HomeMy WebLinkAbout245 AMHERST RD - Building PermitsPP0.IECT pOUflESS: 'Z 4 S AMHERS T RD
OWNEfl'SNFME: STUART, HAROLD D
/ aooness: �45 AMHERST PL
� COSTA MESA,CA
RflCXIENGMEEP:
IIOUflESS:
92626
eec.xo.:
uxir: CITY OF COSTA MESA — BUILDING PERMZT PERM NO: B 05801_
PERMIT NO: B 058019 PLAN CHECK NO: N GOVT: N SUPP: N
(:ONSTRUCTION TYPE: V—N PERMIT TYFE; STR PURPOSE: ALT
UNIT:
PEHMITTEE: ROY CHAFEY ROOFING ( 714 ) 636-1747
nooness: g692 LODERS AV
GARDEN GROVE CA 92644
LICENSE� CONTBACTOfl OECIAPATION: I hereby afiirm Iha� I am licensed untler provisions of Chap�er 9(commencing wi�� Section
VD00) ol �ivision 3 o�ihe Business and Pro�essions Cotle. antl my license is in �ullforce and eflect.
cirruc.:�2 615 sTnrcuc.:556624 ss: C—
�ale'. SignaNre:
I WOflNEBS' COMPENSATION OECLABATION: I hereby atlirm �hai l have ceM1ilica�e o� consent to sel sure cetli�icate o� Workers'
Compensa�ion Insurance, or a cenilied coDY �hereof (Sec�ion 3000, LaD. C).
j raucrxo.: ?$5-92UNITOU196 E%P.OpTE: Ot�USI93
romrnxr: STA1E FUNUr�
Ceni�ietl copy is hereby Wmis�etl. y� Certified copy is filetl wil city Builtling �
Oate: �/� ApplicanP. �
E%EMPTION FPOM WOflREflS' COMPENSATION OECIAXRTION: R�is sec�ion nee nol0e com0le�etl if �he permit i or one huntlreG (3100) or less�.
I ce�ity that in ��e pedormance ol Ihe work �or whic� IhiS permit is issued, I shall no� emDloy any De�son in any manner so as Io become
subleclto Ihe Workers' Compensation laws o� California.
Date: SignaWre:
NOTICE: II, after making �his Ueclaratioq you s�aula become suhlec� to ��e Workers' Compensation pmvisions of the La�or
Code. you mus� forthwi�h comply wi�h such pmvisions or this permit shall be deemed revoketl.
CONSTPULTION LENOING RGENCY: I here�y affirm that Ihere is a consimction IenOing agency for ine pedarmance af ihe work for
which Ihis Dermit is issuetl (Seciion 3W7, Civ. C�.
LENDEfl:
AODPESS:
OWNEP BUILDEB OEClAPR710N: 1 here�y affirm t�at 1 am exempt Imm the Coniractors' State License Law tor �he �ollowing reason
(Seclion 7031.5 Business an0 Pmtessional Cotle: Any ciry ol county whlch requires a permil lo cons�mct, al�er, impmve, demolish, or
repair any simc�ure. prior to its issuance, also requires the apPlicant �or suc� permii lo file a signe0 s�a�emen� Ihal he/she is licensetl
ursuam lo ��e O�ovisions of the ConVaclors' State License Law (Chapler 9(commencing wiN Seclion 7000) o� Division 3 0( �he Business
JOB DESCRIPTION ; T/O REROOF W/FIHERGLASE SHINGLES SQ FT; 2,200
CLAIM VALUE: 2,200,00 CALC—VALUE: 2,200.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DE't. RE�
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Z O N T N G R E Q U I R E M E N T S
ss•rsAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 14146226 ZNE: REF NO:
PLANNING 13t3TES>
� • e
3E iF iF fF iF if �E k iE �)f iE iE iE iF1E iE iE iE iF iF # if if If iF iP iE it iE iE aF iE 3E±E if if 1F iF 3E if if iF if if iE iF }F ie 3F � jF jf if If #� ih 1F 1f iF iP 3E � iF �E iE iE ih IE iF aF IE iF iE if� 3f iF iP 1E 1P
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N"T S
ZONING APPROVED BY DATE; '
BIIILDING APPROVED BY ; DATE; t•'
LEGALIZATION;N
BLDG PMT
PERMIT 54.00
DATE: �. —Z"'�IZ
if t . �F3�if'iF3F'iFlkiEiP�6�EiEil�iFi4if r If�t
9kfEik�f FiFdEif if�FiEiEiFlEifaFiE�kifikiEifaE1E�E3eiFiFaEiFiElEifiFiFfFif#iEjE�FaFaflF�EiFiEiEiE143EjEi�3FjFiE1E
F E E S U M M A R Y STRUCTURAL SEGMENT;Y
PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAPING
50 '�
p SMIP/NON—RES
