HomeMy WebLinkAbout940 ARBOR ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa. BUILDING PERMIT
Job nddress: 940 ARBOR ST
Suite:
Vicinity:
Parcel Number: 42252311
npp�icant: ATCHLEY, MITCH
Address:
Owner: BROOKS, SCOTT
Address 940 ARBOR ST
COSTA MESA, CA
Contractor: YORBA LINDA ROOFING
Address: 3924 E MIRA LOMA
SUITE B
ANAHEIM,CA
Zip: 92806
Arch :
Address:
Zip:
Phone:
License:
Zoning:
Phone: 714-985-1307
Zip:
Phone: 949-279-6409
Zip: 92627
Phone: 714-985-1307
License: 549263
Eng:
Address:
REMOVE EXISTING COMP SHINGLE ROOF AND COVER WITH
Plan Check: $0.00
Permit: $9725
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE ,Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0-0
Rear 0- 0
Re uired: 0
FEE SUMMARY
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 03/01 /2001
Issued: 03/01 /2001
ISSUED BY:
e • 1 �
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Phone:
License: - �
P. NO NEW SHEATHING PROPOSED.
Calc Valuation:
Claim Valuation: .
PLANNING 8 ZONING , � � �
�,� �
� � � � �
Left 0-0 � �Righf� 0�0 / ,%
Left 0- 0 Right " 0- 0�-"/
, Proposed: 0 . - �
�$a,aao.00
sg,000.00
f�7
INOTICE: 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, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandone<
I for a period of 180 days. .
INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and a
required Inspeetions and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of this permit.
IFOR INSPECTIONS CALL: (714) 7545626
2d46-46(fi/00)
WORKERS'COMPENSAnON DECLARAnON: —
I hareby aMirtn untler penalry oi Perjury one of the following tleclarations:
❑ I have end wili maintain a certificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor CoOe, for the pertormance ot Ihe
wofk �or which Ihis De�m�t i5 i55uBtl.
❑ I have antl will meintain workers' compensation insurance, as requiretl by section 3700 of ihe La�or Code, tor the peAortnance of ihe work for which this pertnit is issuetl.
My workers' wmpensation Insuwnce carrier and policy number are: �
Carner: r. policy Number:
nOt
one
ar�+ss.)
� I certify Ihat in the paAolmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers'
compensation laws of California, antl agree that ii I shoultl become subjecl to the workers' compensation provisions ot Section 3700 of the La6or Code, I shall torthwith
comply with thesa provis�a s. 1
Applicem�Signature:=._�������� Date: _ �` �— � \
WARNING: FAIWRE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS ONLAWFUL AND SH4LL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL iINES UP TOONE HUNDRED
TFqUSAND DOLI.ARE (3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC710N 310fi OF THE LABOR CODE, INiEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm Ihat I am licen5etl untler pmvisions of Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business and Professions Code, antl my license is in tull
force and ettect. Lia % Class a
Ca_ ntractofs.SlgnaWr�� , , _ Date: ' � "�
CONSTRUCTION LENDING AGENCY:
❑ I hereby afiirm that iher6 is a constmction lentling agency for the performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendars Neme:
SigneNre: _
OWNER-BUILDER DECLARA7�ON5:
Lentler's Address:
Date:
I hareby aHirtn Ihat untler penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciy�or counry wFich�requires a pertnit to constmct, elter, improve, demolish, or repair eny stmcture, prior to its issuance, also requires the applicant for such pertnit
b file e signed statemem�that he`r.�she.Is licensetl pursuant to ihe provisions of tha Contractors License Law (Chapter 9(commencing with Section 7000) of Divlsion 3 of the
Business and Professions Cod'e) oythAGhe or�she is exempt therefrom and the basis for the elleged ezemption. Any violation of Section 7031.5 by any applicam for e permit
subjects ihe applicant to a civil penaltyoF�not�inore ihan tive huntlred dollars ($500).):
❑ I, as owner of the propeRy. or my.employees wi�h wa9es as Iheir sole compensation, WILL DO THE WORK, and ihe stmcture is not intentletl or oMered tor sala (Sec.
7044, Business antl Pmfessions C6de,The Contractors License Law does not apply to an owner of properry who builds or improves Iheraon, and who does such work
himself or herself or ihrough his or her own employees, provided ihat such improvements are not intentletl or oflered lor sale. If, however, ihe builtlin9 or improvement is
soltl within one year of completion, tha owner-builtler wiil have ihe burden ot proving Mat he or she did not Duild or impmve for purpose ot sale.). �
❑ I, es owner of the pmpeAy, am E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consimct the project (Sec. �044, Business end Protessions
Code: The contrectors Ucense Law does not apply to an owner of property who builds or improves Ihereon. and who con[racts br such projact with d conirector(5)
license pursuant to the Contractors License Lews.).
