HomeMy WebLinkAbout1352 GARLINGFORD ST - Building Permits '�' CITY OF COSTA MESA
l
< BUILDING DIVISION
}• �T,. . t;am�`1 DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
I.t .....r � j" *ERMIla
. IPA� 606-01092
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ifLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1352 GARLINGFORD ST Status: ISSUED
Suite: Applied: 06/29/2006
Vicinity: Issued: 07/06/2006
Primary Occ: Type of Construction:
Parcel Number: 14102211 Zoning: R1
Applicant: SCHLATER, JOSEPH
Address: 1352 GARLINGFORD
Phone: 714-315-2790 ISSUED BY:
COSTA MESA,CA _ . --- ---Zip:._ 92626
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Owner: SCHLATER, JOSEPH 6:-.- - �r—
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Address 1352 GARLINGFORD -- ' I --
Phone i�� L
COSTA MESA,CA '` 1 ' _. , Zip, ;92626! / \�_
Contractor:/ OWNER-BUILDER -22------_-- 7 c�" . -�- v J www
Address %2/ '� �i ��A"� ��A`:v
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Arch: / / .7 /- Eng: SHUCRI YAGHI`VA / \ vy; A
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Address:., - ///// Address: 112 E CHAPMAN AV:y V - -/'.
��/,��' Phone: ' ` SUITED - \ -.7" Phone: 714-9979 20
(� - lt ' ORANGE,CA
,:\ t
.Zip / License " 92866>' License: -C43205`.,
'REPAIR EXISTING FOUNDATION'AT WEST WALL OF RESIDENCE.
`. - A Av .
i ` . " / FEE SUMMARY v,
Plan Check.. $99.61 ( . - Calc Valuation: s . r s6,000.00
/t ' f^ /r r rvr-; v :cwt
Permit: $153.25 / / s -r Claim Valuation _ sa,000.00
' ` .SMTP Res: $0.80 J. 2 r\.12/z! ( �±1 -' �� 1' � v .._ .,)
SMIP Com $0.00 ,
Other. $0.00 r ,)
In'spectlon J', -�' $0.001'1 /�V
. Total $253.66
i = / ,/ / i ,' i
.- PLANNING-& ZONING j ��/ / /'.�' I
SETBACKS ',
4.., w 4/ ,N c. / "/
MAIN STRUCTURE Front. ",0-0 Rear �0 0 " ' ' Lefty • 0-0 Right . 0-o -. // /
ACCESSORY Pront` 0L 0 Rear ".0 0 t 'Left_ 0 0 m: .,.1;? Righl,�4/7/ } y /,V
sti AST/ � -' i
PARKING- Existing: o s Required 0 Proposed .0 j/ /; �"/. '�
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
2446-46(WOO)
DECLARATIONS
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'cc(npensatir3,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:
section need not De completed i!the
permit is valued of one hundred dollars($100)or less.)
""I'certify that in the p: ormance of the work f. wh' h t 's permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
1 _ - -compensation laws : d e. t1.111 5 • I.become sub: .to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply.with these p-visions.California,' S 7-4-06
--) / /'
Applicant Signature: 11 i.. 'Jv _ A A.L �d\ ( Date: ` /-('l`O 6
WARNING:FAILURE TO SE•I RE WO'KERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED
THOUSAND OOLLARE(S100 1..),IN .DITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.4 Class 4
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 for a permit
subjects 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 properly 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.U.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 ❑a- 1,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 pu uant to the Contrac•rs ice aws.).
❑ I am axe 'pt under::c. a I I / . Business and Professions Code for this reason:
Signature: I�:—A r alnieltna T ( Date: "7-'6-0 6
-Owner iD ventd by. 'vers license. 0 Yes 0 No cDrlver's`Cicense No.' Expires: ,- -
?-D. -O
Verification of 'r nership by(type of document,i.e.-property tax bill or deed):--"- )---
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 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 B,California 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? ❑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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65650.2 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 0 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.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND UTHORtZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I ree to comply with allws sffdc' dinances relatin ilding construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-de ribed prop y for insoil
n urp�s. e en py or allow occupancy of any building authorized by this permit until final inspection.
