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Home My WebLink About766 ALLEGHENY AVE - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 766 ALLEGHENY AV Suite: Vicinity: Parcel Number: 14152307 Applicant: LAWRENCE, CLINT Address: 126 COMMERCIAL WAY COSTA MESA, CA Owner: LAWRENCE, CLINT Address 766 ALLEGHENY AVE Zoning: R1 R1 Phone: 949-548-5569 Zip: 92627 Phone: (714) 557-2558 COSTA MESA, CA Zip: 92626 Contractor: GARY REES DBA CRANK BROTHERS ROOFING Address: 126 COMMERCIAL WAY Phone: 949-548-5569 COSTA MESA, CA Zip: 92627 License: 736549 Arch : Eng: Address: Address: Phone: ISSUED B Status: ISSUED Applied: 03I30/2004 Issued: 03/30/2004 Phone: Zip: License: License: SCOPE OF PERMIT REROOF DOUBLE CAR GARAGE ONLY; TEAR OFF EXISTING GRAVEL ROOF, REPAIR SHTG. IF NEEDED, & INSTALL SAME (GRAVEL). Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinp: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 s2.zaz.00 S2,2a2.00 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) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 Z446�4fi(6/00) WORKERS'COMPENSATONDECLARAnON: I hereby aNirm un[ler penalry of perjury one of the tollowing declarations: � � ❑ I have and will maintain a ceniticate of consent to seli-Insure for workers' compensation, es provided for by sedlon 3700 of ihe Lebor Code, for the pertortnance of the "' work tor which this permit is issued. ❑ I have and will maintain workers' comqqqeeensation Insurence, as required by section 3700 of the Lebor Code, for the pedormance of the wodc for which this permit is issued. My w(�ark c mpensatio�n^Insurenc�pcarner antl policy number are: Carrier: l�n� P F-' �l Vl � Policy Number. l�Z I��I RZ - ZCi G�� (This sectian need nat be completed i! the permit is velued at one huntlred dollars ($100) or less.) ❑ 1 cartify that in the p ormance of the work for which ihis pertnit is issuetl, I shall not employ any person in any manner so as to become subjec� to the workers' compensetion lews Call or ia and egre at if I shou become sublect to Ihe workars' compensation provisions of Section 3700 of the Labor Code, I shell forthwith comply with these visi ns / Applicant Signeture: Date: �/� O/A L WARNING: FAILURE TO SEC E ORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBIECT AN EMPLOVER TO CFIMI PENA TIES AND CIVII FINES UP TOONE HUNDRED THOUSANDDOLLARE(5100 �,INADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]WOFTHELABOFCOOE,IMEREST,ANDATiORNEY'SFEES. LICENSED CONTRACTORS OECLARATION: I hereby aHirtn that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) oi Division 3 oi Ihe B torce and ettect. Lia x Class q Contrec�or's SignaWre: Date: _ CONSTRUCTION LENDING AGENCV: Code, anA my license is in full ❑ I hereby aMirm that ihere is a construction lentling agency for the peAormance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Atltlress: SignaWre: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalry ot periury Ihet I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any city or counry which requires a permit m construct, alter, improve, tlemolish, or repair any stmaure, prior to its issuance, also requires ihe epplicant for such parmit to file a signed statement that he or she Is licensed pursuant m the provisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) of Divlsion 3 ot ihe Business antl Protessions Code) or that he or sha is axempt iherefrom and the basis tor the alleqed e:emption. Any vlolation of Section 7031.5 by eny applicant for e permit subjecis iha applicaN to a civil penelty of not more ihan five hundred dollars ($500).): ❑ 1, as owner of ihe property, or my employees with wages as their sole compensation, WILI DO THE WORK, and the structure is not intentlea or oHered tor sala (Sec. 7044, Business and Professions Code: The Coniractors License Law tices not apply to an owner of propehy who builds or improves �hereon, and who dces such work himself or herself or through his or her own employees, provided ihat such improvemenis are not in�entled or oflerad tor sale. If, however, ihe building or impmvement is sold within one year of completion, ihe owner-builder will have the burden ol proving that he or she did not build or improve for purpose of sala.