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HomeMy WebLinkAbout1848 ILLINOIS ST - Building Permits CITY OF COSTA MESA - 0 in p BUILDING DIVISION Fµ ^�) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 101,46 FOR INSPECTIONS CALL:(714)754-5626 It°4•0;entt,A' PERMIT NUMBER: B09-00146 • PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 13904127 DATE ISSUED: 08/05/2009 ISSUED BY: KJB JOB ADDRESS: 1848 ILLINOIS ST CM Suite/Unit: Vicinity: - x • Squares: 2500 • Valuation: $6,204.00 SCOPE OF WORK: REMOVE EXISTING SHINGLE ROOF AND INSTALL 40 YEAR COMP SHINGLE PER CODE. INCLUDES ATTACHED GARAGE. ROOF PITCH 15 4:12. REPAIR/REPLACE SHTG AS NEEDED. OWNER: PRIMIANI,CARLOS A Address: 1848 ILLINOIS ST Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: HANSEN, DUKE Address: N6646636 Unit: : PHONE: City/State/Zip: CONTRACTOR: ROSS AND BARROWS INC . ' License No. 327802 Address: 260 E ALTON AVEUnit: PHONE: . 714-557-7440 City/State/Zip: SANTA ANA,CA 92707 ' CELL ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $139.25 T Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 L'n:t: TOTAL FEES $140.25 . '1',? tF • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. 600E A. INSPECTION TYPE DATE INIrlIALS CODE I INSPECTION TYPE DATE" '.n1N1rilALSS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof Pic")/ 1 r. 210 Final Electrical 201 Final Block/Retaining 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 i WORKERS'COMPENSATION DECLARATION^ Owner ID verified by driver's license. 0 Yes 0 No 1 hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized lc.r ,y „�Z ,q 2e j /6) by this permit,and that no building structure,scaffolding.falsework,or demolition (This section e n D mmpletedame perm!uvalued at one hundred aala,s w lstoo) tess) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp =TAM: V 7 rii 7 — 0 , 2,Art 2,Sec.341,Title 8,California Administrative Code). : J ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should bec ubject to the workers' compensation provisions of ction 3700 of Applicant's Sgnature Labor Code,I sh orthwith comply with these provision �l�f v Division of Industrial Safety Permit Number: Dale darMargiallitCrHAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safely Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No e'Tq.Ms 7, &-v-1_,- s .9 (Section 25533 of the California Health and Safety Code, with some C///VV//// exceptions, requires registration with the Costa Mesa Fire Department by !Q �/;‘ 0 each business which at any one time has on hand a quantity of acutely —Ca�er�c yarse/��� hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feel from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application. have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If'yes", attach certificate of compliance from the appropriate air pollution employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct.'I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizedIS by this permit until final inspection. 0 77. Owner(s) /NO Signature Date i 3051-46(3/0'!) p(yrAuvitirRed'Applralxc •a.-. r 1 4`' CITY OF COSTA MESA ���@@@ BUILDING DIVISION > 'is's• DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER iir/� PERMIT �rkili 602-01262 444 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1848 ILLINOIS ST Status: ISSUED Suite: Applied: 08/13/2002 Vicinity: REAR BLOCK WALL Issued: 08/13/2002 Parcel Number: 13904127 Zoning: Applicant PRIMIANI, CARLOS ISSUED BY: Address: Phone: 714-825-0524 • Zip: Owner: PRIMIANI, CARLOS A , Address 1848 ILLINOIS ST • Phone: - - COSTA MESA,CA Zip: 92626 , Contractor: OWNER-BUILDER Address: , Phone: Zip: License: 0 Arch : __ Eng: Address: Address: Phone: - Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCT 65 LF 6 FT HIGH BLOCK WALL AT THE REAR OF AN EXISTING SFD PER CITY STANDARDS. FEE SUMMARY Plan Check: $31.14 Calc Valuation: $1,300.00 Permit: $47.90 - Claim Valuation: $0.00 SMIP Res: $0.00 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $79.04 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: KUBOT_BJ 08/13/2002 OWNER WAS GIVEN FEE W/O SMTP. