HomeMy WebLinkAbout2449 MARSEILLES WAY - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lab Address: 2449 MARSEILLES WY
Suite:
Vicinity:
Primary Occ: Type of Construction:
Parcel Number: 43914224 ' Zoning:
Status: ISSUED
Applied: 03/14/2005
Issued: 03/14/2005
App�icant: HIRSCHMAN,ROBERT ISSUED BY: �
Address: 9582 HAMILTON AVE " ' � '.,
#281 � � ' Phone: 714-960-8329� �
HUNTINGTON BEACH, CA ' Zip: 92646 � .
owner: BOWERS, EVA M TR ` ' �
Address , �2449 MARSEILLES WY � - . ' � , -
, . - : - Phone' . , . � , . � . ' .
, " . � � COSTA MESA, CA �, � � � Zip: 92627 , � � " � -
Contractor: � HIRSCHMAN,-RP & SONS WC � - � � .
Address: 9582 HAMILTON AVE . � -
� � � #281;.. ,.�' Phone: 714-960-8329 � � - � �
- HUNTINGTON BEACH, CA �
Zlp: .92646 ' =- License:' 781923 � � , - . �
Arch : � , . , , - . ... E�9: , , . .
- . � ` ..--. -�� ! . .
Address: ' � ' - � � � � � Address: � �
„ � . ." PBone: � .. ' � . � � Phone: . � .
Zip: License: , . License:
_ SCOPE 0F PERMIT
REROOF: TEAR OFF EXISTING BUR;& COMP. ROOF'& INSTALL 4 PLY BUILT UP AND �30 YR. COMP. SHINLGES. TOTAL ROOFWG SQUARES
ISAPPROX.16.5. ��. ". • . "- .. `"�-`" ': "� `.
FEE SUMMARY '
Plan Check: $0.00 ____ _ _ _ _ . _ . . Calc Valuation: $5,��o.eo
Permit: $125.25 � ` Claim Valuation: � Ss,i�o.so
SMIP Res: $0.51 � ,
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
-„
� Total: � $125:76 '� � �� �
. ��.
� PLANNING & ZONWG
SETBACKS � � � � � � � . . � � -- - '
MAIN STRUCTURE Front 0- 0. Rear 0- 0� ,Left 0- 0� Right -,` 0- 0� �
ACCESSORY Front � 0-0 ,. Rear 0- 0 LeR, 0- 0'� RigFit � 0= 0, �.
PARKING Existin :.,0- , � Re uired: i 0 Propased: 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 180 days, or if work is suspended or abandoned
for 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
requfred inapeetions and Tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
ro »a 1ww1
WORKEqS'COMPENSAnON DECLARArON: � , �
I hereby BNirm urler penelry ot peryury one ot the tollowing declarations:
❑ I he�e entl will meiniLin e certiticete of cansent to self-Insure for workers' compensetlan, es provided tor hy section 3700 of the Labor Code, for the pertormance of ihe
work ior which this permit is issued.
��I he�e enA will maintain wodcere' compensation insurence, es requlred by sedlon 3700 0l the Lebor Code, fo: the pedormance of the work tor whlch this permit is issuetl.
My worka� mygnsation Insurence certler end policy number ere:
�'�arrier. �/"-��%� %Lt.-..� �o�Numoer 2L�Z2 —'T..[^CS
(This secdon need not be completea il the pertnif is velued ef one hundred dollars ($100J ar less.)
❑ I ce�ity that in the pertormance ot ihe work br which this pertni! is Issued, I shell not employ any person in any manne� so as to become subject ro the worknrs'
compensation laws of Califomie, end egree Ihet II I should becoma sub�ect to Ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwlth
ypprply with t pr '' S.
A p�nt SignaNr . pa�q; ��� y—�.'S
WARNING: FAIIURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
hKK1SANtl �uRE (5100,000�, IN AD�ITION TO TNE COST OF COMPENSATION, OAMAGES AS PROVIOED FOR IN SECTION 3/060F THE LABOR CADE, IMEREST, AND ATTOqNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby flirtn that I am licensed under provisions of Chapter 9(commencing with Sectlon 7000) o� Division 3 oi !he Business and Professions Code, and my Ilcense is in full
�ce e�enec�. �ic. s 7S�rY � 23 c�ees'u'3 c'-3 4
, Contr ctor's Signature: �.[a�a�✓ �� —! s!— O S`
/
CONSTRUCTON LENDING AGENCV:
❑ 1 heYeby atfirm that ihere is a cnnslruction lending egency b� the pedormence ot ihe work for which this pe�rmit is issued. (Sec. 3097, Civil Cotle).
