The URL can be used to link to this page

Home My WebLink About2195 RALEIGH AVE - Building Permits(714) 754-5273 • Fax (714) 754•4856 • www.cl.costa-mesa.��DING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 2195 RALEIGH AV Suite: Vicinity: Parcel Number: 42240302 Applicant: SIMPSON, ALICE Address: 2195 RALEIGH AVE COSTA MESA, CA Owner: SIMPSON, JERRY M Address 2195 RALEIGH AVE Contractor. Address: Zip: Arch : Address: COSTA MESA, CA Zoning: Phone: 949-650-1261 2ip: 92627-2940 Phone: Zip: 92627-2940 Phone: License: Eng: Address: ISSUED BY: Sfatus: ISSUED Applied: 03/11/2003 Issued: 03/11/2003 Phone: � Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING ROOF, APPLY NEW SHEATHING AND COVER WITH 50 YEAR COMP. INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $111.25 $0.50 $o.00 $0.00 $o.00 5111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sa,soo.00 ga,eoo.00 NO710E: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlone end final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 nae�ae l5�ao7 WORKERS'COMPENSAnON DECLARArON: � 7 , I herehy attirm under penalry of peryury one of the following declarations: ❑ I have and wiil maintain a caeificate of consent to self-Insure tor workers' compensation, es providetl tor by section 3700 of Ihe Labor Code, For the pertormance of Ihe work tor which tnis permit is issued. I ❑ I have and will mainlain workers' compensation insurance, as required by section 3700 of I,he Labor Code, for the pedortnance of the work for which this permit is issued. My workers' co en ti i urence ca ar tl poliry number are: � p Cartier: �� PolicyNumber. � n� ��/�]�-��./ is sedion need naf be completetl if the ,mit is vaWetl at one huntlratl doii$rs r$700) cv less.) certity ihat in tha pe r ance oi Ihe work for which this permit is issueQ I shall not employ any person in eny manner so as to become subject to the workers' compensetlon lews ai' ornie, entl agree thet it I should become sub�ac! to ihe workers' compensation provislons ot Section 3700 of the Labor Cotla, I shall totlhwith comply with these vi � s + , \ Applicant Signeture: Date: � 1 �`,� U� WAFNING: FAIWRE TO WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SFULL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FlNES UP TO ONE MONDRED TFKK/SAND DOLLARE (51'�.000). �N ADDITION TO THE COST OF COMPENSATION, DAM4GE5 AS PRpVIDED FOR IN SECTIIXJ 3IO60F THE LABOR COOE, IMEREST, AN� ATfORNE1"S FEES. LICENSED CONTRACTOHS DECLARATION: I heraby aflirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full torce ana� Hect. Lla s Class a Cy�ay�cf Y,ASjpeS�er .�— Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby aRirm tl+at there is a construction lending agency for ihe pedormence of Ihe work for which ihis permi� is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DffCLARATIONS: I hereby aflirm Ihet unCer penalty ot perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Busine5s antl Pmtessions Cotle: Any city or counry which requires e permit to consiruct, elter, improve, demolish, or repair eny structure, prior to its issuance, also requires ihe applicant tor such pertnit b file a signad statemant ihat he or she Is licensetl pursuent to the provisions of the Contrectors Licensa Ww (Chepter 9(commencing with Seqlon 7000) of Division 3 of ihe Business and Professions Code) or ihat he or she is axempt iherefrom end the besis for the elleged exemption. Any violation of Section 7031.5 