HomeMy WebLinkAbout366 HAMILTON ST - Building Permits�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.Bl11LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 366 HAMILTON ST
Suite:
Vicinity:
Parcel Number: 41917237
npp�icant: STUPIN,DAVID
Address: 1803 CALIFORNIA ST
HUNTINGTON BEACH, CA
Owner: PETERS, PAUL R
Address 1609 RUTH LN
NEWPORT BEACH, CA
Contractor: R R R ROOFING
Address: 1803 CALIFORNIA ST
Zoning:
Phone: 714-536-6890
Zip: 92648 .
Phone:
Zip: 92660
Phone: 714-536-6890
Status: ISSUED
Applied: 05/03I2001
Issued: OS/03/2001
ISSUED BY: �
HUNTINGTON BEACH, CA .
Zip: 92648 License: � 709223 �
Arch : , Eng: �
Address: � . � . Address:- ,.
Phone: - . Phone:
�
License:
License:
� " i � �� SCOPE OF PERMIT� ��" '� �
TEAR OFF INSTALL 30 LB FELT AND 25 YR COMP = � � - - - —� ' � -- - - � ' � -.
. \ � - - - - . : , , ' '
Plan Check: $0.00
Permit: $63.15
SMIP Res: $0.50
SMIP Com: $0.00
Other: �, $0.00
Inspection: , $0.00
FEESUMMARY -
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TotaL• . $63.65
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SETBACKS� �� ' /i ��� �� �,, ''� ,
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MAW STRUCTURE- Front� � 0- 0 /�, ; Rear, '0- 0`
ACCESSORY Front . A-,0 �` ` i�', Rezr, `0-0
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PARKWG Existm ,0� �.Required: �0..
NOTES: `
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PCANNING & ZONING �:; :/!/ ,, �. �j/ ��_ ; ;��
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NOTICE: The work authorized by ihis 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 void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 780 days.
���. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
� required inspeetions and (inal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446d6 (N00)
WORKERS'COMPENSAnON DECLARArON:
I hereby eMirtn under penalty of perjury one oi the following declarations: r
❑ I heve end will maintain a ceniTicate ot consent to sel4lnsure tar warkers' compensetion, es provided for by section 3700 0l the Lebor Code, for tha peAormarxa of the
�ark lar which Ihis permil is issuetl.
;Q"`�I have end wlll maintain workers' compensatlon insurance, as requiretl by secUon 3700 of Ihe Labor Cotle, for Ne pertortnance of the work for which this permit is issued.
My workers' comp nsatiypJnsurance wrtier and polity number are: _
Cartier. ��G %L�/'l+Gi PolicyNumber:'!
(This section neetl not be comple(ed i/ the permit is ve/uetl af one hundred tlollers (5700) or /e55.J
❑ I cenity thet in Ihe peAortnance oi the work for which this pertnit is issued, I shall not employ any person in any manner so es to 6ecome su�ject to the workers'
compensatlon laws of Calitomla, entl a rae that ii I should bacome subJect ro the workere' compansation provisions oi Sectlon 3700 of t�e Lebor Cotle, I shall fort�with
comply with lhese provis� . ,,.�� \ �p
w--v � 3 ^Y/
tpplltent�SigneIDrea i Date:
WARNINO: FAILURE TO SECURE WO ERS' PENSATION COVERAGE IS UNUWFUL AND SHA�L SUBJECi AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLURE (5100,000), IN AODIiIqJ TO THE C0.ST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CO�E, INTEREST, AND AiTORNEI^5 FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby eNirm'that�t m licensatl untl rovisions e hapter 9(commencing with Section 7000) of Division 3 of�lhe�Business and Profes ns Coda, end my license is in full
torce a�A eH ci. uc. a 7� � Ciass a C 3�
�ontr�cioGs�� Sig�n rei� �� � oete: S?' 3— U
CONSTRUCTION LENDING AGENCY:
❑ I hereby eNirm Ihat there is a wnswciion lending agency for tha pedormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lender9 Name: Lender's Adtlress:
SlgneWre:
OWNER•BUILDER DECLARA710NS:
Da�e:
I hereby eMirtn thet under penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professlons
Cotle: Any cily or county which requires e permit to construci, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the epplicant for such permit
to file a sipned statement thet he or she is licensed pursuant ta the proNsions oi the Contradors License Law (Chapter 9(commencing wlih Sectlon 7000) ot Divislon 3 ai the
BuSines9 antl Protessions Code) ar ihal he ar she is exempt therelrom and tha basls tor the elleged exemption. Any violatlon of Section 7031.5 by any epplicant for e pertnit
subjects Ihe epplicant lo e civil penelry ot not more ihan five hunCretl dollers ($500).):
❑ I, as owner ot Iha properry, or my employees with wages as their sole compensation, WILL DO 7ME WORK, end ihe structure Is not intended or otteretl for sale (Sec.