Lender'S Name: Lendar's Address:
Signature:
OWNER•9UILDER DECLARATIONS:
Date:
I hereby enirm that under penaliy of per�ury thet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW fur the following reason (Sec. 7031.5, eusiness and Professions
Code: Any city or counry which raquires e permit to constmct, elter, improve, damollsh, or repair eny stmcture, prior to its issuance, also requires ihe applicant for such permit
to file e signetl stetement thet he ar sha Is Ilcensed puBuent to the provisions of the Contractors Ucense Lew (Chepter 9(wmmencing with Section 7000) ot Divlslon 3 of the
Business d�tl Pmfessions Code) or thet he or she Is ezempt Iheretrom and the besls for the alleged eramptiori. Any violation of Section 7031.5 by any applicant for a permit
sublects tpe epplicaN ro a civil penalry of nat more Ihen flva hundred dollers ($500).):
❑ 1, es �er M the property, or my amployeas with wages as iheir sole compensalfon, WiLL DO 7HE WORK, and the simcWre is not intentled or ottered tor sale (Sec.
7pqd, BuSiness and Professions Code: The Contfactor5 License Law does not apply to en owner of property who bU�lOs or improves Ihereon, and who does suth work
�im5elf or herself or ihrough his or her own employees, providetl ihat such improvements are not intended or oflered for sale. If, however, the huiltling or improvement is
soltl �'ithin one year of completion, tha owneo-builder will have the burtlen ot pmving that he o� she did not builtl or impwve for purpose of sale.).
❑ I, es oN'ner of ihe property, am E%CIUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business antl Professions
Codd: me contwctors License Law tloes not appy to en owner oi propetly who bulltls or improves thereon, and who contracis for such proleci with a coniractor(5)
license pursuant to the Contreaors License Lews.).
❑ I am ezempt under sec.
Slgnalure:
Owner ID �enfied by dnver's license. ❑ Ves ❑ No
Business and Professions Code for this reason:
VeriFicetion of Ov+nership by (rype oi tloament, i.e. - property tex bill or deed):
Oriver's License No.
Dale:
Expires:
DIVISION OF INDUS7RIAL SAFE7Y PERMIT CER7IFICATION:
❑ 1 here�y cenify ihat no exca�etion Me (5) or more feet in tlep�h into which a Oerson is required to descend, will be made in conneaion with work authonzetl Dy Ihis
pertnit, and ihat no builtling sWcture, scaMoltling, talsework, or tlemolition or dismantling thereof, will be rt�ore than Ihirry-six (36) feet high. (Chap. 32, Grp 2, AM1 2, Sec.
3q1, Title B, Califomia Atlministrative Code).
❑ qs awner-builder, I will not employ anyone to tlo work which woultl require a permit from ihe Division ol IntlusMal Sefery, as noted above. unless such person has a
pertnit to do such work irom Ihe division.
SignaNre: Date:
Division ot Indusirial Satery Permit Number:
CERTIFlCA7E OF COMPIJANCE AND AIJfHORVATON OF ENTFiY: I cenify under penelty of perjury ihat I �eve read Ihis epplication and sta�e �hat Ihe informalion given is
correct. I a9�ee to comply with all stete laws end city ardinences releting lo builtling construction, and authotlzn representatives ol the City of Cos�a Mesa to enier uDon �he
above-tlesG�bed propehy for insDeclion purposes. I egree not to occupy or ellow occupency ol any building authorizetl by ihis permit until final inspection.
LOUE I. INSPECTIONTYPE
1616 Fixed System Final Fire PreveNion
1266 Pool Spa Final
200 Final Ra�Rooi
201 Finel BIceWRetaining Well
202 Final Factory Fire Place
2a3 Final Sl9n
204 Final Demolitian
PAIE
COUEY INSPECTIONTYVE
206 Fina1 Mechanicaf
20B Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Q:
Q�f. �d:$
OWNER
JOB ADDRESS
GENERe1L COL
G.
