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Home My WebLink About2049 FEDERAL AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ra.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2049 FED�RAL AV Suite: Vicinity: ROOF Parcel Number: 42250308 Applicant: CLAYTON, WILLIAM Address: 23511 WHITE DOVE DR LAKE FOREST, CA Owner: HOYT, DONALD W Address "2049 FEDERqL AVE , ` COSTA MESA, CA' Convactor. SOUTH CQUNTY ROOFING � Address: 23511 WHITE DOVE DR LAKE FOREST, CA Zip: 92630 Arch : Address: Zaning: Phone: 949-597-0192 Zip: 92630 Phone: Zip: 92627 Phone: 949-597-0192 License: 737515 Eng: Address: Status: ISSUED Applied: 11/18/2003 Issued: 11/18/2003 ISSUED BY: ��C�i� Phone: Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30 YEAR COMPOSITION SHINGLES,�5/12 PITCH, AND 15# FELT. 1,200 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.00 SMIP Com: $0.59 Other: $0.00 inspection: $0.00 Total: $83.84 SETBACKS. MAIN STRUCTURE � Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING R ZONING Le(t 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Righl 0. 0 Right 0- 0 $2,eoo.0o s2,eoo.00 NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access raquiraments 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 wlthin 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. ' INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thls permit. FOR INSPECTIONS CALL: (714) 754.5626 ?448d8 (8�W) WORKERS'COMPENSAnONDECLARAnON: � r . I hereby eHirtn under penalry af perjury one of Ihe tollowing declarations: ❑ I have and wlll malntain a certificete of consent to self-Insure for workers' compensetion, es providetl for by sectlon 3700 oi the Lebor Cotle, lor the pertormance of ihe work for whlch Ihls permit is issuetl. � I have end will meintaln workere' compensation insurence, es required by sectlon 3700 of Ihe Lebor Coda, for the DeAortnance of the woAc for which this permit is issuetl. My wor�ke�s' compeqsatian Insurence wrder eqd pollcy number ere: Cerrier: �+�'t ��IM�G�.4+hw Iw�, �u�./ PolicyNumber. ��'I�IS�70'% (Tiiis section need not be camDleted il (he permit is velued et one bundred dollers ($100) or less.) ❑ I certity thet in the pertortnanca ot Iha work tor which this pertnit is Issued, I shall not employ any person in eny manner so as to become subiect to Iha workers' compensetlon laws ot Calilomie, entl agree that II I should become sub�ect to the workers' compensation provisions of Section 3700 oi Ihe Labor Cotle, I shall fort�wlth comply with these provisions. / ApplicentSigneWre: _� Date: ��(/8/�S WARNING: FAILURE TO SECURE WOPNERS' �MPENSATION COVERAGE IS UNLAWFUL M'D SMALL SUBIECT AN EMPLOYER TO CRIMINK PENALTIES AND GVIL FlNES UP TO ONE HUNDRED THOUSAND DOl1ARE (5100,000), IN ADDfTIIXJ TO THE WST OF COMPENS4TION, DMMGES AS PPOVIOED FOR IN SECTIIXJ 3'1080F THE IABOR CODE, IMEREST, AN� ATfORNE'f5 FEES. LICENSED CONTHACTORS DECLARATION: I hereby aflirtn that I em Ilcensed undar provisions of Chepter 9(commencing with Section 7000) oi Divisian 3 of tha Buslness and Professions Code, and my license is in full force end ettect. Lic. A 7$1 S Cless N �• 3 4 ContrectoYsSignaWre: (�✓• Dete: �/ �8 �3 CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm the� there is a construction lentling agency tor the pedormance of �he work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlels Name: Lendefs Address: Signature: Date: OWNER•BUILDER DECLAHATIONS: I here6y eHirtn Ihat untler penalry of perjury that I em EXEMPT FROM THE CON7RACTORS LICENSE LAW lor Ihe I011owing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or county which requires e permit to consWct, elter, impmve, tlemolish, or repair eny structure, pdor to Its Issuance, also requires the apPlicant lor such permit to file e signed stetemant that he or she Is licensetl pursuan� to the proNsions of the Contradors LJcense Law (Chepter 9(commencing with Section 7000) of Divislon 3 ot �he Business and Prolessions Code) or that he or she is exempt therefrom end Ihe besis for the alleged exemp�ion. Any Nolation of Section 7031.5 by any applicent for e permit subjects the applicant to a civil panalry ol not more ihan five hundred dollers ($500).): ❑ 1, as owner of Ihe property, or my employees with weges as their sola compensation, WILL DO 7ME WORK, and 1he structure Is not intentletl or oHered tor sale (Sac. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of propeny who 6uilds or improves thereon, and who tloes such work himself or herselt or through his or her own employees, provitled that such improvements are not inlended or oMered for sale. Ii, however, tha building or Improvement Is sold wi�hin one year oi completion, ihe owner-builder will have.the burden of proving that he or she did not bulld or impwve for puryose of sale.). � ❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITN LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions Coda: The wmrectars License Lew tloes nat apply to en owner of pmpehy who builds or Improvas Ihereon, and who conirects for such pmject with e contrector(s) license pursuaN to the Coniractors license Lews.). ❑ I em exempt under sec. BuSiness end PmfeSsionS Code tor Ihis reeson: Signeture: Date: Owner ID verified by drivefs license. ❑ Ves ❑ No Drivels LicenSe No. Vedlication ot Ownership by (rype of dacumem, i.e. - property tex blll ar tleetl): Expires: DIVISION OF INDUSTAIAL SAFETY PERMR CERTIFICA710N: ❑ I hereby cenity Ihat no excavation five (5) or more teet in Cept� into whicli e person is required to descend, will be made in connection wi�h work authonze0 by Ihis pertnit, end Ihet no building siructure, sceHolding, talsework, or demdition or tlismantling ihereoi, will be more ihan thirty-six (36) leat high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Calllomia Aaminisirative CoOe). � As owner-bulltler, I will not employ enyone �o tlo work which woultl requlre a permit trom Ihe Divlsion of Indusirial Selery, es noted ebove, unless such person hes e permit to do such work from ihe division. SignaWre: Date: Division of Indus�riel Se�ely Permi� Number: CEflTFlCATE OF COMPLIANCE AND AUfHORVATION OF ENfAV: I ceM1ily untler penalry ol perjury that I have read this epplication and state that the iniormation given is wrrecL I egree to comply with ell state laws end ciry ordinances relating to 6uiltling consiructlon, end euthodze representetives of the Ciry of Costa Mesa b enter upon the ebove-descnbeC property tor inspection puryoses. I egree not to occupy or allow occupancy ot eny building authorized by this pertnit until finel insDection. COUE �. INSPECTONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Finel BIocWRetaining Wall 202 203 Final Fectory Fire Placa Final Sign 20C Final Demolition �g �� !/-Z�C-o3 � ate //�d o 3 oate COUE I INSPEC110N TYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Elet�ncal 212 Finel Fire Prevention 220 Finel Planning Approval 222 FinalSite 250 Final BuilCing/Occupancy Q�ff I[�NS OWNER HOYT, JOHN JOB ADDRESS ?01t4 Feder �GENERAL CONTRACTOR �c.h �AP No. ll5-472-08 LOT 1}2 II iCTI0N5 so�� GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEqTING AND AIR CON�ITIONING TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL PE FL00ft SYSTEM BOND BEAM � STEEL REINFORCE [ SHEATHING FRAME AND FLASHING LATHING - IN n OUT,�, C�-� PLASTER.BROWN COAT H .G, VENT., PLUMBING, FINAI ELECTRIC, FINAL BUILDING, PINAL PEFRIG. ANO A.C., FINAL AND GAS TEST rI �� F DATE 9-23-69 BUILDING PERMIT N �UP J TYPE SUBCONTRACTOR ':a e.. � �0789 ` COSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING .sc. //i% '' �_ _ D Z . a U Za < d J Q U N za W � aw W2 J Q m Z J � w w � ZH W � �O �" Z Q U Q � H N Z O F U � � � y Z OWNER ( MAIL ADOFiES CITY CANSTRUCTION LENDER BRANCH ADDRESS ARCHITECT OR ENGINEER ADDRESS CONTRACTOR ADOFESS � CITV � _ STATE LIC. NO. � SI2E OF I.OT � USE OF E%ISfING BLDG. 512E OF 9 WALL JG SUILDii tiV 1 %I TEL. NO. TEL. �O NO. CITV IIC. NO. INO. O LBF�OGS. NOW ON LOT NO. OF _ ROOMS STOF ROOF COVERING AND WORK TO BE PERFORMED � t SEP 23-6 P9 A'�00 705� ****34.50 CpSA APPLICATION FOR BUILDING PERMIT