HomeMy WebLinkAbout1975 PARSONS ST - Building Permits, �
., ,
CITY OF COSTA MESA
,° _ � B!/ILDING D/VISION
� DEVELOPMENT SERVICES DEPARTMENT
� PERM�T PER N MBER
�� Y
898-0'I 672
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 1975 PARSONS ST
Suite:
Vicinity:
Parcel Nunmber: 4192�3�3
Applicant: WHITNEY, ROBERT
Address:
Owner: BOHRK, ERNEST A
Address 1520 DOFiOTHY LN
NEWPORT BEACH,CA
Contractor: WHITNEY ROOFING
Address: 00000 PO 15396
BUILDING PERMIT
Status: ISSUED
Applied: 09/18/1998
Issued: 09/78/1998
Zoning:
Phone:
Zip:
Phone:
Zip: 92660
Phone: 714-548-0769
NEWPORT BEACH CA Zip: 92659
� License: 406022
Amh/Eng: �� '
Address: - "
� Phone:
Zip:
License:
SCOPE OF PERMIT
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
TEAR & REROOF W/BUR.
$0.00
$149.75
$0.88
$0.00
$0.00
$0.00
$150.63
SETBACKS
MAINSTRUCTURE Fronl 0-0
ACCESSORY Front 0-0
PARKING existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
Calc Valuation: Se,aoo.00
, , Claim Valuation: se,aoo.00
PLANNING 8 ZONING
LeR 0- 0 Right
�eft 0- 0 Right
Proposed: 0
IEXPIHATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetiona and final approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby attirtn under penalry of perjury one ot the following Oeclarations:
❑ I heve antl will maintain a certificate ol consent to self-Insure for workers' compensation, es pmvided for by section 3700 of tha Lebor Code, lor the pedormence of the
work tor which this pertnit is issued. '
�I have antl witl maintain workers' compensation insure �e, as requiretl by seclion 3700 ot tha Lebor Code, for Ihe pertortnance oi the woAc lor which this pertnit Is luued.
My worker ' compensation Insurance cerrier en oi q nu e re: _e-orW.>
Carrier: Policy Numbec /!J Q! ��-� oA/ 7
(This sec(ion n o e camp/eted il th rmi( i alued af ane hun red tlollers ($100J or /ess.) ` ��
❑ I certity Ihet in the peAor a of the ork tor which thi ermit is issuad, 1 shall not employ eny Derson in any menner so as to become sub�ect to ihe workars'
compen5ation _laws oi omla, an g�j.ilysho become sublect to iho workers' compensation provisions oi Sectlon 3700 of Ihe.J.pbor Cotle, I shell forihwith
Applicaht Signature: _
WARNING: FAILUFE TQ.SE
T}1Btl9M1B'9BC�i�E ($1IX
LICENSEU CONTpAC
I here fhet I am
ce d eHect Lic. # _
Contracbrs Signe�ure:
7PENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN
THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN
9 (cammencing with Section
PENALTIES AND CIVIL FINES UP TOONE MUNDRED
OR CODE, IMEREST, AND ATTORNEY'S FEES.
ness end Prafes�'pns Cade, entl my Ilcense is In full
Class»_ C�-"5'7
�a�a: 9• iR— �
LONSTRUCTION LENDING AGENCY:
❑ I hereby aiHrtn tha� t�ere is a construqion lentling ageno/ for the pertormanca ol �he work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm t�et untler penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Business antl Professlons
Code: Any ciry or counry which requires a pertnit to consiruct, alter, Improve, demolish, or repair any structure, pnor to Its Issuance, elso requires Ihe applicent tor such permlt
b file a signed stetemant thet he or she is licensed pursuem to ihe pmvisions ot the Conirectors License Lew (Chepter 9(commencing with Sectlon 7000) of Dlvlsion 3 of Ihe
Business end Professions Code) or that he or she is exempt Iherefrom and the basis tor the alle9ed exemption. Any violetion of Section 7037.5 by any eppliwnt for a pertnit
subjects Ne apD�icant to e civil panalry ot not more then five hundred dollare ($500).):
❑ I, as owner oi the properry, or my employees wi�h wages as their sole compensa�lon, WILL DO TME WORK, end the swcture is not in�endetl or oRered tor sale (Sec.
7044, Busineu antl Professions Code: The Contraciore License Lew does not epply lo en owner of property who builtls or improves thereon, and w�o tloes such work
himselt or herself or through his or her own employees, proNtled Ihat such Improvements ere not imantletl or oNereC for sale. If, �owaver, Ihe building or improvemem is
sold vnihin one year ot completion, �he owner-builtler will have Ihe hurtlen ot proving tha� he or she tlltl no� build or improve for purpose of sala.).
