HomeMy WebLinkAbout357 OGLE ST - Building Permits�
, . ,
CITY OF COSTA MESA -
� "'Fp BI/ILDING DIVIS/ON
F . 5 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wi.ci.costa-mesa.ca.us
°• ` � FOR INSPECTIONS CALL: (714) 754•5626
� d�'.
PERMIT NUMBER�I P08-00053
PERMIT TYPE PLUM STATUS: ISSUED
APN: 42519203 DATE ISSUED: 02/1912008
ISSUED BY: CAC
JOB ADDRESS: 357 OGLE ST CM
Vicinity:
SCOPE OF WORK: ON SITE SEWER REPAIR
OWNER: . CONNOLLY,JOY
PHONE:
APPLICANT: COLLIN CASSOA
PHONE: (310) 254•14�0
Suite/Unit:
Add�ess: 357 OGLE ST
City/State/Zip; COSTA MESA, CA
Address: PO BOX 6970 :
City/State/zZip: TORRANCE, CA
CONTRACTOR: POWER PRO PLUMBING License No. 766254
Address: PO BOX 6970 PHONE: (310) 3243661
City/State: TORRANCE, GA ZipCode: 90504 CELL:
ARCHITECT: Litense No. PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE:
PERMIT FEE:
�[iY�1�����i
$0.00
$48.15
$48.15
@
NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under California statutes antl related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710NS: 1n order for the wodc authorized under this permit to be consideretl fegal, such work must comply with all applicable codes, and aIl
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
40pE1, INSPELlIONTYPE ORTE INTI11RL5 f�QD�FR INSPEG110NNPE DRT NIIIMLS
1816 Fized System Final Fire Prevention 208 Final Mechanical (� �
1266 Pool Spa Final 208 Final Plumbing 7Qz� " a 1 ('�.�0 og
200 Final Re-Rool 210 Final Elecirical
201 Final BIocWReuining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
�
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of peryury one of the following declarations:
[] I have and will maintain a certificate o( wnsent to sel(-Insure (or workers'
cOm ensation, as provided for by section 3700 of.the Labor Cotle, for the
ormance of the vrork for which this permit is issued.
[] have and will main[ain workers' compensation insu2nce, as required by
sgc[bn of the Labor Code, for the peAormance of the wvrk fw which this
pe �s—�ss ed. My vrorkers' compensation Insurance carrier antl policy
are:
_�(*nrs secrron neea ra! oe wmp�eted a me pe�mrt u✓dNea a1 me nunemd tloaars (StOoJ w less )
Policy Number: //�� ��/%�/i�Z
[� I ceAi(y ihat in the per(ormance of the work for which this permit is
issued, I shall no[ employ any person in any manner so as to become subject
to the vrorkers' compensation laws of Califomia, and agree that i( I shoultl
become subject to lhe rkers' compen �tion provisions o! Section 3700 0
the Labor Code, I s � rt 'Ih c�r p wilh Ihese provisions. �
�
m's ig Da�
WARNING. TO" ECURE WORKERS' COM VERAGE
�S UNLAWFUL AND SHALL SU&IECT 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 370fi OF THE LABOR CODE, IMEREST, AND
AT�ORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
� hereby aHirm that I am licensed untler provisions of Chapter 9(commencing
wit tion 7000) of Division 3 of the Business nU- ofessions Code, and
y licens is in full force antl eHect.
7 � Class # � �
anVatlors ignaWre le
CONSTRUCTION LENDING AGENCY:�
❑ I hereby af(vm that there is a consimction lentling agency fa the
Perfortnance of the work for wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address�
, \ �D
OWNER-BUILDER DECLARATIONS:
I hereby affirtn that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW lor Ihe following reason (Sec. 7037.5,
Bus"rness and Pro/essions Code: Any ciry or counry which requ'ves a permit to
construct, alter, improve, tlemolish, or repair any sWCWre, prior to it5
i55uance, also requires t0e applicant for such permit b fle a signed statement
that he or she is licensed pursuant lo the provisions of the Contractors
�icense Law (Chapter 9(commencing with Seclion 7000) oi Division 3 of Ihe
Business and Pmfessions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects Ihe applicant to a civil penalry of nol more Ihan
fve hundretl dollars (5500).):
❑ I, as owner of the property, or my employees wilh wages as lheir sole
Compensation, WILL DO THE WORK, and the structure is not intended or
ottered for sale (Sec. 7044, Business antl Professions Code: T�e Contractors
license Law tloes not apply lo an owner of property who builds or improves
thereon, and who does such v.ork himself or herself or through his or her own
employees, provided ihat such improvements are not intended or oKered for
sale. I(, however, the building or improvement is sold within one year ol
completion, the ovmer•builder will have the burden ot proving that he or she
Oid not builtl or improve lor pu�pase o/ sale.).
