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Home My WebLink About218 DEL MAR AVE - Building Permits.� , � -_� . - . � 1� ' r^ _ COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] � ' COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BIJILDING f7 /�% � I �L n//_ [ —� COSTA MESA. CALIFORNIA OWNER MAIL �� j AODRE55 u�� TEL. QTY NO.�C,./-,� ARCHITECT LIC. OR ENGINEER NO. <� AO�RE55 i cir.r �ic. CONTRACTOR NO. TEL. AODRE55 NO. LEGhL LOT oESCRivTION NO. BLOCK TRACT A.P. NO. ^ � � — V r SIZE �'J NO.OF BLOGS. OF I OT ��Y �� i� PIOW ON LOT / USE OF E%ISTING BLDG. SETBFCN LINE FROM cEN*[A oF sinE[* �! � rr REAR VARD �r� I %, SIDE YARD RIGHT •�V • LEFT DESCRIPTION OF WORK � NEW V ALTERATION ADOITION REPAIR MOVING � DEMOLISH BUILDINGd� NO.OF SIZE {+� ROOMS STORIES E%TERIOR WAL � ROOF � ✓1 �.� COVERING COVERING l�t��C'X-f�' USE OF NEW p`�/ BUI�DING Ai a N,JI�{I �i�1/� / �EE R�C�iVE� f� �/w�'� �� i GT1 OF G0�4TA ME�II . APPLICATION FOR PERMIT . BUILDING FOR OFFICE USE ONLY FECEIPT NO. PERMIT N< ILDI FIRE ZONE A COSTA MESA. CALIFORNIA CORRECTIONS DENT. I MEREBY 4C1(NOWLEOGE TMAT I MiVE RER� THIS 4PPLICTTION PNO STPTE THr1T THE ABOVE IS COBRECT ANO AGHEE TO COMPLY W!TH ALL CITV ORD�NSNCES ANO STA7E LA�NS REGULTTING 9UILOING CONSTRVC� T'�� VAWATION � SIGNATURE OF 1 PERMIT FEE S PERMITTEE � / � �O Y PLAN CHECK $ AUTHORIZED AGENr � TOTAL FEE S , VBMi r;, OWNER CORNELIUS. L. G, DATE �JOB ADDRESS 9l fl Tlol Mar Avenue BUILDING PERMIT NO. #79�.15 N NTRACTOR VAL[IE $ 1�j20•00 P. No. LOT Lt TRACT1163 FIRE ZONE DESCRIPTION OF WORK Pv'E, Two-Car Gara�e GROUP �ECTIONg coat Fi- C V ZONE DATE � SUBCONTRACTOR PLAN NO. PERMITSISSUED I NUMBER , �:��o COSTA MESA BUILDING DEPARTMENT � P.O.BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN ADDREI55 �I /7 .-U �f�/ �i/� ��iw . COSTA MESA. CALIFORNIA OWNER v � MAI� ADDRE55 � / �' ARCHITECT LIC. OR ENGWEER NO. ADDRE55 cirv uc. CONTRACTOR NO. TEL. LEGFL ILOT DESCRIPTION NO. BLOC A.P, NO: // Q �:J � AI'� C; rvo.oF e�ocs. now or+ �o. use oF EXISTING BLDG. SETBACN IINE FROM ccHrEn o rne[i '�7 �� -REAR YARD ,�� SI�E YAR� RIGHT LEFT �,�,t - DESCRIPTION OF WORK � NEW ALTERATION IADDITION REPAIR MOVING DEMOlISH BUILDING .t � NO.OF 5¢E ' �'s., � ROOMS STORIES EXTERIOR WALL � ROOF COVERING n COVERING - BUELOFNGEW /I.,n ivrw A.i'IL'/��121 �,��0/l s. B A �� CEB��D �- �-s� - � �, ��a�cE �f�t. ' cirr oF cosra ra�sa APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. PERMIT NO. �.3'%� RECENE� BY / DATE RECEI�VEp� D<T�Ej ISSl1ED �./Jni/,// �� S / �� %�.t1 COSTA MESA'. CALIFORNIA FIFE ZONE ZON� � NO.OF TYPE � / PLRNS �/ APPROVED BV DATE CORRECTIONS (..� K �-e �( '' 96 ii.: CITY OF . TA MESts .� � SUBJECT TO B G. DEPT. REG. m I HEREBY ACKNOWLEOGE TMAT I HAVE kE4O THIS PPPLICFTION PND ' STATE THqT TME R90VE IS CORRECT nNO qGREE TO COMPLV WITN AlL purpose of establishing a permit fee only. CITY OROINPNCES ANp STTTE L>WS NEGULaTING BUILOING CONSTflUC� TiOrv. /� VALUATION � SIGNATURE OF � ,.// � . PERMIT FEE $ �� PERMITTEE " � �LL.t..• . � ' / �/(� � PLAN CHECK $ . � . s � w' . AUTHORIZED AGENT . TO7AL FEE $ �� -� ��M� OWNER DATE ]OB ADDRESS ��8 �2��Ia� n9e�18e BUILDING PERMIT NO. 8390 GENERALCONTRACTOR • � VAL[IE$ 1�I1C0.00� _ AP. I3�19-T21-� T li TRACT llfi3 FIRE ZONE DESCRIPTION OF WORK Remodel Stt.