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
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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