�. ❑ I, as owner of the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (SecJ044, Business end Professions Cotle: Tha coniractors License Lsw does not apply to an owner ol property who builds or improves thereon, end who coniracts for such project with a coniractor(s) license pursuant to Ihe Coniractow License Laws.). ❑ I am exempt undar sec. Business and Professions Code for this reason: Signature: Date: Owner ID veritied by driver's license. ❑ Ves ❑ No Driver's License No. Verification oi Ownership by (type of document, i.e. - property taz bill or daed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: Expires: ❑ I hereby certity that no excavation five (5) or more feat in tlepth into which e person is required to descentl, will be made in connec�ion wi�h work authonzed by ihis permit, and ihat no building sUucture, scattolding, falsework, or demolition or dismantling thereoi, will 6e more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ti�le 8, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from ihe Oivision of Indusirial Satery, as notetl above, unless such parson has e permit to tlo such work Irom ihe division. Signature: Date: Division oi Indusirial Safery Permit Number. LERTFICATE OF COMPLIANCE ANO AUiHORVATION OF ENTRY: I certify under penalry of perjury Ihat I have reatl this application and state that ihe infortnation given is correct. I agree to compty with ell state laws end ciry ordinances ralating to building construciion, end authorize representatives ot the Ciry oi Costa Mesa ro enter upon Ihe above-described property for inspection purposes. I agree not to occupy or allow acupancy ot any building authonzed by this permit until final inspection. COOE �, INSPEGTIONTYPE 1616 Fizetl Sys�em Final Fire Prevention 7266 Pool Spe Final 200 Final Re-Roof o� i ia � —TL CODE� INSPECTIONTYPE 206 Final Machanical 208 Final Plumbing 210 Final Elecirical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fira Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy / (�ia� �sa-sz�a • Fax (»a) �sa-aes� CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT ,lob Address: 766 ALLEGHENY AV Suite: Vicinity: 4 BEDROOMS @ REAR OF HOUSE Parcel Number: 14152307 App�icant: LAWRENCE, CLINT Address: 766 ALLEGHENY AVE COSTA MESA, CA Owner: LAWRENCE, CLINT Address 766 ALLEGHENY AVE Contractor: Address: Zip: COSTA MESA, CA Zoning: Rl Rl Phone: (714)557-2558 Zip: 92626 Phone: (714)557-2558 Zip: 92626 Phone: License: PER IT NUMBER 00-00328 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/15I2000 Issued: 04/11/2000 ISSUED BY: C/ /�—� Arch : Eng: HINKLE, DALE Address: Address: 15510 ROCKFIELD BLVD. Phane: IRVINE,CA Phone: (949)458-0498 SUITE B Zip: License: 92618 License: SCOPE OF PERMIT REPAIR & REPLACEMENT OF FOOTINGS & SLAB IN REAR PORTION OF EXISTING SINGLE FAMILY RESIDENCE; ADD CORNER WINDOW AND DOOR AT REAR Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $117.81 $181.25 $1.00 $0.00 $0.00 $0.00 $300.06 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0. 