�az' t0 DEII TYPE V ZONE R.J1 , PLAN NO. 83I� ECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED DATE NUMBER roat Gas Test Swr. � , . � �3:3�� COSTA MESA BUILDING DEPARTMENT P. O. 90X 3 I] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN eui�owc - �' / � . ADDRE55 . COSTA MESA. C LIFORNIA OWNER MAIL ADDRE55 ARCHITECT OR ENGWEER ADDRE55 TEL. NO. LIC. NO. T LEGnL LOT � oESCRIPTIOrv NO. BLOGK TRACT � A.P. NO. ' I` `-' SIZE �j � ��y�T+ o. or eto�s. � OF LOT� �7 �J � V Irlow oN �or USE OF exisnNc e�o�. SETBACK LINE FROM cervier+ of' sreEer L% REAR YARO'. � �� SIDE YARD RIGHT LEFT . � DESCRIPT�I OF WORK NEW �� qLTERATION ADDITION REPAIR MOVING DEMOLISH BUIL�ING NO.OF SIZE ROOMS STORIES EXTERIOR WA�L ROOF COVERING � //////COVERING USE OF NEW �� _� ✓ BUILDING I/�O A1 f�.�C �tl��i�',t� • � cosTr ..,.�� •,Aa.� nn ,«�q ��.n� FINaNCE OtPI � CifY OF GUSTA P�ltSA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONI.Y BUILDING A�DRE55 COSTA MESA. CALIFORNIA FIRE ZONE ZONE— NO. ruPL4 APPROV� BY C �� CITY C PLA BY � lF � DATE /�' RECTIONS � T The Amount shown under valuation is for the 1 MEREBV ACKNOWLEOGE THFT I HPVE IiEPD THIS APPLICtTION GNO purpose o es a is mg a permit fee only. STATE THAT THE I�BOVE IS CORRECT AND nGFEE TO COMPLY WITH ALL CITY OROINANCES ANO STATE L4�N5 FEGVL4TING fiVILOING CONSTFUC- riorv. V A W ATION SIGNATURE OF � PERMIT FEE $ •� PERMITTEE $ G1 �'��U '� PLAN CHECK $ � �� AUTHORIZED AGENT TOTAL FEE $ �� M� �R 2 7y�a . -OWNER CORNEZIUS, L. G. DATE 12-29-5a JOB ADDRESS 218 Del M2T' AVBriUE � B[i1LDING PERMIT NO. 8310 � GENERAL CONTRACTOR L. G Cornelius�, VAL[tE $ 350.00 AP. N��J-121-�T � TRACT llbj FQ2E ZONE DESCRIPTION OF WORK F'lreplaCe GRO[IP J � TYPE V ZONE PLAN NO. 310 �ECTIONS I DATE I SUBGONTRACTOR ___ PERMITSISSUED coat , , �� COSTA MESA BUILDING DEPARTMENT � P. O. BOX 31'I COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN AooRe�ss � �� .BX ��ll/S �/JITi MESA, CALIFORNIA OWNER( MAIL AD�RE55 � £L. CITY NO. ARCHITECT � LIC. OR ENGINEER NO. AODRE55 �1 i"l. �_ /� cirv uc. o= �� ECEiV ED Firoa�cE �E�t. . C1tY OF COSiA t�ESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. P MIT NO. 3d' `1 RECENED BV OATE PECENE D4TE ISSUE= -�-�.��/ /- 5'-S�/ � _ �_ . t ' COSTA MESA. CALIFORNIA FIRE ZONE 20NE APPROVED �E�A� �or ' CORRECTIONS OEScaiPTiON NO. BLOCK TRACT p A.P. NO. � P SRE / No. oF e�ocs. • OF LOT �� riow or+ �01 y E%ISTOING a�oc. � CITY OF '�TA MESA $ETOACK LINE FROM � �4 C � cer�reA oF s.r+ee1 REAR VARD ��' 1 SUBJECT TO G. DEPT. REi SIDE VARD RIGHT` .LEFT � DESCRIPTION OF WORK ' BY DA"CE � 4 NEW ALTERATION qDDITION REPAIR MOVING DEMOLISH BUIL�ING � - � NO.OF 512E. ROOMS, STORIES EXTERIOR WALL ROOF COVERING f]� fUC�/D� COVERING BUELOFNGEW/c�/�� e�.I/I �//iN/N Amount shown under valuation is for the I HEREBY ACKNOWIEDGE THAT I MAVE PEA� THIS APPLICI�TION AND STATE TMAT THE ABOVE IS COflFEQ AND NGREE TO COMPLY WITH ALl purpose of estabiishing a permit fee oniy. CITV ORDINFNCES ANO $T/TE L�WS REGULATING BVIL�ING CONSTRUC� norv. VALUATION SIGNATURE OF � • PERMIT FEE �m �'� PERMITTEE � / / /� ✓ PLAN CHECK S ' � W yi� / AUTHORIZED AGENT TOTAL FEE 5 � e� veMe .r. OWNER (;pRNEI�IITS� L_ G. DATE 1-9-59 ._ JOB ADDRESS �16 Del Mas Auenu� BUILDING PERIWT NO. 8359 GENERAL CONT CTOR VAL[IE $ 667.00 - AP. o. T({ 'I'RACT�1�(73 FIRE ZONE DESCRIPTION OF WORK Bath add, t0 Res. GROUP I TYPE V � ZONE �l PLAN NO. H3B9 �ECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUM ER coat (714) 754•5273' •� Fax (714) 754-4856 • www.ci.costa-mesa.