HomeMy WebLinkAbout3248 NEBRASKA LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3248 NEBRASKA LN
Suite:
Vicinity:
Primary Occ: R3 Type of Construction: V-N
Parcel Number. 13906506 Zoning:
Applicant: SCOTT AND KELLEY SMITH
Address:
Owner: SCOTT AND KELLEY SMITH
Address 3248 NEBRASKA LN
COSTA MESA,CA
Contractor:
Address:
Zip:
Arch :
Address:
Zip:
Phone:
License:
Phone:
Zip:
Phone: 714-957-1640
Zip: 92626
Phone:
License:
Eng:
. Address: '
ISSUED BY:
Status: ISSUED
Applied: 04/11/2005
Issued: 04/11/2005
Phone:
License:
SCOPE OF PERMIT
7.5 FT. HIGH BLOCK WALL - ORCO BLOCK - LA PAZ, MIN. 6 IN. THICK WITH A BRICK CAP PER SECTION 8.06 OF STREETSCAPE AND
MEDIAN DEVELOPMENT STANDARDS. MM-05-13 APPROVED FOR ADDITIONAL 1.5 FT. HEIGHT.
Plan Check: $43.03
Permit: $66.20
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $109.73
SETBACKS
MAINSTRUCTURE 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 Valuation:
Right 0- 0
Right 0-0
s�,soo.00
$o.00
�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
raqulred inspectlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
POR INSPECTIONS CALL: (714) 7545626
2496-4fi(H/00) -
WORKERS'COMPENSA710N DECLARATON: �
I hereby effirm unaer penelry of perjury one of the following tleclerelions:
❑ I heve Bnd �'ill meintein B certifcate oi consant to sell-Insure tor workers' compensation, as provided br hy saction 3700 of Ihe Le�or Code, for tha pertormance of the
woM1c tor wpich IhiS pertnit is issuetl.
❑ I heve entl will meinlein workers' compensatlOn InSurence, es required hy Secflon 3700 0l the Lebor Code, for �he peAOrmanw of ihe wotk for which �h19 pertnit is issued.
My warkerS' compBnselion Insurance cartier end policy number ere:
Cerrier: Policy NumOec
(This secNon neBd nof be crompleted il the peimif is velued ef one huntlred Oollers ($100) or less.)
❑ I certi/y thet in ihe pertormance oi �he work br which Ihis permil is Issued, I shell not employ eny person in eny manner so as to become sublect to Ihe work9rs'
compensation lews ol Celifomie, end egree thet if I should become suh�ecl lo the workers' compensetion provisions of Saction 3700 ot the Lebar Cotle, I sha�l torthwlth
comply witq ihese provisions.
Applicent SigneNre: Dete:
WARNING: FAILUFE TO SECURE WORKERS' COAIPENSNTIIXJ CpVERAOE IS UNLAWFUL ANO SMALL SUBIECT qN EMPLOVEP TO CRIMINAL PENALTIES AN� CIVIL FlNES UP TOOME HUNDqED
iMOUSAND OOLURE (SIOp,ODp�, IN ADDITION TO THE COST OF COMPENSATION, pAMAGES PS PRpVIDED FOR IN SECiION �O6 OF THE LABOR WDE. IMEREST, AND ATTORNEYS FEES.
LICENSED CON�7ACTORS DEClARA710N:
I hereby aflirtn Ihat I am licensed under pmNsians ol Chepter 9(commencing with Sectlon 7000) oi Divisbn 3 0l the Business and Professions Code, and my license is in full
force and elfecL Lic. M Cless e
Cqntractor s Signa W re: Date:
CONSTRUCTON LENDING AGENCY:
❑ I hereby eftirtn that Ihere i5 a cons�ruction lending egency br iha pedormence ol lhe work tor which Ihis permi� is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDEA DECLARA710NS:
I hereby eMirtn that untler penalry ot perjury t�et I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Busine5s enC Pmfessions
Code: Any ciry of counry which roquires a permit to consirucl, elter, Improve, demolish, or reDair any simcWre, prior to its issuance, also requires ihe applicant lor suc� pertnit
to tile a signetl statament Ihet he or s�e is Iicensed pursuent Io the provi5ions of the Coniraciors Llcense Lew (Chepter 9(commencing with Secilon 700p) of DlWsion 3 oi Ihe
Business entl Proiessions Code) or thet he or s�e Is e�ompl iheralrom en0 the 6esis lor the alloped exemption. Any violetion of Section 7031.5 by any epplicent for a pertnil
�ects the epplicent to e civil penalry o( not more ihan live Ountlretl tlollars (5500).):
1, es owner ol t�e property, or my employaes with wages es their sole compensation, WILL DO THE WORK, and tha structure is not intendetl or ofleretl for sele (Sec.