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned 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 required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-66(6/DO) DECLARATIIONS" 1 r WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT 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 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions 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 fore permit _Lbjeps the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pur ant •the Contractors License Laws.). ❑ I am ex p u A.ec. Business end Professions Code for this reason: Signature: - / Date: y/(alOL Owner ID yen ed by ,r vers license. 0 Yes ❑No Drivers License No. Expires: ' Verification of Owner ip by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California 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 at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 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 Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a$$ermit for such construction or modification from the South Coast Air Ouality Management District or from any ether air pollution control district or agency? IP Yes 1--I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.1 agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF CO ,' I. . % UTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to c• ply wi}}/=11 tate aws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described• •pe�..: tio• purposes.I agree not to occupy or allow occupancy of any building authorized by this pert un'I final inspection. I13j02 ure o'er- er(s) Date nd/Or Authorized Applicant Date CODE I INSPECTION TYPE QM INTBIALS CODE( INSPECDONTTPE QML IfiEMELB 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof �� 210 Final Electrical 201 Final Block/Retaining Wall ctei `" •" " r,7 ju/ 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 5 ' lour 6 r ---- -_cz �'z _ __ - ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIVISION ApP s‘ O GOSTA MESA p CIT t A NG DIV. i PLAT B DEPT. BEG. SUBJECT TO BLDG. ppp ���p 'i DATE BJ DIY'ISION OF ELUDING SAFETY CITY OF COSTA MESA • APPROVED c. _ D.1.______5/92— _ Date {� his sat Ul rdans and„ceealt..eons MUST be kept on this lob at all times and it is laaoui'a ... :aally t:wc oc of »e::f' i co szn',e t:f:'•out v.tr n permission from the Division of B.W.iing cod Safety,04 of•Coa',Asa. IZDZ— 0/24 — Tiosi;t.o:A i;this r� tpini f�slliG.^.5 1./difiOT tii LMdto Mid Of to be an approval o:Mt,17:.:,,w cf any provision;et my City or Co (cMesaCo; Ordinance and'cr State trw. • '.I*. 'S>:a;rid`--.. crap excite by ii;mci n 2c' Jeeur'a nub and void if the building cr .._.....::2: --- .,nd-_....;icritri:aeel UDCpt3i3OtM:`sf120days of!c:e^c:, 1816 ° "---1 N ° IS I I \ •THIS SKETCH IS FOR INFORMATIONAL PURPC6FS •SOLID WALLS/FENCES BETWEEN 7fi'&6'IN HECHf SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LIST 10 FROM FRONT PROPERTY LINE. AN ACCURATE REPRESENTATION OF THEIR PROPERTY IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCES SHALL NOT EXCEED 2'6'IN HEIGHT WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10'OF THE FRONT PROPERTY LINE(NOT CURB LINE). •VERIFY DISTANCE FROM CURB TO PROPERTY LINE AND SHOW ON PLAN. VERIFICATION FROM THE CI YS ENGINEERING DIVISION IS REQUIRED. CALL(714)751-5343 FOR INFORMATION. H9 1-19 K II i � REII(S10EMQ g. I 1 m 1 I iUI I 4 z_iii_ - - -- - _ , I I I I I I I z C 0 I a a RL9DCMQ pEggl,q ISyiXNQ RE9DEMQ I I EI I I Ito I I W W 6' KOI .000( •yl gl MO( II J _ - E STREET BLOCK WA/LLT LAYOUT( FOR BUILDING PERMIT I d y d Illinois J'f'. (©S'cc Mao, 9Zfoz er PLANNING DIVISION gi,qti-;�i ` J I.