(] I, as ovmer ol the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to conswct the project (Sec. 7044, Business and
Professans Cotle: The contractors License Law dces not appy to an ovmer of
property who builtls or improves thereon, and who contracts (or such project with
a contractor(s) licen5e pursuant ro ihe Contractors License Laws.).
❑ I am exempt under sec. -
Business and Professions Code for this reason:
SignaWre Dale
3057-d6(3I07)
Owner ID verifetl by driv .ise. ❑ Yes ❑ No
Driver's License No. Expires:
Veri(caiion of Ownership by (�ype of document, i.e. • property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
❑ I hereby certify that no eacavation fve (5) or more teet in depth into which a
person is required to descend, vnll be made in connectbn vnth v.ork authorized
this pertnit, and that no builtling structure, scaffdding, falsewvrk, a demolition
r tlismantling Ihereof, will be more than thirty-su (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, California Administrative Code).
❑ As owner-builder, I will not employ anyone to do wvrk which wnuld
require a permit from the Division of Industrial Safety, as notetl above, unless
such person has a permit to do such work /mm the tlivision.
A�P�����"s SignaWre
Division ol IntlusUial Safety Permit Num6er. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or luWre building occupant need to file and
certiy a Business Plan tor emergency response to release or threatened
release o( a hazartlous material? ❑ Yes � No
(Section 25505 of the Cali(ornia Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has al any one time dunng a reportetl
year a quantity o( hazardous matenals equal to or greater lhan a weighi o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at stantlara temperature and pressure).
2. Does or will [he applicant or present or (uNre builtling occupant need [0 file
a regisUation form for acutely hazardous materials? ❑ Yes � No
(Section 25533 of Ihe Cali(omia Health antl Satery Cotle, with some
exceptions, requires regis[ration wilh [he Cos[a Mesa Fire Depariment by
each business which at any one time has on hantl a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume o! 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Managemen[ and Prevention Program (or acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0� the Califomia Health antl Salety Code provides [hal the
Costa Mesa Fire Department may require the preparation, certiLwtion and
fling with the Fire Department of an RMPP by businesses which are requiretl
to register acutely hazartlous materials wiM the Fire Departmeni.
4. I! an RMPP is presently required, has SecYron 25534 of fhe Califomia
Health antl Safety Code been (ully complied with? ❑ Yes ❑ No
5. Does or will Ihe applican� or present or (uture building occupant require for
me vrork which is the SubjeGt of IhiS applicati0n a pelmit lof SUch CAnS�rucli0n
or modi(cafion Gom the South Coast Air Quatity Management DisMc[ or (rpm
any other air polWtion contml dislrict or agency? ❑ Ves ❑ No
(Section 65850.2 of the Califomia Govemment Code requires ihat the 2quesled
infortnation be Nrnished on applications for noo-residential building permit5).
6. Will any part o( the faciliry to be constructed under this permil be within
1000 feet from the outer boundaries of a school7 ❑ Yes ❑ No
(I( "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health antl Safely Code).
7. If a permit from the South Coast Air Quality Management Districl or oiher
air pollution coNrol district or agency is required for the vrork which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach ceni(cate of compliance from the appropriate air pollution
control oKcer�.
CERTIFICA7E OF COMPLIANCE: I certify tliat under penalty ot perjury the
information given above 'rs correcL I agree to comply with all state laws and
city ortlinances re�arding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury thal I have read this application and state tha[
the information given is correcL I agree to comply with all state laws antl city
ordinances relating to building consWction, antl authorize representatives of
the Ciiy of Costa Mesa to enter upon the above-described property (or
inspection purposes. I agree not to occupy or allow occupancy of any building
authonzed by this permit until fnal inspection.