�y�LDING PERMIT 7Z�FAIR'DRIVE; COSTA�MESA, CA 92626 Job Address: .218 DEL MAR AV Suite: Vicinity: ROOF Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 43921104 2oning: Status: ISSUED Applied: 04/28I2005 Issued: 04/28/2005 Applicant: DEPINHO, NELSON ---- p �� - - - ' � � " ��`-�'r : ='� `-� ISSUED BY: 4� Address 2832NOLIVEAVE �,,,,� - �-- -,; F_�,-_, -,/''�� _`_- ' - � Phone: �(714) 6327663 =Y - ORANGE,CAJ.�'i �� , ,Zip: j92665 ./ \� ,�\:.'r.'��., ;� A ,� � {"`' F � \_�--rR � '. , � � t� ,� , i . � �� .� `.� Owner ARNOLD PHIL`IPtiHUGHES TR� -`" ,f�' � 1 { � `` : �ti • f - � _ !1 �. =. . Address 218 DEL MAR AVE \ �''„".�""� . � � . �---, _ ''"�r { ^.� \"` \ � � "� � J� � `'�. � %=.!-�'"�� - - - �,. Phone �949�642 4989 � ~y �.� �� .�" �''�. r ,y ��j/r/ 0. . rsT u''"� /' ' ,� � � . v"� � `�.� � � �. �. ,�� r� �COSTA MESA, CA jj = ; ` Zip: 92627-1326 �-\ . �/ VA;*.� /ti � i,%� �..` _��, , � � . \ ' J � "l . �-� � � � r i\ : / i T/ % \ �\•� i � �` � / � \ Conhacior: DEPINHO�ROOFING ��>`�.��;' �� _ ' . �Address� 2832 N OCIVE AVE ��:t'�\` ,��,% \ '� � ;fi� � �.�� 1*� ;;fPhone: p14)632-7663 ��:��A j , , i {:' � . ` ORANGE, CA �;5� �� '`�� ' I' � Zipi �9_2665r1 � ' License� 883894 ; ... �� \: '� � ,., . � ' /;/;a;%� .`rY= .:,. 'Arch' ; .,tY , . . . r c / � li :' �e t . �.r!�� i v � Eng:. .� . , � ' � , Address: -; '= , �-,'` rr ` � ,. _ -. — _Address: _ ,,, . � . i� � �� :.,. -" .- _ l , , . ' . `. � ,. �. � .,Phone : �,� -. Phone� . - . � � � t � � .: � /� � ,"r " , . � � �Lp: � j • �; � �, ,:titi License: � `� � License:� ', ,� � : i � tl i' 3 .` } - ^�.� ��, � - � ''§�i�' �l ; , ; .;� ; ,� .a's -� �, 'i ;� ^, SCOPE OF,FERMIT, t, ,-� ..-.. t y � , .... � "�, , .' TEAR OFF EXISTING ASPHALT-SHINGLES�AND REROOF�WITH NEW�30 YR°ASPHACT SHINGLEB:(20 S�). �'- , ' � ' i, . '. .__..__ _-- �'-_--�z ".... _�._ _ - --- . , i.. _ -\1 �.. ; `-- - �-�• FEE SUMMARY � � r '� t � ; Plan Check. � ' $0.00 ,r-!� �-� �� <-�r •" '�" `; ;�;: Calc Valuation f � Ss,000.00 �• Y '�*Permit ++ $125.25°-- _ - - �',;y �. �� `� � . �ClaimValuation: -i.;,� `. $s;000�oo� � ;�SMIP�,�Res � � . $0.60 .. � _ . J< � .," " /�,rt:' i. :;' , li ; �SMIP Com: `� -$0.00 � <'1,".� ` %/l_! `- �',T �a � , ,� Other.` $0.00 `=-'_ � _ ;l%( 1�; 1 i �, ' , �. � Inspection $0.00 ; j�� } �:% � �� .. �� i , _, : r,�i � �Total $125 85. � ' � � �� ', �, � � _ � �i�� n %i, � � J `'F � `�.� � ..a'i . � � �� .=�: .k`�'',$tr'`,-'�``�S'�//. i f ° � � �� ' . �P.LANNING.& ZONING �"� ' `y�% �� / � ��n�f %, . � � SETBACKS �. �' � �� `�� B "a �, ; r�� ( � �;'/ MAIN STRUCTURE •Front �_. 0- 0'�� ,, �Rear `0 0� Lek • 0 0 rj;%/Righti - 0. 0/ � /� ,� .. .'.�� .��.�, ��' �.�rs �,�% �(�\�/��i�fji � ACCESSORY Front 0- 0. ��,J f Rear, 0 0 - Left 0 0�� '� Right r�0 0, /%,: .. � � J � � � , �{\,\ � � -i :� PARKING Existinp ,0 = Required 0� ' > l. �Proposetl ��.0 \ ``,J _, ' /" �� . - '' - -- i: l._�3� .�;�r NOTES: . - - - --�'.