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Home My WebLink About221 AMHERST RD - Building Permits�`�StN MF 9 o, � > _ r Jq� • '"Rramnm � (714) 754-5273 • Fax (714) 754-4856 �obAddress: 221 AMHERSTRD Suite: Vicinity: HOUSE AND GARAGE Parcel Number: 14146220 Applicant: KEN CRAWFORD Address: 2079 NATIONAL AVE. CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Zoning: Phone: (949) 548-6685 COSTA MESA, CA Zip: 92627 owner: AUSTIN, GEORGE C. & ROSEMARY Address 221 AMHERST RD Phone: COSTA MESA, CA Zip: 92626 Contractor. CRAWFORD CONSTRUCTION Address: 2079 NATIONAL AVE. COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949) 548-6685 License: 464356 Eng: Address: Phone: PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 02/25/2000 Issued: 02/25/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF - T/O, USE EXISTING SHTG, INSTALL 2 LAYERS OF 75# FELT AND INSTALL 30 YEAR COMPOSITION SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $711.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING existinq: o Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & 20NING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0-0 $4,500.00 $4,500.00 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 it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 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 requlred Inapeetlona and (inel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS' COMPENSATION DECLARATION: ` •I herehy attirm under penalTy of perjury One qf ihe following declaration5: ❑ I have antl will maintain a certificate of consent to sel4lnsure for workers' compensation, as provitled for by section 3700 of iha Labor Code, for ihe pertormance ot the work for which Ihis permi� is issued. ❑ I have and will maintain workers' crompensation insurance, as required by section 3700 ot the Labor Code, br the peAortnance of Ihe work tor which Ihis permit is issuetl. My workers' compensation Insurance aarrier end policy number ere: Cerrier: Policy Number. (This section need nof be complefed i! Ne p9rmit is velued af one huntlretl dollars ($100) or less.) �— I certify ihat in ihe pertormance�yf thg �york for which this permit is issueQ 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of CallforM' /antl�agrea that it I shoultl bec me subject to the workers' compensation provisions of Section 3700 of ihe Labpr Code, I shall forihwith comply with ihese provis on � �% /� / // Applicani Signature: � �/ Date: /�! ��/ /� � WARNWGFAILUREiOSE EWORKEFS'COMPENSATION VERAGEISUNLAWFULANDSHALLSUBJECTANEMPLOVERTOCRIMINALPNALTIESA CIVILFINESUPTOONEHUNDRED THOUSAND OOLL4FE (5100,OW), IN ADDITIIXJ TO THE CAST�CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 37060P THE IABOR CODE, IMEREST, AN� ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I here6y attirm ihat I am licens under provi ic torce antl ettect Lic. a Contrectors Signature: G (commencinq with Section 7000) ot Division 3 of the Business� Protessions Code, and my license is in full class a—�j� Date: �/i�J /�� _. __ CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm ihat ihere is a construction landing agency for [he pertormance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lender'sNama: __ LendefsAtldress: SignaNre: OWNER-BUILDER DECLARA710N5: De�e: I hereby aflirm that untler penalry of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the Following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a parmit to consimct, alter, improve, demolish, or repair any stmcture, prior to its issuenca, also requires ihe applicant for such permit �o tile a signed statement ihat he or she is liqensetl pursuam to ihe provisions of the Contractors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or Ihat he Or she is exempt iherefrom and ihe basis for tha alleged exemption. Any violation oi Section 7031.5 Dy any applicant for e permit sobjects the applicant ro a civil penaly of not more