7044, Business and Protessions Coda: The Coniractors License Lew does not epply to an owner of property who builds or improves Ihereon, end who does such work
himsalf or herself or through his or her own employees, pmvitled that such improvements are not intended or offered for sele. If, however, the building or improvement is
sold within one year of completion, the owner-builtler will have the burden oi proving ihat he or she did not build o� improve for purpose of sele.).
❑ I, as owner of lhe D�aPerry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business antl Professions
GOEe: The wntrectors IJcense Lew tloes not apply to en owner ol proPerty w�o builtls or Improves thereon, antl who contracis lor such prolect wit� a contractor(s)
license pursuant to iha Conirectors License Laws.).
❑ I am exempt untler sec. Business end Prolessions Cotle tor this reason:
Signeture: Date:
Owner ID verifieC by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Vedtication af Ownership by (rype ot document, i.e. - pmperry tac bill or tleea):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION:
❑ 1 hereby canify that no excavetion five (5) or more feet in depth into which e person is required to tlescend, will be matle in connection wit� work aut�orized by this
pertnit, and ihat no builtling strucNre, scalloltling, falsework, or tlemolition or dismantling Ihereot, will be more ihan thirty-six (36) leet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Title B, Celtlomia Administrative Code).
❑ As owner-bulltler, I will not employ anyone to tlo work which would require e permit irom ihe Division of Intlustrial Safety, as noted above, unless such peroon hes e
pertnii to do such work trom tha division.
Signawre: Date:
Dlvision oi Intlustriel Setery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUfHORIZATON OF EMAV: I cenity under penalry of perjury ihat I have read this epplication and stata ihat the intortnation given is
correct. I egree to wmply with all state laws and ciry ordinances relating to building construction, and authonze representatives ot the Ciry of Costa Mesa to enter upon ihe
above-descn6ed property for inspection purposes. I agree not co occupy or ellow acupanry of any building authorizetl by Ihis permit until tinal inspection.
CODE I,
1616
1266
200
D�TE INImA65
Fixed System Final Fire Prevention
Pool Spa Final /' 7'�
Finel Re-Roof 7` Z��� l�
SODE• INSPECTIONTYiE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
OATE L�IAL.
Bl DING AND SAFETY DIVIS�IV� �'8 rO�����
FIRE DAMAGE INSPECTION REPORT�� ��n � �F��%�
(Required Prior To Permit Issuance) •
. �.
Address: /J_� C� t�rJ r t n
Owner. 1 i9 U1. !� �� k
Owner's Address (if different from above):
� u:. , ��,� :�,�k,.:> i. �' �3 &-�.. ,
S�tr,e/et
L,-''J-✓�Structural permit required.
L�J Repair or replace as necessary.
❑ Plans required�.
Comments: /I,G /fC /� C ! i
C`Electrical permit required.
�Repair or replace as necessary.
Comments:
❑ Plumbing permit requireii:
❑ Repair or replace as necessary.
Comments:
❑ Mechanical permit required.
❑ Repair or replace as necessary.
Comments:
l�.ln�u c�' 7C! yYi�l� J?
Inspector �
18]2-46 Triolwate'. OrigmeLOwner, Vellow-Conlraror; Pink-Builtling Division
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OWNER Hn7h1FS� (� N_ � APR 6 19oa DATE �_K�q � _
]OB ADDRESS 366 W. H31f111toh B[lILDING PERhllT NO. �L �
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GENERALCONI`RACTOR (}Wrtpr _ BnilriPr VALUE $ ��i _nn o;
1H TRACT 9 PIRE ZONE DESCRIPTION OF WORK
ECTIONS I DATE I SUBCONTRACTOR .I ___ PERMITSISSUED
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COSTA MESA BUILDING DEPARTMENT
P.O. BOX 3I�
COSTA MESA, CALIFORNIA �
FOR APPLICANT TO FILL IN
BUILDING
ADDRE55 � O
COSTA MESA. CALIFORNIA
IOWNER
fARCHITECT
OR ENGINEER
CONTRACTOR
AD�RE55
�F�^� LOT
o[scrarnow NO.
A.P. NO. I �
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' ^,�� LIC.
i� No.
ry`p urv uc.
i� No.
TEL.
NO.
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BLOCK TRACT
NO.OF BL�GS.
.T/1 I ��ow oN �o.
SETBnCIc LIrvE FROm
ccrvi[R OF siaE[T � Q�J REAR YARO
SIOE YARD RIGHT LEFT
DESCRIPTI OF WOR
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE I ROOMS STORIES
E%TERIOR WAL ROOF '
COVERING COVERING
USE OF NEW (((���
BUILOING �IH1S/� ��
�E� ; RECEIUED
FI�ANCE DEPT.