-7'�r'-'"'� , , _ ; _ -'Ji,�' , ' NOTICE: The� work authodzed by this- permif 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 o1�780 days. � INSPECTIONS: In order for the work authorizedvnder this pertnit to De considered.legal, such work mustcomply with all applicable codes, and all requiredinspeetiona end tinel!approval must be obtained: Failure to,obtain inspedions and�(inal approval will result in�ihe axpiration of this permit. FOR INSPECTIONS CACL: (7/4) 754-5626, 2aW81N00) WORKERS' COMPENSATION DECLARATION: ' � ' � ' � I hereby attirm under penalry of perjury one ot the following Ceclarations:� `��' �� ❑ I �ev tl will maintain a ceniliwte oi consent to self-Insure tor workers' compensetion, es pwvided for by section 3700 0l the Lebor Code, for Ihe peAomience ot the' w for which lhis pertnit is issuetl. ' , � -. pave and will maintain warkers' compensaUon insurance, as required by section 3700 of the Lebor Cotle, for the pertortnance of the work for w�ich this permit is issuetl. ✓My workers' compensation Insuran{gcarner nd policy num6er are: �( /�'7 r'� _��G u -1 C -/ � ,Gertigl:'�' . ,�R 1 F � Po il"cy�Num^ 6ar: �� ,'(TMs'sec(ion need not be comp/efed /l the permit is velued ef one hundred dollars ($100) or less.) ❑ I cetlify that in the peAortnance ol ihe work for which this pertnit is issued I�shall not employ eny person in any menrier so as to become subject ro ihe worke�s' � - wmpensatlon laws ot Califomia; antl agree ihat it �I Il�� el9bec01fisu6ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall torthwith comply with ihese provisiorW� � �-.+� �/ /'Z � jGr A�p�wnLSign`re: il�� .�ti---- �Date: �~ � WARNINO:�FMLURERO SE E RKERS' ODMPENSATION COVERAGE IS UNIAWFIIL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRE� TTIOUSAND DOLLAHE (S10D,OW), IN ADDITION TO THE WST OF COMPENSr1TION, DAMNGES rlS PROVIDED fOR IN SECTION 3'106 OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby aflirm �hat I am licensed under provislons oi C�apter 9(comme ' ' Section 7000) of Division 3 ot ihe Business and Professions Code, and my license Is in full lorca end ettect. uc� /.F. �Fi �i U c�s g_`� � 3 9 Contractors Slgpature:._ -� De�e.'--� c% /�Z F�G T �s!' ° �.� fE.»= . � i�. CONS7RUCTION LENDING AGENCY: ❑ I hereby attirtn that there is e wnsiruction lentling agency tor the pertormance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Adtlress: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby effirtn Ihat under penelry oi perjury that I am EJ(EMPT FROM THE CON7RAC70RS LICENSE LAW tor Ihe tollowing reason (Sec. 7037.5, Buslness end Protassions CoAe: My dry or counry w�ic� requires e pertnit to construct, elter, improve, demolish, or repair any siructure, pnor to its issuance, also requires Ihe aOD�iceN for such pertnit ro file e signed atetement thet ha or she is licensed Dursuant to the provisions of ihe Comrectors License Law (Chapier 9(commendng wit� Section 7000) of DiWsion 3 of the Business antl Protessions Code) or ihat he or she is exempt thereirom and Ihe basis tor the alleged exemption. Any violation of Section 7031.5 by eny applicant for a permit subjects the applicant to a civil penalry of not more ihan five hundred dollars (5500).): ❑ I, as owner of the property, or my employees with weges as their sole compensation, WILL DO THE WORK, and the siructure is not intended or ottereA for sale (Sec. 7044, Business and Profeuions Code: The Contractors Licensa Law dces