HomeMy WebLinkAbout3457 FUCHSIA ST - Building Permits•-^.'V
(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address:
Suite:
Vicinity:
3457 FUCHSIA ST
HOUSE & ATTACHED GARAGE
Parcel Number: 41217209
Zoning: R1 R1
npp�icant: BLACKMORE, GEOFF
Address: 17931 BEACH BL . � � � � � - .
SUITE 212 „= ��� Phone: (714) 841-2598 .
HUNTINGTON BEACH, CA-;, . , Zip: 92647 , i�
Ownec LINA, MANUEL S �'
Address 3457�FUCHSIA ST ,� , " � . ' ' -
i , _. .
/� /.� � . - � Phone: � � . �
, � ��". . . - .
� � -COSTA MESA; CA" - . � � Zip: 92626
� �
Contracroi: �`CERT=A-ROOF, OF SOUTH ORANGE
�: -
Address: 179378EACH�BL
, �. SUITE 212 � Phone:, (714) 841-2598
' : HUNTINGTON BEACH, CA
Zip: , 92647 � License:.� 733482
Arch :
Address'
/.� Eng:
Adci�ess
Status: ISSUED
Applietl: 11/74/2001
Issued: 11/14/2001
. ' ., .- ' �_.-Phone: _ ,.. - i� , Phone: -, �
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Zip: . - -License: � � �License: �
� � SCOPE OP PERMIT �
,� REROOF EXISTING SINGLE FAMILY RESIDENCE �& ATfACHED GAFt4GE (32 SQ): TEAR OFF EXISTING SHAKES 8 •
RESHEATH WITH 7/16" OSB. INSTALL 15# FELT UNDERLAYMENT & REROOF WITH 30 YEAR COMPOSITION SHINGLES. �� ` � ,
� FEE SUMMARY, ' " , � � ,
Plan Check: $0.00 - ,- - - - - Calc Valuation: , ' S�,000;oo,
Permit: $13925 � - Claim Valuation: $�,000.00
SMIP Res: • $0.70 � �- � �
SMIP Com: $0.00
Other: $0.00 �
Inspection: � ' $0:00 = , � �� � �
��
�
� , ... "��< � � % i;;
� , Total: _ _$138.95 , � ,� �
, . , -
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0 � Rear 0- 0 Left 0- 0 Right 0- 0 , �
ACCESSORY
PARKING
NOTES:
Front 0- 0
Existinq: 0
Rear 0-0
Re uired: 0
Lefl 0- 0
Proposed: 0
Right' 0--0 '� �
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 780 days, or if work is suspended or abandoned
for a period of 180 days. �
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetiona 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) 7545626 I
zaae�ae(aroo�
WORKERS'COMPENSAnON DECLARAnON: .
I hereby effirm untler penalty of perjury one Of lhe t011owing tleClaretlOnS: ,. -
❑ I heve end wlll maintein e cerUficate of consen� to selbinsure for workers' compensation, es pmvitletl for by section 3700 of the Lebor Code, br ihe peAortnence oi ihe
ti�.work for w�ith Ihis permit is issuatl.
� 1 have end will maintain warkers' compensatlon insurenca, as require0 by section 3700 of lhe Labor Cotle, for Ihe peAortnance of the work for whidi ihi5 pertnil is Issued.
My workers' compensation Insurence carrler and licy num r !¢�re: �^
Cartier. -s wL ,� �1 � �.rV� b a� n A��✓�+A I r���{�5. PoliCy Number: '
(This secf/on need not be comp/eted i! the peimit /s velued af one hundred dallers ($100) or less.) "-
� I certity Ihat in tha peAortnanca of the work for which this permit is issued, I shell not employ any person in eny manner so as to becoma suhject to the workers'
campensetion laws of Callfomia, end egrea thet II I shoul7 become sublect to the workers' compensation proWsions ot Section 3700 oi Ihe LaDor Code, I shall forihwlih
comDly wlt� these proWSAon� ��
AppllcanlSigneNre: y� �_ Date: .� �l�I��-O I
WARNIN�: FNLURE TO $ECURE WORKEFS' COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBJEGTlW EMPLOYEfi TO CRIMINAL PENALTIES AN� CNIL FlNES UP TOONE MUNDRED
THOUSAN� OOLLARE (5/00,0OO�.IN ADDfT10N TO TNE COST OF COMPENSATION, DAMAGES AS PRW IDEO FOR IN SECTION 31060F THE LABOR CODE, INfEREST, AND ATTOitNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm theLl.am licensed under provisio s ot Chapter 9(commencing with Section 7000) ot Division 3 oi lhe Business and Professions Cotle, and my license Is In full
force and eHect..Lia n. P�%��i t'C S(� �-Class p ��J Q
ContractoFsSlgnaWre: l/T9_ _ Dat� ./I��GI�-01
� CONSTRUCTON LENDING AGENCY:
❑ I hereby aHirtn ihat ihere is a conswction lending agenty for ihe peAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Cotla).
