HomeMy WebLinkAbout2253 FOUNTAIN WAY - Building PermitsCITY OF COSTA MESA p
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DEVELOPMENT SERVICES DEPARTMENT
PERMIT
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PERMIT NUMBER
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2253 E FOUNTAIN WY
Suite:
Vicinity:
Parcel Nunmber: 93074030
npplicant: FONTAINE, JIM
Address:
Owner SCHROEDER.V
Address ASSOCIATES��j
2417 E COAST HW
Zoning:
Phone:
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Contractor �. F.,QNTAINE ANU A
Address; - i23015 DEL LAGO #D2�
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�, Plan Check: ,��' . $0.00
� Permit: + ' $99.75
�� �$MIP Res: • `'`$0.50
� SMIP Com � �, $D.00
�,�Other� ��;$0.00
Inspection \�$0.00
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Status: ISSUED (/ �//
Applied: 07/15/199�j �
Issued: 07/15/199�{
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Phone: 714-598-8360 .� \�,��- � � �',��
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Zip: 92653 V � ��\ . , ,.� , .,
License:/708917
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SCOPE OF PERMIT
FOURPLEX , 2253, 2251, 2255 AND 2257. W/ B.0 ���
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- � .,� , Calc Valuation: $5,000.00..
j;a} ,��` ClaimedValuation: $s,000.00�
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SETBACKS�� ���� ���� , S,> � F 4 �e n^..i �"✓� �� c--' 7
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MAIN STRUCTURE Front � 0 0�, �Rear �0 0-c�� � Left� �l 0 0 � r Right
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ACCESSORY Pront 0-0',, �� : Rear 0 0"��;^ ��� Ceft '� 0 0 �' - Rfght
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PARKING Existin ,-��:0. '� R�equi�ed�' `0� � __ } Proposed:' -�0., ` �
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EXPIRATION: This permit shall automatically expire and become void if work is noUcommenced 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 musl comply wilh all applicable codes, and all
required Inapectione and finel approval must be obtained. Failure to obtain inspedions and final approval will result in the expiration of this permit.
FON INSPECTIONS CALL: (714) 7545628
WORKERS' COMPENSATION DECLARATION: � -
I hereby ettirtn under penalry of perJury one o1 ihe tollowing tlecleretlons: � �
❑ I heve end wlll melnteln e certiflcale ot consent to seR-Insure for workers' wmpensatlon, es proNtletl for by sedion 3700 of Ihe Lebor Code, for iha peM�fnence oT the
work for whlch this pertnll 19 Iggued. ,,
❑ I have entl will meintaln workere' campensetion Insurence, es required by seclion 3700 of the Lebor Code, for Ihe parformence of the work lo� which Mis partnll is iuuetl.
My workera' compensatlon Insurence cartier entl palicy numDer ere:
Cartier. Policy Number.
(7hls secNon neetl not be completetll/ the peimlf /s velued af one huntlretlOollers ($100) oNess.)
fd' I cartity Ihat in the peAortnance of the work for w�lch this Oertnit is ' ued, I shall not emplay eny person In eny menner so es to bacome aub�ect to the workera'
compensatlon laws of Califomia, entl epree th If I shoultl beca ubJed to the workers' wmpensation proWsions of Sectlon 3700 of the Labor Cade, I s�flll forthwlth
comply with thesa pro .�i�:?" �-7
�ApplicenlSigneWre: � Date: /������
WARNINO: FAILUPE TO SE ORKERS' WMPENSATION COVERAOE IS UNLAWFUL M1D SHFl1 SUBIEGT AN EMPLOVEP TO CRIMINAL PENALTES M1D GVIL FlNES UP TO ONE HUNDRED
TFKK1SrW D DOILARE (510D,000�, IN ADDRIIXJ TO THE CO6T OF COMPENSATION, DAANGES AS PROVIDED FOfi IN SECiION 3NB OF THE UBOP CODE, INiERE$T, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn Ihet I em license under provlsions
force and ettect. Lia p i
Cantrectors Signeture:
with Section 7000j of Divlslon 3 of the Busine�en�Professions CoOe, end my Iicense is in full
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CONSTRUCTION LENDING AGENCY:
❑ I hereDy affirm lhet Ihere is a constructian lending agen�y for t�e peAortnance ot ihe work tor which ihis permit Is issued. (Sec. 3097, CINI Code).
