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Home My WebLink About205 AMHERST PL - Building Permits,. � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, GA 92626 JobAddress: 205 AMHERSTPL Suite: Vicinity: RESIDENCE & ATTACHED GARAGE Parcel Number: 14146508 Zoning: Applicant: MORRIS, ROBERT W& KATIE J Address: 205 AMHERST PL Phone: 714342-1468 COSTA MESA, CA Zip: 92626 owner: MORRIS, ROBERT W& KATIE J Address 205 AMHERST PL Phone: COSTA MESA, CA Zip: 92626 Contractor: OWN ER-B U I LDER Address: Phone: Zip: Arch : Address: Phone: License: 0 Eng: Address: ISSUED BY: Status: ISSUED Applied: 09I05/2000 Issued: 09/05/2000 Phone: Zip: License: License: SCOPE OF PERMIT � REROOF: T/O, REPLACE SHTG AS NEEDED, 2 LAYERS 30 OR 40# FELT, INSTALL 25-YEAR GAF COMP SHINGLES. 2500 SQ FT Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Fron� 0-0 ACCESSORY Front 0-0 PARKING Ezistina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,350.00 $3,350.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 ii work is suspended or abandoned for a period of 180 days. • � � INSPEC710NS: 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 final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d46<6(N00) WORKERS' COMPENSA710N DECLARATION: — � I hereby attirtn untler penalry of perjury one ot the tollowing declara�ions: ❑ I heve and will maintain a cetlificate of consent ro selt-Insure tor workers' compensatlon, as provided for by section 3700 of the Labor Code, for the peAortnence of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Labor Code, for the pertortnance of the work for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: Carrier. Policy Number: (This secfion need nof be compleretl i! the pertriit is velued at one hundretl dollars ($700) or less.) ❑ I certity ihat in the pertortnance of Ihe work for which this permit is issuaq I shell not employ any person in any manner so as lo become subject to ihe workers' compensation lews ot Celifornie, antl egree ihat Ii I should become sub�act to the workers' compensation provisions of Section 3700 of the Labo� Code, I shall fort�with comply with ihese provisions. Applicent Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIdJ COVERAGE IS UNLAWFUL AND SHALL SUBIEC� AN EMPLOVER TO CRIMINAL PENALTIES AND QVIL FlNES UP TOIXJE HUNDRED TMOUSANO DOLLARE ($t00,OW), IN ADDfTION TO THE COST OF COMPENSATION, OAMAGES AS PqOVIDED WR IN SECTION 3'lO60F THE LABOR CqDE, IFf�EREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby afFirm Ihat I em licensed under provisions of Chapter 9(commencinq with Section 7000) of Division 3 of Ihe Business antl Professions Code, antl my license is in full force antl eHecL Lic. # Class # ContracmYs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat there is a consimction lending agency tor ihe performance of the work for which this permit is issuatl. (Sec. 3097, Civil Cotle). Lendefs Name: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I �ereby aflirtn that untler penelry ot perjury Ihat I am E%EMPT FROM THE CONTfiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to constmct, elter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is Ilcensed pursuant to Ihe pmvlsions of the Coniractors License Law (Chepter 9(commencing with Seclion 7000) of Division 3 oi the Business antl Professions Cotle) or that ha or sha is e:empt therefrom and ihe hasis for ihe alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit ,� ubjecis ihe applicant lo a civil penalty af not more ihan fiva hundred tlollers ($500).): as owner ot Ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, antl �he struc�ure is not intendetl or ottereU tor sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does not apply to en owner of property who builds or improves thereoq an0 who does such work himself or herself or ihrough hls or her own employees, provitled ihat such improvements are not intentled or oflered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will heve the burden of proving that he or s�e tlitl not build or improve for purpose oi sale.). ❑ I, as owner of ihe properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projact (Sec. 7044, Business and Professions Code: The contwctors License Law doas noi apply to an owner ol property who builds or improves t�ereon, end who conirects tor such project with a contrector(s) license pursuant to the Contrectors License Lews.). ❑ I am exemF Signature: � Owner ID verifietl sec. license. ❑ Yes ❑ No Business and Pmfessions Code for this reason: Oate: Dtivel5 License No. Expires: Verification of Ownership by (rype ol document, i.e. - properry tax bill or deed): OIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify �hat no excavation five (5) or more teet in depih in�o which a person is required to descend, will be made in connec�ion with work