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Home My WebLink About873 ARBOR ST - Building Permits,- . . ��, CITY OF COSTA MESA ° BUILDING p1VIS10N , ._ ; DEVELOPMENT SERVICES DEPARTMENT J •� � PERMIT PERMITNUMBER �wa�mm ess-o� s2o (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 873 ARBOR ST Suite: Vicinity: Parcel Nunmber: 42251230 Applicant: RIVERA, ERIKA Address: -.iJ-' _ ,�i . Owner. RIVERA;�RODRIGOGOMEZ ,.. Address GOMEZ, HERMINIAV - ; � COSTA MESA,CA - .��873ARBOR �'• � . \ i Contractor.= � � " Address: � , > , / ,r i'/„' 'Aich / Eng : , � Address: Plan Check: ` Permit: �� SMIP Res:� SMIP Com: �Other: Inspection: To�al: BUILDING PERMIT Status: ISSUED � Applied: 10/22/1998 Issued: 70122/1998 Zoning: � '" Ptione: � " - . . Zip: . � � _ � �� — _ i' ,� � �`�� Phone:�� -- �- � � - � -. � �� V'\ - Zip: 92627 � � �� ' < : �. � �.; \. ii i ��„� ��\ \\ . <- _ '. j , � � :�� i' V ��. Phone: � �� '�. Zip: - � Llcense:- �� - _ � � �� - �I . � `v � " � _ .. . , ,'� ij _ �. • S \ , ' � Phone: Zip: License: � � :� SCOPE OF PERMIT �T/O EXISTING AND REROOF,THE HOUSE AND GARAGE WITH COMP: SNINGLE. ROOF CERT ATTACHDE .TO PERMIT. � . . . , _ . , . .. _ � .. . ... . . ... . . . . � $0.00 57475 $0.50 $0.00 `$0.00 $0.00 575.28�.: SETBACKS MAIN STRUCTURE FronY 0- 0 � ACCESSORY Front 0-0- PARKING NOTES: \ \ : _ FEE�SUMMARY�';� ,; _ , - ' ;� �� Calc Valuation: ' sz,eoo.00 � � � -' Claim Valuation:-; �� sz,aoo:oo d - --�� < � — �:, � i- � � ';� ; ;', 'i ,�. ,, � �PLANNINGB ZONING „ = — �': .' ,`-��, ,.-; - i, :, � — � � , . . � , � : �� : Rear 0- 0 Lefl 0- 0 Right �,: 0- 0;,� � Rear 0-0 LeR � 0-0 � . Right,'i;�0-"0�� Existin : 0 Required: 0 Pr000sed: 0. , � / EXPIRATION: This pertnit shall automatically expire and become void il work is not commenced within 180 days, or if work is suspended or abandoned for a period ol 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlretl Inepeetlone end Ilnal epprovel must be obtained. Failure to obtain inspections and linal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION OECLARATION: — � . • I hereby eKrm untler penelry of perjury ona of Ihe following tleclaretions: ❑ I heve entl will melnteln e certilicele oi consent to selt-Insure lar workere' CompensBllon, es provitletl lor Dy seCtlon 3700 of ihe Lebar Catle, lor the petfortnence bl lhe work for w�ich �his permit is iSsueA. ❑ I heve and will meimain workers' compensetlon insurence, as requiretl by sepion 3700 of the Labor Cotle. for [he pedoimence o1 the work for which Ihis permit is issuetl. My workers' compensalion Insurence cartlar entl policy number ere: Cartier: Poliq Number. (mis section neetl not be wmp/eted i! the perm/f is ve/ued al one huntlretl dollers ($ I00) or /ess.) ❑ I certify thet in t�e peAormance ol the work lor which this pertnit is issued, I s�ell not employ any person in eny menner so es lo become subject to Ihe workers' compensetion lews of Celifomie, end agree thet if I shoultl become subjep to Ihe workers' compensetion provisions of Saction 3700 al the Le6or Code, I shell forthwlth comply wlih ihese provisions. Applicent Signelure: Dare: WARNINO: FAILURE TO SECUFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE (SI00,000), IN ADDITIIXJ TO TNE WST OF COMPENSAnON, DAMAGES AS PROVIDED FOR IN SECTION �)OG OF TiE LABOR CODE, IMEREST, M1D ATTORNEI"S FEES LICENSED CONTRACTORS DECLARATIOH: I hereby eHirtn thet I em licensed untlar pmvisions ol Chapter 9(commancing with Sectian 7000) of Divisfon 3 0l ihe Business entl Prolessions Code, end my license is in lull lorca end eHect. Lic. tt Class M Conireaofs Signeture: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat thera is e conslmction lending egency lor Ihe peAormance ol ihe work Por which Ihis pertnit is iuued. (Sec. 3097, Civil Cotle). LentleYs