HomeMy WebLinkAbout2049 PRESIDENT PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2049 PRESIDENTPL
Suite:
Viciniry:
Parcel Number: 42249408
Applicant: PORTS, TERRY
Address: 18096 YOSEMITE CT
FOUNTAIN VALLEY. CA
Owner: RUSSO, DAMARIS I
Address 2050 PRESIDENT PL
COSTA MESA, CA
Contractor: CLONTS ROOFING
Address: 18096 YOSEMITE CT
FOUNTAIN VALLEY, CA
Zip: 92708
Arch :
Address:
Zoning:
Phone: (714) 936-8867
Zip: 92708
Phone:
Zip: 92627
Phone: (714) 936-8867
License: 728774
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 10I21I2002
Issued: 10/21I2002
' Phone: � ' Phone:
Zip: � License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING SHINGLES AND RE-ROOF WITH 30 YEAR COMP SHINGIES.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS � '
MAINSTRUCTURE Front- 0-0 �. - Rear 0-0
� �C .
ACCESSORY Front 0- 0 �_' Rear 0- 0
PARKING Existinq: 0 - Re uired: 0
NOTES:
PLANNING & ZONING
Lek 0- 0
Left 0- 0
Propased: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0-0
$3,000.00
$3,OD0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In ortler for the work authorized under this permit to be consitleretl legal, such work must comply with all applicable codes, and all
requlred inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
ta45a6lrvoo)
WOPKERS' COMPENSATION OECLAHATION: �
I hereby ettirm untler penalty of perjury one of the following tleclarations:
❑ I have antl will maintain a cOhificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of ihe Labor Code, for the performance of Ihe
work for which tAis permit is �ssued.
❑ I have and will meintain worNers' compensation insurence, es required by section 37(fJ of ihe l,Rbor Gotle, for the pedormance of the work tor which this permit is issued.
My worke�s' compensation I�surance carner antl policy number are:
Carrier: Policy Number:
(This section need not be completed i/ the permit is valued at one huntlretl dollars ($f 00) or less.)
❑ I certify Ihat in ihe pedormance of ihe woik for which this ermit is issued, I shall not employ any person in any manner so as to becoma subject to the workers'
compensation laws of Calitornia, antl agree that if I shyM ecome subject to ihe workers' compensation provisions oi Sectic� 3700 oi the Lebor Cotle, I shall forthwith
comply with ihese proviSionS. � � I/J I
Applicant Signature: Date: ���� /i� \��
WARNING: FAILURE TO SECURE WORKERS' COMPE A O CAVERAGE IS UNL4WFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSANDDOLLARE($100,000),INAPOITIONTOTHE TOFfAMPENSATION,DAMFGESASPROVIDEDFOFINSECTION3]WOFTHELABOqCODE,INTEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereb aNirm that I am lic r° �i Cha ter 9 mmen 'n wuh Section 7000 of Division 3 ot ihe Busines a d ops Code, fntl my license is in full
force antl eNect. Lic. x �����/ P�� ' Class k �
c t T—�T��S
Contractor's Signa�ure: �PJ�"� /9"t Date: ' I[11 1 l I�—
�—� �r e� --r— , �—
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is e� consimction lentling agency tor ihe pedormance ot the work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lenders Address:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe toliowing reason (Sec. 7031.5, Business and Professions
Code: Any city or counry which requires a permit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires tha applicant tor sucP pertnit
b file a signed statement that he or she is licensed pursuant to iha provisions of the Contractors License Law (Chapter 9(commancing with Seclion 7000) of Division 3 of ihe
Business end Professions Code) or that he or she is exempt therefrom and Ihe basis for the alleqed exemption. Any violetion of Section 7031.5 by any applicant for a permit
subjecis the applicant to a civil penaity of not more ihan five hundred dollars ($500).):
❑ I, as owner ot ihe property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, and ihe siruaure is not intendetl or oHered for sale (Sec.
