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Home My WebLink About361 RALCAM PL - Building Permits��a) �sa-52�3 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, CA 92626 BUILDING PERMIT Job Address: 361 RALCAM PL Suite: Vicinity: RESIDENCE AND DETACHED GARAGE Parcel Number: 41917230 Applicant: RILEY, DOROTHY M Address: 361 RALCAM PL COSTA MESA, CA� Owner: RILEY, DOROTHY M TR Address 361 RALCAM PL COSTA MESA, CA � Contractor: OW N E R-BU I LD E R Address: Zip: Arch : Address: Phone: Zoning: Phone: 949-646-4771 Zip: 92627 Phone: Zip: 92627 Phane: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 11/09/2004 Issued: 11/09/2004 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND DETACHED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACE SFITG AS NEEDED, FELT PER MFGR'S SPECS, APPLY "30-YEAR COMP SHINGLES." 17 SQUARES FEESUMMARY Plan Check: $0.00 Permit: $8325 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: ' $0.00 Total: ' $83.75 Calc Valuation: Claim Valuation: PLANNING & ZONING , SETBACKS, �_ , � � - . � � MAINSTRUCTURE Front 0-0 Rear 0-0 . Left 0-0 . Right ' 0`0� - ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 �� PARKING Existinp: o Required: o Proposed: 0 $3,000.00 $3,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 1B0 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable codes, end all requlred 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) 7545626 eaae-aa �ivw7 WORKERS' COMPENSATION DECLAFiA710N: I hereby eHirtn under penelry oi pehury one oi Ihe following daclarations: ❑ I have and will malnlaln a certHicete of consent ta seN-Insure tor workers' compensation, es provided tor by sectlon 3700 of the Lebor Code, for ihe pertormence oi the wark br which Ihis pertnit Is Issued. ❑ I have and will maintain workers' compensation insurance, as required by sectlon 3700 of the Lebor Code, for the peAortnance of the work for which this permit is issued. My workers' wmpensatlon Insurance cerder entl policy number ere: Certier: Policy Number: (Thls section need nof be comp/etetl i/ the permit /s ve/ued et one hundred dallers ($100) or /ess.J � I certify t�at in ihe peRormence oi the work for which this pertnit Is issued, I shell not emplay eny person in any manner so as to hecome subJect to Ihe workers' compensatlon lews of Celifornie, and egree ihai If I s�ould Uecome subfect to Ihe workers' compensation provi5ions ol Sactlon 3700 oi Ihe Lebor Catle, I shell forlhwlth comply with ihese p visions. �l/Vl ��:lt�C..2w / Date:l �� i� �'� �� Applicem Signeture: � / L WARNING: FNLURE TO SECURE WORKERS' C PENSATIIXJ COVEMGE IS UN WFUL rWD SHALL SUBJECf AN EMPLOYER TO CRIMINAL PENALTIES PND CNIL FlNES UP TO ONE HUNDRED THOUSrWDDOLLARE�St00,000�.INADDIiIONT THECOSTOFCOMPENSATION,UAM4GES0.5PROVIDEDFOHINSECfION3lOeOFTHEUBORCODE,INTEREST,AN�ATiORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I heraby eNirm that I em licensed untler pmvisions of Chapter 9(commencing wllh Section 7000) ol Dlvision 3 of iha Business and Pmfessions Coda, antl my license is in full lorce end eflect Lic. N Class N GontrecroYs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 here0y attirtn that there is a consiruction lending egency for Ihe performanca of the work for w�ich Ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Atldress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby eflirtn ihet untler penelry ot parjury that I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW far the tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires e pertnit to construct, alter, improve, tlamolish, or repair eny structure, pnor lo its issuance, elso requires t�e aDP�icant tor such pertnit lo Ille e signed statemeN Ihat he or she Is Ilcensed pursuant to ihe proNsions of the Contrectors Ucense Lew (Chepter 8(commencing with Seaion 7000) of DMslon 3 of Ihe Business end ProfeSsions Gode) or thet �e or she Is exempt theretrom end Ihe basis Por the ellegetl e:emption. Any Nolatlon of Section 7031.5 by any aDP�� or e pertnit suhjects the applicant to e civil penalry ol not more lhen five hundred tlollere ($500).): � I, as owner ot the property, or my employees with weges es their sole compensation, WILL DO THE WORK, entl Ihe sirucNre is not Intended or ottered for sale (Sec. 7044, Business and Pmfessions Code: The Contracbrs