Lentlefs Name: Lentlefs AGdress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn thet under penelry ot perjury ihat I em EXEMP7 FROM THE CONTAACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professlons
Cade: Any dry or counry whlc� requires e perm0 ta cansiruct, alter, Improve, tlemolish, or repflir any structure, prlor to ILs Issuance, also requlres the applicent lor such pertnit
to flle e signetl stetemant that he or she is Ilcensed pursuant to the pravisions oi the Conirectors License Lew (Chepier 9(commencing wlih Sectbn 7000) of Dlvislon 3 ai the
Business end Pratessions Coda) or that he or she is eaempt iherefrom and the basis for Ihe alleged exemptian. Any violetion of Sedlon 7031.5 by any epplicent for e pertnit
subJects ihe eDPlicent to e clvil penelry of not mo�e than five hundred dollare ($500).):
❑ I, as owner oi the property, or my employees with wages es lheir sole compensation, WILL DO THE WORK, entl the structure Is not intended or otteretl for sale (Sec.
7044, Business end Professions Code: The Contrectore License Lew does not apply to en owner ol property who bulltls or Improves thereon, entl who does such work
himself ar herself or ihroug� his or �er own employees, provltletl that such Improvements ere not Intentletl or ottered for sale. It, hov.•ever, the bullding or improvemem is
soltl within ane year ai completian, the owner-bulltler will have the burden oi praving Ihet he or she tlitl not build or improve for purpose o1 sale.).
❑ I, as owner of the properry, em EXCLUSIVELY COlRRACTING WtTH LICENSED CONTRACTORS lo wnstruct t�e proJect (Sec. 7044, Business end Professions
Code: The contrectors License Law does nol apply lo en owner ot properry who bullds or improves iherean, entl who contrects for such pro�act with a contrector(s)
Ilconse pursuant to the Cantractors Llcensa Laws.).
❑ I em axempt under sec. Business and Professions Cotle for Ihls reason:
Signeture: Date:
Owner ID venfed by drivers Ilcense. ❑ Ves ❑ No Drivets License No.
Ve�iflcetion af Ownerehlp by (rype of tlaument, I.e. - property tax �III or deetl):
DIVISION OF IN�USTRIAL SAFETY PERMR CERTIFICATON:
Expires:
❑ I �ereby certtly thet no evicevetlon iNe (5) ar more feet in tlepth into which a pereon is requlred to descend, wlll be mede in connectlon wllh work authorizetl by ihis
pertnit, entl Ihet no building sirudure, aceNOlCing, telsework, or demolitlon ar tlismentling Nareol, will be more ihen thirry-six (38) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, T111e 8, Callfomle AOmInlSVetNe Catla).
❑ As owner-builtler, I will not employ enyone to do wark which would require e pertnit from ihe DMsion o1 InCustrial Safety, es noted ebove, unless such person has a
permit ro tlo such work trom the dlvision.
Signature: Date:
Divlslon of Industrial Safery Permlt NumDer.
CEHTIFlCATE OF COMPLIANCE AND AUIHORQATON OF ENfRY: I certity under penalty of perjury that I heve read this applicetion end stete thet Ihe infortnetion given is
cortect I egree to Comply with ell state lews flnd d�y oMinances relating to building wnstruction, end authonze representetives of Ihe Ciry ot Coste Mesa [0 en[er upon the
a6ove-descnbed property for Inspection puryoses. I flgree not W occupy or allow occupanq of any building authorized by this pertnit until tinel inspeMion.
COOE �. INSPECf10NTYVE
1616 Flaed System Finel Flre PrevenUon
1268
200
201
202
203
204
zaae ae
Pool Spe Final
Finel Re-Roof ' -
Finel BIocWFieteining Wflll
Finel Fectory Flre Plece
Finel Sign
Final Demolltion
CAiE It�ELS
7� �
��5=�
Deta
COOE t INSPECTION TYVE
206 Finel Mechanical
20B Final Plumbing
210 Final Electdcel '
212 Final Fre Prevention
220 , Finel Planninp ADProvel
222 Finel Si�e
250 Finel Building/Occupanc
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JOB AD- DRESS-�
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IN" '.CTIONS
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UNOERGROUNO � POWER
ROUGH WIRING
NFORCE
SHEATHING
FRRME ANO FLASNI!
LRTNING — IN � . OUT
PLASTER. BROWN COAT
HE' 'G, VENi., REFRIG. AN
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ELECiRIC, FINAL
BUILOING. FINAL
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BUILDING PERMIT N
TRACT FIRE ZONE VALUE Ey, SUU.
SUBCONTRACTOR