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $10,000.00 $i o,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all , requlred Inspections end final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � WORKERS' COMPENSATION DECLARATION: � �� `nereby attirm untler penalry oi perjury one of ihe following tleclarations: ❑ I have and will maintain a cenificate ot consent to self-Insure for workere' compensation, es pmvidetl for by section 3700 of the Labor Cotle, for ihe pertormance of the wark far which ihis permi� is issued. ❑ I have and will maintein workers' compensation insurance, as requiretl by section 3700 of Ihe Lahor Cotle, for �he pertormance of �he work for which ihis permit is issued. My workers' compensation Insurence carrier and policy number ara: . Carner. Policy Number. (This section need not be comp/eted i! fhe permit is velued et one hundred dollars ($100J or less.) ❑ I certify that in the peAormance of �he work for which this permit is issued, I shall nol employ any pereon in any manner so as to become subject lo ihe workers' compensation laws of Califomia, antl agrea that if I should become subied b the workers' compensalion provisions of Sedion 3700 of the Labor Code, I shall forthwith camply with ihesa provisions. Applicant Signeture: Date: WARNING: FAI�URE TO SECUFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU9IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000). IN ADDITION TO THE COST OF fAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE L4BOq CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions of Chap�er 9(commencing with Section 7000) oi Dlvision 3 of the Business and Professions Code, antl my license is in tull torce and eRect. Lic. N qass tt Coniractofs SignaWre: Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirm that ihere is a consiruction lending agency tor the performance oi the work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: SignaWre: Date: OWNER•BUILDER DECLARATIONS: I hereby aNirtn that untler penalry oF perjury ihat I em E%EMPT FROM 7HE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business antl ProFessions Code: Any city or wunty which requires a permit to construct, alter, improve, demolish, or repair any siructure, prior �o its issuance, also requires the applicant tor such permit to file a signed statement tha� he or she is licensed pursuant �o �he provisions of ihe Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of �he Business antl Protessions Cotle) or that he or she is exempt iherefrom and Ihe basis tor the allegetl e:emption. Any violation oi Section 7031.5 by any applicant tor a permit subjects the applicant to a civll penalty oi not more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl ihe simcture is not intentletl or offered for sale (Sec. 7044, 8usiness end Professions Code: The Contractors License Law tloes not apply to an owner of property who builtls or improves Ihereon, and who tloes such work himself or hersalf or thwugh his or her own employees, provided ihat such improvemenis are not intended or oflerad for sale. If, however, the building or improvement is sold within one year oi completion, ihe owner-builtler will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, BuSiness and Professions Code: The coniredors License Lew tloes not apply to an owner of property who builds or improves thereon, and who coniracis tor such proled wi�h a contractor(s) iiCense pursuant to the ConireCtors LiCense Laws.). ❑ lam Signature: Owner ID licen5e. ❑ Ve5 ❑ NO Business and Professions Cotle for ihis reason: Date: — Driver's License No. � � Expires: ' 'a Verification ot Ownership by (type of document, i.a. - property tax bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation tive (5) or more feet in tlepth into which a person is required to dascend, will be made in connection with work authonzed by this permit, and ihat no building