Licensa Lew does not apply to en owner of property who builtls or impmves thereon, and who does such work himselt or herselt or Ihrough his or her own employees, provided Ihat such improvements are not Intended or oHered tor sale. If, however, the building or improvement is soltl within one yeer of completion, the owner-builder will have the Durden of proving ihat he or she ditl not build or improve for Durpose of sele.). � ❑ I, es owner of the property, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro wnstruct Ihe project (Sec. 7044, Business antl Professions Code: 7Te wmrectors License Lew does not apply to en owner ot pmpeny who builtls or imprwes Ihereon, antl who contracis tor such pro�ect with a comredor(s) license pursuanl to ihe Contractors License LawS.). ❑ lem SlgnaNre: Owner ID untler Business entl Professions Code lor this reason: by driver's li{4nse. ❑ Yes ❑ No � Driver's License Vedficetlon ot Ownership by (type of document, i.e. - propeny taa bill or deed): Expires: DIVISION OF INOUSTFiIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihet no excavation five (5) or mora feet in depth into which e person is raquired to descentl, will be mada in connection wl�h work authorized by �his pertnii, and ihat no building slrucNre, scallolding, talsework, or demolition or tlismantling thereot, will be more than �hirry-six (36) feet high. (C�ap. 32, Gry 2, An 2, Sec. 341, Title B, CelNomla Atlministretive Code). � As owner-bullder, I will not employ enyone to do work whlch would require a permit from Ihe Division of Indusidel Safety, as noted a6ove, unless such person hes e permit to do such work tram the division. Signature: Date: Division of Intlustrial Safery Permit Numbec CERTIFlCATE OF COMPLIANCE AND AUTHOHVATION OF ENTRV: I certiy under penalry of perjury that I have read ihis flpplication end state that the information given is correct. I agree to comply with all state laws and ciry ordinances relating to building conswction, and authorize representatives of the Ciry of Costa Mesa to enter upon the ebove escnbed prope for i ection purpos I e9r not to acupy or allow occupanry ot eny building authorized by this pertni� until linel inspection. ��-r �.�.�— `��c � � //— 0 9 —o y � Signature Of Lega wner(s) Date AnNOr Aulhonzed Applicenl Date CODE t. INSiECTIONTYPE 1616 20 201 202 203 zoa Fiaed System Final Fire Preven0on Pool Spe Final ' Flnal Re-Root Final Block/Retaining Well Final Factory Fire Place Final Sign Final Demoli�lon Qa� u�eiS COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Flre Preventlon 220 Final Planning Approval 222 Final Sile 250 Final Building/Occupency \ //County of Orange Building Deparfinent Room 322 Court House Annez $anta Ana, California Phone: KI 2-6211 , � APPLICATION FOR PERMIT P&RMIT NO. � �� > � � _�r� , 19� 1. OWIVER'S NAME—��1! �� `/ofrfv_,p'�Y -Sons PHONE: C,�Q co� �2 f�� MAILING ADDRESS �� E�7 %�- Sf CITY c A-s7-i'� P St� (Sareao or P. O. Boz No.� (ArcLitect or 6ngineer) CITY NAME S��.o lJs ��Q (co�enacr o. s�aa«) . CITY. Statc Lic. No. Piion� State Lic. No. ��4%JCe Phonc 2. JOB LOCATION 3�� 4 �Gv m %�� G�. S�"� �p Sd (Houao Na.) (N�m< of Saeeo) (Town or $choel Disvice) 3. LEGAL DESCRIPTION: Loc � / Blor�- Tracr /3G 8� 4. Meets and Bounds Description — Use Reverse Side of This Form. 5. CORNER LOT () INTERIOR LOT (✓) 'I'HRC�UGI-f LOT () SLOPE OF LOT �`✓e� THIS AFPLICATION CANNOT BE PRO,CESSED UNLESS LEGAL DESCRIPTION IS ACCURATE•AND COMPLETE. 6. PROPOSED WORK: New Buiiding (� New Structure () Addition () Repair () Alcerations ( ) Move • ( ) . Demolish ( ) Conversion ( ) 7. PROPOSED 8. SIZE OF BUILDING -?yX '¢a" AREA ��G.fr SIZE OF LOT �k � AREA 7� O.Ir i 9. CEILING HEIGHT--�i— TOTAL BUILDING HEIGHT �� NO. OF STORIES—� ]0. NO. LIVING UNITS� SIZE OF SMALLEST BEDROOMIQ.�G� SIZE OF KITCHEN�2_7✓�/ 11. EXTERIOR WALL CONSTRUCTION: Brick O Concrete Tile O Monolithic Concrete O Wood Frame (✓) Steel Ftamc ( � Concrete Frame ( % 12. WALL COVERING: Wood O Metal ,( ) Stucco ( Vf 13. FRONT YARD SETBACK FROM CENTERLINE OF STREET_ 14. DISTANCE TO PROPERTY LINE: Side Yard� f� "� r / Rear Yard %.f � � 15. SHOW ON PLOT PLAN EXISTING BUILDINGS NOW ON LOT, STATE USE OF EACH. 16. DISTANCE IN FEET FROM PROPOSED B�JILDING TO' NEAREST EXISTING BLDG.