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Home My WebLink About249 AMHERST RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR �RIVE, COSTA MESA, CA 92626 JobAddress: 249 AMHERSTRD ' � Status: �sSUED Suite: Applied: 10/06/2005 Vicinity: ROOF Issued: 10/O6/2005 Primary Occ: R-3 Dwellings/ Cong Res <10 Type of C ru : V- Parcel Number: 14146227 Zoning: Applicant: GORDON THORIN Address: 3435 S SILVER SPUR SANTA ANA, CA Owner: VOLPER, DENNIS JAMES Address 249 AMHERST RD COSTA MESA, CA Contractor. ADAMS ROOFING Address: 3435 S SILVER SPUR SANTA ANA, CA Zip: 92701 Amh : Address: Phone: 2ip: License: Phone: 714-965-0245 Zip: � 92701 Phone: Zip 92626 Phone:- 714-965-0245 License: 524341 Eng: Address: Phone: License: SCOPE OF PERMlT TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 15# FELT, 30 YEAR COMPOSITION SHINGLES, TIMBERLINE, AND REPAIR/REPLACE SHEA7HING AS NEEDED. 27 SQUARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Cam: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING 8 ZONING SETQACKS MAINSTRUCTURE Fronl 0-0 ACCE SORY Front 0- 0 Rear 0-0 Rear 0-0 PARKING Existinq: 0 Reauired: 0 LeR 0- 0 LeN 0- 0 Pr000sed: ��0� Calc Valuation: Sa,soo.00 Claim Valuation: sa,soo.00 Right 0-0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRA710N: This permit shall automatically expire and become void it work is rrot crommenced within 180 days, or if work is suspended or abandoned ' for a period of 180 days. INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable cotles, and all required Inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit. FOR INSPECTIONS CALL: (774) 7545626 eawwn �wuu7 WORKERS'COMPENSAnON DECLAFiATON: - I hereby eftirm under penelry of perjury one of the following tleclarations: ❑ I heve entl wlll maintein e cenificate ot consent ro self-Insure lor workers' compensetion, as providatl for �y section 3700 of ihe Lebor Code, for the paAormance oi ihe work for which�this pertnit is issued. .[� I heve end will maintajn workere' compensetion insurance, es required by section 3700 ot ihe Lahor Cotle, tor ihe perfortnance of iha work for which this pertnit is issuetl. � My wo compensat surance cerriar end policy number are: �///–� Carrier:_ /� .�2 hn !� POGcy Number.�� O'�C.� (71iis section need not be camp/eted i/ fhe permit is velued af wre hundred dollars ($100) or less.) �__�_ _, ❑ I certify that in ihe perfortnance oi the work for which this permit is luued, I shall nol employ any person in any manner so as lo becoma sublact to the workers' compensation laws Q� Californie, and agree Ihat If I should become subject to Ihe workers' compensation provisions of Section 3700 of iha Labor Code, I shall fort�with comply with these pt$vyyions�–Pc� DOLI.ARE ($100,000), IN ADDITION LICENSED CONTRACTORS DECLARATON: I hereby eHirm ihat I am licensed under provisic SignaWra: ��D�ate:-� ��% �O �� COVERAGE IS UNLAWFUL AND SHqI� SUBJECT AN EI.