PARKING NOTES: \"( �j :�; - \\� ��.\'PLANNING:& ZONING �j� i `�� \ "',� �_,_.;v.� \C /� �� .��%f��r, -_— _ __�- ` � � Fion�� f� �Rea�r �0-0 I.ek 0-0 ,�� Righf�4 ��i� Front 0-0 �_�, Reer/� 0-0" Le8 � �0 0��' � Righti =0-�0� �'�•�,�' �- ' �:A,' . _ , .- ` . - ��'��/:' Existinq: 0 ��Required:,_�0 Proposed: '0=-/� :.�� ' �� = �'-- ��.-��='_ � "`- --- - , _. _ � _ � 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 780 days, or if work is suspended or abandoned for 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 required Inspectlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration. of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 2446-48(N00) — WORKERS'COMPENSAnON DECLARAnON: ' I hereby aHirm under penalry of perjury one af t�e followinq declarations: ❑ I heve and wltl mairlain a certificate oi consen� to self-Insure for workers' compensetion, as provided lor by section 3700 of the Labor Code, for the peAormence ol the work tor whiCh lhl5 parmit is i55ued. �--1 have and will main�ain workers' compensation insurance, es required by section 3700 of Ne Labor Cotle, for the pedormance of the work lor which this permit is issuetl. t,.—My workers' cnmpens�on Iqsurance carner and policy number ere: 'Cerrier. .4'�� —t� � PolicyNumber.—.2SS� OI G�.— ��i/A7' (7his�section need not B mplete0 il the permrt is ve/ued at one hundred dWlars ($100) or less.) �- ❑ I ceniry ihat in the peAormance of Ihe work for which this permit is issueq I shell not employ any person in any manner so as to become subject to ihe workers' compensation laws ol Calii rn' end egreB Ihat If I Id beco subject to the workers' compensatlon provislons of Section 3700 ot Ihe Labor Cotle, I shall iorthwith compty with these p�a�is'o . A _� �Applicem SignaWre?- �� Date:.--r O /' ��O — O � WARNING: FA�CURE TO SE URE WOPKERS' COMPENSATIIXJ CAVERAG 5 UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDFED hKK15AND DOLLARE (St00,�1. �N ADDITIIXJ TO THE COST OF CqA1PENSATION, DAMAGES AS PROVIDED f-0F IN SECiION 3�06 OF TNE LABOR COOE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTPAS DECLARATION: I hereby eMirm tha��l�amdicensed untler provisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full lorca entl eHect Lic..q, t� � SC�/ 7 n A � Class A� i� • 39 -� �ii '�1-71�7 Conirector'sSigneture:-�— iv v �ra7�.+i�— 'Date: �'' iy/ii /.2pOZ— / �-�� '� � �'� CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a construction lending agency for the pertortnance of �he work for which ihis permit is issued. (Sec. 3097. Civil Code). Lendels Name: Lendefs Address: SignaWre: OWNER-BUILDER DECL�AnONS: Data: I hereby ettlrtn Ihet under Penalry of perjury ihat I em E%EMPT FROM 7HE CONTRAC70RS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professlons Code: Any ciry or counry which requires e permit to constmct, alter, improve, tlemolish, or repair any sWcture, pnor to its issuance, also requires the epplicant tor such permit to Nle a signetl statement ihat �a or she I5 Iicensetl pursuant to ihe proNsions ot t�e Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is eaempt therefrom end ihe basis for the allegetl exemption. Any violation oi Saction 7031.5 by any epplicant for e pertnit subjecis the epplicant to a civil panalry oi not more than five hundred tlollare ($500).): ❑ I, as owner ot Ihe properry, or my amployees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is not intended or oHered tor sale (Sec. 7044, Busineu and Professions Code: The Contractore License Law tloes not apply to an owner of property who builds or improves thereon, antl who does such work himseH or herself o! ihrough his or her own employees, proNdetl that such impwvemenis ere not intended or ottered for sule. tl, however, the huiltling or improvement is sold within one year of completion, the owner-builder will have the burtlen ot proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha prolect (Sac. 7044, Busines5 