RECEIV�DBV �Fj,TERECEIVED nercicci� BUIIDING ADDRE55 y FIRE � . ZONE ! APPROVED DATE � NO.OF^ VSE OF NEW PLI1N5 v BUILDING VARDS APPROVED YARDS AI MAIN BUILDING ACCESSOR' IOM GL STREET) /^ DISTANCE BET MAIN BLDGS. VAR. � C.U.P.qW APPROVED BET. ACCE DATE FT. I heraby ecknowledBe that I heva reatl this applicetion entl ste[e tho[ the obove intormetion is correct entl eB/eo tD tomply with all laws regulating nuilding consnuction, antl I shall not employ any parson in vlolatiOn of tha workman's compansation laws ot the State of Celiforn�a. I horoby cer[ity 2ha� I am proparly Iicansetl es e eonnactor untler SQ. FT. Na Smte ot Celifor��a Businesa antl Protesslons Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FO Chepmr 9, entl thet such licansas are In full torte entl aftect, or I THE PURPO6E OF ESTABLISHING A VERMIT FEE ON�V em ezampt from the Provlsions of Na Stete of Californla Buslnass yALUATION /�-� antl Professlons Cotle, Division 3, Chaptar 9. PERMIT FEE 5��• " L SIO�ature of ��j��f � �� Parmittea � $��'U (/ '� PLAN CHECK $ / Au[horizotl Agant TOTAL FEE � • SO b 0 � ¢ � m E `o LL .- ��t 49'78 COSTA MESA BUILDING DEPARTMENT P.O. BO% 31l COSTA MESA.�CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA IMAIL ARC' �'T LI0. OR LER NO. ADDRE55 _�J _ CITY LIC. LEG�L LOT ocscnipnoN NO. � BLOCK TR[�AQ� A.P. NO. V —� S d- � �J 52E No. of' o�oc5. OF LOT NOW Orv Loi USE OF � /�/ L%ISTING BLDG. r p SETBACN LINE CENTER OF ST SI�E YARO ROM ��r ' _[r � REAR VAw� RIGHT � � �EFT �� DESCRIPTION OF WORK � NEW ALTERATION Y ADDITION REPAiR / VING DEMOLISH BUILD�Q'�� //� NO.OF SIZE _� ROOMS STOFIES E%TERIOR WALL ROOF COVERING COVERING �_ USE OF NEW ( q Q ��-�/7�� ^ J// BUIIDING ��/ ry� � j� h AH�� FEE RECEIVED F�.�o�/y�s �-9-C�_ DEPT. �F�'POF�99TI�M$$�OR PERMIT BUILDING ` FOR OFFICE USE ONLY COSTA MESA. CALIFORNIA FIRE ZONE zoH�I APPROVED BY m ClTY Oi' CCSTn A4ESA i��l� — uO�ECt TO G. UtPT. REG. S�F/.TE TNAT THE �BOVE IS CORqECT �NO nGREE TO COMPIV WITH sLL CITV OflOIN/.NCES I.ND $TATE LAWS REGUL4TING BVIL�ING CONSTflVC� iiOrv. � VALUNTION SIGNATURE OF /' f,D L PERMiT FEE S PERMITTEE /'� �1%O PLAN CHECK S $ AUTHORIZED AGENT TOTAL FEE S �err ORANGE COUNTY BUILDING DEPARiMERIT � 636 North Broadway "- SANTA ANA, CALIFORNIA � FOR APPLICANT TO FILL IN ADDRE55 2n44 Farlpral A..a_ SCHOOL DIST. OR TOWN NEAREST CRO55 5T. l Q�-h . Rf� _ MAIL 9363 w��sH�Re e��o. AD�RE55 TEL. • CITY NO. ENG N'EEr7..A��1 S� MCKERRACHER �o � sr. 648 AnDRE55't��0 E. WALNUT ST_ PA9/1DENA TEL. iTRACTOR NEWPORT VI STA CO �o. CR. S�Ii ADDRE55 �j WILSMIRE B�vo. BEV.HIIIS IEGAI 1, / �ESCRIPTION LOT NO. y2p BLOCK � 7� 2 IATTACH METES B BOUND51 NO. OF NO. OF �G. Fww.luEe ROOMS DESCRIPTION OF WORK BUILDING NO. OF SIZE �0�� SO_PT_ROOMS WALL F COVERING STU�66 I � USE OF NEW BUILDING Res�oeNce APPLICATION POR PERMIT � ��'�� FOR OFFICE USE ONLY I RECEIVE� BY DATE OF APPL. DATE 1: � �L3 J� ��zs ADD E'S_ 5 _�:� G�! �f � ec G� SGHOOL DIST. /! _ g� M e y G� OR TOWN Li(/' NEAREST /G ��I _ /� ( CRO55 5T. / ��/j� ZONE NO.OF TYPE GROI � I I PLANS I � T J� SETBACK LIN�,EijQJA CENTER OF 5T. SS�t^ REAR YARD 7i L� t SIDE VARD 11 E APPROVED BY DATE CORRECTIONS APPROVALS FOUNDATION: LOCATION INS ECTOR /� j�ATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS. � (/_ / r APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING i�J d' 4� ..J• AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. � / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /J �n BRACING, BOLTS LATH. ItJL .-// /�J ` ' SIGNATURE OF E PORT V STA CO. LATH. E%T. � � J ` PERMITTE y PLASTER.INT. ��•�� /�� AUTHOHIZED AGT ` r� PLASTER. EXT. ;� �"�'�� IA � I � s 4830.0o P. _. g VALUATION �� MASONRY BOND BEAI FINAL 0 9 � Z D r .�.:� , �i�-', ,��.:�.,,, . v� _ : i;:�. i i - f �� . .. ._!I: �_,_•�__ f .� ^;...�.._ , :ia; .,•,. ,.r :i•,.�.a .� �t' � � � . i: . : ., .i`. � .,��.��.� - �.�. i...v� ..cv �: �^tu� �i,� ' • �-� . �rr :: . x r .,-,. ,_ . . r � �-... :5 • . �._.:�,:� _ .,,�.;.. � � .� -� - • . �,t� ' . �_ .JJ :T71�� 'i �J941=.1 �• - _.,.i.'. I - . . _ _ ` _ � ' _ _" . _ _ ' "