-d�o6
caignatureO Legal Owner(s)' '' - -- _ 1Date--
And/or Authorized Applicant Date
POPE I INSPECTION TYPE PATE INTITIALS MOME• INSPECTION TYPE PAIL ILLS
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 Well 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site '/ '
•4Z
204 Final Demolition 250 Final Building/Occupancy "07 - -
• , ,
r� i. 12-----1 �) sob -010 ?
SHUCRI "CHUCK" I. YAGHI
Consulting Engineers: Residential & Commercial
112 E. Chapman Ave, Suite D, Orange, CA 92866 TEL: 714/997-9120 FAX: 714/744-3676
A .4 OE 2 u /
DATE J .2-/ / t'I u
TO: G i /3-'1 U %- co 1,j'/� AA_ -T A / guy U = PT .
FROM: Shucri I. Yaghi, P.E.
7i 5 L CCi ✓tv err- 4 r-cn D GOT 1 A. M 3/�
REGARDING: 1
SUBJECT: 1-i L51-0 G'"X K` CA\ v
Findings: pc`T,A IL 1- /5 L. `Lcvi2 'PK/J&^ + c-c I" 5t. ^-r
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Sincerely
,/0"? I. YAG6> 4-Q
Z\i\11`4e
JPr- m.
��,. No. 31108 x i,
/k-* y
a4� CIV\\- pQ�%
�t OF GP\-\F"'
SHUCRI I. YAGHI, P.E.
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ADDRESS OF BUILCING:
1352 GARLINGF,ORD ST UNT:
CITY OF COSTA MESA — BUILDING PERMIT
a'";xsN"NEI`Iaa"N'SCHLATF.R, JOSEPH FLOOD : X 37 077429
ADDRESS:135"2 GARLINGFORD ST PERM NO: B
PERMIT NO: B 077429 PLAN CHECK NO: N GOVT : N SUPP : N
ezau 9Aa ,, CA 92626957-8252
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF RECOVER W/25 YR COMP SHINGLE SQ FT: 4 , 000
ARCH.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 4 , 000 . 00 CALC—VALUE: 4 ,000 .00 GROUP OCC: R-3 /U-1
CONTRACTORS NAME:
CCNWRACTORSMMUNG COMMENTS : REROOF RESIDENCE
ADDRESS: UC.NO.: *******************************************************************************
UNT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Profession Code,and my license is in full brce end effect.
CRT LIC.NO.: LIG.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
Date: ContractorFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Conflation License Law fa the
tdlowing reason(Section 7031.5 Business and Professions Code:Any city o county which requires a permit to construct,cher,Improve, PARKING REQ: P RO V: PARCEL: 14102211 Z N E: REF NO:
moleh,or repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
licensed pursuant to the provielons of the Contractors License law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
eueiness end Professions Code]or that he or she a exempt therefrom and the basis for the alleged exemption.My violation of Section >
•
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more thanfNe hundred dollars[S5001). *******************************************************************************
❑ I.as owner ofthe properly or my employees with wages es their sole compeneetbn,will do the work,and the structure Is not intended D E V E L O P M E N T SERVICES R E U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property Q
who builds or inprovee thereon,end who does such work himself or herself or through he or her own employees,provided that such -
Improvements are not Intended or offered for sale.U.however,the building or improvement a sold within one year of completion,the ZONING APPROVED BY
owner-builder will d
have the burden proving he or she did not build or improve for the purpose of sale). - DAT E
X❑ I.as ower of the properly,am exdusivey contracting with licensed contractors to construct the propel(Section 7044,Business and /'•
Profesdars Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED B Y : DATE:
contracts for such projects with a contractor(s)licensed Wm - o the Contractors License{ace r i�// ,L
❑ Iamexempt under Sxptioon: B.AP.C.,for Iireason: / t �1 APPLICATION ISSUED BY: DATE:21 G�- 9
Dale: '1—A1' /b Owner: k�/ / ******************************************** ************************* **
I do hereby certify that thatlaaware of end understand the requirem. IofCalf• is Health and Safety Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534,and that I or any Mum building occupant will/wit not(circa r ne)need to comply with said slate codes end the requirements for '
a permit forconetmdien or modification from the Air Quality Management District.Residential construction applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 87 . 25 - . 50
Date: Applicant: SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN
❑ I have and wilwaintan acetdcate ofconsenttoseff♦nsure for workers''compenwion,as provided for by Sadion 3700 of the Labor ISSUE FEE
Code.for the petamanceof eworkfotwhichthispermnaasued. BUILDING DIV—> PERMIT ISSUE PLAN—CHECK TOTAL, PAID DUE
❑ Ihave and wilmaintaitworkers'compensatininsurance.arequired bySedIn3700of the Labor Code,forthe performance d
the TOTALS----> 87 . 75 0 . 00 0 . 00 87 . 7 ' 87 . 75 . 00
work for which this permit is issued.My workers'compensation insurance carrier end policy number are: -
Canter REVENUE DIVISION TOTALS--> COLLECTED : 87 . 75 OVER/SHORT: . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