� OL VER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE NUNDRED ' COMPENSATION, OAMAGE3il4S'P�QVI�ED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, !WD ATTORNEY'$ FEES. oF Chepter 9(cammencinq with Sectlan 7000) oi Cotle, and my license is In full CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a consiruction lending agency tor the pedormance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signeture: _ OWNER-BUILDER DECLARA710NS: Date: I hereby afFirm ihat under penalry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a pertnit to construct, alter, impmve, demolis�, or repair any structure, prior m its issuance, also requires ihe applicant for such pertnit ro iile a signed statement ihet he or she Is licensetl pursuant to ihe provisions of the Contrectors Llcense Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 of Ihe Busineu and Professions Code) or Ihat he or she is exempl therefrom and ihe besis for the alleged eaemption. Any violation of Sadion 703L5 by any epplicant for e pertnit su6jects the epplicent to a civil penalry of rrot more Ihan five hundred dollare ($500).): ❑ I, es owner oi Ihe property, or my employees with weges as Iheir sole compensation, WILL DO 7HE WORK, and the structure is not intended or oflered for sele (Sec. 7044, Business and Professions Code: The Coniractors License Lew does no� apply to en owner ot properry who builds or improves ihereon, antl who tloes such work himsetl or herself or ihrough his or her own employees, provided ihat such improvemenis are not intentled or offered for sale. If, however, ihe builtling or improvement is sold within one year of completion, Ihe owner-builder will have the burden oi proving ihat he or she did not Guild or improve for purpose of sale.). • ❑ I, as owner oi iha propeM. am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha project (Sec. 7044, Business antl Profeuions Code: The contrecbrs License Law does not apply to an owner ol pmperty who builds or improves Ihereon, entl who coniracts for such project with a contracror(s) liCenSe pursuant to ihe Coniradors Licensa Lews.). ❑ I em exempt under sac. Business and Professions Code tor this reason: SiqnaNre: Date: Ownar ID verified by dnvers license. ❑ Yes ❑ No Onvers Licensa No. Expires: Verification of Ownership by (type oi tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PEIiM1T CERTIFICATION: ❑ I hereby certify ihat no axcavation five (5) or more teat in depih into which a person is required to descend, will be matle in connection with work authonzed by this pertnit, end t�a� no builtling siructure, scallolding, talsework, or demolilion or dismantling ihereof, will be mora then ihiny-si: (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tlile 8, California Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division ot Indusinel Sefety, as notetl above, unless such person has a permi� to do such work irom the division. Signature: Date: Division of Industrial Setety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENTAY: I certify under penalty ot perjury that I have reatl ihis epD�ication and s�a�e �ha� lhe infortnation given is correc�. I egree to comply with all stete laws and city ordinances relating to building consWction, end euthonze represeniatives ot the Ciry of Costa Mesa m enter upon ihe ebova-descnbetl property for inspection purposes. I agree not to occupy or allow occupancy ot any building authonzed by this permit until final inspection. GODE I, INSPELTIONTYPE 1676 Fised System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roo� 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion QAj& INTRIALS Date � n G, a � CODEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/OCcupency ee� u¢ma�€ � COSTA ��00 MESA BUILDING DEPARTMENT P. o. eox 3 n COSTA MESA. CALIFORNIA ..