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Home My WebLink About2964 ANDROS ST - Building Permits(714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 2964 ANDROS ST Suite: Vicinity: RESIDANCE &ATT. GARAGE. ParcelNunmber: 13927704 Applicant: WEAVER, RICHARD D Address: 2964 ANDROS ST COSTA MESA, CA owner: WEAVER, RICHARD D Address 2964 ANDROS ST Contractor. Atldress: Zip: Arch : Address: COSTA MESA, CA Phone: BUILDING PERMIT Zoning: R1 R1 Phone: 714-437-7688 Zip: 92626 Phone: Zip: 92626 Phone: License: Eng: Address: � — � PERMIT NUMBERa 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 04/14/1999 Issued: 04/14/1999 ISSUED BY: �1 �-- Phone: Zip License: Zip: License: SCOPE OF PERMIT TEAR OFF BUR AND INSTALL 30L8 FELT AND INSTALL 25 YEAR COMP. GARAGE AND RESIDENCE. Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: $0.00 $74.75 $0.50 $0.00 $0.00 $0.00 $75.25 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: FEE SUMMARY Calc Valuation: $z,aoo.00 Claim Valuation: 52,aoo.00 PLANNING & ZONING Rear 0- 0 Left 0- 0 Right 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 Required: 0 Proposed: 0 EXPqII��ED DATE� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlons and tinel approval must be obtained. Failure to obtain inspections and final apprnval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WOAKEPsj COMPENSATION DECLARA710N: � � � - I hereby aflirtn untler penelry of perJury one of the following declaretions: � ❑ I have and wlll malntain a certificete of consent to seM-Insure for workers' compensation, as provitletl for by section 3700 of the Lebor Cotle, for Ihe peAortnance of the work for whic� ihis permit is issued. ❑ I have entl will maintaln workers' compensatlon insurance, es required by section 3700 of ihe Lebor Code, for the perfortnance of the work br which ihis permit Is issued. My workers' compensation Insurence carrier and policy number are: Carrler: Policy Number: (This secfion need not be completed il fhe permit /s valuetl at one hundred dollars ($f 00) or IessJ ❑ I certify that In Iha pertormence of the work for which ihis permit is issued, I shell not employ eny person in any menner so as to become subject to the workers' compensation laws ol Califomia, and egree �hat ii I should becoma subject to the workers' compensetlon proNsions of Sec�lon 3700 of ihe Labor Code, I shall forthwith comply with ihese provisions. Applicent Signeture: Date: WARNING: FAILURE TO SECURE WORKEHS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALI SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOR fADE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I am licensed under provisions ot Chapter 9(commencing with Seclion 7000) of Division 3 of Ihe Business and Professlons Coda, and my license is in full force end eHect. Lic. # Class p Connacrors Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hareby attirm thet there is a consWction lending egency for ihe performance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lenders Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby eHirtn that under penalry of per�ury Ihat I am ExEMPT FROM