�,Ty nF rqSTA MESA
APPLI'C.4TION FOR PERMIT
BUILDING�
� FOR OFFICE USE ONLY
FECEIPT NO. PERMIT NC
RECEIVE� BY � L14TE RECEIVEO qTE 15�1E
��- - S-J � -S -
ILDING
�RESS
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE NO.OF TYPE GR
PlANS
APPROVE l-
BV � DATE —
� CO RECTIONS
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PLRN�' G DE:'T.
SUBJECT TO DG. c i. �
I/I�)i�:.,nT��—S
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I MEREBV 4CKNOWLEDGE TMAT I F1AVE FEAp TMIS FPPLICPTIOIJ
STATE THAT THE nBOVE i5 COPRECT ANO hGPEE TO COMPLV WITH nLl
CITY OROINANCES AND STATE LPwS FEGULATING 6llILOING CONSTflUC-
ii0a. VALUATION
� PERMIT FEE $
SIGNATUR OF
PEftMITT /
, �/^ /� PLAN CHECK $
g «v
AUTHORIZED AGENT TOTAL FEE Sp
OWNER $OI,!
JOB ADDRESS
AP No. ].15.237-35 LOT
INSPBCTIONS
PZK�Iil��
nnTE 7-26-62
BUILDING PERMIT NOL7 �
VALUE $ 10,0 .00
FIRE ZONE DESCRIPTION OF WORK �6.W 2't.ge
� GROUP I$c,j TYPE V 7.ONE R—'2
Signature � DATE
SUBCONTRACTOR
—✓—
�� � � l���8 F�E RECEIVED
JUL 1 `f �y16Q
COSTA MESA BUILDING-SAFETY DEPARTMENT 'F�NANCE DEPT.
P. O. BOX 917 C08TA MEBA. CALIFORNIA . .
CITY Of COSTA MESA
For Applitanf fo Fill In Complefely APPLICATION FOR, PERMI7
� TYPE OR PRINT � ' "
/� BUILDING
ADD E'6s 3GG r /7 . -� � - ' '
V
'' COSTA MESA. CALIFORNIA , FO� Office Use Only
' _ _ ._ RECEIPT NOf I PEPMIT N
OWNER .�
MAIL - rsece ve !Y DATE HEC61yED OATE 18SUEO �
A�DRESS O . � %� e i (Q - , �Y
CITY Gc �% P NO.q CI6%r BUILDING � /, �.
ADDRESS (.(/
aeCHiTEcr ' 7E�. � COSTA MESA. CALIFORNIA
OR ENGINEER
AD�RESS _ FIRE
ZONE PE � ROUP
CONTRACTOR Iu f (:c'y� , C. BYPROVED DATE U^ � �
ADDRE65 Z c�U gw �Y �v - - ONING � �
y A ZO O. OF U�E OF W I
CIT'( � L` / d e /} �. � '� I UNB � I B ILDIN �
STATE TEL. �� '
LIC. NO. 0 0 . NO. -� I V LacA� g �O T J '
OE6CRIPTION
BIZE I NO. OP BlDG9./ ,� ��
OF L07 G� I O� xoW oN LOT A. P. NO. ���� I
USE OF � � YARDS EV S p `
EXISTING BLOG. � � APPROVED T AL OW � � J
SETBAIX LIN¢ FROM <CENTER LINE J)�p � �
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CENT¢R OP BTIieeT / � 7 REAR YARD - � � �
FRONT FT. ti IN. (\I
� i .'4 �0 R. V
SIDE YARD I LEFT �� I RIGH7 R. SID E - �...,N �� FT. ¢ IN.
DESCRIPTION OF WORK L. SIDE � � FT. IN. �9
I II ALTERATION I II ADDITION ' � r '
NEW REAR FT. i IN�/. �
REPAIR � I IIMOVING I IIDEMOLISH I BYPR�V OAI �7 �_( k,
/ �
BUILDIN . ` 6 ~ NO. OF ' o �
SIZH ROOM6 STORIES �
EXTERIOR WALL ROOF ' ' /`� ` Q'
GOVERING Ga v I OVERING C� ��' ., t9lstt. � S'¢ � '-Z �(tl
USE OF BUILDING AND WORK TO BE PERFORMED - z i a+
C • u U 'C � � -]
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1 HBREBY ACKMOWL¢DOE TXAT �'HA RHAD TH19 APPLICATION TH! AMOUNT 6HOWN UN�ER VALU�TION 16 FOR TXE G�
AND 8TAT6 THAT THE ABOVE �H CORRECT AND AOREE M COM• pypp08E OF, ESTA9LIBXING A PEpMIT FEE ONLY. Q
PLV WIiX ALL CITY OPDINANCEB AND BTATH LAW9 qBpUIaTING
BUILo1No CONBTRUG oN. I�' VALUATION LL'
SIGNATURE OF py«�� � PERMIT FEE $ N G
PERMITfE �� m �;
//� �v D/�D � PLAN CHEGK $ / y
AUTHORIZED AGENT (i(A/�Jy(/ s �
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TOTAL FEE �
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