,nice section need not be completed ithe weft ia for one hundred dollars 13100iorhn.) 87. 25 . i., 50
X❑ I certify that in the performance of the wok for which this permit is issued,I dell not employ any person in any manner so as to
become subject to the workers canpensation laws of Cailoma, and agree[hal if I eheuM become bled b the workers. *******************************************************************************
compensation provisions of Section 3700 of the Labor Code.I e all lothwit coat h ose gym,
Data _#)9-96 Applicant:icnLDI
INDIVIDUAL F E E BREAKDOWN
. •
/ Warning:Failure towake,:componadoncovaagaIcea whit,and shall subject anemployer badmin/ and TYPE QTY DESCRIPTIO N UNITCOST
TOTAL COST
civil lines upb one hundred thousand dollars(61011000),In tion to he coal of compxuatlon dimities es Provided for In71 A$epgon37OsofineLaeprcros,Innnalndaro daf«a. SFR 4000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00
I 4 , 000 . 00 '
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally d perjury that there is a construction lending agency for the END OF FEES
performance of the work for which the permit is issued(Section 3097,Civ.C).
LENDER'S NAME: ,
' LENDER'S ADDRESS: '
I certify that I have read this application and stale that the above information is coned.I agree to campy with all city end county ordinances t
end state laws relating to building construction and hereby authorize representatives of this city to enter upon the above.mentoned propemy
for inspection purposes.
JOSEPH ,�LI[_�SCHLATER 9 Q .t2[5• '_
/ ', .0!O��\.<7..._ Date: II � YJ - r•1� ..r• __
Signature of• .r/AgeriIAppl I/Contracor ,•
(5151-45.WP) White-Building A Safety:GreenFle:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
E CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector,
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -_
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE •-• l
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System . 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14, Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing / 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing $g fo' Jr 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing&Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31: Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final G/ ?o-q6- $IW e/c /6--c
42. Backf low Preventer &4-v4 q.e_. --66-6z_
43. Backflow Irrigation
`21796 #(10-44. Landscape Irrigation System ,rte
T•e.c i426
45. Sound Attenuation v�
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 57,10_10 P[, _
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
•
ADDRESS OF BUILDING: 1352 GARLINGFORD ST °MT . CITY OF COSTA MESA — BUILDING PERMIT
avNERSNAklE'FmcAN:SCHLATER JOSEPH FLOOD: X 37
ADDRESS:1352 GARLINGFORD ST PERM NO: B 077429
PERMIT NO: B 077429 PLAN CHECK NO: N GOVT: N SUPP: N
( OSTA MESA,CA 92626957-8252
APPL.MAILING ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF RECOVER W/25 YR COMP SHINGLE SQ FT: 4 , 000
ARCH,OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 4 , 000 . 00 CALL—VALUE: 4 ,000 .00 GROUP OCC: R-3 /U-1
CONTRACTOR'S NAVE:
CONTRACTOR'SMAIUNG - COMMENTS: REROOF RESIDENCE
ADDRESS: UC.NO.: ***************************************************************************♦E***
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aftkm under penaky d perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
CITY LIG NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
Dae: Contractor: LEFT:
FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,cher,improve. PARKING or repair any structure.prior to is issuance,also requires the applicant for such permit to file a signed statement that he or shePARKING REQ: P RO V: PARCEL: 14102211 Z N E: REF NO;
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
_easiness and Professions Codel or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Seaton >
7031.5 by any applicant for a permit eubeds the applicant to a cvilpenahy of rid mon than be hundred dollars MOOD. ***************************************************i#***************************
I.esowner of the property or my employees with wages eslhek rob compensation,will do the work,and the structure enot intendedDEVELOPMENT SERVICES ' REQUIREMENTS
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of Pronely
who builds or improves thereon,end who does such work&msen or herself or through his«her own employees,provided that such
•
improvements are not intended a offered for sale.I.however.the building Of improvement is sold within one year of completion,the ZONING APPROVED BYDATE:
hud
ownerder will have the burden of proving he or she did not build or improve for the purpose of sale). •
XQ I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon and who BUILDING APPROVED BY : • DATE:
contracts for such projects with a contractor(s)licensed pursuant o the Contractors License 21."
