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HomeMy WebLinkAbout587 FAYETTE CIR - Building Permits���a��sa-sz�s • Fax{�ia��sa-aess CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 587 FAYETTE CI Suite: Vicinity: Parcel Nunmber: 41804124 Applicant: KELLY ANGLE Address: Owner: BAEHRE,�HERBERTK Address 587 FAYETTE CIR / � � �, j COSTA MESA, CA _ / i� Contracroi: "ROOFING BY KELLEY" �Address: �444HAMIL-TON-ST#B CA � - -- COSTA"MESA Zip: , 92627 � Arcli : Address: BUILDING PERMIT Zoning: R1 R1 � Phone: 949-642-9813 Zip: Phone: ' - Zip: 92626 NUMBER j�/B99-01224 I 77 FAIF DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/O611999 Issued: 08/06/1999 ISSUED BY: � (� Phone: (949)642-9813 License: 532797 Eng: Address: , Phone: , . Zip: � -. ' - , License: ; � � SCOPE OF PERMIT � �� REROOF 2400SF REISDENCE W/COMP OVER EXISTING COMP. � " FEE SUMMARY ' Plan Check: $0.00 , _ , � Permit: , $9725 _ ' SMIP Res: . $0 50 % � ` SMIP Com: � � Other: Inspection: ` Total: SETBACKS�, ACCESSORY PARKING NOTES: $0.00 $0.00 $0.00 $97.75 Front 0- 0 Front 0- 0 Exislin : 0 Rear 0-0 Rear 0-0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Phone: � ��� �icense: Calc Valuation: _ Claim Valuation: Right 0- 0 Right 0- 0 $3,050.00 $3,050.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenceii within 1 BO days, or if work is suspended or abandoned for a penod of 780 days. , INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetiona end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: � ' I hereby ettirm �nder penalry of perjury one of the following tleclarations: � I have enA will maintain a certificete of consent to selt-Insure for workers' compensetion, as provided for by section 3700 of the Labor Cotle, for the peAormence of Ihe wprk for Which this pertnit is issuetl. � ❑ I hava and will maintain workers' mpensa�ion insura ce, as required by sectlon 3700 of Ue Lflbor Coda, for the performance ol the work lor which this pertnit is issuetl. M wodce�s' com ans su nta c and 1' number ere: �// �yC, Cerrier:Y p�� i�� Policy Number. O 7 f0 "O� J<��� (TM1is secNon nBed nof be cromplefed il Ihe permrt /s velu O et one hundretl dollers ($�ess.) ❑ I canity Ipat In the peAormance ot t e work far which this pertnit is issuetl, I shell nol amploy eny person in any manner so es to bacoma subject ta ihe warkers' compensa�ion laws of Califor ia an ree the f�l shoul become subject m the workers' compensation provision5 0� Section 3700 ol �he Lebor Code, I shall fonhwlth comply wl�h these provisions / , �_ �_ ir� � Applicant Slgne�ure: Date: � WARNING: FAILUPE TO SECURE WORKERS' �M NSATION B VERAOE IS UNLAWFUL AND HALL SUBJECT AN EMPLOYER TO CRIMINPL PENALTIES AND CNIL FINES UP TO IXJE HtINDR 0 THOUSAND Dd1ME (5100.000), IN ADDRION TO THE COST OF COMPENSATION, ONMGES PS PROVIDED fOR IN SECTIIXJ 3]O60F THE IABOR COOE.IMEREST, AND ATTORNEI^S FEES. LICENSED CON�ACTORS DECLARATION: I hereby aHirm ihat I em licensed untler provislt torce ana etfecL Lic. a � � Conirectors Signawre: � with Section.7000) af Division 3 of the E _ � Class # � Date: Cotle, and my license is in CONSTRUCTION LENDING AGENCY: ❑ I hareby a�irm Ihat Ihere is a constrUction lending agency ior ihe pedormanca of ihe work lor which this pertnit is issued. (Sec. 3097, Civil Code�. Lender's Name: Signawre: _ OWNER-BUIL�ER DECLARATIONS: Lentler's Address: Date: I hereby eXirm that unaer penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, 8usiness and Pwfessions Code: Any ciry a� �ounry which requires a pertnit to rnnsiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appliwnt tor such pertnit to file e signe0 8�atement Ihet he or she is �kensed pursuant b tha provisions of ihe Contrectors License Law (Chapler 9(commencing with Section 7000) of Division 3 ot the Busifress antl Piotessions Code) or that he w she Is ezempt lheretrom antl Ne basis tw ttre afleged exemption. Arcy viWation ot Sedion 7031.5 by arcy applicam tor a pertnit sub�ects tha applicant to e civil penelty ot not more ihan five huntlretl dollars (5500).): ❑ I, es owne� a� the property. or my employaes with wages as their sole compensetion, WILL DO THE WORK, and Ihe structure I5 not intended ar oNered for sele (Sec. 7044, Bus(ness entl Professions Code: The Contrectors License Law does nof apply to an owner of property who builds or improves thereon, end who tloes such work himself or herself or ihrough his or her own employees, pmvided ihat such impmvements ere not imentletl or ottered for sale. If, however, ihe builtling or improvement is soltl within one year of compietion, the ownerbullder will hava the burden of provinq thet he or she did not buiitl or improva for purpose of sale.). ❑ I, as owne� of the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct Ihe pro�ecl (Sec. 7044, Business and Protessions Code: The comrectors License Law does no1 aDPly to an owner oi property who builtls or improves ihereoq antl who contrects for such prolect with e contractor(s) license pufsuant to the Conirectors Licensa Laws.). ❑ I em exemp� under sec. Business antl Professions Code for Ihis reason: Signature: Date: Owner ID venlied by drivels license. ❑ Ves ❑ No Dnvers license No. Expires: Verifiwtion of Ownership by (rype of tlocument, i.e. - property tax bill or daed): DIVISION OF INDUSTRIAL SAFE7Y PEHMIT CERTIFICATION: ❑ I hereby cbhity Ihat no excavation five (5) or more feet in tlepth into which a person Is requiretl to descend, will be made in connaction with work authorized 6y Ihis permit, end that no builtling sWdure, scaflolding, falsework, or demolition or tlismantling Ihereoi, will be more than �hirry-six (36) teet high. (Chap. 3.2, Grp 2, Atl 2, Sec. 341, Ti�le 9, Cellfornie Administretive Cotle). ❑ As owner-builtler, 1 will not employ enyone �o tlo work which would require a permit from �he Division of Intlustrial Safey, as noted ebove, unless such person has e permit to do such work trom the division. Signature: Date: Divisian of Intlus�rial Safety Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRY: I certity under penalry ot perjury that I have read this epplication end state that the intortnation given is correct. I egree to comply with all state laws and ciry ordinances relating to builtlinq construction, and auihorize representailves ot the Ciry of Costa Mesa lo enter upon the abova-dascriDatl p�operry for inspection purposes. I agree not to occupy or allow occupency oi eny bulitling aulhorized by this pertntt until tinal inspection. COOE A. INSPECS1QNrrPE 1816 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-A�� 201 Finel Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition 2446b8 Owner(s) Applicant QAg INTRIALS 'v—=+'—t� � < i� v Da�� / Date COOE� INSPECTIONTYPE 206 Final Mec�anical 20B Finel Plumbing 210 Finel Electncel 212 Final Fire Prevention 220 Final Planning Approvel 222 Finel Sita 250 Final Building/Occupancy Q� ,�n . �OWNER HUNTLINGER JOB ADDRESS 5 7 " GENERAL CONTRACTOR A'' ��d-F18-041-2l1 �d li SCTIONS Z5��� GAS ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. ROUGH HEATING ANO AIR CONOITIONING TEMPORARV SERVICE OR POLE UNOERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STE�L REINF. FLOOR SVSTEM BONO BEAM � STEEL REINFORCE (� SHEATHING FRAME AND FLASHING LATHING - IN � OUT n PLASTER, BROWN COAT ST���F';*'�U0.AL, FINAL ,,v,,:+ ME'rw&{'�-,('?C, VENT., REFRIG. AN� A.C„ FINAL PLUM6ING, FINAL ANO GAS TEST n EIECTRIC, FINAL FIRE ZO DATE 5-11-70 BUILDING PERMIT K A1wn.Sunsh VALUE $ 580.00 SUBCONTRACTOR 3182G , fCOSTA MESA BUILDINGSAFETY DEPARTMENT �`.'