SI fu o( alOwner Date
Z
/ ulM1onzetl A panl d�p
JobAddress: 357 OGLEST
Suite:
Viciniry: ROOF, DETACHED GARAGE
Primary Occ: U
ParcelNumber: 42519203
qpp�icant: CHARLES VILLA
Address: 1923 CHURCH ST
COSTA MESA, CA
Owner. CONNOLLY, JOY
Address 3530GLES7 .
COSTA MESA, CA ;
Contractor: R C I ROOFING COMPANY
Address: 1923 CHURCH ST " �
Arch :
Address:
Zip:
COSTA MESA, CA
Zip: 92627 .
Type of Construclion: V-N
Zoning:
Phone: .
License:
Status: ISSUED
Applied: 11/02R005
Issued: 11/02/2005
Phone: 949- 650-1079 ISSUED BY: /
Zip: 92627
PhOne: � - � �
Zip: ; 92627 �
License:
Eng;
Address:'— '
�
�
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 BASE SHEET W/40 LB. BASE SHEET W/MODIFIED TORCH DOWN ROOF FOR DETACHED GARAGE. 8
S�UARES.
FEE SUMMARY
Plan Check: $0.00 '--" - Calc Valuation: s�,soo.00
Permit: $54.00 Claim Valuation: S�,soo.00
SMIP Res: $0.50
SMIP Com: $0.00 - -
� Other: $0.00 -
Inspection: �0.00
Total: $54.50
PLANNING 8 ZONING....,
SETBACKS .
MAINSTRUCTURE Front 0-0 Rear 0-0 LeR 0-0 Right 0-0
ACCESSORY � Front . 0- 0 , Rear 0- 0 Lefl 0- 0 Right 0- 0
PARKING Existin : 0 Reauired: 0 Pr000sed: 0
— r n.., �.. . .
NOTICE: The work authorfzed by this permit shall comply with all applicable harxlicap access requirements under Calitomia statutes antl related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
E%PIRATION: This permit shall automaticslly expire and become void if work is not commenced within 160 days, or if work is suspended or abandoned
tor a period ot 1 BO days.
INSPECTIONS: In order tor the work authorized urMer this pertnit to be considereA�legal,-such�work must crompty with all epplicable codes, and all
requlred Inapeclions end flnal epproval must be oblained. Fa�lure to obtain Inspeclions arM final approval will resutt in the expiretlon of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
tenere (aroo�
WORKERS'COMPENSAnON DELLARAnON: • � � '
I hereby atlirm under penaly of por�ury ono ol Ih9 �ollowing tloclaretions:, �� • ,, •
❑ I have end will maintain o catlificato of consenl to self-Insure lor workers' compensation, es provitled lor by sectlon 3700 0l Ihe Lebor Catle, tor Ihe pertortnence of the
�wor}ar which this permlt Is lssuetl. �� �
� I heve arW wlll maintaln workers' compensetlon Inwrence, az requiretl by secflon 3700 ot tho Lebor Cotle, tor t�a poAortnflnce ol Na work lor whkh this pertnit la Issuetl.
�My worka ' o pe a ca c rrie� antl poliry number are: Q �
Carrier: � � �ilY� PoIIcyNUmEOr.� L lJQ���` Z�-S
(Thls�tect/on�( be cavnpleted il the permit is veNetl e! one hundred ddlers ($100) w/ess.) �
❑ I cenity that' peAortnan th for w�lch ��Is portnil is issued, I shall not employ eny person in eny mannor so es to become suD�oct to the workars'
wmpen ion laws ol Calllornia, a egr at II I should become subject to the workars' compensatlon provlslons ot Section 3700 0l t�e LeDor Coda, I shell forthwith
THOUSnND
rW� SHAIL SUBJECT AN EMPLOVER�TO GRIMINPL PENALilES AND CNIL FlNES UP TO ONE HUNOFED
°5 AS PFOVIDE� FOR IN SEC�ION 3]OB OF THE UBOF COOE, IMEREST, aND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
9(commencing with Section 7000) ol
Lic. p
CONSTRUCTION LENOlRG7R ENCY:
❑ I hereby eRirm that there is a construction IBnding egency br the pedortnence of I�e work for which Ihis parmit IS issued. (Sec. 3097, Civil Cotle).