DOYLE & SHIELDS
Powcr
: CO.�Inc. DATE 6-3-63
BUILDING PEAMIT N0. 19 9
VALUE $ l�j � 41�(. W
DCSCRIPT[ON OF WORK
TYPE V ZON
SUBCONTkACTOR
w
,:
�. ! gs�a
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOI Di] COBTA M69A, CALIFONNIA
�
For AppllcaN fo Fill In Complataly
TYPE OR PRINT -
BUILDING 'i � U,G �' /7 _
ADDRE53 CI � � X+J
COSTA MESA, CALIFORfJIA
OWNER Doyle & Shields Dev.Co.Inc
aoDRE39 831 so_ Manchester 'Ave.
t}1
ADDREBH Same
GITY Same
LIC.TNO �S1�G SO�B=1 No � PR 28020
�size 44 X 56 I no.ora�nosr—
OF LOT NOW Orv LOT
USE OF
EXISTINa BLDO. �����
6ETBA<KLIN[FI�OM �lo•LOI ����
C6NTER OP HTRE6T � '� REAR YARD
SIOEYARDI IEFf _— RIOHT
DESCRIPTION OF WORK
NF X ALT6RATION ApDITION
REPAIR MOVINO OEMOLIBH
B�ii-°iNc 44 x 56 nO �P 6 2
SIZE ROOMS BTORIfiB
EXTERIOR WALL�.tUCCO� ROOF (�`0111 O
COVERING COVERIN6 P
USfi OF BUILDING AI�D WORK TO Bfi PfiRFORMED'�
FEE RECEIVED
�fil P1 3 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For OffiCB USB Only
I RlC61'T NO. PI
NO K
NOTE:
ZONING
NO.OP{`p1 Y880F
•LANB / BYILDII
YARDBAPPROVED
MAIN BUILDIN6
;OM GL STREfiTI
INT D/(� FT.
...� �/ .�
DISTANCE BET.
MAIN BLDGS.
VAR.$C _
Model 32-C
1824 �.,
1 HEREBY ACKHOWLEOOB TXAT I HAVfi RHA� TXIB APPLICATION TXE AMOUNT 91
•NO BTATB TN�T TH6 ABOVS IB COqqBCT ANO AOq86 TO COM- PlIflP06H OF 1
PLY WITH ALL C�TY ORDIHANC88 AND YTATI LAW6 q6Gl1LATINO yALUATION
BUILDINO CONBTPUCT�ON.
SIGNATUREOP ,
PERMITTE �U' � (. $ /Q( �� �
n � /'�{,I/ �/
AUTHORIZEDAGENT /(`.W. /YLf.[J1M�'N
\J E I6�{j$p�
y0J
BHALL BE LESS THAN
YARDSAPPROVED
ACCESSORV BUILDING
BET. MAIN Q
ACCESS. BLI
DATE
APPROV/ED
OATE �J �l
�� Q '
0
VALUAT�ON 18 FOH TH8 F
A PERMIT FH8 ONLY. Q
/ a
IT FEE $ b � � j
m
�
� COSTA MESA BUILDING-SAFETY DEPAHTMENT
P.O. BOX 1200 �Y
_ • Costa Mesa, California
CONTRACTOR Culligan Water Cond.
Address 1911 S. ManchesterAve.
Ciy �aheim Tel. No. 750-2
stara u�e�.e No. 168763 CI°ss•
w City License No.
H
Q NUh1BEH "lYPEOFFIXTUNEORITFl.1 FEE
� N'ater Closet (Toile[)
Uath Tub
) Shower
Lavarory (N'ash Basin)
JKitchcn Sink
� Laundry Tub or Tray
W Service Sink
a Floor Sink
� Floor Drain �� % 4
a Dishwasher ..'� i �� �'
Z [7rinkin Fountain h % ���.i��
W Unnal .t.-
2 �
� Garbage Disposal � ' �-. � E` �
.Wtomatic Wa,.hin 1 � 5
~ K'ater So(tenerr, iu, ':
� N'a�erHeatei&`Veni
WReee mr�l.i �
d Swim'P.00l Fiiter Sys[cm
� Ges System . . Outlets
� Law�n 5 rinklcrs
� Ins[allation or N[eration
�
x
�
IOPM eu-a+
mrnr. �E I 5 I o0
TRACT
LOT N�
'iAY 15-75cri�`,,OQ 697 v*****5.00
neco. ev y 6./ 3 I!
�� DATE186U6o
BUIL�ING USE �
ADDRE'Ss 2l�49 Marseilles Way
COSTA MESA. GALIFORNIA
NEAREST
UTY Costa.Mesa%�.'� TEL. N0.642-185�
I hereby acknowledge'that I have read this application
and state.that the`.above is correct and agree to comply
with all'rCity Oidinances and State Laws regulating
plumbing., ''
"v I certify that I possess�the above valid state of Cali-
fornia classification or I am the legal owner of the resi-
dential property described above. ///���
Stgrt6LLLr¢ O���O ��o
l�liJ� ,.
Permittee l;g �_
APPROVAL
BlDO. PERMIT