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Home My WebLink About644 BEACH ST - Building Permits•� � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa&a,.4�LDING PERMIT n FAIR DiiIVE, COSTA MESA, CA 92626 t3U JobAddress: 644 BEACHST Suite: Vicinity: Parcel Number: 42224116 npp�icant: LILLIAN MEDINA Address: owner: MEDINA, JOSE LUIS Address 644 BEACH ST COSTA MESA, CA Contractor: Address: Zip: Arch : Address: Phone: 2oning: Phone: 949-6463060 Zip: Phone: Zip: 92627 Phone: License: Eng: Address: Status: ISSUED Applied: 05/25/2001 Issued: 05/25/2001 ISSUED BY: Phone: Zip: LiCense: License: SCOPE OF PERMIT T/OFF AND REROOF 1200SF RESIDENCE W/BUILT-UP. Plan Check: $0.00 Permit: $44.85 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $45.35 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Exlstinq: a NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING LeR 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 Si,zoo.00 s�,zoo.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California 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 1 BO 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 required Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2446-4fi(N00) WORKERS' COMPENSATION DECLARATON: ' � I hereby a%irm untler penalry of perjury one oi ihe following declarations: ❑� I have and will maintaln a certificate ot consent �o self-Insure for workers' compensation, es pmvided tor by section 3700 of the Labor Code, for the pertormance of ihe wark tar which Ihis pertnit Is issued. ❑ I have and will mainiain workers' canpensation insurance, az required by section 3700 ol the Labor Code, for Ihe pedormance oi Ihe work for which this pertnit is issuetl. My workers' compensatlon Insurance carner antl policy number ere: Carrier: Policy iJumbec (This sectlon need not be campleted il fhe pertnif Is velued et one huntlred dollers ($100) ar less.) ❑ I certify Ihet in ihe peAormenca of ihe work for which ihis pertnit is issueQ I shall not employ any person in any manner so as to become subject lo the workers' compensation laws of Califomia, and agree that If I should 6ecome sub�ect to ihe workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forthwith comply with these provisions. Applicant Slpnature: Date: WARNIN(3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND pWL FlNES UP TOONE HUNDRED THOUSMID DOLLAfiE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, OAMA6E$ AS PROVIDED F-0R IN $ECTION 3]O60F THE LABOF CODE, IMEREST, AND ATTOqNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensetl untler provisions of Chepter 9(commencing with Section 7000) ot Division 3 of fhe Business antl Profeuions Cotle, antl my license is in tull torca ana eHed. lia k Ctass N ConirectoYs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm Ihat ihere is a consimction lending agency for the pertormance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lentler's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettlrm ihatunder peneiry�ot perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW to� the following reason (Sec. 7031.5, Business antl Profassions Code: Any ciry or county which requires e permit to constmct, aHer, improve, demolish, or repair any structure, pnor to its issuance, also requiras the applicant for such permit to file a signed stetement thet he or she is licensed pursuent to ihe provislons oi �he Contractors License Law (Chaptar 9(commencing with Section 7000) of Divislon 3 of ihe Business end Professions Gode) or that he or she is axempt ihereirom and the basis for ihe alleged exemption. Any