�— , 17. VALUATION OF PROPOSED WORK: Induding All Labor, Plumbing, Electrica( Wiring, Heating, Fire Sprink- 00 / lers, Painting, Sewage Disposal �8 '��o o, ,18. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCT70N WORK WILL CONFORM TO ALL LAWS CF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. � � ,__ _ , L-e�`-- i% PERMIT GRANTED�1�� ¢ 19�9 19—, PLANS CHECKED BY. Q../1. 1 �.�.LbY APPROVED BY: HEALTH DEPT. STATE FIRE MARSHAI. STATE DIV. OF HOUSING sx—�z.ea e COUNTY OF ORANGE BUILDII\G DEPT. � " 636 No. Broadway Santa Ana� Califorvia Phone: KI 2-6211 � .. Application for Building Permit AND FOR A Certificate of Use and Occupancy / . 1. OWNER'S NAME..-. .....C�.... ......:�C�.�: MAILING ADDRESS...�[PI. _.....�/.��C..��2--.. Name-----......_..��2.�'G.C.�.......-----'----'-' ...............--'-----.. �(Archicec[ or Engineer) JAddress --'------�----------------'-'-----------.._...-----'---..........._......_.... _,y� City � State Lic. i PROPOSLD USE Phonc-------..__ .............-�----�-- � �5�3� Permit No. ---� -----� ---�-�- Datc...�iLi� v1 �' /�S � - -'--------.....----......- ............. /. PHON��y!..lO,��pO—I .. .. ......_- � � ... .. ......... . � . 4,�-t�c� � .G� -�- ---.._----.. CITY��_�.�G.R. .. Name ._.... �i�lL'_72C�S/� .._ - ------ --- - -- --- --- _...... (Con[ractor) Address- ..................-�---.....--�-----.........----'------------'---'---------"----... City ......... S[a[e Lic. No...... � , ''. .10B LOCATION_ .3�P1_..._.... - - ......... . . . .� � C��t � (Ho�se No.) (Name o( Strret) 3. LEGAL DESCRIPTIOA': Lot------- 3-------------------------........Block (Me;es and Bounds Descrip[ion—Use reversc side of iorm) 4 i G. +' .7 or Schaol Districc) / ,....------ Tract ----I-�.fO-�- ................ CORNER LOT ( ) INTERIOR LOT (✓f THROUGH LOT ( ) SLOPE OF LOT ( ) SIZE OF BLDG.:.r��X_a0----..----AREA:.f.r�U��------SIZEOFLOT:��`S..K..I�S�---AREA----------------------------------- p � Y HEIGHT OF BLDG.:---.-----_-U ..............._--__.--_CEILING HEIGHT:...._...... NO. OF STOR]ES-----_-..._�.......-----.--. 7. i�'O. FAMILIES.....__'�T_..._..._.Sizc of Smallest Eedroom:.._.'..�:.'� ................ Size of Kitchen..._...__...,,_....___.__...._.. S. EXTERIOR W�iLL CONSTRUCTION:..�f%GL' ..................INTE2IOR WALL COVERING....__......_..___...._.....__..__......... (Frame, Smcco, Etc.) ' � (Plasler�Drywall, Etc.) /' ,�y 9. SETBACKS: Front Yard From ' i `-' ........ -'��S~- .._...s>.� �--� �' ... .�...-'� =---f T` � --..... � � � . Neare<j Sidc Yard..._3�...._....._Rear Yard._....:�..'..__.....Distance in Fcet Bchvcen Bldgs. on Same Lot..____.._��._ ..................... 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTU2ES AND USE OF EACH. % /� r� 1 t. For (a) Footin�: Width..... /...�'/........-_----....Depth in Ground........�_ �.-.----Width of Rrall............_�----- � 12. �13. Acce=sory Eldgs. and �b) Size of Studs�._�!'��....Spacing........�.�....__."CC Matcrial of Floor...._�.�..~....�.H...� �,,-. Similar """"' ' " Structures: � �i (c) Sizc af Floor Joists:.--.�......------Spacing.-- ..................----------------- ��CC (d)� Size of Rafters:..�._�._� ................Spating........-�.,.--...--------"CC .� , . . , . VALUATION OF PR� WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $-._ - ............. 4 I HLREBY CERTIFY H�AT TO THE BEST OF MY KI�'OWLEDGE AND BELIEF THE INFORMATION IN THIS APPI,�ATION IS CORRECT QND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUN�Y OF QR�iAIGE AND THE STATE OF CALIFORNIA APPLICA$LE THERETO. .-� - . . Signed:... ..,/�.�.Ri�....�L��t<- - -- - -�- .... � - - .................. Plans Filed:_--�-'--------------�--�..-�'--/' �.....�.1 ................... �-- /� � //wr�r� By:..��i�,Q......./L.�..4��1.�. Ll .�ie ' (Authorized Agent) FEES: Dldg. Pcrmic • $----. Plan Check - 5----- Tonl , • • S..... Receipt A'o. - ..... Paid to - - G Dace----------��----.....----ti SAt-2-51 POR DEPARTMENTAL USE ONLY ' GROUP..........�-- -..... .... TYPE............�.f `.. ...... `- DIST. A4• ��F � � �MAP. .....�....lt. -�---- -- - SHEET NO.- �� - - C � ) DATE...- ... ....1 �.....!......�1.. YERMIT A PPLICATI ON ............. ZONING____.... PLANS AND SPEC'S. --- -- - ---- - - CORRECTIONS NG BY HEALTH---- ............ ..... FIRE MARSHAL..... _...------.... _ STATE ---......... - -... ---.. ENGINEER CAL. -� - -- - - ^ourvrr eui�oiW� � IIJSPECTntz CEPUTY