HomeMy WebLinkAbout3461 FUCHSIA ST - Building Permitsi
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Jab Address: 3461 FUCHSIA ST
Suite:
Viciniry: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 41217208 , Zoning: R1 R1
Applicant: SELL, RON
Address: 18032 LEMON
YORBA LINDA , CA
Owner. GEKCMYAN, DAVID
Address - 3461 FUCHSIA ST
. COSTA MESA, CA
Convactor: SELL ROOFING COMPANY
Address: 18032 LEMON
YORBA LINDA , CA
Zip� 92686
Arch :
Address:
Phone: (714) 528-1758
Zip: 92686
Phone:
Zip: 92626-1713
Phone: (714) 528-1758
License: 323842
Eng:
Address:
ISSUED �Y:
Stalus: ISSUED
Applied: 06/05/2002
Issued: 06/O5/2002
Phone: - Phone:
Zip: License: License:
- . SCOPE OF PERMIT
REROOF: T/O EXISTING SHAKE ROOF, 1/2" OSB, 1 LAYER 30# FELT, APPLY "30 YEAR" COMP SHINGLES: 25
SQUARES
Plan Check: $0.00
Permit: $11125
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Lek 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$a,so0.00
Sa,soo.00
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
requlred I�spections end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 _
zaasds (s�oo)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eftirtn under penalry of perjury one ot tha tollowing declarations:
❑ I have and will mqintain a certifiwte of consent to self-Insure for workers' compensation, as provided for by sadion 3700 of tha Labor Code, for the pertormence of the
�ork for whlch Ihis pertnii is issuetl.
have antl will maint�in workers' compen5aiion insurance, es required by section 3700 of the Labor Code, for ihe performance of ihe work for which this pertnit is issued.
My workers' coym�oe�—saf Insuren rder and cy number ere: c^ �
Carrier� �X � ��/' P�oAcyNum6ar. I�� 6 J S
�(This secfion neetl no( be comD�efed i! the pe�mit is ve ed et one hundred dollers ($100) or less.)
❑ I cenity thet in the pertortnance of the work for which ihis Dertnit is iuued, I shall not employ eny person in any manner so as to become subject to the workers'
compensatlon laws oi Callfomie, ree that Ii I sh beco e sublect to the workers' compensalion pmvisions ol Saction 3700 of ihe Labor Cotle, I shell forthwith
wmpy with Ihese provisions. /
Ap0liqntSigneture:� �✓L � CDatas �—( � �
WARNINO: FAILURE TO SEWRE WORKER$' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYEii TO CRIMINAL PENALTIES AND CIVI� FlNES UP TOONE HUNORED
TqUSAND DOl1ARE (5100,000). IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGfIIXJ 9W OF THE 1A80R CODE, IM�EREST, PND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby eHirtn Ihat I am licensetl under�rovlZs ons of ha/te�r 9(commencing with Section 7000) ot Division 3 0� 5. �usiness and P��rofessi�s Gptle, antl my license is in full
loroe antl ettect-Ck.—d\ S 7' �� �%
^-"_ =•=r_ c].__.......� �. �/ n��� i n.� i/� Z
CONSTRUCTION LENDING AGENCV: '
❑ I hereby aHirtn Ihat there is a consiruction lending agenty for the pedormanca of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Neme: Lender's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATONS:
I hereby aXirm thet under penalry ot perjury thet I em E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions
Code: Any city or wunry which requires a pertnit to consirucL alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires tha applicant for such permit
to file a signetl stelement that he or she is licensed pursuant m the pmvisions of tha Contractors License Lew (Chepter 9(commencing with SecUon 7000) oi DlWsion 3 of Ihe
Business end Profeulons Code) or thet he or she is ezempt therefrom and the basis for the ellegetl exemption. Any violation of Section 7031.5 by any applicant tor e permit
subjeds Ihe epplicflnt to e civil penalry of not more than tive hundred dollars ($500).):
❑ I, as ownar ol the properry, or my employees with wages es �heir sole compensation, WILL DO THE WORK, and the structure is not intanded or offered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law tloes no� apply to an owner of properry who builds or improves ihereon, antl who tloes such work
himsetl or hersetl or through his or her own employees, provided ihat such improvemenis are noi in�ended or offered for sale. If, however, ihe building or improvement is
sold within one year ot completion, ihe owner-builder will have the burden of proving that he or she ditl not builtl or improve for purpose of sale.).
❑ I, as owner ot the property, am E%CLUSIVELV CONTRACTING WIT}i LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Protessions
Code: The contractors License Lew does not apply to an owner of property who builds or improves thereon, antl who conirecis tor such projact with a contrector(s)
license pursuant to the Contractors License Wws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by tlnvers license. ❑ Ves ❑ No
Business antl Professions Code for this raeson:
Venficetion of Ownership by (�ype oi tlocument, i.e. - pmPerty tarz bill or tleetl):
Dnvers Licanse No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION:
� I hereby certily ihat no excevation five (5) or more feet in tlepth inio which a person is required to descend, will be made in connection with work authonzetl by Ihis
perrnit, and that no building siructure, sceHolding, talsework, or demoli�ion or dismantling theraof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Ttle 8, Calilomia Administrative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require e permit irom the Division of Intlustnel Safery, as notetl ahove, unless such person hes e
permit to do such wark Irom ihe tlivision.