Londer9 Neme: Lendets Atltlress:
Slgnatura:
Date:
my license Is in f ull
OWNER-BUILDER DECLARATIONS:
I hereby etfirtn thet untler penelry ot perjury Ihat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW lor Ihe lollowing reason (Sec. 7031.5, Business entl Proiesslons
Codo: Any city or counry which requires e permit lo constmc6 elter, improve, demolish, or repair eny strucWre, pnor to Its iuuance, also requires iho apDlicaN for such pe�it
to Ole e signed statement Ihat he ar she is Ilcensed pursuent to Ihe pmvisions oi Ihe Contractore License Lew (Chepter 9(commencing with Sectlon 7000) of Divlslon 3 01 lhe
Business entl Professions Cotle) or that ha or she is a:empt thorolrom end the basis lar the elleged exemption. Any violation ot Sectlon 7031.5 by eny epplicanl for e pe�it
sublects Ihe epplicant ta e civil penelry ot not more ihan Ilva hundred dollars (5500)J:
❑ I, as owner ot Ihe property, or my employees with wegas es iheir sole compensation, WILL DO THE WORK, end the structure is noi intentled or offeretl tor sale (Sec.
7044, Business and Prolessions Catle: The Conirectors Ucense Law does not eppty to en owner of propeny who builds or imprwes Ihereon, and who tloes such work
himself or herself or ihrough his or her own employees, pmvideOlhat such improvemenis ere not intentletl or oNeretl for sale. It, however, ihe huilding or improvement is
sdtl within one year ot wmpletlon, the owner-builder will �ave ihe burden ol D���9 Nat he or she did not Duild or Improve for purpase oi sale.�. �
❑ I, as owner ot tha p�operry, em EXCLUSIVBLV CONTAAC7ING WI7F1 LICENSED CON7RACTORS to conslruM t0e project (Sec. 7044, Busineu and Professions
Code: The conlractors LicenSe Law does n0i epplY to en owner ot property w�o build5 or impmves Ihereon, end who conlrects tor such projeq wiih e conirecbr(s)
IiCense pursuanl �o �he Contrectors Llcense l.ews.).
❑ I am exempt unaer sec.
SlgnaWre:
Owner ID verified by drivefs license. ❑ Yes ❑ No
Busineu and Prolessions Code for ��is reason:
Vedlication ol Ownership by (rype ol document, i.e. - pmperry teu bill or deetl):
Dnvels Licenso No.
Date:
ExpirOs:
DIVISION OF INDUSTRIAL SAFETV PERMR CEAnFiCAT10N:
❑ I hereby certity thet no excavetion five (5) o! more leel in tlepth into which e person is requiretl to descend, wlll be mede in connection with work aut�orize0 by ihis
permit, entl that no builtling siructure, swtttllding, telsewark, or tlemolition or tlismanlling thereal, will Oe more Ihen Ihiny-six (38) lee� �ig�. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title B, Calllomia Atlministrative Cotle),
❑ As awner-builder, I will not employ anyone to do work which woultl require e permlt from the Division of Intlustnal Sefety, es notetl ebove, unless such person has e
permit to do suU work Irom lhe division.
Signa�ure: Date:
Division of Indusinal Salery Pertnil Number.
CER7IFICATE OF COMPLIANCE AND AUTMORIZATON OF EMRY: I certily untler penalty ol perjury Ihet I heve reatl l�is application entl ste�e thet the intorma�ion give0 is
correa. I agree to comply wif� eu stete laws entl city ortlinances relating to 6uil01ng construction, antl auNodze representatives ol t�e Clry ot Costa Mese to enter upon ihe
eDovo-tl pmpe nsbection puryoses. � agroe not to occuOY ar ellow occupency ol eny building euthonzetl by t�is pertnit until final ins0ec�ion.
CQOE�. SIl4H.IYPE'� ' QdIE• _
1616 Fixed ue Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Well
202 Final Faciory Fire Place �
203 Final Sign
204 Final Domolition
�
CODE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Flnel Flre Prevenlion
220 Finel Planning ApProval'�
222 Final Site
250 Final Builtling/Occupanq
PAIE ' It�ELS '
Job Address: 35i OGLE ST
Suite:
Viciniry: ROOF
PrimaryOcc: R
Parcel Number: 42519203
Applicanc CHARLES VILLA
Address: 7923 CHURCH ST
COSTA MESA, CA
Owner: CONNOLLY,'JOY
Address 353 OGLE ST
COSTA MESA, CA - ". .