violation of Section 7031.5 by any applicent for e permit subjecis Ihe epplicant to e civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe siructure is not intentled or oHered for sele (Sec. 7044, Business and Professions Code: The Contractors License Law tloes no� apply to an owner of property who builds or improves thereon, and who tloes such work himself or herself or �hrough his or her own employees, providetl that such improvemenis are not intended or oHered for saie. tl, however, ihe builtling or improvement is sold within one year of completion, ihe owner-builder wiil have ihe burden of proving that he or she did not build or improve for purpose of sa�e.). ❑ I, es owne� of iha property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS m consimct ihe project (Sec. 7044, Business antl Protessions Code: The contractors License Lew does not appty lo en owner of property w�o builtls or Impmves ihereon, antl who contracts tor such prolect with a coniractor(s) licen5e purSuanUo ihe Conirador5 LicenSe LawS.). ❑ I am exem t nd,e% ec. Business end Professions Cotle tor this � SignaWre: � 11'�,/(J�� (!!� �(i!?s�. Owner ID v8rifiBd by dmer5liCensa. ,�Ves ❑ No Drivers License No. ,� Verification of Ownership by (typa of documen6 i.e. - property tax bill or tleetl): =) Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I heraby certify Ihat no excavetion five (5) or more feet in depih into which e person is requiretl to tlescend, will ba made in wnnaction with work authonzeC by this pertnit, end tha[ no building structure, scaHolding, falsework, or demolition or dismantling ihereof, will be more Ihan thir�y-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle 8, Celitomia Administrative Gode). ❑ As owner-Duiltler, I will not employ anyone to tlo work which would require a Dermit irom ihe Division ot Industrial Sefety, as notetl ebove, unless such person has a pertnit to do such work from ihe division. Signature: Date: Division of Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORIZATON OF ENTHY: I cenify under penalry of perjury lhat I hava read this application and state that the infortnation given is correcL I agrae to comply with all state laws antl ciry ordinances relating to building construdion, and authorize representatives of ihe Ciry of Costa Mesa to enter upon tha above- esc b d property for ins ection purp ses. I egree not to occupy or ellow occupancy ot any building authorized by �his Dermit uMil f�nal inspection. .�l��i �n �l/rP �.�i�r 9 . .S1a S %� Signeture Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE 6 INSPECTIONflPE 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Rooi Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolition PaiE �@ CODE� INSPECTIONTYVE 206 Pinal MeChanical 20B Final Plumbing 210 Final Electncal 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy or,h INTRIAlS ='C�§ta Diesa Buiiding Department �/. �AyPPLIBCATION FOsR' PERIVYIT � ;.L.� • 111 EAST 20th STREET �,��! p_U .L.�,,�'V_G. --' --'. - � �OSTA MESA, CALIFORNIA - FOIi APPLICANT TO FII.L IN �OR OI'�ICE USE_ONLY ; Receipt No. Permit'.No. � Buildiq9 i I _ . i _. . Addre4s 644 Beach Street � '� — _�� Costa Mesa, California Recei�n— bate Rec'd. Date Issued i Nearest � lI'--�n.::' � �/6 -S � 6 ^fl�o -1�,1 c�oss st. 19th Street s�n� Addr,ess Owner 1-Larbor F.state� CO5i3� M0S3, California � -Ma'i 1�19 F3st 17th Street AddreSs c;tr Costa Mesa ni`o�. 