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Home My WebLink About962 BEGONIA AVE - Building Permitspia) �sa-s2�a • Fax p�a� �sa-aess CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT JobAddress: 962 BEGONIAAV Suite: Vicinity: RESIDENCE & ATTACHED GARAGE. Parcel Nunmber: 41221407 Applicant: DE MENDOZA, SUSAN Address: 962 BEGONIA AVE COSTA MESA, CA � Owner: DE MENDOZA, ALAN Address 962 BEGONIA AVE Contractor. Address: Zip: Arch : Address: COSTA MESA, CA Phone: Zoning: R1 � ; 77 FAIR DRIVE, COSTA MESA, CA 92626 R1 ISSUED BY: Phone: 714-545-8626 - ' _ Zip: 92626 Phone: , Zip: 92626 � Phone: License: Eng: Address: Zip � License: Zip: � SCOPE OF PERMIT REROOF: T/O AND REROOF WITH ELK COMP. SHINGLES. 4:12 PITCH; 28 SQUARES. Plan Check: Permit: SMIF Res: SMIP Com: Other: Inspection: Total $0.00 $87.25 $0.50 $0.00 $0.00 $0.00 $87.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY , �. r . �� Status: ISSUED Applied: 05/04/1999 Issued: OS/04/1999 Phone: License: Calc Valuation: $a,3so.00 Claim Valuation: $3,350.00 PLANNING& ZONING' � ' "- ` Left 0-�0 � Right 0-0 Lek 0- 0 Right 0- 0 Proposed: 0 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants 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 i( 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 requlrad Inepeetlons and final approvel must ba obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: �714) 7545626 1' - • WORKERS'COMPENSATION DECLARATON: � I hereDy aHirtn under penelry oi perjury one ot the following declaretions: ❑ 1 heve end will maintein e cerllficate of cansent to self-Insure for workers' compensatian, as provided tor by sectlon 3700 of iha Labor Coda, for �he pertortnence of the work for w�ich lhis p8rmit Is Issued. � ❑ 1 have and will meintain workers' compensalion insurance, as required by section 3700 of Ne Labor Code, for the pertortnance of Ihe work tor which [his permit Is Issued. My workere' compensation Insurance cerrler and policy number are: Carrier: Policy Number: (Thls section need not be campleted!! the permit is velued et one hundretl tlallers ($100) or less.) ❑ I certity that in ihe pertormence of Ihe work for which this permit is issued, I shall not employ any person in eny menner so as to 6ecome subject to ihe workers' compensation laws oi Califomia, entl agree thet if I should become subJect to ihe workers' compansation provislons of Section 3700 of ihe Lebor Code, I shell forthwith comply with ihese provisions. Applicent Signature: Dete: WARNING: FNLUflE TO SECURE WORKERS' G17MPENSIITION COVERAG'c IS UNLAW FUL AND SW1LL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO IXJE HUNDRED THOUSAND DOLLARE ($100.000). IN ADDfiION TO THE 00.ST OF COMPENSATIqJ, DMMGES AS PROVIDED f-0R M SECfION 3lOfi OF THE LABOR CODE, INfEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARATON: I hereby attirtn that I am licensed untler provisions of Chapter 9(commencing with Section 7000) oi Division 3 of Ihe Business end Professions Code, antl my Ilcense is in full torce and ettect Lic. # Class p Contredofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I heraby eHirm that ihere is a conslruction Ientling agency for the peAormence of ihe work foi which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lentlefs Atldress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eHirm thal under penelry of perjury thet I em EXEMPT FfiOM TliE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Businass and Professions Code: Any ciry or counry which requires e pertnit to construc�, alter, improve, demolish, or