6y any eppliwnt for a pertnit subjects the applicam to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of the properry. or my employees with weges as iheir sole compensation, WILL DO THE WORK, end the structure is not intended or oHeretl for sale (Sec. 7044, Business antl Pmfessions Cotle: The Contraqors License Law dces noi apply to an owner of property who buiids or improves �hereon, and who tloes such work himseN or herself or through his or har own employees, providetl that such improvemenis ere not intended or oHeretl tor sale. If, however, the building or improvement is sold within one year oi completion, the owner-builder will have ihe burden of proving ihat �e or she did not 6uild or improve for purpose of sala.). � �I, as owner ot th6 p�operty, am E%CLUSIVELV CONTRACTING WI7M LICENSED CONTRACTORS to constmct the project (SecJ044, 6usiness and Pmfessions Code: Tha conirectors License Lew does not apply to an owner of pmperty who builtls or Improves thereon, and who contrects tor such project with a coniractor(s) license pursuan��he Contrectors License Laws.). ❑ I am exem Signa�ure: Owner ID verifia y tl�iver's license. Venfication of wnersbip by (�ype ot ❑ No Business antl Professions Code for ihis reason: Date: Driver's License No. Ezpires: i.a. - property taz bill or deed): DIVISION OF INDUSTAIAl SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cenity that no excavetion five (5) or more faet in tlepth in�o which a person is required to descend, will be made in connection with work authonzed by Ihis permit, and that no building strucWre, scaHolding, talsework, or demotition or dismantling ihereof, will be more ihan thirry-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, California Atlminisirative Coda). 0 As owner-builtle�. I will not employ enyone to do work which would require a permit from ihe Division of Intlustnel Sefery, as noted ebove, unless such person has e permit to do such K'ork from �he tlivision. Signature: Date: Division ot Industrial SAiaty Permit NumDer: CERTFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTAY: I certity under penalty of perjury that I have read IhiS application end stale ihat Ihe information given is correct. I agrae to comply with all state laws end city ordinances relating �o building consiruction, and authonze representa�ives of the City of Costa Mesa �o enter upon Ihe abova-describad propedy ior inspection pwposes. I agree not So occupy or allow occupancy ot any buildifg authorized by this pertnit untif tinal inspection. 40DE �. INSPECTONTYPE � 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 207 Final BIocWRe�aining Well 202 Final Factory Fire Place 203 Pinal Sign 204 Final Demoliti0� � pAjE INTRIALS 9 _� /fi�7 ��''�" J_"_ a Date COUE� INSPECTIONTYPE ' 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 FIneI Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � I � CITY OF COSTA MESA PLANNING LSPARTMENT A. P. No. �� Bldg. Permit No. ,3 j !J 0 �C t�i-?i�r�;'�O[1 o�;�`j ;..s:r,�?:a.�'� PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt • �•• I[ IY _ �; 1:� Owner's Name ,j�@tES BRADLGX Bachelor or 1- Bedroom Units 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units Total number of Dwelling Units @ $25.00 = �25.00 @ $40.00 = @ $55,00 = @ $70.00 = @ $75.00 = Total Fee $25.00 Planning Department Approval Date ��___Park Area No. �� BY u ��_afM APplicant's Signature %',� �"�--y.