7044, Business and Professions Code: The Comrectors License Law does not epply Io en owner oi pmperty who builds or impro�es thereon, and who does such work
hlm5elt or herseli or ihrough his or har own employees, provided Ihet suc� improvements ere not intentletl or otteretl for sale. N, however, (he building or improvement is
5old wii�in Pne year ol comple�ion, the owner-buildor will �ave iho burden ol proving ihat he or s�e tlid no� builtl or improve lor purpose of sale.).
❑ I, as ownet ot ihe properry, em E%CLUS�VELV CONTRACTING WITH LICENSEO CONTRACTORS to rqnstmct ihe prqect (Sec. 7044, 0usiness antl Pmfessions
Cotle: The C��tractore Licensa Le aes not epply to en owner of property who bullds or improves ihereon, antl who wntrac�s for such project wiih a contractor(s)
lice ur4uent to the Contracto L ense LewS.).
❑ e u tler se Business end Professions Cotle lor ihis reeson:
�r �
Owner ID verified by� nvar's license. es ❑ No D' r s License No res:-?-/�i- 09
Venlication of Owners�ip Dy (type of document, i.e. - pwperty tax �III or deed):
DIVISION Of INDUSTRIAL SAFE7V PERMIT CERTIFICATON:
❑ I hereby ceAify ihat no excavation five (5) or mora feet in depth into which a person is required to tlescentl, will be made in connection with wark authonzeC by this
pertnit, end ihat no building sWcture, scattolding, �alsework, or Oemolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32. Grp 2, Art 2. Sec.
341, Tile 8, Celifomia Administrative Cotle).
❑ A5 owner�Duiltler, I will not emplay anyona to tlo work which would require a permit from the Division ol Intlustnal Safery, as noted abova. unleu such person has a
pertnit to do such work from the tlivision.
Signamre: Date:
Dlvision of Intlustrial Satety Pertnit Number:
CERTIFlCPTE OF C�MPUANCE ANO A1JflIORIZATON OF ENiTiV: I certify under penalty of perjury thel I heve reatl this application a�d state Uat the information given is
corred. ag ttl �omp�y with all state law nd city ordinances relating to building cons(mctlon, an0 euthodze represematives ol tha City ol Costa Mesa to emer upon the
above-d scribe rope! tor in�p ' ur os . I egroe not to occupy or ellow occupanry ol eny building aul�orized �y 1�is permit unt�J tin I inspection.
i' � 7 � °S
re e wner s ai
And/Or Authorizetl Applicent Date
COOE I, �y$Q�Qp.pPE
1616 Fixetl Sys�em Final Pire Prevention
tt66 Pool Spe Final
200 Finel Ra•F1oo1
201 Flnel BIaWRetalning Well
202 Final FeAary Fire Place
203 Final Slgn
204 Final Demolition
pATE IN7ITIA�S
/ G' � Gi.i
Se4PE,( INSPECTIONTYPE
�206 Final Mec�anical
20B Final Plumhing
210 Final Electrical
212 Flnal Flre Prevention
220 Flnal Plenning Approval
222 Final Sile
250 Findl BuiltlinyOccupency
Qajf� INTRIRLS
. � . SC�'7'(, , �<���� Sti.t rn1 � � . . �
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�� 1 ' DIVISION OF BUILDING SAFETy
� � .� CITY OF COSTA MESA
� APPROVED � �
� i �ri o�e� I
, � This sel ol plar�s and sPe tims MUST be
�—� `� changes or alteratiorx pi �°� ��� ap IH� d is unlaMip to
same witlpW wrqten Penn'ssim from Uie Div'sim ol &ddrg
a 3�d lety, Cify oi Cosla Mesa,
3 � n7he�slampingofthisplanandsperifica�ians$ryp��NpTpg��o�alobeanepppyyl
4 0l lhe vio�ation ol any provisions ol any Cily of Costa Mesa ONinantg anya� Stffie law
`� � 71�ese plans and permd shall expire by limilatbo and yecomg �n �� d y� �
� i wmk is na cui�menced and maaite:iea aaive per uec g303 (d) wimi� 1eo aays o� �is��,e„ce,
J
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APPROVED
C1TY OF COSTA MESA
�PLANNING DIVISION
NOTE: ADDIT(ONS, DELET[ONS,
OR CORRECTIONS SHALL BE
PPROVED BY THE PLANNQVG DIV.