Neme: Lentler's Address: SlgneNre: Date: OWNER-BUILDER DECLARATIONS: I �ereDy eHirtn Ihet under penelry of perjury Ihet I em EXEMPT FROM TNE CON7RAC70R5 LICENSE LAW tor the lallowing reeson (Sec. 7031.5, Business entl Prolesslons Cotle: Any ciry or counry which requires e permit to conslruct, elter, improve, tlemolish, or repair eny structure, prlor to iLv Issuance, also requlres the epplicent for such permll to Ille a sipnatl stetemenl that he or she is licensed pursuant to the provisions o1 the Contrectors License Lew (Chepter 9(commencing with Sadion 7000) of Division 3 of the Business end Professions Code) or ihet he or she is ezempl t�erelrom antl I�e besls tor the elleged exemp�ion. Any violation ol5adion 7031.5 by eny epplicant for e pertnil sublects the applicent to e civil penalry ol nol more then five hundred dollars �$500�.�� d I, es owner ol the pmperry, or my employees with wages es t�eir sole compensalion, WILL DO THE WORK, antl the slruaure is not intentletl or oXeretl lor sele (Sec. 70aa, Business antl Professions Code: The Conirectors License Law does not epply lo an owner ol property who builds or improves ihereon, end who does such work himsell or herself or Ihrough his or her own employees, providetl that such improvaments are not intentletl or oMered lor sale. If, however, the bulltling or Improvement Is soltl within one year of completlon, Iha owneo-builder will have the burtlen ol pmving Ihet he or she tlid not build or Improve for purpose ol sale.). � I, es owner ot the properry, em EXCLUSIVELY LONTRAC7ING WI7H LICENSED CONTRACTORS to construci the project (Sec. 7044, Busineu entl Prolessions Code: The coniradors License Lew tlaes not epply to en owner ol properry who bullds or improves ihereon, antl who contrect5 for such project wlth a contrector(s) license pursuant to �he Contreaors License Lews-). ❑ I am ex nder e. Business antl Prolessions Coda tor Ihis reasan: SigneNre: � �� Date: Owner ID venfied by dnvers license. ❑ Ves No Driver's License Na. E� Ires: Verllicatlon o1 Ownership by (rype of document, i.e. - property ter bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certlly �het no excevatlon Ilve (5) or more fee� in deplh Into which a person Is required to tlescentl, will be matla in connedlan with work eul�orlxetl by ihls pertnq entl thet no 6uiltling structure. scaMoltling, felsework, or demolition or tlfsmantling lhereol, will be more then Ihirry-six (36) tee� �igh. (CheO� 32, Grp 2, An 2, Sec. 341, Tltle 8, Celilomle Adminisirellve Cotle). ❑ A5 owner-builtler, I wlll not employ enyone to do work whlch would reQuire e pertnit irom tha Division ol Industnal Sefety, es notetl ebove, unless such person hes e pertnit to do such work from the division. Signeture: Date: Division ol Intlustnel Selery Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUfXON¢A710N OF EMfiY: I certiy untler penelry ot perjury thet I have reed this epplicetion end stete that Ihe inlarmation given is cone . I egree o comply w't ell state lews end ciry ordinences releting to building construqion, end authonze representetives of Ihe Gry ot Cosla Mesa to enter upon the - e ribe pr perry f' spection purposes. I egree not to occupy ar allow occupancy ol eny builtling ihorized by Ihis pertni u I 1' I inspeaion. �% ��/2Z�� Sipnature Oi el Owner(s) —�—Dale AnNOr Autharizetl Applicenl Date COOE �. INSVEClION TYPE 1616 Fixetl System Final Fire Prevencion 1268 200 201 202 203 Pool Spe Flnel Finel RaRoof Finel BIacWReleining Wall Finel Fedory Fire Plece Finel Sign 204 Finel Demolition zawe GAiE It�l�S � � COOE 1 INSiECTION TYPE 206 Finel Mec�enlcal 208 Finel Plumbfng 210 Flnel Electriral 212 Final Fire Preventlon 220 Finel Plenning Approvel 222 Final Site 250 Final Buildinp/Occupenq �� ECLARATION O. .UTHORITY , Bldg. Permit # FOR�AGENTS OF PROPERTY OWNER I This Permit N TO APPLY FOR PERMITS �73�(�� S� � Slreel Address AP Number I(we), 1Sl X.A'( I�til�(�'�i�� \V��X� , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: � r i �r� ��-�on��z �� ) �o�� -�5�� Name Telephone No. ' � _ Zip to obtain permits in my behalf, as ownerlbuifder, for atthe above referenced property. 