❑ 1, es owner of Ihe propeRy, em EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct t�e praject (Sec. 7044, Business end Protessians
Code: The coniradors License Ww tloes not appty to an owner of property w�o builds or improves thereon, end who contrects tor such prqect with a coniractor(s)
license pursuant to t�e Contradors License Lews.). .
❑ 1 am e:empt untler sec. Business and Professions Cotle tor t�is reason:
Signature: Date:
Owner ID veritied by drivefs license. ❑ Ves ❑ No Drivers License No. Eapires:
Venfication of Ownership by (rype ot document, i.e. � pmperty tac bill or deed):
DIVISION OF INOUSTRIAL SAFETV PERMR CERTIFICATION:
❑ I hereby ceRify that no escavation five (5) or more laet in depth into which e person Is requiretl to tlescentl, will be metle In connedlon with woAc euthorizetl by t�is
permit, and thet no building structure, scaRolding, talsework, or tlemolition or tlismentling thereoi, will be more then ihirry-six (36) feel high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Cellfomie Atlministretive Catle).
❑ As owneo-Duiltler, I will nat employ enyone to do work which would require a pertnit fram the Division of Intlustriel Selery, es noted ebove, unleu such person hes e
pertnit to do such work from the division.
Signature:
Division ot Industrial Safery Pertnit Number:
Date:
1 Will Ihe applicant or present or future building occupant neetl to file antl ceNly a Busineu Plan for emergenty response to release or Ihreataned release ot a hazartlous
material7 ❑ Ves ❑ No
(Sectlon 25505 of iha Calitomie Healih end Safery Code requires, with some ezceptions, Ihet e Business Plen be filed with the Costa Mese Fire Depanment by every
business which has at any one time dunng a reported yeer e quantiry ot �erardous materials equal to or greater than e weight oi 500 pountls, or a volume ot 55 gallons,
or 200 cubic feet ot wmpressatl gas at stendard temperature end pressure).
..................................................................................................................................................................................................................................................................................
2 Does or will t�e epplicant or present or luture bullding occupant need to tile e re9isiration torm br ecutely hazardous metedals7 ❑ Ves ❑ No -
(Section 25533 of the Celifomia HeaIN entl Sefery Code, with some eacsptlons, requires registretion with the Casta Mesa Fire Dapertment by eech business which et any
one time has on hend e quanliry oi ecutely �azertlous meterials equel to or greater than e weigM of 500 pountls, or e volume of 55 gallons, or 200 cubic feet of
compreued gas at stantlartl temperature end pressure).
..................................................................................................................................................................................................................................................................................
3 Does or will Ihe applicant or preseni or tuture building occupant need to prepara en RMPP (Risk Managemenc and Prevention Program tor acutely hazardous matenals)?
❑ Yes ❑ No
(Section 25534 of the Celifomia Nealth entl Safey Cotle provitles that the Costa Mese Fire Department mey require the preparetion, cenitication entl filing with the Fire
Deoanment of an flMPP by Dusinessas which ere reduired to register acutery hazar0ous metenals vnih the Fire Department.
4 tl an RMPP is presently require4 has Seciion 25534 ot the Califomia Health and Safery Coda been fully compliad with7 ❑ Yes ❑ No
..............................................................................................................................................................................................................................................................
5 Does or will the applicent or present or fuNre builtling occupant reQuire lor the work which Is the subject of t0is e plication apertnit Por suc� construction or
from Ihe South Coest Alr Oualiry Management Oistrict or from eny other eir pollulion control tli5trict or agency9 � Yes ❑ No
(Sec6on 650502 of the Calitomia Govemment Cotle requires Ihet ihe requested informatlon be tumishetl on epplica0ons Ior non-resitlentlal building permits).
..............................................................................................................................................................................................................................................................
6 Will eny part oi lhe teclliry to be consiructetl untler Ihis pertnit be within t0001aat Irom the outer boundarles af e schaol? ❑ Ves 0 No
(If yes', the teciliry must meet the requirement of Sectlons 2553a and d2303 of the Calitomia Heelth end Safery Cade).
..............................................................................................................................................................................................................................................................
