HomeMy WebLinkAbout2116 PARSONS ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lobAddr�ss: 2116 PARSONSST
Suite:
viciniry:
Parcel Number: 41917126
App�icant: DUARTE, JESUS B
Addr�ss: 2116 PARSONS ST
COSTA MESA, CA
Owner: DUARTE, JESUS B
Addryss 2116 PARSONS ST
Contracror.
Adtlress:
Zip:
Arch :
Address:
COSTA MESA, CA
Zoning:
Phone: 949-645-2902
Zip: 92627-1919
Phone:
Zip: 92627-1919
Phone:
License:
Eng:
Address:
Phone:
Status: ISSUED
Applied: 07172/2002
Issued: 07/12/2002
ISSUED BY: �
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF INSTALL 2-15LB FELT. AND 30 YEAR COMP. SHINGLES.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: S0.00
Inspection: 50.00
Total: 597.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Fmnt 0-0
PARKING Existin : 0
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PL.4NNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
53,500.00
83,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-2t-92)
EXPIRATION: This permit shall automatically expire and become void ii work is not commencetl within 780 days, or if work Is suspended or abandoned
for a period oi 180 days.
lNSPEC710NS: In order fOr Ihe work authorized under �his perrriit to be considered legal, such work must comply with all epplicable codes, and all
required Inspeetlone and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 ,
taasae �amo�
WORKERS'COMPENSAnON DECLARATON:
I hereby eHirm untler penalry of Derjury one of the following declarations: . ^�
❑ I have and will meintain a certificate at wnsent lo self-Insure lor workers' compensetion, es provided for by section 3700 of the LabefCotle, for the paAormen�e ai the
wark tor whic� t�is pertnit is issuea. . )
❑ I have end will mainta�in workers' compensellan Insu2nce, es requiretl by sectlon 3700 of the LeUor Code, br the pertortnance of t�e work for which this pertnit is iswe0.
My workers' compertsation Insurence carder entl policy number ere:
Cerder. Policy Number.
(Th/s seclion need not be crompleted il (he perml( !s velued et one hundred dollers ($100) or less.)
❑ I certity that in the pedortnence oi the work tor which t�is permit is iuueQ I shell not employ eny person in eny manner so es to 6ecoma subject ro Ihe warkers'
compensellon laws ot Califomla, end egrae Ihet if I should become subJect to the workers' compensation proNsions ol Secilon 3700 of the Lebor CoAe, I shell forthwith
compty with these Provisions.
Applicant Signeture: Date:
WARNINO: FAI�URE TO SEW RE WORKERS' COMPENS/TION �/ERAGE IS UNUWFUL MJD SHAL� SU9IECT N! EMPLOYER TO CHIAUWIL PENALTIES rWD CML FlNES UP TO ONE HUNDRED
THOUSAND DOILARE (5100.000�. IN ADIXTION TO THE COST OF COMPENSAiION, DMNGES AS PROVI�ED FOR IN SECTION 3]OB OF TME IABOR CODE. INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I am Ilcansed under provisians ol Cheptar 9(cammenung with Sectlon 7000) of Division 3 0l lhe Buslness entl Prafessions Code, entl my Ilcense Is In tull
torca and ettect. Uc. a Class k
Conirector's SlgnaWre: Date:
CONS7RUC710N LENDING AGENCY: �
❑ I here6y aflirtn Ihat there is a construction lending agency lor the peAartnence at t�e work tor which ihis pertnit is issued. (Sec. 3097. Civil Coda).