�wrti TYPICAL 6U CONCRETE BLOCK FENCE a Cement CopingOptional.3/ :1i 11 =i j —1" GENERAL- NOTES Channel Block With 1�3/8� t Horizontal Top of all �E Fence N 'N � MORTAR: One Part Plastic Cement, and N Three Parts Sand For Fences 5'or less r ¢ =a� o It r GROUT: One Port Cement Three and I. tb a One Half Parts Stand Vert.Bars 3/8" at 4' -0"O.C. d COPING: One Part Cement, Three x For Fences Higher Than 5' ! w 'I Parts $Ond yen.Ban 3/8"0 at 32" O.C. r w - _ CONCRETE: Well Mited I:2-1/2: 3-1/2 11a > z z 11I Mat of 7- 1/2 Gallons of Fill Cells Solid With Grout Water Per Sack of Cement Where Steel Occurs > - Reinforcing Steel Shall 111I1' LO I I GROUT MAY BE POURED FROM THE TOP Conform to Sea A1539 w O -_ OF THE FENCE IN CELLS WHERE STEEL A.S.T.M. ( OCCURS. 1��1 ¢ ~ �-,' C-3 CE La LS A NDA REASOFHORIZRD NTAL REIN All Steel to be Lapped 4 pet FO RCEMENT SHALLLOBE BE CLEAR,CLEAN& 24"or to Code !0 I �I� FREE OF ALL MORTAR DEBRIS,ETC. NATURAL GRADE • H v V '��" .<.'4 - ' o_ n r a cs TWO 3/8"O BARS -AB �-1 CONTINUOUS TOP • • • _ & BOTTOM y.l `fill 10 IB 0 C MAX •' WIOTH I SEE CHART BE LOw c OCi A H Cr ERTHTCOTH Haat CSE AT TIaME OFF TRENCH r INSPECTION. L 1/? TILE HEIGTH OF FENCE OW BOTTOM OF FOOTING • ;� 10' 'T 2..� BrLSCALE: I/2 I' FOOTING REQUIREMENTS CHART I WALL HEIGHT 6 ' Sr 4' 3' WIDTH 14" . . 14" . . . . . 12" . . 12" THICKNESS10" 10" 8 "• 8 " DEPTH OF EARTHTOOTH 24" 20" . . 16" 12" SPACING OF EARTHTOOTH 12' 14' 16' 16' L 1 C-- BUILDING DIVISION tare-, tare) • -�` g 'try 4 L,oata Nem aedu Vwcdious ,, OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Ciff Yes ❑ No 2. I dr ave not) signed an application for a building permit for th- proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: • Name Address City Phone( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042-46 (REV.9/98) I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in comp 'ance with this State law. Signed: Date: %113 / 02- Name: ti)C 1 MA C tai (Printed or Typed) C.D.L. #OR S.S. # For more information call City of Costa Mesa Building Division at(714)754-5273. 1042.46 (REV.9.98) • i2O4I FEE ikyLI9600 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 311 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT Illinois BUILDING BUILDING ADDRESS 3848 St. COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. PERMIT NO. OWNER Vermont Avenue Land Co.. Inc. 2C^II 1'_'1 MAIL ��y REC81 V,f�O - DA RECE,`VED/ 1 [SATE ISSUED ADDRESS (119 T�l•�,`1 th St• C�L./ I --�(/•-e Q��{Y1 ^ 'IOCf CITY Costa Mesa NOL:L181159 BUILDING , ARCHITECT Carlson & TEL. COSTA MESA. CALIFORNIA OR ENGINEER ".l1 y �GLi OVli NO. p/JJ n jS ADDRESS 09 E, 17th St. FIRE ZONE TYPE GROU" —1 //' CONTRACTOR Jake & Cnl Pg 'OVPI Inc. BYPROVED DATE ADDRESS t19 E. 17th St. ZONING 31 .61. lam. (� y(� ZONE NO.OF USE OP NE�/y CITY Costa Mesa R-1 I PLANS 2 LIUILOIN OW/ att gar. STAE TEL. LIC.TNO. 167293_ • NO. L1. 8-U59 LEGAL Lot 49� 1r. 3668 DESCRIPTION SIZE I1 NO. OF SLDGS. OF LOT 64 I X 051 NOW ON LOTnone A.P.NO. none USE OF YARDS EVES _EXISTING BLDG. None _ _ APPROVED ALLOWED SETBACK LINE PROMIC I ENTER LINE ST.) CENTER OP STREET 521 REAR YARD 34 FRONT FT. IN. SIDE YARD I LEFT 71 I RIGHT 8L R.SIDE 7 FT. IN. DESCRIPTION OF WORK • n L.SIDE / FT. IN. NEW I X II ALTERATION I II ADDITION I REAR 3 FT. IN. REPAIR I II MOVING I II DEMOLISH I APBYPROVED W. L. L.�j/ //DATE 5-13-60 BUILDING RSflNO. OF /, / BE l5ln .F} 1]OOMS STORIES 1 L COVERING EXTERIOR WALL St11CCO I COVERING Comp. & Rock USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached rPrape. Plan 20CR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OP L/�&/, �TA�/ PERMIT FEE $ 36. PERMITTEE P n eL }� T� $ 16,101 417.• PLAN CHECK $ l8. AUTHORIZED AGENT Dike & Col prove, IRC• \ TOTAL FEE $ 54.• _E