HomeMy WebLinkAbout2864 HICKORY PL - Building PermitsI� � , � _ ,
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CITY OF COSTA MESA �
� BI/ILDING pIVIS10N
f � DEVELOPMENT SERVICES DEPARTMENT
° PERMIT PERM�
•,�n� �'
898-01586
(714) 754-5273 • Fax (714) 754-4856 . 77 FAIR ORIVE, COSTA MESA, CA 92626
Job Address: 2864 HICKORY PL -
Suite:
Vicinity: .
Parcel Nunmber: 13929622
Applicant: VAFIADIS,GOYA
Address:
Owner: CRAI
Addresa 1775:
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Contractor. ' (
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BUILDING PERMIT
Zoning: R3 R3
� Phone: ' 968-8754 �, _ ,
Zip: •
Status: ISSUED
Applied: 09/01/1998
Issued: 09/01/7998
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=T�THOMAS CORP !, .. - _ ,
RAWBERRY LN -. � � �- " �; � �
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)RA,CA � ' . - - Zip. 91740 � � ` � � � � �
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f ROOFING� . �>�. < � � �'r �
Address: 21681 IMPALA'� %� � �� � � / � ' � "�
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. . . �= Phone: 968-8754 �' � � . '
, . " ,H.B. CQ;���% Zip� 92646 �. ,
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- . � � - ' " �� License:� 450393 - ,�:' � • � . .
�Arch / Eng : �i . , i _ , � � . .
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� Address:- � , " ' ,," , ? , ,
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- � � . �. � � License: � . � � :. ' .
� � � � . SCOPE OF PERMIT � �
� %/ � TEAR OFF RESHEATH DRY ROTTED PARTS IF NEEDED.REROOF THE GARAGE SECTION WITH B.U.R. &
. THE APT. PART WITH�25 VR COMP: SHINGLES. -.' ^ " .
' .._.,. ....i....C�-..,.�1 ... .._. , .
Plan Check:
Permik
SMIP Res:
SMIP Com:
�. Other:
Inspection:
Total:
SETBACKS
MAIN STRUCTI
ACCESSORY
PARKING
NOTES:
$0.00
� $99.75
$0.50
$0.00
$0.00
$0.00
$100.25 , �
Front 0- 0
Fronl 0- 0
" �,� FEE SUMMARY ��: , -
� _-` ' �'' _= � � � � Calc Valuation: �
- - - - Claim Valuation:
��.. --,-
�:, �� �
�
�,'� ;. � ' . , � � PLANNING�&ZONING � �_ �
, . �Rear 0-0 ` Left ` 0-0 . Right
Rear 0-0 � - Ceft . 0-0 - , Right
Existinq: 0 Reauired: 0 ' Proposed: 0 ,,
$4,795.00
$4,795.00
,
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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepectione and tinal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS'COMPENSATONOECLARATION:
I hereby affirtn Under penalry of perjury one ot Ihe following declarations:
❑ I heve end will melntein a certificate oi consent to self-Insure for workars' compensatlon, es provitled for by saction 3700 of the LaDor Code, for the pedormence of ihe
i
wark far Which thi5 pertnit is issued.
i9-�_ I have end will maintein workers' compense�ion insurence, es required by sectlon 3700 of ihe Labor Code, tor the perlortnance of ihe work for which ihis pertnit is issuetl.
My workeYs' compensation Insurence cartler and policy nnmber are:
Carrier: � Policy Number
(This section need not 6e complefed if the permlt is ve/uetl et one huntlred dollers ($100J oNess.)
❑ I certiy IhatJo�he paAortnance of tha work for which this pertnit is issued, I shall not amploy any person in any manner so as to become subject to ihe workers'
�gpggtion lavi of Celifomia, antl egree that if I should bewme subject to t�e workers' compensation pmvisions of Section 3700 of the Lebor COCe, I shall farthwith
comply wifh ihese ravisions. %
AoolicantSianeNre: �� (� 1�/] �w !� `il !`� D�at : , Q I � I �1g
.�N ARNING: FAILUFE T ECURE WORKE COMPENSATIIXJ C ERAGE IS UNUWFUL AND SHALL SUBJECT AN EM%.OVER TO CRIMINAL PE T1E5 ANO CIVIL FINES UP TO ONE HUNDRED
TF�Otl6 E($100,0OO�,INADOITIONTOTHECOSTOF OMPENSATION,DAMAGESASPROVIDEDFOHINSECT10N3]WOFTHELABORCODE,INfERE$T,ANDATTORNEY'SFEES.
LICENSED CON�AC7
I hereby etFirmlpeLl_am
torce entl elfect. Lic. u_
Cantractars SigneNre:
DECLAHATION:
�d under provislons o� Chepter 9(commencing with Section 7000) of Division 3 ot e Busine s antl Pmfessions Code, entl my Ilcense is In full
Date:
CBAS'iRtl6T10KLENDING AGENCV:
❑ I hereby aHirm that there is e constmction lending agency for Ihe peAortnance of the work for which t�is permit is issued. (Sec. 3097, Civil Code).