THE CONTAACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Buslness end Professions Code: Any ciry or counry which requiras a permit to construct, elter, improve, tlemolish, or repair any siructure, pnor to its issuance, elso requires the applicant for such permit to tlle a signed stetement ihet he or she is licensed pursuent to the provisions ot ihe Contrectors License Lew (Chepter 9(commencing with Section 7000) ot Dlvlsion 3 af the Business end Professions Code) or that he or she is exempt therefrom and Ihe basis for ihe alleged exemption. Any violation of Saction 7031.5 by eny epplicent for e pertnit sub�acts the applicant to e civll penalry of not more than tiva hundred dollflrs ($500).): ❑ I, es owner ot the property, or my employees with wages es ihelr sole compensation, WILL DO THE WORK, antl the structure Is not intended or oHerad tor sale (Sec. 7044, Business and Protessions Cotle: The Contrectors License Law does not apply to an owner of properry who builds or improves thereon, end who does such work himselt or hersetl or through his or �er own employees, provided that such improvements ere not intended or oflered for sale. If, however, ihe bulltling or impmvement is sold within one yeer of completion, the owner-bulltler will have the burdan ot proving Ihet he or she dld not build or improve for purpose ot sale.). ❑ I, as owner of the property, em E%CLUSIVELV CON7RAC71NG WITH LICENSED CONTRACTORS to construct the pro�ed (Sec. 7044, Business and Professions Code: The conirectors License Law does not apply to en owner ot properry who bullds or improves ihereon, entl who coniracts for such project with e contractor(s) license pursuant to Ihe CoNractors License Laws.). ❑ I am exempt esec. � Business and Protessions Cotle for this reason: Signeture: '�'`�— Date: -� - Owner ID venfietl Dy dnvers license. c�Ves ❑ No Dnvefs License No. Expires: Z- Z3 - Veniication of Ownership by (type of document, I.e. - propehy �ax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: ❑ I hereby certiry thet no ezcavation five (5) or more teet in depth into which e person Is requlretl to tlescentl, will be matle in connectlon with work authorizetl by ihls permit, entl that no building siructure, sceHoldinq, felsework, or tlemolition or dismantling thereof, wlll be more than Ihirty-six (36) teet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Tltle 8, Celifomia Atlminisiretive Cade). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Divislon ot Indusirial Setety, es noted ebove, unless such person has a pertnit to do such work from ihe tlivision. Signature: Date: Division of Industnal Safery Pertnit Number: CODE I, INSPECTIONTYPE �jf, 1616 Fixad System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Rooi 201 Final Block/Retaining Well 202 Final Factory Fire Plece 203 Final Sign 204 Final Demolition . . . 2466d6 uu;. o� COOE! INSPECTIONTYPE 206 Final Mechenical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Final Building/Occupancy Id:tl�L'1LI/d47 0 O -� Applicant to fill in all spaces within heavy bo�0er lines antl si9n all aOPropriate tleclarations. �G�lTY OF COSTA'MESA � - ' ceR IT NO, �/ - TRACT"NO. ' LOT NO.,• � BLDG. NO. � � . , OC�L�'O � 6�ZBIB2 . -- CONSTRUCTION PERMIT �i � � ��•' - �• ' � � + 6•00 ,?