� �6e��«... � . , ��i2-.5`rS FINA�'CE DEPT. CIT`f 0� ''�cT° P,1ESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING y �erst Road BUILDING A�DRE55 COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PE OWNER Tro'an Land Co. �+ � RECEIVED BY DATE HECENED DPTE ISSUEO MAIL ADDRE55 l,.19 E. 17th St. i- -�J� UN 1 3 195 ciTv Costa Mesa No: LI 8-11 9 AODqE�ss nRcr�-�-cr CBTZSOri & ��c. COSTA MESA. CALIFORNIA OR ' EER NO. Garden Grove FIRE ADDRE55 ZONE Dike & Colegrove,Inec�r� ��. 7333 =°"` (.� � P°:�� T�" � `p°°P � CONTRACTOR NO. ADDRtl�.YS/ E. 17th St. No:LI 8—ll59 BYFROVED OATE �E�a� �or '1/�/� CORRECTIONS oesCAtPiiON Np 1V�J BLOCK TRACT2� A.P. NO. SIZE p']�O(��j O� NO. OF BLDGS. OF LOT ��OJ ]A1 PIOW ON LOT none USE OF none EXISTING BLDG. SET9ACK LINE FROM /^ M c[rvi[R oF srA[[T Cril� REAR YARD L.V� SIDE VAR� RIGHT S� LEFT ICZO� � DESCRIPTION OF WORK NEV p ALTERATION ADDITION REPAIR MOVING DEMOLISH SRIEOING 16�1 S.f'tR0 MS O STORIES y EXTERIOR WALL S�iUCCO COV�ERING COIR COVERING USE OF NEW BUILDING Sin le Famil Residence Garage attached Plan '750A 1 MEREBY PCKNOWLEOGE THPT I MAVE REAO TLIIS PPPLICPTION RNO STPTE THFT THE M1BOVE IS CORRECT ANp RGREE TO COMpLY WITH PLl CITV OROINANCES arvO ST LaWS PEGULATING 9UILOING COrvSTRVC� TION. VALUATION SIGNATUftE OF PERMIT FEE S �2�00 PERMITTEE ¢� 13�690�� PLAN CHECK $ 1�•0� nUrHORrzeo nGENr D�e & Colegrove, RC• TOTAL FEE 8 48•�� v�' JOB1wDRESS 249 AmherSt ROad GENERAL CONTRACTOR I7ike and AP. No. LOT 100 '1'[tpC'I' '2c35 ( IP I& J Typg V . INSPECTIONS � Stecl Beam brown coat r o� � .�ie-� DATE - DATE 6-13-5� BUILDING PERMIT NO. 69C � VALUE $ 13,690.00 DESCRIPT[ON OF WORK Res. & At. Gar PLAN NO. E7900 � PERMITSISSUED SUBCONTRACTOR DATE NUMBER r.....� Gas Test /�� /NI�C �/A�S S'?'I � � �Y� 1 • � � COSTA MESA BUILDIPIG DEPARTMENT P°. e°X 3�� rEE RECEiVED COSTA MESA CALIFORNIA � �B 1 t9�� c.�. oF STREET FINRIV �E DE � CffY OF :,OSTA � ESIi ' �iPROP TINE _ r 10 FT. FOR 60 FT. STREET— � � I -�� I ,�T,. I ,�'� �" " �t :J k'w � Ct-�y G'; C�-'` `A..hhE.S^- DO � i a8, � � 7 6 i I N. ,� ,9, FT. W ad%�.- �a Id F T. S T. !� PL�.;:P:l�k< L'bv �. BLi G. �E{'T. REG. SUGJECf 70 ^ � EY QR PROP, LIN _ �iPROP. LINE __ _ " L. OF STRE .+. � FT � � soi � ------1 H W W � F- N � O J C) S T. MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES I I _ 8��9 I FOR APPLICANT TO FII.L IN � /� BUILDING ADDRESS �l'�q ��rn1�z/in_d�" 7i�� Owner ��a � �-�a Mail A,�pddres��s�s`Y ��•'l'//yLLI/Z.cu� � City �`�`� �-� ' _ _ _Ph. No. _ — .-.__ __ . _�in�IN//AA� �..rsr.�i� �r_ /i e-^Jri'.CSYI Address/�dY"�� ✓�� .�v. r- �,•o� �ri . .f�. - . �-�9i� 5`a3 City Lic._No.�_ ___ State Lic. No. _ �_ __— Size of Lot %TX �DU AP No. Lo� �d8 �e.E!r �� Setbacks: C/L Street j �� Rear �� ♦ � Side Yard - Riqht � Lef} ,��/ Type of Fenc ��x�� X �� ¢!� /_ � � �./ ._ /�I�'� !� �� 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. of FOR OFFICE USE ONLY Received by Date Received Date Issued �� -// -�S� � -//--S 1� VALUATION 9 �' Permit Fee $ �� 0�� Plan Check $ r � I TOTAL FEE $ �'" � USE REVERSE SIDE FOR DETAILS OWNER COOTIIS� RICHARD DATE Q_]_],�q IOB ADDRESS 2119 A111t111TSt Rd: BLIILDING PERMIT NO. BfiS GENERAL CONTRACTOR AP. No. LOT lOO � IP INSPECTIONS Test COI15 t , FIRE ZONE DATE DESCRIPTION OF WORK SUBCONTRACTOR PLAN NO. Block Wa]1 �PE-RMITSIS I rvu