//
0 I am exempt under Section: B.A P.C.,for A e1J APPLICATION ISSUED BY: / DATE:` ."07-9(�
Dae: W-A9-9C Chimer yl (� xt��E�PAE� *********sf�Ex�E******tEiE�k+E�r+r****#tE�E****** E+r ****iE****�E**************+Fi+**
LEGALIZATION:N F E E S U M M A—R Y STRUCTURAL SEGMENT:Y
I do hereby certify that I em aware of end understand the requirement of California Health and Safety Code Sections 25505,25533,and
25534,perm and Untloren or ture modkitingo teAO.matitMsnal not gme a)need wkbeecewemdeeenaeereainmmnroron BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/R£S GRADING
epermh for that
or an«moedbuiiin occupant
y uscrcl'pne) nice toeiomply mhssidbnepcodessat exempt rllmeNese
provisi«n. •
PERMIT 87 . 25 . 50
Date: Applicant: SMIP/NON AES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penehyof perjury one d 3dm
a folowing deelkns: PLAN
ISSUo I have ewwillmailman a certificate f
e al consent to insure workers'compensation.=provided fa by Section 3700 of the Labor BUILD FEE
n
Code,f«the p.dannanceathe work ronwNan this permit's Sued. UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o Ihave and wflmaintain workers'compensationinsurance,es required bySedicn3700of the Labor Code.for the performance othe TOTALS— --> 87 . 75 0 . 00 0 ,00 87.75 87 . 75 . 00
work for which this permit is issued.My workers'compensation insurance carver and policy number are:
Carrier _ REVENUE DIVISION TOTALS--> COLLECTED: 87 .75 OVER/SHORT: .00
)/ Policy Number: BLDG 87PMT PLUMBING ELECTRIC MECHANIC 'FIRE SMIP/T. 25 OOT GRADING PLAN—CHECK
r r his section need not be completed I the pent is for one hundred dollars/51001 or less)
xO I centy that in Ns performance d the work for which this permit is issued.I shall noe employ any person in any manner so as to
become subject to the worker,'canasatln laws of Ca4l0me,end agrse thu 11 shokbecome bled n the main' ***************************************************************
****************
compensation prnviasdSection 3700 0l tit.Labor code.' fannwspy,� _
Dale: H -3.p-c 6 Applicant: Ot-/1 INDIVIDUAL FEE BREAKDOWN
/
Warning:Failure to,---,secure workers'compensation coverage isuq wful,and shall subject an employer to criminal penalties and TYPE QTY D E S C P. I P T ION UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars 01040001 In Son to the cost of compelsatIon,damages as provided for In
Section 3706 of the Labor Code,interest,and attorney's leu
d SFA 4000 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 4 , 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penary of perjury that then e a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: •
I certify that I have read this application and sate that the above information is coned.I agree to comply with all city and county ordinances
and state laws raising to building construction and hereby authorize representatives of this city to enter upon the above'mentioned property
for inspection purposes.
JOSEPH L SCHLATER 01 00205475-00205476 TOT 87.75
DATE: 04/29/95 TINE: 13:20
Pnnt C
�,e a , � n ,... Date: �i-a9- 9G
Signature of Ovmer/Agenl/Appicant/Contredor •
(5151-46 WPI White-GuIdig 8 Safety:Green-Fle:Caney-Applicant:Pink-Revenue:Goldenrod-Assessor
OWNER tllitiHhUHALL. OF FAME HOMES, INC. DATE DEC 1 1 1962
JOB ADDRESS 1352 Garlingford St. BUILDING PERMIT NO. A Q'C1�
GENERAL CONTRACTOR latettme Res.Bldg. Corp. VALUES 19,055.00
-
AP No. :1 LOT 24- TRACT 11355 FIRE ZONE DESCRIPTION OF WORK Res.watt.Gar.
I ECTIONS Signature DATE GROUP I & J TYPE V ZONE Rl
SonPERMITS ISSUED
Gas �te,u� (-M--Cg
3 SUBCONTRACTOR DATE I NUMBER
Water u/ /.f/ ?