Contractor. R C 1 ROOFING.COMPANY
Address: 1923 CHURCH ST
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Zip:
Phone:
License:
Type of Construction: V-N
Zoning:
Phone: 949-650-1079
2ip: 92627 �
Status: ISSUED
Applied: 11/022005
Issued: 11/02Y2005
. Ci�?���� "
ISSUED BY.
Phone: `
Zip: - 92627 .
�
Phone: 9 9- 9 �
License: 7043 2
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 15# FELT, 30 YEAR DIMENSIONAL COMPOSITION SHINGLES, AND REPAIR/REPLACE
SHEATHING AS NEEpED. � �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Othec
I nspection:
Total:
$0.00
$54.00
$0.50
$0.00
$0.00
$0.00
$54.50
SETBACKS '
MAIN STRUCTURE Front . 0-0
ACCESSORY Fronl 0-0
PARKING zistin : . 0
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
Calc Valuation: $i,5oo.00
Claim Valuation: $i,5oo.00
PLANNING & ZONING
"LeR' 0-0 � 'Right 0=0
LeN 0- 0 . Right 0- 0'
Pr000sed: 0 �
�NO710E: The work authodzed:bythis�permiCshall comply�with.all.applicable�handicap access�requirements.under.Califomia statutes and ralated
regulations. (Ord. No.�9248, §�7, 12-27-92)
�EXBIqATION: This permit shall�automatically expire and�become.void if work is not commenced�within 180 days, or iLwork is suspended or abandoned
tor.a period of �180 days. . — - - — ` -"' -
•INSBECTIONS: In oMer'forthe work-authorized under this:pertnittto.be considered legal,:such.work�must.compty with-all epplicable codes, and all
�reqWred Inepectiona.end�final;epprovaPmust.be.obtained.'Failure to.obtain inspectionsand finahappmval•will result in.the�expiretion of this permit.
'FOR INSRECTIONS'CALL: (714)754-5828
.2aae-ae Iaroo)
WOflKERS' COMPENSA710N DECLARATON: r ' � - �
I hera�y ettirm untler penalty ol perjury one of the tollowinq declarations: _: '' , �'� .��
❑ I have end will maintain a ceeificate of wnsent to selbinsure for workers' compensation, es provitled br by section 3700 of ihe LaDor CoOe, lor the pedormance of the
�l—work for which'ihis permit is issued. � � '
u[ I Fave antl will maintain workers' compensati n Insurance, as required by section 3700 of tha Le6or Cotle, for the pertormance of ihe work for which Ihis permit is issued.
T��My workers' co ense i arrie ntl policy number are: � '� ��y�r
�.�1 G/� U �r'
Cerrier:—��[{� �ye , Policy_Number._ /J V T�
.(This section ne b c m0�ete�e permi is eluetl al one hundred doflars ($100) or /ess.)
❑ I cenity Ihel in th rmance i ihe work for whiCh this pertnit is issuetl, I shall not employ any person in any manner so es Io become subleCt Io Ihe workars'
compens aws of Ca i i agree Ihel ii I shoultl become suh e ensetion provisions of Section 3700 o11he Lebor Code, I shell forthwith
compl ith t�ese provisions. � �
ApPliram. Ignemre:---."" - rDate —�� � ' � — �
WMNI VEPAGE IS UNLAW RIL AN� SHALL SU9IECT AN EMPCOVEF i0 CRIM�NAL PENALTIES AND CNIL FlNES UP TO ONE MUNDRED
iHIX1SPND E(5100.000), IN TO TME WST OF GES AS PROVIDED FOq IN SECTION �W OF THE LABOR CO�E, IMEAEST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARA ON:
I hereby eHirm,that . ense un o hepter 9(commancing with Section 7000) of Division 3 of.the.Business P�rpfess�' ^s d my licensa Is in full
for ec entl eN . Ic. a � ass =� \—C.`�
Contrectof Signetura: �Date:--�,.. ��'� �f1
�—
CONSTRUC LENDING AGE . �
❑ I herety eHirm tha ere is a constmction lentling agency for �he peAormance of ihe work for which ihls permi� is issued. (Sec. 3097, Civil Coda).