...
) /
DATE� << L�
-fY`� -I'�
�14r� -� �iE �u, � � %��z ,�"�c�c'c3 G �u �ec�-, c/�� .�S
CemeN Coping Opllonol
Chonnel block wlih one 5/8 �
Hoikontpl iop ol oll Fenc�
For Fences 8' hlgh
i
Veit Bois 5/B' 0 ot 1 b' O.C.
All Cells Solid Graowetl
ReinlaGng Steel Sholl
Conlo�m to Sec. A� I S�J9 �S.I.M.
NI Steel to be lopped
24' or to Code
/
I-loriz. I3ars 5/R � at 3?.. O.C.
NATURAL GRADE
�
lwo 5/B' 0 Bars �— '
Continuou5iop —�I
antl Botiom
fbtlz. Steel musf be �ied In ploCe
at time ol tiench Inspection
TYPICAL 8" CONCRETE BLOCK FENCE
c
m
m
w
�
m
�
m
0
a
If_
Wdih
$ee Chan
Below
i i I
FOOTING REQUIREMENTS CHART
Nlall Helght . . . . . . �. . . . . . . . . 6' i0 B'
Widih .. ..... . ... ... . .. . . . .. I6'
lhickness . .... . ... .. . .. . . . .. 12'
Depth ol Eadhtooth . . . . . . . . . , . 36'
Spacing of Eadhlooth. . . . . . . . . , . B'
Dlometei of Eadhloolh. . . . . . . . . 12'
BUILDING DIVISION
GENERAL - NOTES
i�nonai: One Pon Pbstic Cement,
and ihiee PaAs Santl
G�oui: One POA Cement. Threa
and One Holf PaRs Sand
Coping: One Patl Cemeni, and
ihiee PaAs Sand
Concrete: Well Mixed 1:2 � I/2:3� 1/2
Mo■ ot 7� 112 Gallons ol
Water F�r Sack of Cement
Giout may be poured from ihe
top ol Ihe lence.
Cells ond aieas ol hodzontal
ielnlotCement sFwll be clear.
Cleon ond hee ol all mortor
debiis, etc.
NOTE
woll In excess o( 6 feef in helght
iequlre tllscretlonary �eNew and
opprovol proceu thiough the
Planning DMslon ond are not
automaticalty aPP���. Pleose
consult wlth the Pionning DMslon.
z�as aa
I � , +
C� � C''.�ta ��leea �u�%�i� Du.i�a�
OWNER-BUILDER
VERIFICATION
A city or county, which is requircd to givc notice pursuant to Section 19830, shall attach [o such noticc, and,
as a condiuon precedent to issuing a building permit, reyuire the completion and require the retum of, an
owner-buiWcr vcrilicatian.
Attention Property Ownec '
An 'owner-builder' building permit has becn applied fur in yuur name and bcaring your signature.
Please completc and reWm this informalion in �hc cnvclope provided at your carlics� opportunity lu ;rvuid
unnecessary dclay in prucessing and issuing yuur building permit. No buildine ncnni� will bc issucd umil Ihiz
veri6cation is received.
1 pers�mally plan to provide the major Iabor and materials for construction of the proposeJ
pmperty improvemenl. ❑ Yes ❑ No
( 2J I (have/have noq _
�J thc proposed work.
signed an appiica[ion for a building permii fur
3. I h�rve cnntracted with thc following persun (tim�) to provide the proposeJ construction:
Name
Addrcss
Phonc ( )
City —
Contractur's Lic. No.