than five hontlretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO TME WORK, antl tha stmcture is not intended or oHered tor sala (Sec. 7044, Business and Protessions Cotle: The Contractors License Law tloes not apply to an owner of propetly who builds or improves ihereoq and who tloes such work himsetl or herself or through his or har own employees, provided ihat such impwvemenis are not intended or oHered for sale. H, however, the building or improvement is sold within one yeer of completion, the owner-builder will have �he burden of proving that he or she did not 6uild or improve for purpose of sale.). ❑ I, as owner oi the property, am EXC4USIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct ihe project (Sec. 7044, Business and Professions Code: The contrectors License Law tloes not apply to an owner of property who huiltls or improves ihereon, and who contracis for such pmject with a contractor(s) license pursuant to the Comractors License Laws.). ❑ I am exempt untler sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID verified by tlrivers license. ❑ Yes ❑ No Driver's Licensa No. Expires: Veritication of Ownership 6y (type of document, i.e. � property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify that no ezcavation tiva (5) or more feet In depth into which a person is requiretl to descend, will be made in connedion with work authorized by this permit, antl ihat no 6uilding stmcWre, scaflolding, falsework, or demolition or dismantling thereof, will be more �han thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from ihe Division of Indusirial Safery, as no�ed above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I cenify under penalry of peryury Ihat I have read this application antl siate that Ihe intormation given is correct. I agree to comply with all state laws and ciry ordinances relatinq to building constmction, and authorize represematives of the City of Costa Mesa to enter upon the a6ove-describetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until final inspection. CODE t, INSPELTIONiYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall �202 Final Factory Fire Place . 203 Final Sign 204 Final Demolition 2446-4fi QCT�F INTRIALS ;31 6 D � COOEM INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �U DATE INTRIALS CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Permit No. � " �i� 24 � Property Address � 2 f ��I A`l�/�� / Owner G�a.t Contractor ,�� C�P.��O/Zv State Contractor License Number (3 y� 5� 3� Classification /3 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 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the properry. (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: �y� 2. 25 • � Initial Date 09B0-06MW919� While�BuiltlmgDiv.;Canary-ConVac�or,Pink-Owner ��E-��c 2d/ �!'J,✓S � Company or Corporate Name Prin�ea or Typed Name _.... " � 6t��3 ♦ ' COSTA MESA BUILDING DEPARTMENT P.O.BO% 31� _ ... . 7bl,.'e/!��_'. ,�.J �� /� 'Jsi �ic.� COSTA MESA. CALIFORNIA fI1Cft�f'ICE DE?T. ,� . ^ ^ncTa r1G$A FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT eui�oiNc 221 Amherst Road BUILDING A�DRESS COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY OWNER Trojan L$Tld CO• RECEIPT NO. PE�IT NO. MAIL FECEIVED BY DATE PECEIVEO pATE ISSVE AooREss 419 E. 17th St. �. -S'� .IUN 1 3�95 cirv Costa Mesa TN�i. S-11S9 Aooa°es"s oaC ieert ar so�i dlebrook No; COSTA MESA, CALIFORNIA Garden Grove F�RE ADDRE55 ZONE 20N NO.OF TYPE GROVP D'iISE & ('.o16�roveg�Tv ��c. n P�a�s CONTRACTOR RC. Na� / ADORE55419 E• 17tit1 St. � Ci•M� TNOLS• 5-11.59 BPPROVEO OATE �E�a� �or CORRECTIONS oescaivnor+ �o. 93 BLOCK TRACT 2955 A.P. NO. SIZE �O X'10o NO.OF 9LO65. n�ne OF lOT �� riow oH �oi USE OF none E%ISTING BLDG. SET6/CH LINE FROM GOI [] I CENTER OF STREET � REAR VARD 2/ 5' S' SIOE YARD RIGHT LEFT DESCRIPTION OF WORK NEW X ALTERATION ApDITION FEPAiR MOVING DEMOLISH SIZ'EDING � �gQe�q �MS V STORIES 1 EXTERIOR WALL a ROOF ' COVERING SOUCCO COVERING COID . BUELDFNGEW Single family residence garage attached Plan 73� A I MEREBV /CKNOWLEOGE THAT I MAVE PEAD THIS APPLIC4TION ANp STwTE THPT THE >BOVE I$ CORRECT nND /�GREE TO COMPLY WITN tLL CITV OROINANCES ANO TE LAWS REGULFTING 6VILOING CONSTRUG rioH. VALUATION M SIGNATURE OF/� PERMIT FEE S 3O�W PERMITTEE M ' PLAN CHECK $ 15�yy , S 1z�g1�� /�/� AUTHORIZED AGENT � TOTAL FEE S 45�W � OWNER TgOJAP7 I,ANp C0. DATE 6-13-58 JOB ADDRESS p� p�yyerst Road BUILDING PERMIT NO. ES93 GENERAL CONTRACTOR Dike & COlegrove VALUE $ 12, 510. 