---�w+�' C:C 1��-71�r,a•00 6�.:i 3�+:;.:: : j,: � CITY OF COSTA MESA PLANNING llEPARTMENT A. P. No. Bldg. Permi o. PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address Owner's Name Bachelor or 1- Bedroom Units � @$25.00 = 525.00 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total Fee $25�04 Total number of Dwelling Units _ � Planning Department Approval Date �,,, .,, Park Area No. » Ti��4�TT-- BY N.LD. �fH Applicant's Signature � ` , ' I OWNER MESA MANOR, -INC. DATE 2_2g_5� JOBADDRESS �•.�2195""RHZElP}1 Ali2. BUILDINGPERMITNO. ��,1�13?_ GENERALCONTRACTOR R1Ct18Pd i�HTt ' _ VAWE $ 10,166.�0 LOT 3{j �BLOCK TRACT 29(1% Single x'6S,�Il��,�$L. � GROUP I 8c J ' TVPE V ZONE FIRE DISTRICT L�33O ♦ � PERMITS ISSUED INSPECTIONS �/U T SUBCONTRACTOR � � , 'is:� DATE I NUMBER r....�:.... r......�. !� i w� �7 S Foundation Forms RouahtoSlab'v%v.G..'•�.ifC ��Ii=��_:-�"dllif-s.11fin...�.1�J/�L K/ �T-.C`71 ,��/f%.? ✓ Wirina. Rouoh (..P/S4ct� �- � ��5%�f�� Heating,Flnal yy�,(°i� /U-j.%,rl j/ Sewer House Sewer St. , fj! (�_�_ - Septic Tank or e sp ol _ Lathing, In 9- '� ' Z'�/ Plastering �� 3 ,S7 Plumbing,Final,FixturesComplete�'�lir$ /Q� � Plumbina.Fin.alGasTest !�' � heBS �o•aC3_S'7 � _ i' ' Occupancy i- P � I!• FOFM 210 3M 10�'JS .� Coata Mesa Bnilding Department :�PPLYCATION FOR PER1V � �� ' P.O.Box3�� 4330 BUiLDING � _.-'� COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOYL APPLICANT TO FILL IN Receipt No. Permft No. Building � Address 2195 Raleigh Ave Costa Mesa, California Received by Date Rec'd. �ED�a 2lssued Nearest ' 8 19� cross st. Victoria euildina Mall Address 17639 Vanoxen St Nearest Van DI s CaliS Tel. Cross St. c�ty u3' � No. DI 36606 zone Architector Lic. ,1� Enqineel' IiYT'05 & Fie�e No. Ci314 Aoorove� ter Contractor �e9a� �oc 36 ]escription No. Attach Metesand Boui Setback Line Trom centerofStreet 55� DESCRIPTION I New I � I Alteration Repair I I Moving Building �,,,,, � ,_,jJo.of Bui c�tr No. of Bldgs rrone Now on Lot No.of I Na.of Familles Rooms Rear Vard SideYard � Addition 6 Stories 1 Costa Mesa, California CORRECTIONS APPROVALS Foundation Location Inspector Forms, Materials, Under-Pinning Frame: Fire Stops, I hereby acknowledge that I have read Uus Application and state that the abwe is correct and agree to comply Lath. Int. with all City Ordinances and State Iaws regulating building construction. Lath. Ext. Signatureof � �esa 2lanor� ITIC Permittee — __ _.. . i Plaster. int Valuatlon PermitFee $ 0,2..(p �' Maso� D /� / � Plan Check $ '� Bond $ � 1 �� Total Fee $ 3- ' FINA Date n PLOT PLAN Show loeatlon and distancee from property line and between buildinga . ` ;,` � �n OWNER BgpDLEY. James DATE GAS WATER ROUGN PWMBING PROP. SWR. LINE � HOOSE CON. � SPRINKLING SYSTEM MISCELLANEOOS ROUGH HEATING AN� AIR CONOITIONING TEMPORA(iY SERVICE OR POIE UNDERGROUNO � POWER � ROIIGH WIRING TRENCHES FORMS STEEL REINF. ( FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING (� FRAME AND FLASHIN . LATHING - IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL NEATING. VENT.. REFftIG. AN� A.L. FINAL __ Date GROUP 1 TYPE SUBCONTRACTOR Z . W W a U FZ z� O fn am J7 J � Q W (t1 J m J Q U N Z a W � aW W Z J Q m Z J � W w o= zF w� N Q 7 O 33960 nEc � n-7 ��;:�.OJ ��7 :� ;.: �: ,. i., COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 926% APPLICATION FOR BUILDING PERMIT Far Applicant to Fil1 in Completely qECEI eo e DATE RECEIVED BUILDING � �/ DATEISSUED nooRess 2195 Raleigh $s�4.e L�/ _ 7 %Z ^}� �7% PERMIT NO. OWNER James Bradley A.P. NO. II S� S S�� o"'ooaess 2195 Raleigh DI'. ADDRE 5 2195 Raleigh �. � CITV Costa Mesa, No`'S48-131 TRACT LOT�j[ BLOCK `°"srR"cnoiinited Calif. Bank '' LENDER BRANCH Anaheim, OWNER � nooaess 1234 S. Anaheim Blvd. VALU -�pry�.