end Protassions Coae: T1�e contractors License Law tloes not apply to an owner ol propeny who builds or improves Ihereon, antl who contracts br such project wilh a coniractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I em axempt under sec. Business and Professions Code for Ihis reeson: SignaNre: Date: Owner ID venfied by dnver5license. ❑ Yes ❑ No DriveYs License No. Venlication of Ownership by (rype of document, i.e. - property tax 6ill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: E:pires: ❑ I hereby cenity that no e:cavation five (5) or more feet in tlepih into which a person is required to descend, will be made in connection with work euthonzed by this pertnit, and ihai no building siructure, scattolding, talsework, or demolition or dismantling Ihereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 34i, Tille 8, Califorr�ia Admini5lrativa Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit irom the Division ol Industnal Safety, as notetl above, unless such person has e pertnit lo do such work trom the division. Signature: Date: Division of Indusirial Satery Permit Number: CER71flCATE OF COMPLIANCE AND AUTHORVATION.OF ENTAV: I certify untler penalry of perjury ihat I have read ihis applicalion antl state ihat the information given is wrrect. I agree to compy with all state lews and ciry ordlnences releting to building construction, end authorize representa�ives of Ihe Ciry of Coste Mesa �o enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy oi any building authonzed by this permit until finel insDection. cooe ", iNsvenroxrrve 1618 Fixetl System Final Fire Prevention 1266 200 207 202 203 204 Paal Spe Final Final Re-Root Final BIocWFetaining Wall Final factory Fire Place Finel Sign Final Demolition � OpTE I IR !12-OZ-01 �_0`� CO�Et� INSPECTIONTYPE 20fi Final Mechanical 20B Final Plumbing 210 Final Electrical 212 - Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency �E um . .. . , . _ ..�.- . .r ;� . . ' ' ' ' . ' � k. . ' . . • • . � , i � ' ^ _ " . . ' ' 1� y ` . . ' . .. , ' . � , - " .. �L. .. . ; ..'� . - . ' . . . - ' � -. , . . ' . _ e 't , _ - . . - r . .. ' ..` ' ._ .1 . '. "' .. ' '-.'. - A . ..,. � • . . . . . .4� _ � � R ,� / .. ' .. . .. . . ' t . ' ` r' ' . ' � � � ' S�azch .23, 1966. . . _ . . ',: _� . .+ , r. ., y . . ' � %� . . F' • • . . ' � . . '. k . • ' .. . � e . • • . . _ . . . -`. 1 . ' , .. v � r ; . { . . . ' � . . i; ` `- , .. . r ,_ � , . , - . .' _ ` . _ ,, . • . 'r� ' �,� ', - - , ; . ,- .' - . . - -, .. - . .. . . _ }., ' , . . . . . : .j . . . , . . . . r' ' . . � . � . a �`�t - � .. . . . .. . . - i - .. . . . . . � . ,I�Ir. Fred.McI;ean: - , " . ., , � �631 sou�th:"Fa�rvs'err -.Apt. 16 , � a . � Sanie� Ana; California. . ,. � ' � .�. � - .. -� . ; Dear-.Sir� - _ - � , . ` , �,. ' An ine ection` oP the property or�ne� orc cont 31ed .Dy you, lo- �`' � cated at �77_Nagnolla.StreeL'u�i�hiri�the Ci�y.�of g�a Mesa,-re , -. v�aled .'a; large �ccumulation oP..tra., and 'debris the. .'r'ear of - $he lot.• Thie'is.4n.viola4lon of�$ �tYon 713.20 (h)..oP.Che.54,ote . �Sousing �nd�Building S2aridarfle.'Code>- Z �he l�htnicipal;Cofle, Chap. _ � .' � .. ter V; Article 2; "Public'Health"and q,lta�ion", _-,. ' . This inspection• rrae' nad ;by George �Sheith, Orange Couaty'..Heal�th ;, � DeparCment, .and ayself on • rch 15; lgo6. A riot3co_'to ;corract .r�ae.,;; ;$'_ •lePt .i'or the o� pant, on. tha date. �;Ariother 3napoctioii`�v1as-raade'; - , � Ai�trch 22; 1g56, it eras .detarmined �hat•no'+effort had� been.made ,. '. to ic�provo - Che a uation: ', „ , . ., . .. ThYs letter is� :s�rve ea'.a.no�ice of vlolation and��o odvis� ,�� - yrou of corrections� needed. AnottieP.�in�pec�ion�. �rill• b@"aiade .een, .�: � . _ Q.sys. from.,this date� to detePmine >Complianeo: to 'this. reques.�'s -_ �"` . . • � .