siructure, scatfolding, falsework, or demolition or dismantling thereof, will he more than �hirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, California Atlministrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit trom Ihe �ivision ot Indusirial Safery, as noted above, unless such person has a pertnit ta do such wark irom ihe division. Signature: Date: Division of Indus�nal Safety Permit Number: CER7IFICATE OF COMP NCE AND AIJTHORIZATION OF ENTRV: I cartify under penalty ot perjury ihat I have read this application and state that ihe information given is correct. I agree�t my y it state laws and city ortlinances relating to building consiruction, and au�horize representatives of the City ot Costa Mesa to enter upon ihe above-des ri6e 4rt to pection puryoses. I agree not to occupy or allow occupancy of any building authorized by Ihls permit until final inspection. 4 �iJ�O v Signature Ot Legal Owner(s) Date And/Or Authorized Applicant Date �E N. INSPECTIONTYPE D9LE IMRIRLS 1616 Fixed System Final Fire Prevemion 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition CODE 11 INSVECTION TYPE 206 Final Mechenical 200 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 FinalBuilding/Occupancy j10jE UITRIALS Lot �.4� T - � �� a� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 C08TA MEBA. CALIPORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA .W. KOLL TEL. rvo. M I �i- / I NO. OF 8¢TOACK LIN6 FROM / � CEMER OP STREET REAR YARD /� / �.f f SIDE YARO I LEF7 `'1 RIGHi J I DESCRIPTION OF WORK EXTERIOR WALL COVERING USE OF BUI DING AND S�Nf:I F FA NO. OF ROOMS 7 STORIES IROOF W�O(1 6t11 �� COVERi' G � iK TO BE PERFORMED FEE RECEIVED 1�-- &IAY 171 �01 FINANCE DEPT. CIiY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. n R$ftFUT_NO. BY BUIL�ING ADDRES6 COSTA MESA. CALIFORNIA FIRE // // ZONE TYPE ✓ GROUP� ZONES S LEGAL APPROVED ZONING NO. OR I lISE OF N PlA}(8 � BUILDING EVES rlb 1 XBREBY ACKNOWLlDOB THAT i HAV6 PEAD THI9 RPPLIGTION TXE AMOUNT eHOWN IINOER VALUATION IB FOR THE AND BTATE TXI1T THE ABOVE 16 CORREGT AND A6REE TO COM. pUIiPOBH OP EBTABLI6XIN0 A PERMIT F¢E ONLY. PLY WITX ALL CIiY ORtlINANCEB ANC BTATE LAWB R80UI.�TINO BUILDINO CONOTRu oN. VALUATION SIGNATURE OP PERMIT FEE $ �5 PERMITTB ry/✓ $/ J ��'— PLAN CHECK $ � 7� � � � AUTHORIZED AGENT i - " 28381 •" COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BOX 720! COSTA MESA, CALIFORNIA 9282E For AppllcaM ro Ffll Pn ComplNoly TYPE OR PRINT GOSTA MESA, �-� �:.�.�. O.`a �% /D� NO. O! pLpO�. NOW ON LOT � e _ �� B�oACR LIrv6 PxOM / .!!T 5 RIQHT DESCRIPTIOPI OF WORK f 7 � 1 H8R69Y ACNNOWL6D0[ TXAT.1 X�Vt RiAD YMi� AYPLIWTION AND BT�T[ TXAT T/I[ ApOV[.�B COpq[GY ANC AOp6[ YO COY• PLY WITX ALL CITY OROINANCf� AryD /TAit tA1N� NfOYIATINO BUILOINO CONBTRUCf10l. A pe°n~r�iiie e o� eL/ CF��` . C- � � AUTHORIZQD A6[N7 Mpx 27�00 7s�++ ****2250 11rPLICATION FOR PERMR SUILDIN6 for Offiav U» Only nscnrt no. � r� - sa3- o ; NOT@: NO EAVE OVERNANO BNALL BE Ll88 TXAN 90' TO 6IDE Q REAR P EAVEB ALLOWBD YARD�APPROVED MAIN BUILDINQ VAR. �' eer. !% � YARO9APPROV6D ACC6880RY BUILDIN6 DAT6 TMi AMOUM tHOWN UNDlR VI�LUATION 19 POR TH[ — •YPPoBI OI ifiAlYBHINO A PEpMIT P6Y ONLY. � YALUATION p S ��O�O PERMITFE6 S D� E � �� i .� Q ° / TOTAL FEH � L ' '� � � OWNER �ESSEY STEP �' JOB ADDRESS 7� plleghe�. -� GENERAL CONTRACTOR Da �-i=-�=,�%'•" � 4� _�?�-07 LOT 2. `s'-',1;.'�:r; ; \ I`�...:.;'�. .._: ^TI ON S sor� GAS WATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONOITIONING TEMPORARV SERVICE OR POLE UN�ERGftOUND � POWER � ROUGH WIRING TRENCHES Q FORMS � STEEL RE FLOOR SVSTEM BOND BEAM ❑ STEEL REINFORCE [ SHEATHING FqAME ANO FLASHING T� FIRE DATE 3_p7_(,g BUILDING PERMIT p SUBCONTRACTOR