Lentlers Neme:
SignaNre: _
OWNER-BUILDER DECIARAT10NS:
Lentlers Atltlress:
�ate:
1 hereby atllrm I�et under penalry of pa�ury thet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protesslons
Coae: Any ury or counry which requires a permit to construct, aller, improve, tlemolis�, or repair any sWCNre, prior to its issuance, also requires che applicant for such permit
to file a signed statement ihat he or she is licensetl pureuant to Ihe provisions of Ihe Conirectors IJcense Lew (Chapter 9(rnmmencing with Section 7000) ot Division 3 oi the
Busineu end Pmfeulons Code) or Ihat he or she Is exempt theretrom and t�e basis for the alleged exemption. Any violetion of Section 7031.5 by eny apP����t for a permit
sublecls Ihe epplicent to e civil penalry of not more then five hundred dollars ($500).):
❑ I, as ownar ol the properry, or my employees with wages as their sole compensatlon, WILL DO 7ME WORK, and the structure is not intentletl or ottared for sale (Sec.
7044, Business and Profassions Code: The Contrectors License Law does not epply �o an owner of property who builds or improves �hereon, entl who doas such work
himselt or herself or through his or her own employees, provided t�at such improvements ere not Imentlea or oNered for sale. If, however, the bulltling or improvemant is
sold within one year of compietion, ihe owner-builder will hava the burden of proving �hat he or she did not build or improve for purpose ol sale.). �
❑ I, es owner of the property, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS b construct the project (SecJ044, Business antl Profassions
Cotle: The comractors License Lew tloes not epply to en owner oi property who builds or Improves t�ereon, and who contrams for such pmject with a contractor(s)
license pursuent to the Contractors License Lews.�.
❑ I em ezempt under sec. Business antl Professions Code lor ihis reason:
SignaWre: Date:
Owner ID veniietl by tlrivers license. ❑ Ves ❑ No Dnvefs License No. Expires:
Verilice�ion oi Ownership by (rype oi tlaumenL i.e. � property la�c bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTFICATION:
❑ I hareby cenity thal no excavation live (5) or more feet in depth into which a person Is required to descenq will be matle in connection with work aut�orizetl by this
permit, and ihat no building siructure, scattolding, felsework, or tlemolition or dismantling ihereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomla Administrative Code).
❑ As ownar-builder, I will not employ anyone lo do work which would require a parmit from the Division ot Industnel Sefery, es nated ebove, unless such person hes e
permit to do such work irom ihe division.
Signature: Date:
Division ot Indusirial Safery Permit Number:
CERTIFlCA7E OF COMPUANCE AND UTHORIZA710N OF ENTAY: I certity untler penalry of perjury that I have read this application enC state that ihe information given is
correcL I egree to h all ste lews end rdinances relating to builtling consiruclion, and authorize representatives oi Ihe Ciry of Costa Mesa to enter upon the
ebove-de ' property for ins io puryoses. I r not to occupy or allow occupency of anv building authonzed by t�is Oermit un�il tinal inspeciion.
CODE �.
1816
1266
200
FIxeO Sysiem Final Fire Preventlon
Pool Spa Final
Pinel Re-Roof -
201 Final BIwWRetaining Wall
202 Final Feclory Fire Place
203 Final Sign
204 Finel Demolition
�• ���6
CO�E 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical .
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel BuiltlinryOccupancy �
f7.Si�
�
I�in7.14i
OWNER WTT(:RfttdF' CnNS9'A !`(1 INC DATE 4_ S�
> > �t —
]OB ADDRESS 357 Oele Street BUILDING PERMIT NO. �3��
GENERALCONTRACTOR T_p_ �re�Q VALUE$ 1'i.767.00 .
AP.
DESCRIPTION OP WORR
TYPE V ZONE
`ECTIONS I OATE I SUBCONTRACTOR I DATE PERMITSNUMB R
F�- ' Gas Test
( mttion P<
. '73`�3
CO�STA tviESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIF�RNIA
BUILDING
nooRess
FOR APPLICANT TO FILL IN
"^_" _
COSTA MESA. CALIFORNIA
OWNER 1�1++��RO1�1'�
ci.r
nooaEss
ll933 Stanton Blvd.,
California
coHrRncroR T. P. Gtegg
„ooRE5511933 Stanton
LEGn� LOT n
OESCRIPTION NO. L BLOCK
A.P. NO.