Landafs Name: Lentlers Address:
Signature:
Date:
OWNER-BUILDEA DECLARATIONS:
I hereby aHirtn that untler penelty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business end Professions
Code: Any ciry ol counry which raquires a pe�it to consimc6 elter, improve, demolish, or repair any stmaure, pnor to its issuance, also requires the applicant for such permit
to file e signetl stetemant thet �e or she Is licensetl pursuent to the provlslons of tha Contractors License Lew (Chapter 9(commencing with Section 7000) of Divlsion 3 of the
Business end Protessions Cotle) or ihet he or she Is e:empt therefrom end Ihe basis for the alleged examption. Any violation of Sadion 7031.5 by any epplicant for a permit
subjects the epplicant to a civil penelry of not more than five hundred dollars ($500).):
❑ I, as ownef o� the property, or my employees wlih weges es Iheir sole compensation, WILL DO T}fE WORK, and the structure Is not intentletl or oNeretl for sale (Sec.
704d, Business antl Proteuions Code: me Conirectors License Law does not apply to an owner oF properry who builds or improves thereon, end who does such work
himself or nersetl or Ihrough his or her own employees, provided ihet such improvements are not intendetl or ofrered for sale. Ii, however, ihe bullding or improvement Is
so10 within ane year of completion, ihe owner-6uiltler wlll hava the burtlen of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owne! of �he property, am E%CLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to consiruct the project (Sec. 7044, Business antl Professions
Code: The conirectors License Lew does not epply Io an owner of property who builds or improves thereon, and who coniracts for such project with e contractor(s)
license pur5uant to the Contractors License Lews.).
❑ I am exempt under sec. Business antl Professions Code tor this reason:
SignaNre: Date:
Owner ID varitied 6y drivers license. ❑ Yes ❑ No Drivefs License No. Ezpires:
Venfication ot Ow�ership by (rype of dacument, I.e. - properry terz bill or deed):
CERTIFlCATE Of COMPLIANCE AND AIJTHOR¢AT10N OF ENTRY: I certity under penalry of perjury that I have read ihis appliwtion and stete thet the intortnation given is
wnect. I egree to comply with all state laws and ciry ordinances relating to building construction, and authonze representatives of the Ciry of Cwta Mesa to eNer upon the
ebove-descri0ed p�operry for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by this pertnit until final inspection.
COQE t
1616
1266
200
� Itl��
Fi:ed Sys�em Finel Fire Prevention
Paol Spa Finel .
Final Re•A�� � �w�
201 Final BIo�WRetaining Well
202 Final Fedory Fire Place
203 Final Sign
204 Finel Def�olitlon
244fi 48
COOE 1 INSPELTION TYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Plenning Appravel
222 Final Site
250 FinalBuilding/Occupancy
� �����
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/LL /N COMPLETELY
TYPE OR PRINT / .�
BUILDING __.. J� ����'��`�]� �����y
COSTA MESA, CALIFORNIA
iTecr Carlson &
� IT1C.
■ LEGRL
�■cy
OF LOT /„� X �� NO.OF BLDGS.
7 � NOW ON LOT
USE OF None
EXISTING BLDG.
SETBqCK LINE FROM
c[rvrea ov staEeT O� REAR YARD
SIDE YARD ILEFT ZO� IRIGHT ZO�
DESCRIPTION OF WORK
NEW I Y' II ALTERATION I II ADDITION
IS[•] lGC ��I��IAS[•l�IF9:
FEE RECEIV�D
�u� /l-7�_j%
APPL�L�V � PERMIT
CITY ���A�SA
foR officE usF aNcy
� RECEItT NO. UN(T
V
�"�" I °��-17E.�I NOV'�
COSTA MESA, CALIFORNIA
FIRE
ZONE
ZONING
ZONE NO. OF lISE OF NEW
��/ PLpN9 � IBWLDIN�
YARDS
REQUIRED
ICENTER LINE ST.1
—
FRONT
� R. SIDE
v �
D FT
EXTERIOR WALL ,tUCCO I COV�ERING rock ♦!J� N
COVERING 9
USE OF BUILDING AN� WORK TO BE PERFORMED
Multi le
attached garage. (Four living units)
I NEREBY ACKNOWLEOGE THAT 1 NAVE REAO THIS APPLICATION
•ND BTATE THNT THE ABOVE IS COFNER ANO AGREE TO COM- THE AMOUNT SHOWN UNOER VALUATION �S FON THE
PLY WITM ALL CITY ONDINqNCE3 AND ST/�TE LAWS FEGULATING PURPOSE OF EST�BLISHING A PEHMIT FEE ONIY.
au1LDIrvG COnSTPUCTION. VALUATION
SIGNATURE OF � PERMIT FEE S SO.00
PERMITTEE - M
g�O) n��B� PLAN CHEGK $ 25. w
AUTHORIZED AGENY�e & COle ve, Inc. � TOTAL FEE 5 75 • 00