antl Pmlessions Code) or �ha� he/she is ezempt ��er¢Irom anA Ihe basis �or �he allegea exempiion. Any viola�ion of $ection 7031.5 by p]��j
any apDlicani for a permil sublecis Ihe aDPlicant lo a civil penal�y ol not more ��an �ive hundred aollafs (d500�. i fJ`CU�` �'�.'E '�
� I. as owner af Ihe pmperty or my emVioyees with wages as meir saie compensation, win ao ine work, and tne BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I❑ s�mmure is no1 intentletl or oftered for sale (Section 7044, Business anU Professional Code: The ConiracroK State �icense �aw TOTALS-----> S 4. 5 0 0, � 0 0, 0 � S 4,,�i 0 5 9, 5 0 , 0 Q
does noi aDDly Io an owner of a pmperiy who �uilAs or impmves [hereon, and who tloes such wark himsel�/he�seli o� �hwug�
his ar her own ¢mDloyees. pmvideU ��a� suc� impwvemems are not intende0 or offeretl for sale. I�, however �he �uiltling ar
impmvemen� is so10 within one year oi completioq Ihe owner will have IAe hur0en ot pwving �e/she did noi build or impmve REVETI(7E D IVI5ION TOTAI.S--> COLLECTED • 54 . 50 OVER /SH�RT ; Q 0
mrieeou�poseoisaie). BLDG PM'P PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I. as owner oi �Ae D�oDe�y, am excNsivety conVacting with licensetl coniraciors lo cons�mc� lhe D�aiect (Seclion 7044, Business 5 4, 0 0 , S 0
❑ antl Prolessions CoOe: The Conlractors' Slaie License Law aoes noi apPly �o an owner o� OmDeM who �uilas or improv¢Slhereon
an0 who contrac�s �or such O�olecls wi�h a conUactoqs)license pursuam m the Contracmrs' S�a�e License law�.l am aware
�hat Dmof of Iheir Warker'S Compensation insurance should �e O�ovitled to me.
� I am exempt un0er Section'. 8. 8 P. C.
�ar ��is reason'.
if iE jF if� iF �t �E iE jt if 1E IE �E iE iE �E IE if le 3Elk it ik ik ik jk it iF iFl4 iF if �1(� �1F jE �4lt �E jF iF iF if jf i4 iE iE it �E iEif iF �E M�if af 3E ik ik iE If IE iF i4 if� iFiF �f ib itlE iE if )E IE iE iE �V.-1E lE
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P't I O N UNIT COST TOTAL COST
Date: Ownec I $FR
I eo hereby cenily �hat I am aware ol ane undersland the requirements ol California Healih and Salery Cotle Sections 25505. 25533, antl
2553a and Ihai I or any luture buittling ocapant wiNwili no� (circle one� need �o comply wilh 5ai0 s�a�e caaes antl the requiremenis for a
permit lor canslmclion or modi�¢a�ion imm ��e Air Ouahry Managemeni DisVicl. Resi�enliai cons�mciion ap0licalions are exemp� �mm
�hese pmvisions.
Date: NpplicanC
I hereby cetlity Ihat I have rea0 ihi5 applica�ion and Slaie �hal lhe above iniorma�ion is wrrecL I agree �o comDly wi�h all ciry antl county
or0inancesantlstatelawsrelatingloGmlOingconsimclionantl�ere6yau��oi reDresenta�ives iscit � m pon�heabove-mentioned
pmpetly Iorin50eclion purposes.
Oa�e: Signaiure: —
oriver's Lic nse or Sociai Seanty a:
Aoolicanl: Pink—Revenue: Goltlenrod—Acsxssor
2200 REROOF BY VALUE RESIDENTIAL NOZONE 1.00
END OF FEES
Ol OU118%3Y—Fr�t'ui4tl
:h`� : � !''' .'C _ '
2,200,00
�:." '
�
CONSTRUCTION ANDPLANNING POl SPA
i'PHOVALS Permit # Date Inspector p�ppROVALS Permit # Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electricai ConduiDUndrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPftOVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit•Undrgmd.
8. Fourdation 59. Gas Pipe, a U�drgs�d., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO�DECK
71. Property Sewer Line & House Connection 62. Backwash & Fieceptor-Final �
12. Sewer Cap ,. , 63. Heater & Vent-Final
7 3. Roof Drains � 64. Plumbing System - Final .