2. Should any person become an employee engaged in the improvement oi the property, I(we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transter to any other per- son, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless irom any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by ihe permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this day of 19 , at , California. ��y��a��G NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behali. 1—=_':_ =-d33_e:��_g:��ii`:1 1 W7&a6 (flev. 2/91J - �t�89 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� GOSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING P�')'7 �% w COSTA MESA. CALIFORNIA OwNER MAIL TEL. CITV NO. ARCHITECT LIC. OR ENGINEER NO. ua NO. LEGaL LOT oESce�Pnom NO. 6LOCN TRACT A.P.NO-/I�^l.�g�-3a SIZE NO.OF BLOGS. / OF LOT (% � O �iow o�+ �01 USE OF E%ISTING BLDG, SET9ICN LINE FROM � ` CENTER Oi $TREET ' D REAR VARD SIDE YARD RIGHT � LEFT S DESCRIPTION OF WORK NEW ALTERATION ADD�TiON � REPAIR MOVING DEMOLiSH BUILDING NO.OF SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING ' USE OF NEW '� BUI�DING rEE Rtt�tiVED d�,�3�Sa' b.o� cL. FINaNCE DEPT. ' CITY OF CO3TR MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY BUI�OING � � 2 � N n `�� ADDRESS J �� V � COSTA MESA. CALIFORNIA TYPE G R- 4 `�""� � r/ OV � ['� �� DATE � CORRECTIONS I HEPEBY <CHNOWLEOGE TMAT I NPVE fiERO TMIS RPPLIC/TION RNO STPTE TMAT TRE nBOVE IS COflflECT 4NO AGREE TO COMPLY WrtX 4LL �CITV OF�IN4NCE5 4NO ST/. L�WS PEGlIL4TING BU LOING CONSTFUC� TON. VALUATION SIGNATURE OF PERMITTEE $/c�oa �AUTHORIZEO AGENT PLA�'hING DSF?T. ♦+c f�CPT RF(: DATE��'-' � �pe ` � 2,� PERMiT FEE S(� PLAN CHECN $� TOTAL FEE 3 �j ` E. OCT 2 $ l958 �l/yh°'L �i )OB ADDRESS 873 Arbor StTEOt BUILDING PERMIT NO. � 6(j$9 G�N�RAL CONTRACTOR C_ Sutterfield VAL[lE $ 1.000.00 LOT TRACT FIRE ZONE f PLAN INaPECTIONS . I DATE I $UBCONTRACTOR I DATE PERMITSNUMUBEF F. ORANGE COUNTY BUILDING DEPARTMENT s 636 Noreh Broadway � � . _ , SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN NEAREST CRO55 ST. OWNER � MAIL AODRE55 an BB ARCHITECT ENGINEER C ADDRE55 CONTRACTOI ADORES LEGAL DESCRIP710N fATTACH ME SIZE OF LOl USE OF 9363 W1lshire Blvd TEL. verlv Hill No C �R _ .. � . LIC. BUILDING • 512E EXTERIOR W� COVERING USE OF NEW BUIL�ING LO � NO. QFjg BLOCK I TRAC fE5 & BOUN451 7O X �10 I NOW ON LOT I NO. OF I N ]G. FAMILIE9 R TREEOTM� 5O Pt� SIDE YARD� DESCRIPTION OF WORK Ii[ I ALTEkanoN I I nooiri ROOF COVERING 1 HEREBV ACKNOWLEDGE THAT I HAVE READ TMIS APPLIGATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W�TH AlL GOUNTY OROINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. . APPLICATION FOR PERMIT � YFYI �D�� V FOR OFFICE USE ONLY RECEIP7 NO. PERMIT NO.- �y�y ��s� � RECEI fED BV DATE REC'O. DATE ISSIiEO �-/�-v3 FI�3',h �3 A�DRE55 CJ A„J I SCHOOL DIST. /-� � , � � �. �� / I PLANS I � � APPROVED BV CORRECTIONS AUTHORIZED AGT. PLASTER. E7 VALUATION $ 4 PEaMiT F[E $�A I MASONRY R ��O�oo puH cwecK S /� � SM LOCATION MATERIALS, � � u s l �'� W ' Z W J _ ' _ Z , {� J ' ` ¢ .`\ � . . `l�`'`� \• .. O ' �a . . ¢ . d �-.. � � .� \� `� , . � � - ..� _ ,, ` � i . _ • � . ..s';i �� i� � i � ` , _ . , �. j _�, , _ �- �. . .. ; , • , , �. � _L' A� ------ � -- �- -- -, --- ---�, . `\. � � " � I - � - � = � : - -- - � --- . . .. • .. � ^• �� _ . 1�' . � . �.� I. - _ � . � . . . l��lt -�. ! 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