LentleYs Name: Lender's AOtlress:
�� SignaWra: Date:
OWNER-BUILDER DECLARATONS:
I here6y eHirtn ihat under penelry of pe�ury Ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions
Cotle: Any dry or counry which requires e pertnit to construct, alter, improve, tlemolish, or repair any siructure, pnor to its Issuance, elso requires the applicant for such pertnit
to lile e slgneA statement ihat ha or she Is licensed pursuant to the provisions of the Contrectors LJcense Law (Chapter 9(commenUng with Sedlon 7000) ot Dlvlsion 3 of the
Business antl Professions Code) or ihat he or she is exempt i�eraFrom and tha 6esis for Ihe alleged exemption. Any violetion of Section 7031.5 by any epplicant tor a pertr+'
sub�ecis lhe epplicant to a civil penalry of not more than tive huntlred dollars ($500).):
❑ I, es owner ot Ihe property, or my emplqrees wl�h wages as t�eir sole compensation, WILL DO THE WORK, and the structure is not intended or ottered for sale (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himselt or herseN or through his or har own employees, provided that such improvements are not intentletl or oHered for sale. If, however, ihe building or Improvement is
sold within one year of wmpletion, the owner-builder will have the burden ot proving that he or she did not 6uild or improve tor purpose oi sale.).
❑ I, es owner ot t�e properry, em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTOFS to construd the prolect (SecJ044, Business entl Pmtessions
Code: The comractors License Law tloes not apply to an owner oi property w�o builtls or Improves Ihereon, end who contracts for such project wtlh e contrecmr(s)
license pursuant to ihe Contracmrs Licanse Laws.).
❑ I am exempt under sec. Business and Prafessions Cotle for ihis reason:
Signature: Date:
Owner ID verified by dnver's license. ❑ Ves ❑ No Dnvers License No.
Vertlicatian ol Ownership by (rype of dacumen4 i.e. - property ivc bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
Expires:
❑ I hereby certify that no excavetion five (5) or more tee� In dep�h into which a person is required to descend, will be matle In connection wilh work euthonzed by t�is
permit, and Ihat no building strudure, scaHolding, falsework, or tlemolition or Cismantling thereof, will 6e more than thirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
347, Ttle 8, Califomia Adminisiretive Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require e permii from fhe Division of Intlustrial Safery, as notetl ebove, unless such person hes a
pertni� Io do such work from the division.
Signeture: Date:
Division ol Indusirial Sefery Pertnit Number:
CERTIFlCA7E OF COMPIJANCE AND AllT}IORIZATON OF ENTRY: I certity under penalry oi perjury Ihat I have read thi5 application enC s�ate Ihet Ihe iMortnatlon given is
wrrect. I egree to comply with all stete laws antl ciry ordinances relating to bullding construction, and authodze represeniatives ol the Ciry oi Costa Mesa to entar upon the
above-descnbed pmperty for inspection puryoses. I agrea not to occupy or allow occupancy of eny builtling authonzed by this permit until finel inspection.
COOE�' INSPECTIONTYPE "
1818 Fixed System Final Fire Preventlon
1266
200
201
202
203
204
Paol Spe Finel
Final Re-Rool
Finel8lock/Retaining Well
Final Factory Fire Place
Finel Sign
Final Demolition
QdjE INTITIALS
4oDE � INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PdIE ItlIID�L$
CZ,_ Os COSTA MESA REQliEST FOR OCC�
7�����x
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_saacr �e. 7%� f�
?.OT NC', 7
a���ss �7 �-c��.t� .�.�
.vCY
DATE � ��
":zc develeper of tne a�ove entitled tract desires to sell the above set
Ee:th lot pr.ioz to the time that the tract has been completed and its streets
ac^eptec by Lhe City of Costa Mesa.
T'r.e undersigned, by executiag tnis agree^:ent, acknowledges that
(r�-sne-tne;; (was or were) advised that this tract has
nc: �een gic�n £inai ir.spec�io:+ aor has it been accepted by the City of Cesta 2tesa
_.� _.�-:'ag ca^.piied c:itn the coaditions of approval o;nich :�ere imposed by tne City
e.t ta� ti�n� the Eia2i tr�.ct m2? 4;t.s a��:ovee.
The City assumes r.o liability for the enforce:±:ent of the cor.ditions
,-:ecesse.n• for app_oval other th2r. these cor.ditions protected 'oy surety bond.
Th� �;�ders_g�ed a�r�es to :�de.:r._fy and 4old the Citc h2^nless fror
2�: ci�in res•.:i_t_r.g _a da�2.ge or perse,.ai _:^.jury to `ce unee-_signed by reason
o= �'-:e afore.:.e^.tionee uacem�ie_ee coadi�ion.