14. Rough Plumbing ' , 65. Electrical-Final
15. Rough Electriwl-Conduit ' 66. Solar System-Final .
16. Rough Electric Wiring ' 67. Fencing & Access Approvai -
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Cei�ing 69. POOL(SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure . 70. Underground Hvdro
22. Dutts, Ventil8ting 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Pough & Test 72. Underground Flush
24. Roof Framing 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing z 7� ,(�/ 74. Overhead Hydro
26. T�Bar Ceiling (Svucturail & Monocoat � 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sid�ng • 77. FIXED SYSTEM FINAL
29. Insulation � 78, FIRE PREV. FINAL
30. Dryevall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79, FINAL INSPECTION
,' ,
32. Electrical Power Meter-Final � S0. FOO� CERTIFICATE ISSUED
33. Finai Electric •� � Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or CanOpy
37. Finai Factory Fireplace
38. Finai Plumbing � �
39. Water Service�F�nal
40. Gas Service-Final
41. Solar pomest�cFinal '
42. Backflow Preventer
43. Backflow irrigation
44. Landscape Irtigation System - -
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �..Gt_Clj i�p�,.�
48. FINA�P�ANNING
49. Electric Release to Edison "' ��-7 ,�'_P�� G �
!
50. Gas Release to Southern California Gas Co - �(��
51: CEFTIFICA7E OF OCCUPANCY
No. Date
CITY OF COSTA MESA
CAU�ORNIA G2E26 r.0. �OX 1200
FROM TME OFFICE OF TME DIRECTOR OF BUIlDINO BAfETV
Project Address pl �'�� p4/Y//l�,�'S'> ��
,
Project Name
owners r7arm /�- !j � S T�//�/-' T
Qaners Address �7i{�� /�/t4yt/.�ST !: /
Owneis Telephane �j if 0' �;� Jy �.
�
��tr5o234
'" -' �-
.
City Use Q�ly
I /�j��Ti,'/C//} S'% (/�g� es Owner, Coat-Faetor, Ageait (strike out all
except ore) do hereby attest that mg>loyrtent of any person, or persons, is not
anticipated at the time of seeking the abovrreferenced permit. In the,event that
any person, or persons, are e�layed under the prwisions of this pennit, I shall
imrediately cause a valid Certificate of Worlarens Con�ensation to be filed with the
Costa Mesa Building Division.
I agree to defend at rty own mst, arc3 to inde�uiify and hold hacmless, the City,
its offioers, agents and/or a�playees, fran ard agairtst, arry arc3 all liability,
dan�age, c�ts, lasses, clauns and expenses, haascever caused, resulting directly
or indirectly fran, or oonnected with the v�rovHrent under this petmit.
I further state that I have read ard fully imderstand the i�lications and rr
sponsibilities of the above stat�rents, and will crn�ly with all provisions of the
Contractors State License Iaw found under the Business arrl Professions Code,
Division 3, (hapter 9, of the State of California.
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Pr1nt N�re
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�ignature' ` I�t
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COSTA MESA BUILDIPIG DEPARTMEfdT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C.L. OF STREE
" _�-PROP LINE
r------ ,----
I 10 FT. FOR 60 FT. STREET
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� 50 FT � .:. ' i�- �,r. ��<; 7. R:6.
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LLEY QR PROP, lIN
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__�PROP. LINE--- "
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MAXIMUM 4 FT. F�NCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. F�NCE MAY BE PLACED ON SO�ID LINES
i ���� i
C t I tf �� FOR APPLICANT TO FILi. IN
1 1q59
�r^� BUILDIN/G� ADDRESS �'�� �
OEPT. QWner� ' �
`T^ ti1GSA ��S-�
Mail Address
GRR�%%ii=��/�%G/�Ji�� .
City Lic_No. �� /�-s ___ State Lic. No. �7%)�L�i'_
Size oE Lot �OX�00 AP No.10 f/� ,1���3� 4�
Seibacks: C/L Stree+ � � " Rear /5 ��
/ •
Side Yard - Right d Left �
Typ/e of Fence ���X�//�/� �/ ,��'+���
/O ��le'� �
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 Staie Laws regulating building construction.
Signature /'��G / , /J i__ t� •
of Permittee�5 ,/lC ��� L-o _
,. ., - . .-
FOR OFFICE USE ONLY
� Received by Date Received Dat Issued �
I '�'� �z � '� �,' �� ,��
VALUATION � �
I Permit Fee $
D� —
Plan Check $
TOTAL FEE $ �
USE REVERSE SIDE FOR DETAILS
OWNER
AIf111U2'St
BUILDING PERMIT NO.
GEIVERAL CONTRACTOR SaiBgU3Td COnS't. VALUE $ 380.00
AP. No. LOT 9J TRACT2955 FII2E ZONE DESCRIPTION OF WORIC Block Wall
r �Ip TYpE ZONE PLAN NO. 866�{
Ih�PECTIONS I DATE I PERMITSISSUED
SUBCONTRACTOR DATE NUMBER
wat
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F.