not apO�Y �o an owner of property who builds or improves Iheraon, end who tloes such work himself or herself or through his or her own employees, provitletl ihat such improvemenis are not intendetl or oNereC tor sale. Ii, however, �he building or improvement is sold within one year ol completion, the owner-builtler will have the burtlen of proving that �e or she tlitl noi builtl or improve For purpose of sale.). � ❑ I, es owner oi the propeny, am EXC WSIVELY CONTRACTING WITH LICENSED CONTRAGTORS b constmct t�e project (Sec. 7044, Business end Pmfessions COCa: The contrectors License Lew tloas not apply lo an owner ol property who builds or Improves thereon, and who contrects tor such project with e contrector(s) license pursuant to ihe Coniractors License Laws.). ❑ I em eaempt under sec. Business and Professions Cotle for this reason: SignaWre: Date: Owner ID veritied by drivers license. ❑ Ves ❑ No Drivefs License No. Expires: Veritication ot Ownership by (rype oi tlocument, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavetion five (5) or more feet in depth into which a person is raquired to descend, will be mede in connaction with work euthonzetl by ihis permit, entl that no huilding sirucNre, scattolding, talsework, or tlemolition or dismamling thereot, will 6a more than thirry-sl: (36) teet high. (Chep. 32, Gry 2, Atl 2, Sec. 341, Title B, Calilomia Administrative Cotle). ❑ As owner-builtler, I will not employ enyone to tlo work which woultl require e parmit from the Division ot Indusinel Sefery, es noted ebove, unless such persan has e pertnit to do such work trom the division. Signature: Date: Division of Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHOR¢ATION OF EMAV: I certity under penalry ot perjury that I have reatl t�is appliwtion antl state that the information given is correcL I egree to comply wlt� all state laws end ciry ortlinances relating to buildinq conswction, antl authonze representatives of the Ciry oi Cosia Mesa to enter upon the ebove-descnbed property lor inspection purposes. I a9ree not to occupy or allow occupancy of any building authorized by this pertnit until final inspection. COOE �. INSGECTION TYPE' ` ' ' ' ' ' ' Q�" ' " ' �M��ALI ` 1676 Fixed�System Final Fire Prevention � � 1266 Pool Spa Final "�/��(L� 200 � Final Re-Root � � ��5/ �"":� 201 Final BIocWRetaining Well 202 Final Factory Fire Place , � � ' � � , 203 Final Sign §,Q 1�a ' INSPECTON TYPE � 206 Final Mechanical 208 Final Plumbing �210 � Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site U 204 Final Demolition 250 Final Building/Occupaniy � .. Property Address Owner Contractor CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION ( � � i �''V� (L A� ��Nv�n uC cc C 1 �L .i�^L � Permit No. pjf)Ci — D U6�� State Contractor License Number c��U �y Classification �.3 ` I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform Building Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ mited partner of the company Officer of the corporation � certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division ey: �� -�-c� Initial Date O�J90�I6MW6Ap While-Buildng�iv.;Canary-CmVa�w',Pink-Owner �t��u � Cc'Y1�4 ;�µ� Company or Corporate Neme Zb3Z D�1� OL��e /�� p ;� �-c..e C4 g 2 �. � �l � �,,�-� '��L d'�c S � SigneWre '� /'� Date W'VI...SVJ 1J{' \ I N�� Printed or Typed Name e (714) 754-5273 • Fex (714) 754-4856 CITY OF COSTA MESA BUILDL G DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job nddress: 21 S DEL MAR AV Suite: Vicinity: FOUNDATION FOR WHOLE HOUSE. ParcelNunmber: 43921104 App�icant: BOB CRAWFORD Address: Owner: DRAKEFORD, JAMES N Address 218 DEL MAR AVE � COSTA MESA, CA Contractor. 