LenOefs Name: Lenders Address:
Signeture: Date:
OWNER•BUILDER DECLARA710N5:
I �ereby alfirm Ihat undar penalry ot perjury ihat I em E%EMPT FROM TME CONTRACTORS LICENSE LAW lor ihe Iollowing reason (Sec. 7031.5, Buslneu entl Profeuions
Code: Any city or counry which requires a permlt to consiruct, elter, improve, tlemollsh, or repelr eny strucWre. prlor to Its issuance, elso requires the applicant tor suc� pertnit
to file e signed sietement ihat he or s�e Is Iicensetl pureuent to the provisions of the Comrectars Licanse Law (Chaptei 8(commencing with Sectlan 7000) of Dlvision 3 of Ihe
Business end Pmfessions Cotle) or thet �e or she is exempt tharefrom and t�e besis tor tha alleged eaemption. Any NWatlon oi Section 7037.5 by any applicant for e pertnit
s�ub' cts the applicanl to a civil penalry ot not more than live hundred dWlers ($500).):
1�. I, es ov.•ner of the property, or my employaes with wages es thelr sole compensatlon, WILL DO THE WORK, and Ihe siructura Is not intended or oNerea for sale (Sec.
�7044, Business anC Protessions Cotle: The Contractors License Law does nol appty to an owner ot property who Duilds or improves thereon, end who tloes such work
himsetl or herself or through his or �er own employees, prwided that such imprwemenis are not intended or oflered for sale. If, however, Ne builtling or improvement is
sold within ona year ot complation, the omneo-builder vrill have ihe burden ol proving that he or s�e did not build or impmve tor purpose ot sale.j.
❑ I, es ownerpf the Oroperty, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Busineu anC Professions
code: mqkontractors License Lew does not apDly to an owner of pmpeny w�o builtls or Impmves thereon, and who coniracts for such prqect wlih e contractar(s)
license py{lsuam to the ConiraIXors Ucense Laws.).
Business end Professions Code tor this reason:
�nfietl by tlrivers license. es ❑ No rs LlTense No.
of Ownership by (rype of daument, .e. � praperty taz bill ar deed): �
DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION:
❑ I hereby certify Ihat no excevetlon five (5) or more feet in tlepth into w�ich a pereon is requiretl to descend, will be metle In connec�ion with work aut�orized by this
permit, anC that no building structure, scaHdtling, lalsework, or demolition or dlsmantling theraol, will be more �hen Ihirty-six (36) feet hiq�. (C�ap. 3.2, Grp 2, An 2, Sec.
341, Title 8, Celifomia Administrative Code).
❑ As owner-builtler, I will not employ enyone to do work whic� woulA require e pertnit irom the Division ol Industnel Sefery, es notetl ebove, unless such person has e
permii Io do such wark trom t�e tlivision.
SignaWre: Dete:
Didslon of Industdal Safery Permit Number:
CERTIFl OF COMPLIANCE AND AIJTHORIZA110N OF ENTRY: I cehify under penalty ot perjury ihet I have read this epplication and state that ihe inlortnation given is
correct gree to compry with ell state la end dry orCinances relating to bullding conslrucilon, and euthodze representatives oi the Ciry oi Costa Mesa to enter upon t�e
abov uriDed O�operry � r inspection ry ses. I ree not to occupy or ellow occupency of eny building euthonzetl by this permit until tinel inspectlon.
Sig atur ne ��e
AnNOr Authorized Applicent Dale
COOE �. INSYECTIONTYPE
1616 Fizod System Finel Fire Prevenllon
1288 Pool Spe Final
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Finel Sign
204 Final Demdition
Pdg IIID➢�l5
CODE 1 INSPECTION TYPE
206 Finel Mechanical
20B
210
212
220
222
Flnal Plumbing
Finel Electtical
Final Fire PrevenHon
Final Planning Approval
Final Site
250 FinalBuilAingiOccupancy
Pdg I�Lfi
,•
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�
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OWNER-BUILDER
VERIFICAT[ON
A ciry or counry, which is reyuired ro give natice pursuant to Section 19830, shall attach to such natice, and,
as a condition prccedem to issuing a building pertnit, require the completion and require the return of, an
owner-builder verification.
Atten[ion Propeny Owner:
An 'owner-builder' building permit has been applicd for in your name and bcaring your signature.