S�zE 52.85 x 135.07
C]F I (1T
EXISTING BLOG.
SEiBnCN LINE FwOM �Ot
CENTER OF STREET
CO.� INC.
�. IL� �� b '� � 5 �..
J� �a� �;� ��.e��—r4k.7�
Fi1� NCE DEPT.
APPLICATIONrFOR PERMIT
BUILDING
FOR OFFICE USE ONLY
OeiE
�No 47-3-3135 Aooa°ess
LIC.
No. COSTA MESA. CALIFORNIA
CIYY LIC. �o�
NO.
No:TW -3-3135 a�
TRA�T 3JYS
rvo. ov o�ocs. NOIIC
NOW ON LOT
VARD SS�
SIOE YARO �� R GHT � LG'FT �_�
�
DESCRIPTION OF WORK
NEW X A�TERATION ADDITION
FEPAIR MOVING DEMOLISH
5 ZIE DING 'L$ X 5�] ROOMS � STORIES �
E%TERIOR WAIL tuCCO ROOF
COVERING Sl�Il� COVERING COIIIj).
USE OF NEW Duplex
BUILDING
STnTE iH/�T TNE w80VE IS CONFECT 1N0
CITY ON�INPNCES nND STATE L�W EGI
TION.
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
CORRECTIONS
COMPLY WITM �LL
ILDING COrvSTflVG
VALUFTION
�j PERM�T FEE 5 z _
/� ��/ � pLAN CHECK S ( 6 ^
5 !� ?
TOTAL FEE 5 /—Q ��
O�VNER NOONAN, EDWIN L. DATE 9�16�59 _
JOB ADDRESS qK� (��Q BUILDING PERMIT'N�. 10i8�
GENERAL CONTRACTOR (h.me» hnilAcr VALUE $ 2.000.00
INSPECTIONS DATE _I GROUP ,) TYPE V ZONE
U��CtgcOund Soil U.G. Water PERMITS ISSUE❑
T _groUnd G85 _ — SU6CONTRACTOR DATE NUMB
O."head Water and Gas �
n
� 10�83
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 317 COSTA MESA. CALIFORNIA
fOR APP[/CANT Td f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING `
ADDRESS J
COSTA MESA, CALIFORNIA
�EE RECr�V��
�, s-��-�9
FlNANCE DEPT.
GTY OF �03TA ME-&1
APPLICATION FOR PERMIT
BUILDING
fOR OFF/CE USf ONLY
I RELEIPT NO. � � ^PF[{M�] NO.
V Val
� D(7��
RECEIVED BY OwT NECE VEU � OI.TE 189UE[
�.r- I �"i—iJ, s.i �_ic _ .
(.�0�://�-'/� QS'%} TNO�I�]lO� BUILDING
ADDRESS
TECT LIC.
GINEER NO.
FIRE
:SS ZONE
STATE �APPROVED
tACTOR LIC.NO.
LEGNL
�E9CRIPl
A.P. NO.
SIZE
OF LOT
USE OF
NO.OF BLOGS.
FROM
I
LEFT � RIGHT
DESCRIPTION OF WORK
�SU�IEDING2d XS—J
TO BE
COSTA MESA. CALIFORNIA
ZONING
� IONE�� I NO. OF I U8E OF NEW
PLANS 9UILOING
APPROVED
BV / DAT �[ ��
I YARDS EVES
REQUIRED ALLOWED
(CENTEft LINE ST.
FRONT � FT. IN.
!
R.SIDE g— FT. IN.
L. SIOE � Ff. IN.
REAR � FT_ IN.
1 HEREBY ACKNOWLEDGE TNAT � N6VE READ THIS APPLICATION � -��
AND STATE TMAT TME �BOVE IS COHRECT �NO AGREE TO COM� TNE AMOUNT 9MOWN UNOER VRLUATION 18 FOR THE
PLY WITH ALL CITY OROINANCES AND 9T/�TE LAWS REGULATING PURPOSE OP ESTABLISNING R PEFMIT FEE ONLY.
9UILDING CONSTRUC ION. VALUATION
SIGNATURE OF �r�,.�.� � PERMIT FEE $ � �—
PERMITTEE���� /--`� — � OOQ
$ � PLAN CMECK S��
AUTHORIZED AGENT TOTAL FEE S��