4. I pinn iu provide puniuns of ihe work, but I have hired the following person to coordina�c,
supervisc and pruvidc thc majur work:
Namc
Address
Phone (
City _
Contracror's Lic. No.
5. I will provide some of Ihc work but I f�ave cuntracted (hirocl) Ihc following persons �o
pruvide ihe work indicatcd:
Name Address Phone Type of Work
�itl��f.�e '�RwV'�+c'Z '��� J,. ./�fiW/�D� ✓�/�'Y� CN i'I� 88'i-486 (A��
iM2�a6 (REV 99fl)
COMPLAINT INVESTIGATiON
Received by /
Made by: �
�, �/"�'�- Address � 1 J �
Against:� � � �� Address
;tions:
Nature of Complaint:
Action taken: /�ZG -
, �
��
Complete: Yes S ���'
No
Complainant Yes
Interviewed:
No
j �� �
3�.� ��-�i
,�',' - y,_G �
�. No.
_ � /eY_ei (2�i CI^z�� �e,rG'_ �2lYue
� CL� � /i�t Z a-Gc�C�
_ 3.�.�-��__� �! � Q--�G
� ��.-.�-t.��r-�� ����
�y- �� �-, ,� , ��� _� p
!� %� . �;"`� �-�'- -e�
S=T-�'�
c-t/
J
By:—
Dnte: — _` 2
COMPLAINT INVESTIGATION
�—y,,, ,f � �' �r % y.
Received by /// Date i�- �
Made bY: Addresa ,��'7� //-�(��� P'h. Na�u.• I"•�%�'S !o
./.
Against: � � / � Address
i .ctiona:
Nature of Complaint:
Action
ComplEte; Ye= '
No
Complainant Yes "
Interviewed:
No
By: �
Date:
�
. COMPLAINT INVESTIGATION
Received bY ."i' ' (.�/�t''E'C'ta'K'`a+"� Datr l0 `/— �Oa^
Made by:�/�lLl� Address �'2 �� �K�2��La'-Q--KtI.�"P1YNo. /w �-3�(�
AKainst: J� ' "" ' � w't"` Address
Complete:
� / i /
.�i _� �i/,'��1 �I�_ � � �u' :t��i.
No
Complainant Yes
Interviewed:
I�f.�
ne�: ��o ^ 2- --G �
LoT 14
rR 37z2• .
�.. � �
COSTA MESA BUILDING-SAFEN DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Appllcani to Fi11 In Complefely
TYPE OR PRINT
BUILDING 32�}8 NEBRASKA LANE
AD�RESS
COSTA MESA CALIFORNIA
� MAIL
Beach
TEL.
Placentia Ave,
FEE RECEIVED
� FINANCE DEFT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
aeceirr No. ,q �gnryk�+o„
DATE 198UED
6-3z2� a��
611g5 No: Mi 6-32z7
75XU�.2Y IRREG IN�;.,��ue�os. �
' 8¢TBACK LINH PPON 6o t
DESCRIPTION OF WORK
I� II ALTERATION I II ADDITIO
�
�
1
ROOF WVUU JnHnt�
COVERING
i�ly �esi�ence and
COSTA MESA, CALIFORNIA
PIRE
ZONING
ZON! I NO. OF I U6E OF N
R�1 PLAN9 /Z Bl1�LDIN6
LEGAL ,
��xe sr.i
PLAN �-A
� X¢HHOY ACKNOW�OGE TXAT I HAVB RH�D TXIB �PPLIGTION {ME AMOIINT BXOWN UND6H VALUATION IB FOR TNE
AND BTATE THAT THE ABOVH �8 COPRECT AN A6R6E TO CON-
PVRP098 OP E9TABL18HING A PEqMIT FEH ONLY.
PLY WITH ALL CIT' OflDINANCCB A 9TA WB REpU4TING
BUILDINo cONBTqucno . � VALUATION
816NATURE OP - Q(�Q �OO PERMIT FEE $��
PERMITTE $ // / %5 o
�l� �y�v PLAN CHEGK $ �O �
AUTHORIZED AGH�dT �(f�.