SignaWre: Date:
Division of Indusirial Satery Pertnit Number.
CEHTIFlCATE OF COMPLIANCE AND AUTHOFIZATON OF EMAV: I certify under penalry ot perjury ihat I have read this application end stete ihat the infortnation given is
correct 1 agree to compty with all state laws and ciry ordinances relating to 6uilding consiruction, and authonze representatives of t�e Clry ot Casta Mesa to entar upon the
ebove-descnbetl property tor ins�on purposes�agre�� to occupy or allow occupancy of any building authorized by this permit until final inspection.
COOE I, INSPECTONTYVE
1616
1266
200
Fized System Final Fire Prevention
Pool Spa Final
Final Ra-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final �emolition
Q�1� IMRIqLS
COOE� INSPECTIONTYPE
206 Final Mec�anical
20B Final Plumbing
210 Final Elecirical
212 Final Fire Pravention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
��—� �
�Date 1
BdIE I�LS
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TRACT N0. �7��1 U
TAT N0, (y
.n�D�ss�� 4 G / Fvcys'i� os ���r`-y� -
DATE �/�Z�`�7�
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
6
The undersigned, by executing this agreemen:, acknowledges that
(he-she-they) li� (was or were) /n/� advised that th3s tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
e
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those condit3ons protected by surety bond.
The undersigned agrees to indemnify and hold the City hazmless from
any claim resulting in damage or personal injury to the undersigned,by reason
of the aforementioned uncompleted condition.
BY •2^i�[�/!/
Purchaser
'�" /
BY �=-�z- �a-..r.�,�C? �/(,c_r(_.�%l�
Developer and/or authorized
representacive
BY 7` � � ��i:� �,� �z.f,-z..
�L'ender
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OWNER
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COSTA MESA 6UILDING-SAFETY DEPARTMENT
L; BR P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APP � C I N FOR BUILDING PERMIT
ForApplicanttoFillinCompletely qECEIV ,a D ERECEIVED DATEISSVEO
AOIDFESS ` ' � 10
- PERMITryQ.i
OWNER Larcain Southern California A�P•"�•- �/� JOJ;�b
MAIL AD' RIE S��C� /�C�S//� �
ADORESS 16255 Ventura Blvd.
cirv Encino, Calif. No� 986-8890 TRACT 7718 �or 8 e�ocK
CONSTRUCTION W ADD A PA
LENDER Larwin Southern California
BRANCH 16255 Ventura Blvd. /_ /1�
ADDRESS Encino, California owNEa �-/C��-L�%��� (� (i(/ E
OR ENGINE R �YF71i1 SO Calif, NE`. 273-4464 S�/ W��� S" � �
FIRE
ADORESS 9100 W11SI11Y0 BLVd,p Bev. Hills ZONE V E GROU/!P
CONTRACTOR Larwin Southern California BY�ROVED � G oATE ,7 '� 7�s
ADDRESS 16255 Ventura Blvd.
TEL. ZONE NO.OF USE OF NEWS
cirv Encino Califo. No 986-8890 — P'-4Ns'y BUILDING �,2
L?C No. 191311 LICVNO. B_1 vMA NSBUILDINGD ACC SSORV BUOILDING
SIZE ' ' NO.OFBLDGS. (FROMGLSTREET) - -
OF LOT 6O X LOO NOW ON LOT ' O FRONT � FT. FT.
USE OF r
EXISTING eLDG. � ' S �% yFT. FT.
SIZEOF NO.OF 1 L.SIDE � FT. FT.
NEW BLDG. 17�FO ROOMS � STORIES
EXTERIOR WAIL � ROOF �
COVERING SillCCO COVERING WOOd shin LE REA �✓ FT. FT.
� USE OF BUILDING AND WORK TO BE PERFORMED • DISTANCE BET. BET. MAIN &-
MAIN BLDGS. ACCE55, BLDGS.
Construction Single Famil Residence CURP.# APROVED
APPROVED� i/ ���7
`Y �
HOI,D FOR SPECI L REQ I�Afi
I hereby acknowletlge that I have'reatl this appliwtion antl state �
that the abOve informatiOn is correct antl agree to comply wi[h
all laws regulating b4ilding construction, and I shall not employ � � ,
any person in violation of the workman's compenzation laws ot
[he State ot California. / � - �
I hereby certify that I am properly licensetl as a conttactor untler SQ. FT.
the State of California Business and Protessions Cotla, Divisicn 3, THE AMOUNT S WN UNDER VAIUATION IS FOR
Chapter 9, and that such licenses are in full torca antl etfect, or I THE PVRPOSE OF ABLISHING A PERMIT FEE ONLV:
am exemp2 from the provisions ot ihe State of Calitornia Business � VALUATION
antl Professions Code,�Division 3, Chapter 9. - PERMIT FEE $ 94. ��
Signature ,./�� D. Downs
Permitte R� /�Lsfi--� $ 26 ��F�Q pLAN CHECK $ 4� . ��
'Authorizetl ABent TOTAL FEE $ L�FL. ��
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