repair any siructure, prior to Its issuanca, also requires ihe applicant tor such pertnit to flle e signed statement Ihat he or she is licensed pureuent to the provislons ot ihe Contrectore Ucense Law (Chepter 9(commencing with Sec[ion 7000) ot DlNsion 3 of the Business and Professions Cotle) or thet he or she is exempt theretrom entl the besis for ihe allegetl exemption. Any violetlon of Section 7031.5 by any epplicant for e permit s,.u.,b/�ects ihe epplicant to e civil penelry of not more than five huntlretl tlollers ($500).): � Ig I, as owner of the property, or my employees with wages as thelr sole compensatlon, WILL DO THE WORK, end Iha structura is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not epply to an owner of property who builds or improves thereon, entl who does such work himself or herself or through his or her own employees, provided ihat such Improvements are not intendetl or oNered for sale. If, howaver, ihe builtling or improvemenl is sold within one year of completlon, ihe owner-builder will heve the burtlen of proving that he or she did not build o� improve for purpose ot sale.). ❑ I, as owner of the property, am E%CLUSIVELY CON7RACTING WITH LICENSED CONTRAC70R5 to construc� the pro�ect (Sec. 7044, Business entl Protessions Cotle: The contrectors License Law does not epply to an owner of property who builds or improves ihereon, and who contracts for such project with a contractor(s) license pursuant to the Conirecmrs License Laws.). ❑ I am ez mpt under sec.�—� Signeture: �1-A-� �yx� ��°-'"�� Owner ID verifietl by drivefs license. ❑ Yes No Business and Professions Code tor ihis reason: oe�a: s/� r � 9 Dnvefs License No. Expires: Ventication of Ownership by (type of document, i.e. - property tav bill or deed): �IVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cehity that no excevatlon flve (5) or more feet in depih into whlch a person is required to descend, wlll be mede in connection with work euthonzetl by ihis permit, and ihaf no builtling stmcture, sceftolding, falsework, or demolition or dismantling ihereof, will be more then thirry-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Tltle 8, Celifomia Administrative Code). ❑ As owner-6uilder, I will not employ enyone to do work which woultl require a permit from the Division of Industrial Setety, es noted above, unlass such person has a permit to do such work from the division. SignaWre: Date: Division of IndusMal Safery Pertnit Number. CERTIFlCATE OF COMPLJANCE AND AUTHORVATION OF EMAV: I certify untler penelry of perjury that I have read this application and state ihat the information given is correct. I egree �o comply with all state laws and city ordinances relating to building construdion, and authonze representatives of ihe Ciry of Cosla Mesa to enter upon Ihe aDove-de nbs� ed property for Inspection p� es, agree not to xcupy or allow occupancy of any bullding authonzed by Ihls perm�t� ti1 � Cinspection. �J ��' S � I 1 Signeture Of Legal Owner(s) �� Date And/Or Authorized Applicant CODE �. INSVECTIONTYPE 1616 Fized System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Finel Fectory Fire Place . 203 Final Sign 204 Pinal Demolition 2466-48 I�RT� INTIfIpLS �L�-!'�i � COOE I INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Buib PAIE CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. �S"S 7R TAT N0. � O O nDDxsss �G Z /3 -G�S c�,,�. G�.