5�� `�'�C� Address: �q,� S , g�Ns�� A+.�A1+EiM� CA� z�o: 9 2a� `� Arch : Address: Zoning: Phone: 714-743-1115 Zip: Phone: Zip: 92627 Phone: �71q�172—q22D License: �e� O � � t PERMIT NUMBER '' 699-00571 77 FAIR DflIVE, COSTA MESA, CA 92626 ISSUED BY: Eng: ELMER AMO� Address: 412 COOPER ST Phone: SANTA ANA,CA Zip License: 2ip: 92704 SCOPE OF PERMIT RAISED FOOTING REPAIR, ADD 2 PADS, ADD FLOOR JOISTS, AND REPAIR CRACKS. FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $64.84 $99.75 $0.50 $0.00 $0.00 $0.00 $165.09 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proaosed: 0 Status: ISSUED Applied: 04/26/1999 Issued: 04/27/1999 Phone: 714-839-5934 License: C17009 , Calc Valuation: $s,000.00 Claim Valuation: $5,000.00 Right 0- 0 Righl 0- 0 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 oider for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectione end finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DECLARATION: r � , I herehy affirtn under penalry of perjury one of ihe tollowing daclarations: � ❑ I have and will melntain a cenificate of consent to setl-Insure for workers' compensation, es provided tor by sectlon 3700 of the Labor Code, for t�e pertortnance of ihe work for which Ihis pertnit 19 issuetl. ❑ I have and will maintain workers' canpensatlon insurance, es required by section 3700 ot the Labor Code, tor the peAormance of ihe work for which Ihis permit Is issued. My workers' compensation Insurance cartier and policy number ere: Carner. PolicyNumber: � - (Th�is sectlon need not be complefed l� the permit is valued af one hundred dollars ($100) or less.) � �9' ' I certily that in the pertormance ot the work tor whic� this pertnit is issued, 1 shall not employ eny person in eny menner so es ro become subject to Ihe workers' compensation laws ' rnie, and agree ihat if I uld beco subje o the workers' compensetion provislons of Section 3700 of the Lebor Cotle, I shell lotlhwith complywiththes rov' ns. ' / /�j ApplicanlSignaWra: Date: ��1`� % �' � "/ WARNING: FAILURE TO SEC RE WORKERS' COMPENSATION COVE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO C IMR INAL PENALTIES AND CIVIL INES UP TOONE HUNDRED THOUSANDDOLLARE($100,0OO�.INADDRIONTOTHECOSTOFCOM ENSATIIXJ,DAA41CaESASPROVIDEDFORINSECTION3]OBOFTHEIABORWOE,IMEREST,ANDATTORNEYSFEES. LICENSED CON7RACTORS DECLARATION: I hereby aHirm ihat I am force entl eHect. Lic. # _ Coniractors SignaNre: Chepter 9(commencing with Section 7000) of Division 3 af ihe Busine ntl Professlons Code, and my Ilcensa is In full Class # Date: __ CONSTRUC710N LENDING AGENCV: ❑ I hereby affirtn ihat t�ere is a construction lending egency Por ihe pedortnance of the work tor which this permit is issuetl. (Sac. 3097, Civil Cotle). Lenders Name: Lentlers Atldress: Signature: Date: OWNER-BUILDER DECLARAT10N5: I hereby eflirtn that under penalry of perjury iha� I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair eny siructure, prior to Its Issuance, elso requires the epplicant for such permit to file e signad statement thet he or she is licensed pursuent to the provisions of �he Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) o� Divlslon 3 of �he 8usineu antl Protessions Code) or that he or she is exempt Iherefrom antl ihe basis for �he ellegetl exemptlon. Any Noletion of Sectlon 7031.5 by any epplicant tor e permit subJects the applicaM to e civil penelry ot nm more than tive hundred tlollars ($500).): ❑ I, as owner of the properry, or my employees with wa9es as iheir sole cnmpensation, WILL DO 7HE WORK, end Ihe siructure Is not intentletl or otlered for sele (Sec. 7044, Business and Professions Code: The Conirectore License Lew does not epply to an owner of properry who builAs or improves theraon, entl who tloes such work himself or herself or through his ar her own employees, pravidad thet such Improvements ere not Intended or aHered for sele. Ii, however, tha bullding or Improvement is sold within one year of completian, the owner-builder will have tha burden of proving that he or she dld not bulld ar improve tor puryose ot sale.). ❑ I, as owner ot the pmperry, am EXCLUSIVELV CON7RAC71NG WITH LICENSED CONTRACTORS to construct the pro�ect (Sac. 7044, Buslness and Pmfesslons Cotle: Tha coniractore License Law does not apply to an owner ot properry who builds or improves thereon, and who conirecis tor such pro�ect wlih a contrector(s) license pursuant to the Goniractors License Laws.). ❑ I am exempt under sec. Business end Protessions Code tor this reason: SignaWre: Date: Owner ID venfied by tlrivefs license. ❑ Ves ❑ No Drivafs license No. Ezpires: Venfication ot Ownership by (rype of tlocument, i.e. - property ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby cenify that no excavation tive (5) or more teet in depth into which a person Is required to descend, will be matle In connectlon wlth work euthodzed by Ihis permit, and that no building slrucWre, swttolding, falsework, or Gemolition or tlismantling thereoi, wlll be more than thirry-six (36) feat hig�, (Chep. 32, Grp 2, Art 2, Sec. 341, Tipe B, Celitomla Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnii irom the Division of Indus�rial Satery, es noted ebove, unless such person has a permit ro do such work from the division. Signature: Date: DiviSion of Induslrial Safery Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AUTMORIZATION OF EMAY: I cenify untler penalry of perjury that I have read ihis epplicatlon antl state that lhe intormation given is correcL I agree to comply with all state laws and city ordinances relating to bullding construc�ion, antl euthorize representatives of Ihe Ciry ol Costa Mesa to enter upon ihe above-describetl proparry tor insDection purpases. I agree not Ig,occupy or ellow accupancy of eny bullding euthorized by Ihis pertnit until iinal Inspectlon. CODE t. INSPECTIONTYYE 1616 Flxetl System Final Fire Prevention 1266 Pool SOa Final 200 Final Re-Root 201 Finel BIocWRetaining Wall 202 Finel Fectory Fira Place 203 Finel Sign 204 Final Demolition , , , 2nas-as 0 �/� 2�- �9 at COOE � INSPECTION TYiE 206 Final Mechenicel 200 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Final Builtling/Occupan� Qe�f. �$ s L s-�r �