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating r? _ ,,7_�G- i335`e
Rough Plumbing = -G- 49-e —__ _' P/. 12-&f-G_.1_373_g/ r
Miscellaneous _ _�J n
Prop.Swr.Line 0 House Con.g St.Swr. ❑�", -- �4c7 _(fin Zts,, C. a-..76-4, .3.5,7/x,0
Sprinkling System p j
Construction Pole ^ (._9./ 3 t{G_`�/'ICht eafee"i( Z_ee _l-7'a—/_70_7 _F
Underground 0 Power .� 55��' t26/6
Rough Wiring !2/�y5 7.74-!l re,7� G.C.[ r<�eJfe S-,S-43 /9 ..
Trenches fd- Forms r Steel Reinf. 0 (.. -1,''-6y _
Floor System -�� ,-A/ - 63
13ond Beam 0 Steel Reinforce 0
Sheathing _ e ,y 4 >g,_7_
Frame and Flashing / 7 7 -AP; Y
Lathing — In Out ' Ate ei—U1--413
P" -ir, brown coat I,•••-•! y"_rg_6
f, g. 0 Air Cond. 0 Final _
Heating, Final J- 5-63 fir--i-;r7:5. :;=-...,-7
Plumbing Fixtures, Final i 1• 7-a 3 tF
r.:.,.,, a.).. m,...t ,---,Li. ii
[ 18406 FEE RECEIVEDp
COSTA MESA BUILDING•SAFETY DEPARTMENT Lot 24, Tract k. 55,4 PlaBE`�t 1j19e2
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATION Pi3k WRAQISTA MESA
TYPE OR PRINT
BUILDING C..10//r•-
+ BUILDING
ADDRESS l3-r L r �,� -rt
COSTA MESA. CALIFORNIA For Office Use Only �a
OWNER Harbor Hall of Fame Homes, Inc. I RECEIPT NO. I ��'$�
MAILT� RECEIVED BV DATE RIGID DATE ISSUED
ADDRESS .0• Box 2066 �,.,. /a/',/ 2I DEC 1 1 1962
CITY Santa Ana NELDKI 9-220y BUILDING
ADDRESS
ARCHITECT Jamison TEL•544-004C COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS 225 11D" St., Tustin FIRE 1Z(
ZONE TYPE .i GROUP %I
CONTRACTORLlfetlme Residential Bldg Corr'APPROVED
BY DATE
ADDRESS 2131 So. Artesia ZONING
CITY Santa Ma ZONE R I I NO.OF I USE OP NEW n' ,?j if....,
a �PLANE S BUILDING wIa
A1•
LIC.TNO. 205676 NO. KI 9-2204 LEGAL 2 LI 7R a9,_,—
DESCRIPTION O 74-
SIZE 60000, .I NO. OP BLOCS. 0
OF LOT V 0 NOW ON LOT A.P.NO.
USE OF - None YARDS EVES
EXISTING BLDG. ) APPROVED ALLOWED
SETBACK LINE FROM 541 4'(.,401 (CENTER YNE BT.) �/
CENTER OP STREET REAR YARD FRONT ,)r / FT. �— IN.
SIDE YARD I LEFT S' I RIGHT 5' R.SIDE -S FT. IN.
DESCRIPTION OF WORK ..—
L.SIDE y— FT. IN.
NEW I"' EALTERATI ON I II ADDITION I REAR 4L • V OFT. IN.
n MOVING I II DEMOLISH I BYPROVED /A�90 DATE is/1f��i+
REPAIRI �•1/i1
BUILDINGr� NO. OF
SIZE 1/90 ROOMS 10 STORIES 1
OVERIING WAL Plaster COVVERINGSbake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
4)-i/tza Ave, D {//�
i_/7/C P /J /�ID/
I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION lekft6
AND STATE THAT TN! E IS CORRECT AND AGREE TO COM1 THH AMOUNT WN UHINONDER VALUATION IS POR THE
PLY WITH ALL CITY J��• NCBB AND STAT LAWS GULATING PURPOSE OP BTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRU �• VALUATION //
SIGNATURE OF Waif E.A PERMIT FEE $ V/ .i
PERMITTEE ` $ /y OS,1-� PLAN CHECK $ 3/.D G 411'
F
AUTHORIZED AGENT TOTAL FEE D
n