� ., Project Address � TVPE OF CONSTRUCTION �� • -_-. = i 1 _ � _ , � . - _.. , `owner y- (� Phon�j ONEW ❑'AOD O'ALTERATION ' ' " "- � � - •- �"Address-'S ' -' " '- '- ' - -�REPAIR-O.CONVERSION ❑DEMOLISH � �_ � . Arch/Eng.- -- '- '� - -�-License�No.- - - '�-�-oTHER 'i �' � �' _ ZONING REGULATIONS � --�_;�, j Addre55'-"' '- - �' -- ""• - � DESCRIPTION'OF WORK _ _ _ _ � : �.�_ � �A.P. � � -P, .. _ . ; - .� . _ _ ' ' '_ __ _' __ . . " '_ ... _ .. . .- •ZONE ..PLNG. REF.iEx �.� ` � . i Contractor E " � Phone.}j,3 - O �TVPEAF.PERMIT, - . . . •- '.. _ . .. ... . . '- ' �'� BI�IL�ING.. ---,-._ �_ _' � � �. -. SETBACKC LST. OP R V LINE �' C ' ^ ��Addre55 . --- ' . " . , -- �; ,�GRADING-.-. O FOUNDATION-'O"STRUCTURAL"' ' ,SIDEVARD-- - -' -�- - T - _ _ �O -LICENSED-CONTRACTOR-DEGLARATION �� LEFT� '� 1 ' O TENANT ❑�ELECTRICAL�LUMBING OMECHANIC 5IDE VA i �I hereby aftirm that I am Ilcensetl �untler provislons of Charter 9(com- -� � ,+y�❑ .� } � RIGHT ' mencing-wlth•-sectmn-]000)�of�Owislom-3-�o(�the-Busineis-antl ❑OTHER- - .-�_ . _ ' __ _ _ � � _ � � , Professions Cotle�antl my Iicense is in full for<e tl f ct. � � � � REAR VARD (TO P/L) � , �� . PROJECT�DESCRIPTION_ ' �� Licen�se�C�las��p�7 ;b License 4 9� �I� � .PKG.SPACEREQ. PROVIDED .�.- �,y� � DateE�St_9_Z Si9nature. •. . . _ • �� . SQ..F_T,) . - - � _� r. . r ... _ ' ' ' � IWORKERS' COMPENSATION RATION �4 ��' � STREET WIDTH � PAftK FEE $� y,'� � � �'� � ' OCCUPANCV_CONST.RUCTION,T.V,PE r � �'~'~ � 'ZONING APPROVED�BY - - "DATE"'"- -"-"" I hereby af(irm that I have a c ❑£ te ot conse o self-I sure or a •� ,,,� , ,� . . 'certlTiwte of Workers' Compensation-�Insurance;�ora�certi(ietl-copy _VAL`VAT�ION"�-'� ZONE ' - • � � �� I ' e� - : GRADING-CU. YDS. - ACRES 'SPECIAL CONDITIONS: _r_. � _ ;thereof Section 3800, Lab. C.�. � • � i _ """- ' _,Jia7Q.. �C.OIMO �wU ' �' - . icY No' _ , ' ComPanY _ ` _..._ ' ' " _ ' ' ' "'. . .. ' '_' "" _ "'"' . ' _ .' : ' " ._. .... .. .��. ertltieticoPY�is.herebY�turnlsh¢tl. . ---� "_ _ - "__4$', ,REMARKS:�+d3L'-. .. _(� "'_,�_ _. _"_'_ r _ _ _' �'�'"��.•.� _ _ Certifietl copY Is tiletl with the dty Builtlin9 Division. � ' ' -��. „, I.f�.; . EXEMPTION �FROM WORKERS' COMPENSATION'DECCARATION' ' - " �' '^ji -" `^' ' �"' ' ' �' ' -- - - -- - - - -- "' ' "' .,� ' � ... '. '_' .. r_ � . . �(This.sectionseetl.not be completetl if the.permit is torpne.huntlreA _ �_ .,,� _ � � -__,� ^�, _,; , _ ~ 1 �'s � ��'d- �1. (5100) or IessZ. t � :�, „ ,. �.__ r . . " ..,: . a _ . ._ . .. ' • ' " '�. _ _. _ . " '. . .. . . . ...__ L cerlify. that.in.the performanGe of.the wo(k.fo� whiCh [his permit,is, , . ' ... - issuetl, .I shau not employ any penon in any manner so as to ;become i PCUMBING� �;��o�' i,j7LAN�CHECK' �� -� �`� � iEL'ECTRICAL--' '- � - PL'AN'CHECK:,-��- """ subject.to the, Workers'.Compensation.Laws of.Califomia.. .' _ � � ' "' ' ' ' ' ^ -' � ! ' � � BATHTUBS � SHOWERS � � ' Date 519ndture ' - � ' � � - '_ _ ' � - ' � � _• � . • � � NOTICE: If after making this tleclaration, you shoultl become subject ,-.