�Y 11-7��psFOO 381 �*�***6.00 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLtCATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVEO BY DATj/ECEIVED D'TE ISSUED ADDRESS E �` � J // � PERMIT NO. OWNEIi A.P. NO. —O I' � MAIL BUILDING �J'J Z . Q ADDRE55 S� ADDFESS �f a/ fJ TEL. TRACT � Q LOT BLOCK a U CITV `(r�s � e f NO.. � � O ZZ Q CONSTRUCTION W A � P O N LENDER � �/ a m �� J � BRANCH J N OWNER Q ��� ADDRESS �y ALU J` ARCHITECT TEL. S 5 OR ENGINEER e N V Q FIRE . w� ADDRESS ZONE TVPE GROUP � d W W Z APPROVED /J' _ ���y J O CONTRACTOR W d�O BV �J DATE /{ m Z �.� J � ADDRESS � w w TEL. Z�NE NO.OF VSE OF W ZF CITV NO. �QSQd P�� BUILDI w� STATE CITV �'ARDSAPPROVED VARDSAPPROVED �� LIC. NO. S 6� LIC. NO. MAIN BUI�DING ACCESSORV BUILDING �� SIZE NO.OF BLDGS. (FROM C/L TREET) OF LOT NOW ON LOT FROfYT FT. FT. USE OF EXISTING BLDG. T. FT. � SIZE OF NO. OF Z NEWBLDG. ROOMS STORIES L.SIDE FT. U EXTERIOR WAL� ROOF COVERING COVERING REAR ���✓ v FT. J USE OF BUILOING ANP �'�'ORK TO BE PERFORMED DISTANCE BET. gET. MAIN & � MAIN BLDGS. ACCE55. BLDGS. �^^ VAR.# DATE O K � /(L C.U.P.�W qPPROVED F APPROVED y Z O UI he�eby acknowlatlp0 tnat I have reatl thiz application antl sta[e � that the above informat�on is correct antl agree to comply with � all laws ro8ulatln8 buildi�8 �onsvuction, antl I shall not employ � any person in vloletion ot [he workman'S compenzation laws ot y the State of Califomia. � ? I heteby certlfy [�et I eT properly licenud as a contractor untler SQ. FT. o the State of California Business antl Protessions Cotle, Divlsicn 3, THE AMOVNTSHOWN UNDER VAIVATION IS FOR j CM1apter 9, antl Net such ���enses ara in full force antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt from [h pro��sions ot the Staf¢ Of California Business � VAlVAT10N / ontl Professions C e, Divisian 3, Chapter 9. /_ ��� N PERMIT FEE 5 1(! � Signature o ��/('A � m Permitte 5�/1 N�_ PLAN CHECK $ �+ E (/ V A `p Authorizetl Agant /— LL TOTAL FEE S l!/ / o0 . 27942 COSTA MESA BUILDING-SAFE�Y DEPARTMENT P.O. BOX 1P00 � COSTA MESA� GALIFORNIA Y2E26 For Appllcant ro Flll In Completaly TYPE OR PRINT A�DRE68 � V� �T4 ��� COSTA ME3A, CALIFORNIA FI AHLHITECT 812E OF LOT USE OP THL NO. T!L C }.f � '�� TBL N �( u • '�� 7 3� xo, or n.no�. > > I now oM Wr i� � l�(��Y OM R - �O pGRYA D � iRT I \ RIQFR \ O DESCRIPTION OF WORK ROOR �1 HlPGBY ACKHO' AND BTATB TNAT PLY WITX ALL CI' OOILOINO CON81'R � � AUTHORIZaD A0[NT TX�O APPLIGTION ID AOpH6 TO CON• LAWY RfOULATINO oEc.27.-s� 0 9oa• ****85.50 APPLICATION FOR PERMR BUILDINf3 fOr Offlce Use Only 11{C61'T NO. r �� �`� BUILDINO ZONIN(i ZOX6 NO.OF YYtO�N[W gj �un� 0 euuoixo 8tt ¢P DiICRITON L D � �-rS� 1 " S^� /✓ w. P. No. 141-041-24 NOTR: NOCAV60V[RHAN08HALLB6LH88TXAN YARCBAPPROVHD I YARDSAPPROVfiD MAIN BUILDIN6 AGGESSORY BUILDINO DIBTANC[!R. I B6T. MAIN Q MAIN BLOQ{. ACCE88. BlJ vM. � DATE B re«arau �D n� DATE 11—ZJ�6% a HOLD FOR S�-CIA; REQUtZEr!=:'�,- � � ,�DO ea. rr. ( � � 0 iX8 AMOUMT OXOWN UN06R VALUATION �B POp iN8 j PURPO88 OP [9TABLI6NIN0 h PlPNIT 188 ONLY, i VALUATION ` y� � PERMIT FEE � � s �� �7J�` �P,.S— w TOTALFEH $ �� G