RECEIVED
CiiY L� COSTA fJESA
NL;;';;�!If;G DcPT.
SEP 17 1`-?7�
A� PM
`7�3�9�;�,1i,1?;1�2;3�2i5,6
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BY/l/�L�r��r�r_�%�%%�c,u�c.i � x(•� '
Purcnaser �T
- - �. /
BY �_,:. �-.z_ : r �/� �-"-, l'�! (��
Developer aad/or auchorized
rnpresenta[ive
BY � �
..-v. _�� i'i'.., ,l /i%��:
iender
OWNER
Street
�
DATE
SUBCONTRACTOR
"' ' ° C�'1<L_/i'�I�Ld/�1�IlGiF_'IpJhTi7
�%���L'�G/�� .37J►7!���?l.1JL�G
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ROUGM WIRING
TRENCHES FORMS
FLOOR SYSTEM
BOND BEAM ❑ STE
SHEATMING
FRAM� qN0 FLASHING
LATNING - IN
PLASTER,BROWN COAT
STEEL REINF.
5' TURAL, FINAL
h. G, VENT., REFRIG. AND A.C., FINAL
PLUM6ING, FINNL ANO GAS TEST
FINAL
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COSTAMESABUILDING-SAFETYDEPARTMENT �'R11-Tip�,-.00��5f39�:� .s;;::`•�5�4,��1
3��C P.O.�BOX1200 COSTAMESA,CALIFORNIA92626 �.
� � AP IC ON FOR BUILDING PERMIT
ForApplicantioFillinCompletely qECEI e a on CEIVED
ATEISSUED
BUILDING � � � � �PR 10 1973
ADDRESS
PfiBAA1T�N0. f
owNeR �n,.in Southern California A.P.NO.
eui�o�N�
ADDRESS 16255 Ventura BLVd� ADDflESS 3�%� C S//r' T,
CITY Encino, Californiallo��986-8890 TRACT 7718 �or 9 s�ocK.
CONSTRUCTION ��in Southern Ca;ifornia "' ° ^ _ P
LENDER
'BRANCH 16255 Ventura Blvd, � /,� -/ n_
� O W N E R WY'sQ1V �/V � C/V �—
nooRess�Encino California � p� � �
ARCHITECT TEI. S /c�..a C✓ GA�`LU$ �f �
ORENGINEEF ��1R .i. Calif. N ,273-4464 '�'
FIRE- /��//-
ADDRESS 9100 Wilshire Blvd. Bev. Hills ZONE V E / GROUP �
APPROVED
CONTRACTOR Larwin.Southern California B�' DATE
ADDRESS 16255 Ventura Blvd., Encino �
TEL. ZONE NO.OF USE OF NEV�(�'f Ie<S W
cirv Encino, California No. 986-8890 P�� Z� BUILDING G.��
STATE CITV �'ARDSAPPROVED VAROSAPPROVED
uc. No. 191311 LIC. NO. B�1 MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L ST EET) �
OF LOT GO X LOO NOW ON LOT � FRONT FT. FT.
VSE OF "
EXISTING BLOG, E S FT. FT.
SIZE OF � NO. OF -
NEWBL�G. �.9H% ROOMS STORIES 1 L.SIDE FT. FT.
EXTERIOR WALL � ROOF -
COVERING SCllCCO COVERING WOOd shingle REAR FT. pTt �.
USE OF BUILDING AND WOFK TO BE PERFORMED ' DISTANCE BET. - BET. MAIN &
MAIN BLOGS. ' ACCESS, BLDGS.
Construction Single Family Residence cuRP # APPROVED
' APPROVED ��_ � 1
>
}IOLD FOR SPcCIA RE TS
I hereby acknowletlge that I hava reatl this apPlication and state A
ffiat the above information is correct antl agree to wmply wiffi , ��
� all laws regulating builtling consttuction, antl I shall not employ �'
any pe�son in violation of Me workman's comp¢nsatiOn laws of
the State ot Calitornia. / m
�
I hereby certity that I am properly licensatl as a conttactor untler SQ. FT. O
the State of California Business antl Professions Cotle, Oivision 3,� T E A� OUNT S WN UNDER VAlUAT10N IS FOR �
Chapter 9, and that such licenses are in full force antl effect, or i THE PUfiPOSE OF ABLISHING A PERMIT FEE ON�V: m
am exempt from tha provisions of the State of California Business � ¢
VALUATION m
and Professions Cotle, Oivision 3, Chapter 9. PERMIT FEE $101, Jr� �
Signatura of m
Permittee E� D. Downs $ 29, 800 p�p,N CHECK $ 50. 75 E
o .
Authorized ABent 15'L.'zs u'
TOTAL FEE $