7044, Business and Protessions Code: The Coniracmrs License Law does not apply to an owner of property who builds or improves thereon, and who dces such work
himself or herselt or through his or her own employees, provitled that such improvemenis are not intentled or oNered for sale. If, however, ihe building or improvement is
sold within one year ot completioq the owner-builder will hava the burtlen of proving ihat �e or she did not 6uiid or improve for purpose of saleJ.
❑ I, as owner of Ihe property, Am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business end Professions
Cotle: The contractas License Law does not apply to an owner of property who builds or improves thereon, antl who conlracis tor such pmject with a coNractor(5)
license pursuant to ihe ConUactors License Lews.).
❑ I am exempt untler sec. Business and Protessions Code Por this reason:
SiqnaNre: Date:
Owner ID verified by driver's licensa. ❑ Ves ❑ No Driver's License No.
Verificetion of Ownership Oy (type of tlocument, i.e. - property taz bill or daed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cetlify �hat no excavation five (5) or more feet in tlepth into which a person is required to descend, will be matle in connection with work authonzed by ihi5
permit, and that no builtling 9lructure, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan thirty-si: (38) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, Calitornie Adminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe Division of Indusirial Safety, es notetl above, unless such person has e
pertnit to tlo such work irom the division.
Signature: Date:
Division of Industrial Safaty Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EN7RY: I certify under penalry of perjury ihat I have read Ihis application end state that the in�orma�ion given is
correct. I agree to comply with ell stete laws antl ci�y ortlinances relating to building constmction, and authorize representatives of ihe City ot Costa Mesa to enter upon ihe
above-described properry for insp�ction purposes. I agree not to occupy or ailow xcupancy of eny building authorized by ihis pertnit until final inspection.
CODE t. INSPECTIONTYPE V
7616 Fixetl Sysrem Final Fire Prevention
72fi6
200
201
202
203
Pool Spa Final
Pinal Re-Poot
Final BIocWRe�aining Wa�l
Final Factory Fire Place
Final Sign
204 Final Demolition
o�.e INTRIALS
� � '� � at
T Date
CODEN INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Electrical
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�Occupancy
PAIE l[ffIIi�ki
OWNER xa�s, BRYAN D.�_� �AN 1 � 1957 DATE 4-28-55
JOBADDRESS 201�9 �'esident Place BUILDINGPERMITNO. 12�
GENERALCONTRACTOR Owner-Builder vn�uE s3,686.�� _
�oT �4R/# 186 BLOCK TRACTZ%�.Z Family Room (Addition to�dwell.)
also-�aihroom s orage room oor or
GROUP I TYPE V ZONE Rl FIRE DISTRICT j279 g�'age
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE+ NUMBER
Footing Trench —
Foundation Forms and Grade to Garage o.fA - L`< � 'a.1
�
Rough Framing �,`�t,'t � ,�t�-�
Plumbinq. Rouqh to Slab � „� ar � a- _�_.� .�00_
Wirina. Rouph CZ'LI/\ I S'-/U�f'L I /P�wrvi_6N I/� /9. A" VI /,v %"/ r
Heating, Final '� P S � 2-zy.s 6 n���[.U- I/'/,� - C/ 3 y 2- � —
Sewer, House Sewer, St. �� �
Septic Tank or Cesspool -
Lathing, In Out R�
Plastering
Piumbing, Final, Fixtures Complete
Plumbing, Fin,al GasTest
Wiring,Final EB 11951
Occupancy �j� � y �-g7�,
v.._... ��n i- u i cnn i G�
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tor''.'a� 1 % Fi !L<i-/,"`"
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` ! C�osta Mesa Building Department
117 EAST 20th STREET
,�'COSTA MESA, CALIFORNIA
r
FOR APPLICANT TO FILL IN
naa�ese �i�qf��l �S'/A.ENN%f
Costa Mesa, California
Nearest �/
Cro55 St. ��/� •— ,$' %
Owner��j�� ,(�_�/jJ ��
Mail
Address �,�yt�it'�s�,�.�.r�-/�� •
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CitY L'�S%%Q�/i"/.�-.S�/ri. No.�/-47'�`
Architectar . . Lic. . _ _
■ Address
/ `�
Size of Lot [e!v .