�TOILETSr�: � UR1NAl'S '""'-- ' " ' ".GENERATOR'"0-1 KW_1-10 KW � � .. . � . . � ._. . _ to th¢ Workers' Compen5dtion provision5 ot the Labor Cotle, you'must '� � �� ' jTRANSFORMER �� "� '. forthwith comply witM1 such provisions or this permit 5hall be tleemetl LAVATORIES DOUBLE'CAVS "'--" 'T-' " "" 7APPL'IANCE' �"30•50'KW=50+KW'�' ' '-^^^- -- --� revoketl. "' "''_ ' _ . _' . . _ � � � . � �CONSTRUCTION LENDING'AGENCV � KIT:�SINKS" �'" " "`DISHWASHERS'- - - '�MOTORS -' "-0-1 HP'_1'-30'HP ' " " , 1 be�eby a(tirm that there is a construction lentlin a enc tor the er- - --�--� -- -• t�""-'� _ ... 9 9 Y P $ERVICESINKS��' 11�SUMPS"" ��UNC.SOLAR) -10-50•HP-_-�SO+�HP--�-� . � " formance of� the work for which this permit is issuetl (Seclion 309] �•-• �' � v � . � --. � � r Civ:C.I.-" '_ "'_.......-V.. . _....._' _ �. . - ..._y...._ . - Lentler's Name � FLOORSINKS FLOORbRAINS�""-� �" � - �FIXTURES' -""OUTCETS' SWITCHES"' ' �- � r"_ "_ "' _" " ' "' _'" ". _'" ' . . � y' Lentler's Atltlress DRINKING�FOUNTAINS ��j,` �� ' -"'f" ' -"'�GASTUBESIGNS' -' "- ' '^' "-' � - j - .. • . ... '-_. OWNER�BUIL'DER DECLARATION' ' ^'-^ "' "'- --'---- -- � ---� ' - __..- �_ : I hereby affirm ihat I am exempt from.the Contractor's License Law for INTERCEPTORS � ��CLARIFIERS �� 1PO�E'LIGHTS" '-- "`-" - ' ' - [he lollowing reason' (Section�']031.S�Business antl Professions Cotle:- - SWIMMING POOL ` "PTRAP-" " "}" • ' -' �- -- - - ' Any city or munty which� requires a permit to construct, alter, �POLES METERED� �SUB � �� improve; Cemolish"or repair'any-structure,'prbr to ks issuance, alsa re- yyqTER SERVICE � ACTERATION" -- '"- �PANELS-" --"" "MAIN' " "- SUB " ' '' quires Ihe ap'�licanl for su[h pe�mit to tile a Signetl statement that he - - � is'litensetl'pursuan['to the'provisions ot the Contractor•s License Law GAS SERV ICE � �� OUTLETS � � �SERVICE � '-- "' - ' ' " AMP- -' ^ ' (Chapter 9(cOmmencinq with SeGtion 7000) of Division 3 of tM1e - �' Business'antl' Professions"Cotle) orthat he is exempbtherefrom antl the '�yyqTER HEATERS ""BTU OUTPUT ' - ' -- "-'� '^ ' " ' ' - ' - - - 1 � for the alle9¢tl exemption. Any violatlon of $ec[ion ]031.5 by � � f ipplicant for a"permit �sublects the' applicant to-a avll penzlty- "SEWER CONNECTIONS'-' � � 1 �" !' ""' -'�' - - - - ° 1 1 more than five hundretl tlollars ($500). �� ' ., a5 owner of the property, oi �my employees�with wag¢5 as tlSeii - -SOL"AR'TANK"' ' COL'LECTORS � -' � � " �-' ' '- "'^- . '- ' i � - -'� f iole.COmpensation,_.will,tlo the_work, antl,the,ztructure is,not mtentletl " � � br otferetl for sale. (Section ]044, Busine55 antl Profe55ion5 Cotle: The SOLAR PIPING SVS. �f - [' j' 'ISSUE FEE—' ' ' ""- ''"' • Cont�actOCs LiCenSe.Law.tloes.not,apply,to_dn owner ot a,prope�ty_ . � T- _ �--� _. who builtls or improves.thereon, antl who tloes such work himself or �- ISSUE FEE - -� �f�-""""'-'j" '�'fAPPCICATION�/aPPROVED�BV -� - ---DATE-- � �� th�ough his,owaemployees„provitlCtl.that such:improvements are not � 1 Int¢ntl¢tl or offeretl for sale. If, however, the builtling or improvement ' - -' -' -"" -�' - '- " "' " ' - ' ' ' -' ^- ---�� MECHANICAL aLtiNCHECK i j ' SUMMARYOEFEES - � is soltl within,one.year o( completion, the owner will have the burtlen ,,� ,�'�_� .