I ` Y � �* Q�
.. , . '()��:7
COSTA MESA BUILDING DEPARTMENT
P.O. BOx 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
r���o,�� _ _
COSTA MESA. CALIFORNIA
MAIL 419 E. lltirl Sti•
ADORE55
TEL.
CITY Costa Mesa NO.
ARCHITECT CBZ�.SOZI & M1C�$1 — LIC.
OR ENGINEER r�ok NO.
ADDRE55 Garden Grove
,°��'` :1� 7333
TE
LEGRL LOT VVJli6 1'aGJ
oEsceivnorv NO. BLOCK TRACT 2�
A.P. NO.
SIZE rvo.oF e�ocs.
OF LOT X now orv �oi j]O
USE OF
EXISTING BLDG. ROC10
$Ei9FCK LINE GROM
cervlen ov s1n[ci SO� REAR YARD zO�
SIDE VARD RIGHT � LEFT I
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING OEMOLISH
BUILDING NO.OF
SRE 'j Z ROOMS STORIES 1
EXTERIOR WALL ROOF
fnvcwiuc ni__. _ COVERING C�mn
... . .. .�`�- ;}
_ ,...� ����l�f v�.,.�/
�._�2-S'� V��
FINA�CE DEPT.
APPLIC'ATTION CFOR�FPERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. �Yll�j/'{Q��
Ye5 �9 V
ll �✓
REC�EI/V`E^BY �AT /IC�'J� Jf1NT II RV�Q�
.!%
COSTA MESA, CALIFORNIA
FIRE
ZONE
APPROVED
attached garage
Plan 720BR
I HEPEBY FCMNOWIEOGE THAT I HTVE REAO TMIS APPLICATION l�NO
STATE TMAT THE ABOVE IS CORFECT ANp pGREE TO COMPLY WITH ALL
CITY ORDINPNCES l�NO STATE LPWS REGVLATING BIIILUING CONSTRUC�
T���� '�'%/�/'/� /�!%/� /• �� ^ ., ^ VALUATION
SIGNATURE OF �%% /✓,
PERMITTEE � , �YDt�-w
IAUTHORIZE� AGENT Dike lQt
CORRECTIONS
I� 1��%�2��
Inc.
PERMIT FEE $ 26��
PLAN CHECN d'� 13�yy
TOTAL FEE $ 39��
ve'"r
OWNER TRO.TAid LAND C0. DATE 6-13-58
]OB ADDRESS 21�5 Amherst Road BUILDING PERMIT NO. (�9q �
GENERALCONTRACTOR Di.kO & COlegTOVO VALUE$ 10,%02.00
�]P
ZorrE
DESCR[PTION OP WORR Res. & At. Gara
IfvaPECT10NS ' I DATE I gUBCONTRACTOR
coat
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURALPERMIT
P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626
RECEIVED PERMIT
For Applicant to Fill in Comple[ely — Use Ink Only 2 3
ADOfiESS �� /Yi�G%�,� / ft A P ND � Z� �
BUILDING ./� . M `
OWNER OR / _ , /� ; ADORE55 7 �
TENANT y
UNIT OR
MAILING / SPACENO.
ADDRE55 � -
TR.NO�� LOT ^ BLK.
CITV '*' � t S%i' NO. S� Q� "j ��
NEW ADD ALTER REPAIR MOVING DEMOLISH
CANSTRUCTION
LENDER
BRANCH � � tlT
OWNER /L
ADDRESS VALUE
ARCHITECT TEL. USE �,��, S
OR ENGINEER N ,{��
ADDRESS ZONE ,/v TVPE � GROUP
J� APPROVED O�
CONTRACTOR (� BV DATE —�2— 'C/�./
ADOflESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. (FROM C//L,S/T�I�EET)
OF LOT NOW ON LOT RONT i{/ FT.
USE OF �/ �'avr r�"'�i�l
EXISTING BLOG.
Separate permits are required for L. SIDE FT. U/ /
electric, plumbing and heating work.
REAR . ZFT. �
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
DATE
APPROVED
� / APPROVED�/ "^f'." � � `I4 W
i
I hereby acknowletlge that I heve reatl this appliceiion and state
that the ebove information is correct antl agrea to comply with
all laws reguleNng building consvuction, and 1 shall not employ
any petwn in violation of the workman's compensation laws ot
the State of Celifornia. L I n �� —
I hereby cettify that I am proparly licensetl as a coniracto� under �• FT. �"
tha State of Californla Business and Protassions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
em exempt from ihe provis s of theState of Californie Business VALUATION PERMIT FEE 5
antl Pro4essions Cotle, D�i'" i 3, Cha � r 9. .��
SiBneture o� PLAN CHECK S �
Permittee $ �2?2.�
or Q .Z �Q TAX E � • ,""Zi
Authorizetl Agent Date TOTAL PAID S 2a . � o
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