� ARCMITECT TEL. S y�� OR ENGINEER FIRE ADORESS W8 ne Howard Inc. zoNe TVPE ROVP APPROVED CONTiiACTOR Wa ne Howadd Inc. sv OATE 2,-� �7� ADDRESS 1116 N. Harbor Blvd. ZONE NO.OF USE OF NEW ACo�no CITV Santa Ana No`.531-6718 ��' P�� BUILDING pEAp-0pH STATE CITV �NaDSAPPROVED VAPDSAPPROVED LIC. NO. ZOE]ZZO LIC. NO. L9Z9 MAIN BUILDING CESSORV BUILDING SIZE NO OF BLDGS. (FROM C/lSTREET) OF lOT 135x56 � 9�� F�— NOW ON LOT 1 R NT �/OE.Ii Eli FT. VSEOF resident EX15TING BLDG. S F 6 F SIZE OF NO. OF �y NEWBLDG. �� ROOMS STORiES L.SIDE o FT. � FT. EMERIOR WALL ROOF r/ COVERING COVERING WOOCI 9F1�i1 1 REAq �d FT. � FT. VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN 8' bed raom MAIN BlDGS. ACCFSS. BLOGS VAR.qW DATE C.U.P.yW APPROVED APPFOVE D � /� �/ I hereby acknowletlpe that I hew reotl [his opP��cotion antl iteta thot ihe ubove intormation is corract antl agrea to comply with all laws �egulating builtlinB consvuc�ion, entl I shall not employ a�Y Oermn in vloletion of Ma wOrkmen's compensation laws of the State ot California. I hereby ceriity [hat I am prOperly licens¢tl as a cOntracSO/ untler � $Q• FT. tne State of California Business antl Protessions Cotle, Div(slcn 3, THE AMOUNT SHOWN UN�ER VA�UATION IS FOR Chapter 9, antl that such licenses are in'full force antl effxt, or 1 TME GURPpSE OF ESTABL4SHING A PERMIT FEE ONLY: am exampt from the provisions o( the State of California Buciness and Professions Cotle, Diviz} i Chepter 9. VALUATION �// ^ � PERMIT FEE 5 �� SiB�ature ot /�/ Parmittce $� � /.Q PLAN CNECK $ / � Authorizetl Agent � � � � „/ µ TOTAL FEE 5 �� FISHllR, PALZ DATE 10-2�-58 )OB ADDitESS 2195 Raleieh B�DING PERMIT NO. %906� GENERAL CONTRACTOR Fencemasters VALUE $ 156.00 AP. No. LOT 3G TRAC1' 29L17. FII2E ZONE DESCRIPTION OF WORR WOod Ferice GROUP TYPE ZONE PLAN NO. INSPECTIONS Final DATE I SUBCONTRACTOR I DATE NUMBER 79�h . : , f3�F�Ti11 COSTA MESA BUILDI�IG DEPARTMEIdT P. O. BOX 317 COSTA MESA CALIFORNIA �� C•L. OF STREET ' ��PROP. TINE _ � 10 FT. FOR 60 FT. STREET � � ( i w z J a LLEY QR 6b � P, L I i � _�,iPROP. LINE___ �`__ C.L. OF STREE � � w�� C w Q�o ��o O"L� UGm 0 � 4 � F �' -W+ U � � t- Q \� U v F a J r m I '79�� I � v�1� � i FOR �Cl �/nFp� � BUILDING ADDRESS Of F- W W ¢ ti N � O J U S T. MAXIMUM 4 FT. FENCE MAY BE PLACEO ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SO�ID LINES � � Owner �,�V � f! S�i V le � i� Mail Af1dre�� a i 9s ��OJI !�' L � c�ty G' e��,e-_ �rvs.d� Ph. No. ----_ � Contractor�NGB/'y,(}TI�iP< Ai� Iph. No.��-/� �I �v iAddress ��X ��- �.A-Rd �/ ��'0%'E I � City Lic._No. _`� State Lic. No. ! 7l �33 _ �� Size of Lo}� �3 / AP Na.te ¢-��i T.P c�� I`- Setbacks: C/L Street �fl � ��5 R a�"�_ i�Side Yard - Righ � �// Left �' �a �/ I J Type of Fence— G� R �%O� �M' �- I� I hereby acknowledge that I have read this application and state � that the above is correct and agree to comply wiih qll City Otd- Iinances and State Laws regulating building construction. I � ignature �_ - � I ,f of Permittee _ I fl Agen I FOR Of'FICE USE ONLY � � I Permit No. � Received by � Date Received Date Issued id._:�.� ��;�-a�-s3 VALUATION Permit Fee Plan Check TOTAL FEE USE REVERSE SIDE FOR DETAILS �_.i' � ��