�e . DATE The developer of the above entitled tract desires co sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City.of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) {was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approvai which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditiona necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City hattnless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. -~_ -�.__-R �'C;�E; i V �'p 'CfTY OF;'COSTA MESA '; ' , � Pf M1' �f'!# ��pl , � ' . . + , ' � .'' JUL 20 t97,� ' ' AA1 ; � , �7�8�9��+11��'i�tac4i5 6 � , ,� ,. ;� ,' . , �'�. , � r', � , . .., . '. i: . , , . /�„►- .��1"....�..�.-, . �Y�_z�� // r/��.L��!G �""" Developer and/or authorized zepresentasive aY�CGti.- �.C. I c2� Lander , " ' , . � -i�� .�'.�... �� . .. � , � T _ c�2��2� Z�q� ' ) �2 � �2 �vvi�ai� Laboratorie: af �out�ezn ea�i.fosnia, �nc. 3310 Airport Way / Mailing Address P.O. Bov 47 / Long Beach, CA 90601 / �213� 6Y6-3355 /(213� 636-2386 / p14) 628�6432 TESTING BflANLH OFFICE: 1514�D Non� NaeD<� Suee� / Samm �na. Cn 92]03 / p14� 5]1�P0a5 July 7, 1978 EXAMINATION NO. iH-322O COMPRESSION TESTS ON GUNITE CYLINDERS Jack Hubbard 3106 Ostrom Avenue Long Beach, California PROJECT ADDRESS •�:�: SWIM POOL - L. GOELMAN 962 Begonia, Cos[a Mesa, California AHCHITECT CONTRACTOR California Pools (Orange) ENGINEER SUBCONTRACTOF H. M. Hansen Enterprise Gunite Co. SAMPLEFROM Shallow end, deep end, Bond beam MIX OATE CAST DATE TESTED SPECIMEN N0. COMPRESSION TOTAL LOAD LBS. POUNDS PEP S�. IN. AREA, Sa. IN. 4.2 to 1 6/30/78 7/7/78 1 7 days 80,000 2,830 28.27 SPECIFIED STRENGTH SLUMP SPECIMEN SIZE 7/7/78 2 % aeye 82,000 2,900 28.27 2,000 6" X 12" %��ia 3 COMPLIANCE 7 day teste comply with apecifica[iona. MADE BY: DELIVERED BV: RECEIVED ON: SPECIMENS S[eve Hubbard 7/3/78 DISTRIBUTION Jack Hubbard - 3 Cos[a Mesa Bldg. Dept. GlL REPORTS ARE SUBMITfEU P$ TME CONFIDENTIA� VROVERTV OF �LIENTS. 1UTMOXIZ�TION FOR PUBLICATION OF OUR REVORTS. CONCLUSIONS. Oii E%Tq1CT5 FROM pR NEGORDING TNEN IS NESERVED PENDING OUR WRITTEN APVROVRL AS � MUTIIAL PROTECTION TO CLIEMS. TNE VUBLIC AND OURSELVES. . 35�62 "`� COSTA MESA BUILDINGSAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 — ' For Applicant ro Fill in Completely BUIIDING / (j ADDRESS (,p� 1�E�'�pn>\A a OWNER La win So. Calif. MAIL Z d U Z Z F 0 N am J7 J N Q W Q] J m J Q UN Za W � aw W Z J Q m Z J � W w o= z �- w� � � f z a :..� 6 a 4 C. f U. Z C � CITV Encino, Calif. No� CANSTRUC710N BRANCH 1bL55 Ventura Blvd. ADDRESS Fnnynn� ('nlif ARCHITECT _ . TE ADDRESS y1U0 Wilshire Blva. liev H111s CONTRACTOR TaM,�jn SO ('alif. � � AD�RESS 16255 Ventura Blvd. arv Encino, Calif, a,o.`'986-8890 LIG No. 191311 LICVNO. $-1 SIZE NO.OF BLDGS. OFLOT GZ X 9% INOWONLOT Q USE OF EXISTING BLDG. N'EWBLoc. 2354 ROOMS STOFIES 2 EXTERIOR WALL ROOF COVERING BtUCCO COVERING Wd�d shingle USE OF BVILDING qND WORK TO BE PERFORMED U I hereby acknowledge that I have reatl this application and state � that the above intormation is correct antl agree to comply with � all laws regulating.bqildin8 consttuction, and I shall not employ F„ any person in violation of the workman's compensation laws ot y . the State of Califomia. , • � ZI he�eby certify that I am prope�ly licensatl as a cont�acto� untle� the State ot Calitornia Business and Professions Cotle, Divisicn 3, Chapter 9, antl that such licenses are fn full torce antl eftect, or I am ezempt from the provisions of the State ot Calitornia Business and Professions C e, Division 3, Chapter 9. Signature of D. �OW[1S Permittee Authorizetl Agant � ' APPLI FECEIVE➢ A.P. NO. — BUILDING ADDPESS ' TRACT APPROVED r�io �Hr;2r,-73�,,,;OOt3y�':� :�f;�`177.2�+ N FOR BUILDINGPERMIT DATE R CEIV D DATE ISSUED i-��1- s i �a->3 e LOT DATE Z��'C, PLANS � I BUILDING �l✓�� VARDSAPPPOVED VAR�SAPPROVED MAIN BUILDING ACCESSORV BUILDII 3 VAR. a1� C.U.P.