Please completc and retum this information in the envelope provided at your earliest opponunity tu avoid
unnecessary delay in processing and issuing your building permit. No buildingpermit will be issued until this
verification is received.
I. 1 personally plan ro pr vide the major labor and materials for conswction of the proposed
propeny improvemen ❑ Yes ❑ No
/ G.) 1(have/have not) signed an application for a building permit for
`� the proposed work
3. I have contractcd �with the fnllowing person (tirm) to provide the proposed consWction:
Name
Address City
Phone ( ) Contractor's Lic. No.
4. I plan to provide poniuns of the work, but I have hired the following person ro coordinate,
supervise and provide the major work:
Namc
Address
City
Phone ( ) Contractor's Lic. No.
� will provide some of the work but I iiave cur�d (hired) the following persans �o
provide the work indicated:
Name Address Phone Type of Work
t0a2�a6 IREV. 958) ..
I hereby affirm chat 1 have received a copy of Ihe infortnation se[ forth in Section 19830 of the State
of Califomia Health and Safety Code'and have completed the above information to the bes[ of my personal
knowledge, in compliance wi[h [his State law.
�, --�2 � �
T
V � — ' (PrintedorTyped) -
C .L. OR S.S. N � � �%`$ � �'
For more information call City of Costa Mesa Building Division at (714) 754-5273.
�az.e taev. asel
OWNER D2KE & COT ['F =R(1VF� INC _. DATE 5-8-57 .—
)OB ADDRESS 2116 Parsons Street BUILDING PERMIT NO. #5013
GENERAL COxTRACTOR Owner Bldr, VALUE $ 10.008.00
c^�uv I & J
Ii�..PECTIONS
coat
I�. ;'.>;' Gas Test
TYPE
' FIRE ZONE DESCRIPTION OF WORK �
DATE
'30
SUBCONTRACTOR
PLAN NO.
PERMITS ISSUED
NUMBER
`� 4�62 ,
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FlLL IN
BUILDING
ADDRESS 2ll6 Parsons Street
� COSTA MESA, CALIFORNIA
OWNER
MAIL
AD�RE55
CITY C�sy
ARCHITECT
OR ENGINEER
CONTRACTOR UlK@ 3RQ G01t
no�a�s E. 1 th St. �
�$.
LEGAL LOT
OESCRIPiION NO. BL
A.P. NO. ,
SIZE
OF LOT � y �(�_._ `_��_
USE OF
EXISTING BLOG. r��o
FEE RECEIVED �?
,�' �) � �� , ��qi +
FI ANCE DEPT.
CITY OF COSTA PdESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. '�P�J( 1Il.
J JL !
ECEIVEO BY �wTE RECEfyEO DFTE ISSVED '
BUIf.DING
ADDRE55
COSTA MESA. CALIFORNIA
ZON NO.OF TypE
`" 4615 >`""�
NO
TEL. APPROV D
NO. - BY DATE
__.__ ____ CORRECTIONS
NO.OF 0LDG5. I
NOW ON LOT ���� �
SETBPCK LINE FROM
C[HTeA Of' siaE[i i REAR YAR� 1
SIDE VARD RIGHT � LEFT I
DESCRIPTION OF WORK
NEW ][ ALTERAT�ION I ADDITION
REPAIR MOVING DEMOLISH
BIJIL�� S NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING C+iinnn COVER�NG (�mm�
��
USE OF NEW
BUILDING SITtO�P. H'ATIIl�4 �iP.97C3P.nCA
STTTE THAT TXE ABOVE IS CORFECT M1ND .�GFEE TO COMPLV WITM ALL
CITY ORDINPNCES AND STATE LAWS REGULATING BUILOING CONSTfll1C-
norv. �' _ . VALUATION
SIGNATURE OF
�-- " PERMIT FEE �
PERMITTEE /�/�
� lO�WS�OO PLAN CHECK � 1��W
AUTHORIZED AGENT TOTAL FEE $ ��
� �\
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