authorized by this permit, and ihat no building strucNre, scaHOlCing, talsework, or demolition or tlismantling thereot, will be more ihan thirty-six (36) faet hig�. (Chap. 32, Grp 2, Art 2, Sac. 341, Ttle 8, California Atlminis�retive Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit irom ihe Division of Industriel Setety, as notetl above, unless such person has a permit to tlo such work from the division. Signature: Date: Division of Indusirial Safey Pertnit Number: CERTFICATE OF COMPLIANCE AND AUT}IORIZA710N OF ENTRY: I cetlify under penalry of perjury thal I have read ihis appiication and state that ihe information given is correct. I agree to comply with ell state laws entl ciry ordinances rela�ing to Duilding construction, antl authonze representatives of the Ciry of Costa Mesa to enter upon Ihe above-descri d pr e tor inspection purposes. I egree not to occupy or ellow occupancy ot eny builtling aulhorized by this permit until final inspection. ' � . i1 l� V Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date COOE I. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 203 204 Finel Factory Fire Place Finel Sign Final Demolition D� RL CO�E� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Building/Occupency � 1�L� CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Property Address Owner 'f�C��1P. MO�('%'t\C •� . . J � �. � �� . ' State Contractor License Number Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform Building Code, and the installation instructions of the manufacturer. // ■ I further certify that I am the owner of the property. (Owner-Builder permittee only). I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation i certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: t�� q -s-oc� Initial Da�e 0990.46MW6q0 Whi�e�BuiltlingDiv.;Cenary-Contrxta;Pink-Owna Company or Corporete Address � C. ��n��_, Signature �`�Ct,�l C�, i�l��/'✓�c S' Printed or Typed Name q -5 •a C� � C.�ta ��2eda �u�%��u y Du�i�� OWNER-BUILDER VERIFICATION A city or coun[y, which is required to give notice pursuant to Sec[ion 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require [he return of, an owneo-builder verification. Attention Property Owner: An `owner-builder' building permit has been applied for in your name and bearing your signamre. Please complete and retum this information in the envelope provided at your earlies[ opportunity to avoid unnecessary delay in processing and issuing your building permit. No building pemut will be issued until this verification is received. 1. I personalty plan to provide the major labor and materials for construc[ion of the proposed propeRy improvement. � Yes ❑ No 2. I(have/have not) ��_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed wnstruction: Name Address Phone ( ) City — Contractor's Lic. No. 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work: Name Address Phone( City _ Contractor's Lia No. 5. I wiil provide some of the work but 1 have contracted (hired) the following persons to provide the work indica[ed: Name t0a2a6 (REV. 9I98) Address Phone Type of Work COSTA ��8�� MESA BUILDING DEPARTMENT P. o. eox a n COSTA MESA. CALIFORNIA ��:� (��C�Il�� lo-�y-s� fIiVA�CE DfPT. CIiY Q:� �^�?A 01� FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 205 Amherst-Rsad �//� BUILDING ADORE55 .it. � COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER L1-�C84OII1 113C• RECEIPT NO. _ MAIL �J. L RECEIVEO 9Y DATE RECE�IV/E�O ! DFTE ISSUED ADDRE55 �9 E♦ 1luh SV• u�/ �CI �- �( GITY n NO. �. 8-1159 ADORESS ARCHITECT V'dTl.�i�il�cddlebrook�'o: OR ENGINEER COSTA MESA, CALIFORNIA AODRE55 �\Garden �OVO ZONE Y11+'+p� g TC1TV LIC. n/� ZO� ' PLOLN$ TYPE GROV w' CONTRACTOR VOIE�'048 •��(:• NO. Oy.i �� r� A�DRE55 E� 1/tsY1 St• TNO.�. p�ll APPROVED BY DATE �E�A� �or r CORRECTIONS D[scaiPnorv NO. 2J BLOCK TRACT 2955 A.P. NO. 51zE no $^0 rvo. oF e�ocs. OF LOT ! j ��ow orv wr S10II8 USE OF EXISTING 6LDG. SETBACK LINE FROM eErvrea ov siae[r O� REAR YARD O� SIDE VARD RIGH�� LEFT 1S� DESCRIPTION OF WORK NEW A ALTERATION �ADDITION REPA�R MOVING DEMOLISH SIZIEDING �/ 9 f`t ROOMS � STORIES O 1 EXTERIOR WALL ROOF COVERING StUCCO COVERING C USE OF NEW BUILDING Sin le fa�.l residence with attached garage. P I HEREBY PCNNOWLEO6E THAT I NAVE REA� TMIS f�PPLICFTION <Np STATE THAT THE ABOVE IS C1tIiECT AND AGREE TO COMpLY WITH PLL CITY OROIN4NCE5 /ND STl� LPWS FEGULATING BIIILOING CONSTFUC- noN. yA W ATION SIGNATURE OF � L PERMiT FEE $ PERMITTEE �L ^^ ' � PLAN CHECK S ��W � 7-3,919.00 AUTHORREO AGENT D�SCe & CO].8 OV8 II1C♦ TOTAL FEE 8 �� OWNER PRINCETOtd, INC. DATE 10-17-58 JOB ADDRESS 205 Amherst Road BUILDING PERMIT NO. ']822 GENERAL CONTRACTOR 'I}j,ke & Coleorove VALIIE $� 13,919.00 AP. No. LOT 25 TRACT 29SS P1RE ZONE DESCRIPTION OF WORK Res. & Gar. I & J TYPE V DATE 1 SUBCONTRACTOR I PERMITSISSUED DATE NUMBER coat