8-1159 Arohitecto ar SOri 8 I'(�1 Enginaer No. AddreSs C,arden Grove City Lic. Contrector ITike & Colezrove No. 1301 Address 419 Fast 17th Street Lega7 ' Lot � Deseription I No. � I Block I Tract 1986 (Attach Metes and Bounds) "- No. of Bidgs. Size of Lot 60 X ZZO f�ow on Lot none Useof none I No.of No.of 1 Existing Bldg. F,amilies ZI Rooms Setback Line from � Rear Yard � Center of Street 5� Side Yard DESCIfIPTION OF WORH New I$ I Alteration I I Adtlition I Repair I, I Moving I I Demoiish I +; 8uilding No. of Size 984 sq. I'`t.pooms 5� Stories 1 Exterior Wall I Roof I 'I No. Coveri�g S'EUCCO _ Covering Comp. APPROVALS Use of New Building Single family residence Foundation Location Inspector — Forms, Materials, Under-Pinning � f'.z C� Frame: Fire Stops, __ Brecing, 8olts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comph� Lath. Ext. with all City Ordinances and 5tate L,aws regula[ing bui]dinR construction. Signatureof �ke & Colegrove P�aster, i�t. PermiYtee - G , Plaster, Ext. Authorised Agt. — Masonry Reinforced Valuation Permit Fee $ yi,Q, O O Plan Check $ _ � a Bond Beam 3 �� Total Fee $ � � FINAL l�orm LO GH 1M 12-58 —O D _� _2 D _r Date C J d 0 � a � ; Street PLOT PLAN Show loeation and distances from property line and between buildings. OWNER [�SRAOR ESTATES � DATE (�-]_(�-5[ � � JOBADDRESS GLLL B88CY1 S},. BUILDINGPERMITNO. 1�lOO GENERALCONTRACTOR Dike & �olegrove � va�uEy 8.0��(1� �or 4�y BLOCK TRACT 1986 Residence (Sin�le� GROUP T TVPE �j INSPECTIONS DATE Footing TrenCh % // 6 Foundation Forms and Grade to Garage RoughFraming � �, _�� Plumbing, Rough to Slab � �� Plumbing, Rough Complete'?�d C,..� � Temporary Pole - Wiring, Rough ./�-; H;:ating, Rough � Heating, Final v Sewer, House � Sewer, St. Septic Tank or Cesspool Lathing,in Out 'g%J.-,� Plastering Plum6ing, Final, Fixtures Cm le L Plumbing, Final Gas Tes � f�� Wiring,Final - - Occupancy � � Form 'l10 G-H 15001-.55 SUBCONTRACTOR PERMITSISSUED I NUMBER d-SS— /�G6 J j �,i"i` � d' � i //- SS o9 c/o{/� ✓ Costa Mes Bnilding Department ��-� • � 111 EAST 20th STREET COST��MESA� CALIFORNIA � I FOR APPLIOANT TO FILL IN CiOBtd' Nea�est '7 Cross St. ' Owner R-/..w-,.. . Contractor .egal LoY ;riptlon No. ach Metes and of Lot /„ (� r of New Tract X// D I Nowon Lot (�'Yu INo.of �I No.ot , Familles /I Rooma � � Rear Vard /�' 1 Side Vard I► r�riox oF woRg Aiteration I� I Addition I Noving I I Demolish I � p No. of � � Rooms ' Stories I Roof _ _ I hereby aclmowledge that I have read this Application and state that the above is rnrrect and agree to comply with all City Ordinanees and State Laws regulating building co� tion. Signatu�eo Permittee Authorized Agt. Valwatlon / PermilFee$ �i � d � U�� Plan Check $ � O $ Total _ , _ � 204 S-SP 2M 8-55 [CATION FOR PERMIT BUILD�LNG � t O�FICE USE ONLY I Reeeipt No. Per'mit No. t'9 9� Date Rec'd. Date Issued - /D-�?i s� io-�� -� Address Costa Mesa, California Pfans CORRECTIONS APPROVALS �n Location Inspecto Materlals, >inning Ire Stops, , Bolts e C•7 . . --�,-� � � . .. . - - , cosTr. ' � �7CT7�,-55PD�esa 7s3Ez �-ti_;:;:Z�p l LV 1 1 Lt11� 6how Iocation and diskances from property Iine and between buildings • a OWNER BRIICE, DONALD J. � DATE 10-2i-55• JOBADDRESS 64<< Beach St• BUILDINGPERMITNO. ZJJS GENERALCONTRACTOR OWner-bui2der VALUE $ QQQ,OQ LOT Ltl.i BLOCK TRACT 1q$(� EnC10Se CaroOrt ROUP INSPECTIONS Foundation Formsand Gradeto Rough Framing Heatinq, Final St. In Out Plumbing, F'inal, Fixtures Plumbin9. Kin,al GasTest Occupancy w,,.... �i TVPE V ZONE Hjy DATE SUBCONTRACTOR � l —� FIRE DISTRICT #ZQl7 PERMITS ISSUED DATE I NUMBE z�-----�.�... MAY 2 1956 ` AUG 2 8 1956 nl�� a�� P l�� -� - �i-l/s;��/�� n�� 1�� - _ ��'� � 5�, �f /� �� 4 S� f' v'Dd '✓ �3' JLI/ .%iG� /rJ $�T'4 �2�1 ��-i� _ �.-�� -�G -��°,P.