00 AP. No. LqT� J3 TRACT 2955r� zoxe DESCRIPTION OF WORR Res. & at. Gara.�e i Ip I&�7' TYpE V ZONE � PLAN NO. FB9� INSPECTIONS I DATE I I PERMITSI SUBCONTRACTOR DATE N �/ Hinal Gas Test /�j' �(jf��n—/�— COSTA MESA BUII.DIMG DEPARTAAENT P. 0. BOX 317 w�ct• urew nw� �rneu�• AAAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID �INES I 8��4�,, I � �� BUILDING FOR DF�PT �� '� Owner— F� TO k'ILL IN ?A P1ESA Mail Address ^��_/ � ��v�cyi�ci.✓� iCity _ �1-�� _ /�-C/J– – –Ph. No. – – – – – = � Contractor�(�2B'�• -/ �? Ph. No. � –? � I - - - ,,. — L � i -. . . �?.. _ . I�i_ -' v - G City Lic._No. _ � C�__ State Lic. No.��? �._ Size of Lot � •S �( O '� AP Nn�'S' %�. � ,� �5� Setbacks: C/L Street �� Rea '�^' _ �` p i Side Yard - Right � �� Lef /� ��-�-'t-'� ' Type of Fence ..�� -� �`-`�= c�L�•c"�.C=l'' �'S I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ord- inances and State Laws regulating building construction. FOR OFFICE VALUATION c / / '� !� �/v -v � Permit Fee . Plan Check TOTAL FEE U.SE REVERSE SIDE FOR DETAILS Y ��b��i 7te Issued � - � O �s"y ez.o 6 �-- i G „ �. � OWNER FORMAPd, H. DATE 2-10-59 JOB ADDRESS 221 Alnhui'St - BC[ILDING PERiGIlT N0. —$(Jy6 GENERAL CONTRACTOR Fencemaster � VALIIE $ I_L{7.00 � AP. No. LOT J3 �rRr.cT 2955 rme zorr$ DESCRIPTION OF WORK B�-OCk WAl l _! IP TYPE ZONE PLAN NO. $(ZJ1(� INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMBER coat Finai i• � " FEE RE�j��,a(1�F� �, ��_� I � [ � U , � 1�t.� I , rl� COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. �/ I-I h� P.O. BOX 317 GOSTA MESA. CALIFORNIA fOR APPC/CANT TO F/LL /N COMPLETELY APPL CATIOONiFORSPERMIT TYPE OR PRINT BUILDING BUILDING /1 �1 % /i I � ADDRESS .0 L /7 A I� r r �/ COSTA MESA, CALIFORNIA FOR OFFICL USG ONLJ J I flEGEIPT NO. I PEHMIT NO � OWNER /)-%� ry� �� i MAIL �/. /j FECEIVED BY I/iAT%REGENE I�^A/TE 115)1 _D ADORESS � �'� ��r� G✓ S S TNo:/f,'.S y BUILDING CITY ADORESS oi NEER �--� N�o. L— COSTA MESA, CALIFORNI ADDRESS �— ZONE TVPE GROUP % 4 ' /J STATE . pppROVED //'/ CONTRAGTOR ♦ ay .E'%%lC % L10. NO� /S BY �/ DATE / � ADDRE55 �/ 7 5 �3 ,sr r�s o S C. - ZONING LEGAL I LOT � I I �� NO. OF OSE OF NEW DESCRIPTION NO. � BLOCK TR � /� IPLANB IBUILOIN6 .• � \AI APPROVED , � A.P.NO. 6V BV DA E SIZE xo.oFBIDGs. yqRDS ' E ES •' OF LOT O INOW ontoi REQUIRED ALLOWED USE OF (CENTER IINE 8T.) EXISTING BLDG. FRONT �—FT. �— IN. SETBl�CK LINE FROM CENTEN OF STREET REAR YARD R. SIDE FT. IN. SIDE VARD ILEFT IRIGHT L.SIDE �—FT. IN. DESCRIPTION OF WORK REAR �- " w. NE I II ALTERATION I II ADDITION I REPAIR I IIMOVING I IIOEMOLISH I BUILDING NO.OF SIZE ROOMS STORIES EXTERIOR WALL IROOF COVERING GOVERING USE OF ILDING ANO WORK TO BE PERFORMED l P / � . �- � � v .�f � :1 � I i 3 �[ _ 1 NER Y qCRNOWLEDGE THAT 1 RVE FEAD THIS APPLICATION ANO TATE THAT THE ABOVE IS ORFECT AND AGREE TO COM- THE AMOUNT BHOWN UNOER VALU/�TION IS FOfi THE PLY WITH ALL CITY OFOINANCES ANO STATE LAWS REGULATING P�RP09E OF ESTABLISMING A PERMIT FEE ONLY. BWL�ING CONSTFULTION. VALUATION SIGNATURE OF �� PERMIT FEE $ ,�,. � PERMITT 0 !O _�ia/7'Q-P t/Z f�.r�..« � n $ � /O • PLAN CHECK $ �� AUTHORIZED AGENT TOTAL FEE $ 6t> HO �•IARD GENERAL WNTRACTOR AP. No.113-1132-20 LOT ir -.cnorvs L ground SoIl U.G.V Beam OCCUPANCY DATE DATE VALUE $ 11U.� FIRE ZONE DESCRIPTION OF WORK .OUP J TYPE 3 SUBCONTRACTOR I _ PERMIT Form 210—SM-11-59 S-B P .�l?�9