7 If e permit from Iha South Coast Air Ousliry Manegement DISlrict or other air pollution control tlistnct or egency is reauiretl lar Ihe work which Is t�e s�
eDDlication, heve all ol Ihe dlscla5ure5 preScnDeO Dy Celitomia Health entl Satery Cotle Section 42303 been metlal ❑ Ves ❑ Na
CERTIFICATE OF COMPLIANCE: I certily ihet under penelty ol perjury the information given eDove is correcl. I epree to wmply wi1� all stete laws end city ordinences
regarding Harardous Matenals end Emissions.
Signature: � Date:
CERTIFlCATE OF COMPLIANCE
corred. I agree to comply with al
aDove-descnbed pmperry tor�
COOE �. INSFECTIONTYPE
1676 Fixed System Finel Fire Prevention
1268 Pool Spe Finel
200 Flnel Re-Raof
201 Final BIaWReteining Well
202 Finel Fectory Fire Place
203 Finel Sign
204 Final Demolition
26a8d6
:ATION OF V: I certity under penelry of perjury that I have reatl this application entl state that the informetion given is
ciry ordina ces releting to builGing conswction, en0 authodze representatives ot e Ciry of Costa Mesa lo enter upon the
. I egree 1 to occupy or ellow occupancy of any builtling authodzetl by t�is pe it unti�.final inspection.
—�— ��$ jflpFj INSPECTIONTYVE / /
206 Finel Mechanical
c%��/ 208 Finel PlumDing
'ZJ� w�/r 210 FlnelElectrlcal
212 Finel Fire Prevention
220 Final Planninp ApOroval
222 Final Sita
250 Finel BuilAing�Occupancy
GA7E It�LS
$UId{DYNG SAFE'1'Y DEPAR7'MENT �O J ^w� c
P, O. Bos No. 317 1 d�
Gosta Mesa, California
`- � � �Gl� �
Da �
CITY OF WSTA MES � M
CERT!IFICATE OF OCCUPANCY
Building Permit N/o/'�/�� Elec cal Permit� —No� Plumbing Permit No.•�„[�
Use of Buildin�l�_ ����'Ll////'/!7/� ��,�
Ttie building locate a " ' � "' oa q�•vr.ory.v��� � �1
Legal DescripGon ����7�a /7ri• //D. ��S �C��� �
(See reverse side tor Metes and Bounds)
has been inspected and found to comply with tlie provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group � Occupancy.
ISSUED TO: � City Building Off�
.�/• /'. � i
(Ow� of Building) B7�
CC: ❑ Origin3l--0wner �
❑ lst copy—Gas Co. ❑ 2nd copy—Edison.Eo. ❑ 3rd p—File
Form 208 SS P IM 1-BO
OWNER W. G.
GGN�RAL CONTRACPOR �
nr No. 115-285-i6 LOT
P-"PLCTION9
�
Gns
f
C
TRACT
� Signaturc
DATG 11—
NO.
, CO. VALUE $ 6�0.00
RIRE ZONE DESCRIPTION OR WORK b10Ck H8,116
DA1'6 GROUP jii TYP� J 7,ON� R2
SURCON'I'RACTOR
I � t�30b ,
JOSTA MESA BUILDINGSAFETY DEPARiMENT
P. O. BOX 917 COHTA MEBA. GLIRORNIA
Fo� Applieant fo Fill In Completely
TYPE OR PRINT
1ODRE�56 �� � _ _
rs o�-, s
COSTA MESA. CALIFORNIA
)WNHR �.tl �G . lrfJtn G. � �1 _
1❑ RES9 Lf'7 \ � %i �� � 1
NO. �
, / h G NO,uaPuBLDaB. �
��
lSF �IF •
ING BLDG � � �
�[TBALK L�NB pROM ,� r
DESCRIPTION OF WORK
J14DING NO. OF
Z8 ROOMS S70F
RERIOR WALL ROOF
>VERING COVERING
iE OP BUILDING AND WORK TO BE PERFORMED
ID 8L�T8 TXAT TXL ABOYB � CARPEGT AND AGi1EE TO COM-
,Y WITH ALL GIlY OIiO1NA! �H AN �TC LAWe ReOULATINO
IILpINa CONBTRU TIO� 1.
1TL' OF r
ibllTTe
fF{OHIZED AGENT
FE Rk�t4vtu
f10V 30 ti�2
FINAIVCE DEP►•
r,7y OF COSTA MESA
APPLlCAT10N FOR PERMIT
BUILDING
For Office Use Oniy
RECEIP( NO. � p£�
%7
BY DATB eCH1VE0 DATB
� ��' �) �L�,� I//—�i
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE ��GROUP
APPROVED ' �'
BY DATE
ZONING
ZONE� NO. OF UeE OP N8W
/Y pl,ANB BUILDINp /% A
�wy r .r
i60A1 I
OE6CRIP'CION �f� �� � �
t__� p
A, P. NO. / f ir� � O S �
YARD6 EVES
APPROVED ALLOWED
(CCNTgR LINH BT.)