�' _� - . If ine• me.y be of any e�sietance` to, you in, .this . matter,. pleaae • • •feel free to call ;on us: � � � ' . , - � . . , � • � : -. ' - ." '. .Yours.veryi,"tru13', - , . ' ; . . , } ',, . . .. ,. .' , , ; ` . " . , . . ... . � F:. ' ' ..� . . . . - •.- DEAid DORRI$ . ' ..: . . - � - • • -. Deputy Butlding Ofiiclal . . � -DD c dh �. , . . . , . . ; : . , - . , � ,. • .. . , ' , . . � - , . . _ ,y ,•_-, � : _ . . _. _ � , . j � .< ,� �' ,, . , . - , � . E , , � . . •. � t �' `�' . � . s ' . . ; �Q-e��L�-!� � `��?f � //u�� , ,� � � �l� a .. , � . � _ ' ° x : G�y� ' _ ,�,��, . _ , A • . � � � r ' . _ •-I : is .� . ` ' . . -. - .. ' . . . - R DATE %—�+.1— JOBADDRE3S t}%% E. t4agnolia BUILDINGPERMITNO. S�-l2 � =RALCONTRACTOR Owner-Builder VALUE $ �.9��.�� or aP#117-332-16 BLOCK TRACT BedroOiR OSl F{07RB _ rwn�lo I -rvae V zoNE . Rli FIRF DISTRIGT KKFi INSPECTIONS .Footing Trench Foundation Forms and Grade to Rough Framing � �Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough G Heating, Rough Heating, Final ��1 S` - 11V : iank or Cesspool Latning ��N �l�U�` Plastering ^lumbing, Final, Fixtures Comp, Plumbing, Fin,al Gas Test fi Wiring, Final � Uccupancy G Form '210 G-H lbf 12-69 PERMITSISSUED SUBCONTRACTOR DATE I NUMBER Costa 1Vlesa Building Department � APPI.ICATION FO,Ro PERIVYIT 111 EAST 20th STREET !ry"� �'� __ _ _ � � I_L.�,��..i\.G .._..-�-.r.�� COSTA MESA� CALIFORNIA ' ' FOR APPY�ICANT TO I+'ILL IN � �'OR OFF+ICE USE ONLY { _ � ; I Receipt No. Permit No. � Building �i� � A , �7 ,.�,/ Address T ��Cr✓G!//� � t = • oG�l �f.� .S � 2i � Received by. Date Rec'd. Date Isaued i Costa l�lesa, California ; � . — i � 9-is�=� y Nearest� t. ' - � Cross St. ��%f��e . Building ` � � ` �Address � - � � owner r ."" .�+/./ C. /C /� �(�� f/.P ; Costa Mesa, California 7 � Address T'�Z �. / ��{/Q�i� .L�1 Nea�est � S Tel. �. Cross St. � � '� c�eY �S7�A ��l'fJ No. !� 829L3 Zon$ � No. or Type i crouP�r ; Architector p' Lia � I P�ans I � � � `L t Enginee� OIL��/� No. Approved f ` � — by i i Date , ress � � CORRECTIONS � � City Lic. Contrecter No. , � � i Address , o , i De erption I No. `� I Block I TrecYf/� �—� ' , ' i � , (Attach Metes and Bounds) 3 3 � '�6 _ : � i � / G �No, of Bldgs. � Sizeof Lot ��5 X G Nowon Lot � - - - - - - --- --�---- � Use ot / No. of No. of ' , ,, s Existing Bldg. / (i I F.a�milies � I Roo�m ' —� Setback Line from Rear Vard 2��f -- -= - - - --- � �" 'Z Center of Street Side Vard � y ��mrw•� '" � + . ` r DESCRIPTION OF WORH s� -�. i�+ �,�.�:. New I I Alteration I I Addition- I/� �¢+y;� � L ". n. �1 ) Repair I I Ma�i�9__ I I Demolish I �� y�*- s�� 'ding /} J '`i°'°a�' �TX �v7 Rooms � Stories ! ,riorwall Rooi y/ ��1�„�T� P Covering �TL'�'V I Covering ��a/ �% � ' Use of New �'j {/J _ _ �'je Building ��f'j��)}� Foundation location Inspector D.ate - Forms, Materials, ,r�;;� -��.� Under-Pinning � Frame: Fire Stops, Bracing, Bolts � Lath. Int. I hereby acknowled�e that I have read this Application . . and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and S te I.aws regulating building co uction. � � .Signature f � Plaster,int: ' _ . Permittee � - Plaster, Ext. • � ' ' Authorized � gt. e I � Mason�y'Reinforced .� Valuat(on I I Permit Fee $ � $ �/ PIan�Check $ � � Bond Beam J Total Fee $ �d v INAL 1°or�n 804 G-H 1M 12-63 � — � --�----- � Show location and distances from propeMy line and between buildtngs. `. .. � � , , .: �ti � . � . �,::.;' .. . : :'r_Si ' ��i',)t i . �_ S� . _ '- , . . . - -- ' .!��lf_S"i3 . :.:'�-`.� . � . - . . • . _ .. � . . � . . � . . .. . .. . ,. . . . � . . . .� . . . \,r :�I a� - Do You carry_ Workman'e_ Compensation Insuraz�ce4 Yee � ` No +�.- - . - I am avrare of Frovision 3700 of the'Btate` . � �-__ ' LaboT Code vrhich requires every eoployer � to be insured against liabi�lltY Y,or, �. �. �,' '; workman' ^ompenaation ' ' -4 '•:•"`• ; . ` �• � .��luc�l��-- ;.. _ _ : Signed. �� ` . �- � , - - -- � , '��':�\ ORANGE COUNTY BUI�UING DEPARTMENT_ APPLICATION FOR PERMIT 636 North BroadwuY ' J _ �q � ■ � � � . SANTA ANA, CALIiORNIA ^ � " ' �rm