❑ I am exempt untler sec. Business and Pmfessions Code for this reason:
SignaWre: Date:
Owner ID verified by dnver's li�ense. ❑ Ves ❑ No Drivers License No.
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby certity ihel no eXcavation five (5) or more feet in depth into which a person is required to descend, wiil be matle in connection with work authorizetl by this
permit, and that no building structure, scattolding, (alsework, or tlemolition or dismantling thereof, will be more ihan Ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomia Adminisirativa Cotle).
❑ As owner-builder, I will not employ anyone to do work whic� would require a pertnit from the Division of Industrial Sefery, as notetl ahove, unless such person has a
permit to tlo such work Irom the division.
Signature: Date:
Division oi Indusinal Sefery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTHORIZA710N OF EN7RV: I cetlity under penalry of perjury Ihat 1 have read ihis applica�ion and state that the information given is
correcL I agree to comply with ell stete laws and city ordinances relating to building consiruction, and authorize representatives of the Ciry of Cosfa Mesa to enter upon t�e
above-described properry for inspection purposes. I egree not to acupy or allow occupency of any building authorized by this permit until finel inspection.
".QOE 1. INSPEC710NTVPE
1616 Fixatl Sysiem Final F��e Prevemion
266 Pool Spe Finel
00 Final Re-Root
]1 Final Block/Re�aining Wall
12 Final Fectory Pire Place
3 Final Sign
4 Final Demolition
PASE IMRIALS
� � I _ � �ate
ate
COpE I INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Finai Site
250 Final BuilOing/Occupenc
Costa Mesa Bailding Department APPI.HCATION FOR PER11qIT
'�' -� �`+ 1H EAST 20th STREET �� g� � � D i N G 9
COSTA MESA� CALIFORNIA L �� ■
FOR OFFYCE USE ONLY
'— '��R =iPP�CAN� ��� IN Receipt No. Permit No.
8u Iding � , ��_ �� q
�, _Addresa / '
Costa Mesa, Ci&�OPII18, Recei d by Date Rec'd. Date Issued
7-� --�- �- , , _�-r
Owner
Mail
Address
.$' T
:�
�
Address
New
Size �( C
Exterior Wali
Covering
Use of New �
Buildina
City
sandBounds) ' � —,3�3—
r � L� �� o. ot 91ags /
� iT Now on Lot
I No.of I No.of
Families Ro m:
from � / � _ ..�, Rear Vard �+'
No. of
Addition �
Demolish I
Stories
. T
i �-S
Costa Mesa, California
Date
_.. . ; ,.. . .
.�. �... � .... • .. _ ' _
Forms, Materials,
Under-Pinning
�ame: Fire Stops,
I hereby aclmowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances d State Iaws regulating
building construc '
Signatureo£ �
Permittee
/
Autho�ized Agt.
Valuation a a Pe�mit Fee $ ,�; v� o
$ �/OO � Plan Check $ � �' n
Totai c. � p
Fee $
�FhAM 204 S-HP 2M 8-53
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PLOT PLAN '
Show lonatlon and distances from . "
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OWNER
DATE
JOBADDRESS 91t0 Arbor S},�- BUILDINGPERMITNO. ]j�J
uENERALCONTRACTOR Q�Pr�Buildar VAWE $ ]_�100.00
�'#115-383-19 �
i 32p BLOCK TRACT 1712 Private garage c�'�`�"`, —`,cJ
GROUP J TYPE V ZONE Rl FIRE DISTRICT #iKAA
INSPECTIONS
Footing Trench G
Foundation Forms and Grade to
Plumbing, Rough to St
� Plumbing, Rnugh Com
� Temnorarv Pole
i Wi
�Heating, Final
Sewer, House Sewer, St.
Seotio Tank or Cesspool
l ig, In OuYJ( d
Plumbing� Final� Fixtures
Plumbing� Fin.al GasTest
Wiring� Final
Occupancy
Foi•m 210 G-H 15001-5:
DATE SUBCONTRACTOR
���� _ � /l • - %!
PERMITSISSUED
DAT�E I NUMBER
._. .. i_ i � � .t'L �Y_
JAN 1 p 1956 ` � ..
I ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT .
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