� HOLD FOR THEAMOUNTS THE PURPOSE OF VALUATION $ ��6�� FT. & DATE APPFOVED 6 � r � / O VALUATION IS FOR � A PERMIT FEE ONLV: ¢ E $ 116.50 � ,c $ S8.2S E � � `a LL $ OWNER TARWTN JOB ADDRESS q62 Begoni: GENERAL CONTRACTOR pi AP No. LOT l� INSPECTIONS SOIL GAS WATER ROUGH PLUMBING PROP. SWR. LINE OUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARY SERVICE Oft POLE UN�ERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL RE FLOOR SVSTEM BONO BEAM � STEEL REINFORCE [ SHEATHING FFAME AND FLASHING LATHING - IN OUT PLASTER,BROWN COAT STRUCTURAL. FINAL HEATING, VENT., REFRIG. ANO A, PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL F I DATE w Eb 35,600.00 SUBCONTRACTOR �°te;�3� �,,'�� COSTAMESA�BUILDING-SAFETYDEPARTMENT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 4844 6914Y78. 66.55 TL _�� T..:'-. '•. —.. . . .�,r APPLICATION FOR STRUCI'URAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVED DATE ISSUED r/ BUILDING � / � � �, �` S ��I �73 AODRESS (/ � - ��/'/� PERMITNO. I OWNER r /�A LN/` A.P.NO. `( MAIL �I BUI�DING `/�� ADDflESS � j�%; ADDRESS �� f�JG� y�.. y� � TE� ��2 L i ' ✓. CITV ��, 7jf �.t� NO�� XJ TRACT , L BLOCK CONSTR CTION . W A D A R P LENDER BRANCH ��/ � OWNER � ,��i.�� n �,�,�, �� ADDRESS " / VALUE ARCMITECT TEL. S /�i�Y! G� ' $ � OR ENGINEE. N �� LN� FIRE ' . AD�RESS 20NE TVPE �GROUP � � .:qPPROVE� � � - CONTRACTOR (�" � �,�, ^ BV� DATE � � ADDRESS /' ) . ��q�� TEL. Z�NE NO.Of USE OF NE � '�:ti PL,AN$ BUILDING �- CITV A�.,� NO.'%7%'�„ifU - � - STATE` � � � CITV �-..ti�:"�ARDSAPPROVED VARD APPROVED UC. NO: � !7 O LIC. NO. .� MAIN BUILDING . ACCESSORY BUIIDING S12E � NO.OF BLOGS. (FFOM C/ TR TI OF l0T NOW ON LOT M � FT. FT. USE OF / EXISTING BLDG. � FT r . • Separate permits are required for �. sioe FT. FT. electric, plumbing and heating work. � � RE.4R FT. FT. USE OF BUILDING AND WOflK TO BE PERFORMED DISTANCE BEf. BET. MAIN & MAIN BLDGS. ACC65, BLDGS. ' /.I� // _ I ' VAR.�W DATE . I/ ��wC T C.U.P. # APPROVED � APPROVE � � I hereby acknowletl8a thet I have reatl this appl(cation antl rtaro '^ n that the above information is correct and agree to comply wit� � all lews reguleting building consttuction, and I shall not employ � any person in violetion of the workman's compensation laws of m the State of Celifornia. . , 1 he�eby certify that I em properly Ilcensetl as a contractor untler SQ. FT. a the State of Califo�nla Business antl P�ofesslons Cotle, Divlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapta� 9, antl thei such licenses ere in full force and etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from the provislons ot the State of Californla B elness VALUATION PERMIT FEE `� and Professions Cod� Divislon 3, Chapter 9. ` /� s � J� Signatura of t�rJ/G� / p„ty vf PLAN CHECK y LL 0 Permittee, G�[J"'�� (�1.. $� pp TAX s �— � Authorized ABent - TOTAL PAID S � �'� ' owNER GOELMAN, �JOB ADDRESS 962 ;GENERAL CONTRACI AP Na.412-21$-07 1NSPECTIONS Pool Location Forms Main Drain Steel Reinforce � Elec. 8ond ApproVal to Cover _ Undergraund Electric . Gas Piping Test _ Filtering System Lines 'i-1 D- Backwash Lines and Recep. ��'- �'-_T_� �' ElectriCal Final Heater and Vent Final _ Filter $ystem Final Backw2sh and Recep. Final Fencing Final Approval for Finish � •� .,,--•-- ^-- �''-r DATE (_ll BUILDING PERMIT N0. E SUBCONLRACTOR Plum