■ Build
I hereby acknowled
and state that the�a
with all City Ordi
building constru ''
Signature
Permittee
Authorized Agt. /
36�
Valwation �,
FONM 204 G-X 2M 5-56
— /f��'/ — H�YfJ —
City Lic.
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�it�,E<S!A L'NT" -f L �
���p I Block I Trac4 ���
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� No. of Bldgs.
�I7 Nowon Lot I
No.of No.of e►
�t�S�' I Famiiies� Rooma.�
j'Rooms
I Ro
/ AiG Co
APPLICATION FOR PERMIT
�2'79 BUILD,LNG �
�OR OFFICE USE ONLY
. _ _ Receipt No. Permit No.
/02 G /o
Received by Date Rec'd. Date Issued
� � 5�-a d -S d 'i` �-8 �
Buildi
� Address
� Costa Mesa, California
Plans
�emolish I
Stories �—
�S ,cS�:Y� A]
� .— Foundatlon Location
� Forms, Materials�
Under-Pinning
Frame: Fire Stops,
(at I }tave read this A�pp]
� is correct agree to i
es and St te • ws r
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Plan i
Total
Fee
Lath. Ext.
Plaster, Int.
Plaiter, Ext
Masonry Rei
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Inspector
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i PLOT PLAN � - .
Show Iocation and distances from ` _ . � �.c� � � � � �
property line and between buildings.
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ORANGECOUNTY BUILDINC•DEPARTMENT
���! �' � 636 North Broadway � �
SANTA ANA, CALIFORNiA
' FOR APPLICANT TO PILL IN
�UILDING �_ ._ �. . _ . �..
NEAREST
CRO55 ST
CITY Aeverlv Hllls N��GH b4
ARCHITECT iQa�n & MeKerrac�`ess
ENGINEER �j
ADDftE55 2110 E.Walnut—Pasadena
^ooREss g363 Wilshire—Beverl Hill
JESCRIPTION I NO. lpV BLOCK I TRACT1712
(ATTACH METES 8 BOUND51
NO. OF BLOGS.
SIZE OF LOT' 66 x 11O NOW ON LOT O
USE OF NO. OF NO. OF
EXISTING BLDG. Fanutes I ROO 5
CENTERKOFI STR EOTM� BO 1 T. _ SEOE YAROL(� �% � E
DESCRIPTION OF WORK
NFW I X I 41 TFRGTICIN I I G[1O1T10N I
1 USE OF NEW /�
BUILDING Residence—Att V�p�i�t
APPLICAT�ON FOR PERMIT .�`
�Y��Pa�'� V �
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
�333 ,5c � o a
BV DATE REC'D. DATE ISSIiED
y-a -�.3 �/-� � 3
BUILDING /�/y � � � -� - n �
ADDRE55 n'7-%
--r
SCHOOL DIST. ��
OH TOWN
NEAREST fnG
CRO55 ST. ��
Z�E, I NO. OF
PLANS
CORRECTIONS
APPROVALS
I HEREBY ACKNOWLEOGE THAT 1 HAVE READ THIS FORMS, MATeRiAL:
APPLICATION AND STATE THAT THE ABOVE IS CORREGT UNOER-PINNING
ANO AGftEE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS,
BRACING, BOLTS
AND STATE LAWS REGULATING BUILDING CONSTRUGTION.
LATH, R1T.
SIGNATURE OF Ne OI'Y ViS O �ATH, EXT.
PERMITTE
�/� PLASTER, INT.
AUTHOF2IZED AGT y+, � ��� pLASTER, EXT.
PERMii F[[ 8� MASONRV REINFORCED
VALUATION S 4830��� o,.,, ..,,�,,,,
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BON� BEAM
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STREET
PLOT PLAN
Show locotion ond distances from
property line and between buildings.
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