FRONT FT.
O�� /O .
�.
. �... ..-, --
/ .r ii
!
ic6ii i�b'X6a � 6'��/
i ii� i, y/ i b�i �, �,
THE AMOUNT BXOWN UNDBP VALUATION le FOR TNE
PURPOBE OF EBTABLI9HING A vERM1T FGE ONLY.
VALUATION � `�'�`')
PERMIT FEE $ 11
S / _ � � PLAN GHECK E
(� r—ilil
OWNER �� CO.� W. G.
JOB ADDRESS 197 Parsons
QENERAL CONTRACTOR W.
nr No. ii5-2s5-i6 LOT
IP'�PLCPIONS
i
coat
DATP 6-Lt-62
iJ!'.'.>.
���
Lor� �o. vnLu� � 52,937.00
TRACT RIRE ZON� D�SCRiPTION OF WORI{ 1Q-Urilt
Signature DATP GROUP H& J TYPli V& III 7.ONls R-2
� Y13R\1TTS ISSUE
-�T � ,� � SUBCONTRACTOR n,,,,,,, ,,..,,,,.,
Suumng, rmai v�I Ar� t"L7- b��
OCCUPANCY a •2 -�;Q
'ORM BU4 - 5M — 7-61 v uni.n FOR SPEC.
Z
�. ;� � i sseo ��
SOSTA MESA BUILDING-SAFETY DEP
P, O. BOX 917 COBTA ME6A. CALIF
For Applieanf fo Fill In Com
TYPE OR PR1NT
BUILDING _
ADDRE63
COSTA MESA. CALIFORNIA
� MAIL
� ARCHI7EGT
TEL. M �
NO,G,777
TEL m� �
��� ���EE RECEIVED ���
�T � AP � �
�FINA�lL�E� �T, ��
CITY OF COSTA�VIESA ��
V APPLICATION FOR PERMI �� y
BUILDING 3
��
For Office Use Onl y �J7
neceior Ho. reqM�� *+o.� ��V
� �
FEC81V6O BY D TB�ACHIVBy DATH �83OED
>% ` '� [ '��— i M
BUILDNJG �1 ]
ADDRESS / � - �-�
S7 COSTA MESA. CALIFORNIA ��
STATE 7EL.
LIC.NO. ��� NO.L�'-GZ73iI
81ZE � � NO, OP BLD6p.
oF �or "�; B.l7S A' / 98.4� f I r+ow or+ �or
USE OF ^
EXIBTING BLDG
eHTB�CK LJNB PA�M � � � 4
uelraw oI �� ftEAR YARD -Z
/.
SIOE YARO LEFf �J RIGHT D�
DESCRIPTION OF WORK
EXTERIOR WALL ROOF
GOVHRING G COVE
U6E OF BU�LDINC AND WORK TO
1/1-/\.>.i C�Ai��in�
1
� NHRBBY ACNNOWL¢DGe THAT 1 HAVE RBAD THIB APPLIGTION
ANO 8TAT6 TXAT TM8 ABOVH 18 CORHECT AND AGPE6 TO COM-
PLV WIiM ALL QTV Op INANC ANO 8TA LAW9 fi80OLATINO
BOILDINO CONBTRq N.
81GNATURE OP /
PERMITTC
AUTHORIZED AGENT
�
FIRE j/ ) �
ZONE :'E✓ OUP � �
APPROVED � �
BY ATE
ING � � a
iONE OP U P NeW r �
�� �LAN9 UILDINO f��, �`^� , �
HBCRIPf10N i..��- ii^(� 7�z 37%i'd � a
A. P. NO. I I'J ^+�"" S^/(� u
tn�]
YAR�S EVES ' V7
APPROVE� AL O D i0 �
ICHNT6R LINi 9T.)
FRONT T. L
�
R. SIDE FT. IN.
� -�-- � -- ., i..,,__W �' �
DAIE 1T �� �
' _��-� , �-
d.c- .0 � i � .:l � � .
-, �'d .F'.'. l'� �x �'i:. n' ., .
�. � a....c.� � �+-$v.1„
(���v— _—r_
D�iE O�G,
p�C�N NT- OWN IINOlq �VALUAT� g�
'FIRMDC-OI�68TA9Li9Hf1�G • PBHMIT F68 ONLY.
rITOTAL FH@ Y/�/ /• al ✓ I� �,