�+t; uf proving he tlitl not builtl or improve for the purpbse of sale).� ! ' tBU1LDING-'�' "'- --- -- ^---� �- -- ----- ' ��-I,--as owner af-the-property,- am�-ezclusively mntractin9 �with- qND'DUCTING EM 0-100_000 BTU `_� , iPERM1T E _ _�' ;'', � SMIP.�= -„-�$_ ,_ � licensetl conVactors to construc[ the pra�ect (Section ]044, Business 100,000i+BTU �PLAN CHECK $ �PERMIT t ' antl Professions-Cotle: The-ConVactor's-License-Law tloes�not apply to- ' - -- - �- - - $ � . ISSUANCE S�-� � -� J � an owner of property who builtls or improves thereon, antl who con- REFRIGERATION _0-100,000 BTU_ �_' _ �PLUMBING � - �, � bacts�from-such pro�ects with-a-Gontractor(s) IiceSnetl-pu�suant-to SYSTEM-- - -- ai --- - �- � - - --- - �_� ; GRADING�.$ ��' r �theContractor'SLicenSeLaw)._ _ _ _ - 100,000+8TV � - �PLANCHECK ,y . - _��-�,��y-;=J$ �;.i ❑��Yam exempt untler Section' ' B. E'P. C: for this � ELECTRICAL � BOILERS BTV E� � reason PLAN'CHECK "$ MICROFILN�S'�� qDate- Owner - SYSTEMREPAIR,ALTERATION � $` L� • EXHAUSTSVSTEM MULTIPLE �MECHANICAL:E' TOTALFEE � � 'I hereby certifythat I have reatl this application antl state that the above - � �- �' • `{�- LES$ A�- "y '•� � /� information is correct. 1 a9ree [o'comply with�511 dty antl-county �.- �PLANCHECK'S - - - VANCEPC $_' � DIGIOdf1C25 dI1C S�dL2 IdWSIEIdSII1g IO COIISIYUCIIOO antl h¢reby_autho�ize � , ,�y, � ��, -, . ., . -,-., representalives oi this city to enter �upon the above menHonetl` � ' ' l' ��- � property inspection_,purposes �� p� ' ; Si9nature {e_�„y_�� . . � _ FINALFEE $ � Drivers' ' nz r 55 � ' - '�SSUE FEE- � � -� • � � - - ' . . � CMF 0865-46 White-Builtling��.anary-APPlicanq Pink-Accounting; Goltlenrotl-Assessor , � �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA fOR APPC/CANT TO F/LL /N COMPLETfLY TYPE OR PRINT ADD E'SS 2961t Andros St� COSTA MESA, CALIFORNIA MAIL ' BOX 6�i . ADORESS c�Tv�lboa Island�Calif. ARGHITECT OR ENGINEER AODRE55 - CONTRACTORr�CCO CiOIfi� �ICTNTp9SWV ADDRESS Eox 65, Balboa Island,Calif. LEGAL I LOT I I 1� oescnivnorv NO. � BLOCK TRACT µ A.P. NO. SIZE OM NO.OF BLDG6. OG LOT 7 �� NOW ON LOT O SETBRCK LINE FliOM c[Hi[n oF sTn[eT 0 REAR YARD DESCRIPTION OF WORK �% II.�r�e,..,,..� I I�..,.,�r, IREPAIR I II MOVING I II DEMOLISH BUILDING 1525/44o NO.OF p SI7F R(l(lMC V STlIDIF �� I HEFEBY AGNNOWLEDGE THAT 1 HRVE READ TH�S PPPLICpTION ANU STATE THAT THE ABOVE 19 COflRECT NND AGREE TO COM� PLV WITH ALL CITY Op�INqNCES PND STATE LRWS REGULATING BUILDING CONSTRUCTION. � SIGNATUREOF � ��}�i' HOMFS� INC• PERMITTEE � � % � ��E RE�,��V�� '?�'C.ci //-� 1�7�� FINANCE DEPT. CITY OF COSTA MESF1 APPLICATION FOR PERMIT BUILDING �oR officF usF aN�r I RECEIPT NO. I� JfRMIT� BUILDING ADDRESS APPROVED BY COSTA MESA, CALIFORNIA ZONING NO. OF USE OF NI PLANS �� BUILDING VARDS REqUIRED (CENTER LINE STJ P.� THE AMOUNT SHOWN UNOER VPLUATION IS FOR THE PURPOSE OF EST/BLISHING R PEFMIT FEE ONLY. VALUATION � PERMIT FEE $�� $ /L % N/ �6 PLAN CHECK S ��J �� iv (o� f TOTAL FEE $ �q7 Sv